Device for use for massaging an extremity of a patient

Abstract

The invention relates to a device (10) for use for arthritis, osteoarthritis, chronic inflammation and / or for reducing muscle pain and tension in relation to an extremity or a body part (i.e. extremity) of a patient, wherein the device (10) comprises the following: a casing (11) which is configured to receive the extremity, or a part thereof, of the patient; at least one pressure element (13) for applying, preferably variable or varying, force or, preferably variable or varying, pressure to the extremity when using the device (10); and a control device (15) for allowing force or pressure to be exerted on the extremity by means of the pressure element (13).

Description

[0001] Description

[0002] Device for use in massaging an extremity of a patient

[0003] The present invention relates to a device for use in arthritis, osteoarthritis, chronic inflammation and / or for reducing muscular pain and tension with respect to an extremity of a patient according to claim 1 or according to the preamble or generic term of this claim.

[0004] Devices for use in arthritis, osteoarthritis, and chronic inflammation, e.g. in the area of ​​a patient's fingers, are known from the prior art.

[0005] An object of the present invention is to provide a further device for use in arthritis, osteoarthritis, chronic inflammation and / or for reducing muscle pain and tension with respect to an extremity of a patient.

[0006] The object of the invention is achieved by the device having the features of claim 1.

[0007] According to the invention, a device is proposed which can be used, for example, in arthritis, osteoarthritis, chronic inflammation, and / or for reducing muscle pain and tension. The use is intended, for example, with respect to an extremity of a patient. The use of the device according to the invention in the rehabilitation of stroke patients and before or after surgery is also encompassed.

[0008] The device according to the invention comprises a cover configured to accommodate the patient's extremity, for example, the hand, thigh (for example, to prevent or treat thrombosis), or foot, or a part thereof. Alternatively or additionally, the cover can also be intended to be applied to another extremity of the patient. Further alternatively, the cover is a covering for at least part of the patient's body, e.g., the patient's neck, shoulder, etc. The cover can be closed or can be closed in at least one cross-section, such as a sleeve, a trouser leg, or the like, or not, such as a cloth, a pad, etc.

[0009] At least one pressure element for applying, preferably variable, force and / or, preferably variable, pressure to the extremity when using the device is also included in the device according to the invention.

[0010] Furthermore, the device according to the invention comprises a control device for causing, e.g., by inducing the pressure element, force or pressure to be exerted on the body, e.g., on the extremity, or parts thereof, during use. In some embodiments, the control device is configured to determine or change the amount of pressure or force applied.

[0011] Embodiments of the invention may comprise some, some or all of the following features in any combination, unless this is recognizably technically impossible for a person skilled in the art.

[0012] In all the following statements, the use of the expression "may be" or "may have" etc. is to be understood as synonymous with "is preferably" or "preferably has" etc. and is intended to explain embodiments of the invention.

[0013] Whenever numerical terms are mentioned herein, the person skilled in the art will understand them as indicating a numerical lower limit. Unless this leads to a contradiction recognizable to the person skilled in the art, the person skilled in the art will therefore always read "at least one" or "at least one" alongside the term "a" or "an." This understanding is encompassed by the present invention, as is the interpretation that a numerical word such as "a" can alternatively be meant as "exactly one," wherever this is recognizably technically possible to the person skilled in the art. Both are encompassed by the present invention and apply to all numerical terms used herein.

[0014] Whenever reference is made herein to spatial information such as "top," "bottom," "left," or "right," the skilled person understands this to refer to the arrangement in the figures attached here and / or in the state of use of the device. "Bottom" is closer to the center of the earth or the lower edge of the figure than "top."

[0015] Advantageous further developments of the present invention are the subject of subclaims and embodiments. Whenever an embodiment is mentioned herein, this represents an exemplary embodiment of the invention, which is not to be understood as limiting.

[0016] If it is disclosed herein that the subject matter according to the invention has one or more features in a specific embodiment, it is also disclosed herein that the subject matter according to the invention expressly does not have precisely this or these features in other, likewise inventive embodiments, e.g., by way of a disclaimer. Thus, for each embodiment mentioned herein, the opposite embodiment, for example, formulated as a negation, is also disclosed.

[0017] If "automated" or "automatic" steps are mentioned here, this preferably includes the fact that a correspondingly programmed control device or a, for example, largely operator-free system can carry out those steps independently, i.e. without human intervention, without human intervention and / or without a person making a specific contribution to the implementation of the method. The initiation and thus ultimately implementation of these steps takes place through self-control and / or regulation of the control device or the system, or is initiated thereby, i.e. for example without operator influence that would or could influence the method or a result thereof. An automatically initiated step can thus be one that is triggered or initiated by the control device, in particular because it has detected (e.g.based on sensor signals, on reaching a program section, on the occurrence of a predetermined point in time, because a previous step has been completed, etc.) that the said step is now pending and its execution is therefore initiated or triggered by the control device.

[0018] "Automated" or "automatic" is, in some embodiments, the opposite of "manual," where "manual" is or includes activating or initiating steps by a human, e.g., by touching a switch, a touchscreen surface, or the like, performing predetermined gestures, typically with their hands, a body movement, their voice, and / or by their presence, e.g., in front of a camera, in front of a motion sensor, etc.

[0019] If at least one of the steps, for example the first step of a process, is triggered or influenced by a human, or if human intervention, for example an input, is necessary during the process, the process can be referred to as a "semi-automatic" process, provided that the remaining process steps continue to run without human intervention, as described above.

[0020] When "programmed" or "configured" is mentioned herein, these terms can be interchangeable in some embodiments. In this context, "programming" or "configuring" can include creating or compiling software (programs such as drivers or the like) in advance, e.g., at the factory, or e.g., specified by a technician or programmer, by means of which hardware components can communicate or be controlled. In certain embodiments, the terms "programmed" or "configured" additionally include adapting the one or more devices (hardware and / or software) to the requirements of the system and / or those of the user by selecting the appropriate software and / or hardware components of an existing system or by adding further suitable software components, each taking into account the technical problem to be solved.

[0021] When a control device is mentioned here, it can be designed as a regulating device.

[0022] Whenever reference is made here to a signal or communication connection between two components, this may be understood as a connection that is already in use. It may also be understood as preparation for such a signal connection (wired, wireless, or implemented in another way), for example, by coupling the two components, such as by pairing, etc.

[0023] Pairing is a process that occurs in the context of computer networks to establish an initial connection between computer units for the purpose of communication. The most common example of this is establishing a Bluetooth connection, which connects various devices (e.g., smartphones, headphones) to each other. Pairing is sometimes also referred to as bonding.

[0024] In some embodiments of the inventive

[0025] Device, the cover is a glove with one, two, three or more finger cots for donning by the patient.

[0026] In some embodiments, one or more of the finger cots are open at their distal end toward the exterior of the glove. A finger cot open in this manner is therefore not or does not include the pocket section known, for example, from ski gloves, in which the distal phalanx, or distal phalanx, usually lies, including the fingertip. In contrast to such closed finger cots, the finger cot open at its distal end ends before the fingertip, which protrudes distally from the glove, uncovered by the finger cot.

[0027] This particularly advantageously serves to ensure that the haptic perception of the fingertips is maintained or not restricted, for example in order to be able to operate a device, e.g. a coffee machine, a computer keyboard, a smartphone, a touchscreen or the like, during use of the device according to the invention, ie while it is being worn or applied and / or while it exerts pressure on the patient's hand and fingers.

[0028] In some embodiments, the device according to the invention comprises at least one tensioning element or adjusting element, e.g., for varying at least one cross-sectional area of ​​at least one of the finger cots.

[0029] In some embodiments, the device according to the invention alternatively or additionally has tensioning or adjusting elements on other parts of it, for example in order to be able to vary the cross-sectional area of ​​the device on the palm of the hand, the wrist, the lower leg, the ankle or another part of the patient's body.

[0030] In certain embodiments, a tensioning element or adjusting element can be or have a strip of material, for example similar to a belt strap, which is optionally guided through a connecting loop, for example similar to a buckle or a belt buckle, and / or such a connecting loop.

[0031] A material strip or a connecting loop can be located or provided at any location on the device according to the invention, in particular on a pressure element, preferably at opposite ends of a pressure element. The material strips can each have different angles to an imaginary axis of the pressure element and / or run parallel to such an axis. Preferably, the angles of the positions of the connecting loops are arranged accordingly, e.g., opposite each other, or vice versa. Such an arrangement can advantageously reflect or take into account the anatomy of the body part to be treated.

[0032] In some embodiments, a connecting loop is provided for each material strip, in others not. By passing the material strip through the connecting loop and thus closing, tightening, or tensioning the tensioning element or adjustment element, the pressure element can be fastened or closed, for example, so that it surrounds the body part to be treated; a vibration system as described herein can be fixed, and / or the cover can be adjusted. Thus, the device or parts thereof can be individually adapted to the patient during use. Differences in the dimensions of the patient's extremities, for example from one wearing time to the next, e.g., in the form of swelling, deformation, weight loss, or the like, can be taken into account in this way, which can benefit wearing comfort.

[0033] In some embodiments, it may be provided that the tensioning or adjusting elements can be opened completely or sufficiently wide in order to apply no or only little pressure to the patient's body part at certain points.

[0034] In some embodiments, some or all of the tensioning or adjusting elements, for example at their loose ends, e.g., at the end of the material strip, have sections with a thicker material thickness and / or a wider geometry. These sections can advantageously serve, in particular, to prevent the tensioning or adjusting element from slipping through the connecting loop. In these embodiments, the tensioning or adjusting elements can be opened sufficiently, but not completely.

[0035] In certain embodiments of the device according to the invention, the pressure element consists of or has a main air cushion.

[0036] The optional main cushion can be detachable from the other components of the device. The same can apply to optional secondary air cushions, such as finger air cushions. This allows for a wide range of applications, e.g., with or without the use of pressure, such as air pressure. The terms secondary air cushion and finger air cushion can be used interchangeably in some embodiments.

[0037] In some embodiments, the material strips at one end of the main air cushion can be provided for attachment to a bar, strip, or the like, for which a counterpart for closing is provided at the respective opposite end of the main air cushion, for example, such as a hook-and-loop fastener. Such a bar, strip, or the like can advantageously contribute to closing the main air cushion with a single hand movement and securing it to the body part to be treated.

[0038] In addition, such a tensioning element or adjustment element can serve to increase the desired pressure on the patient's body by adjusting it to be tight or tight.

[0039] In some embodiments the tensioning element or adjusting element (short: element) is elastic, in others it is not.

[0040] In designs with an elastic tensioning element or adjustment element, accidental overloading, e.g., of a finger, can be effectively prevented. Furthermore, such designs can prevent pressure overload, such as when bending joints of the treated body part, due to the elastic element's ability to elastically yield.

[0041] In designs with one (or more) non-elastic clamping elements, pressure conditions can be adjusted more precisely, for example on a desired or specific finger, etc.

[0042] In some embodiments, at least one of the finger cots is not closed in every cross section along its longitudinal direction.

[0043] In some embodiments, at least one of the finger cots is not circumferentially closed along its longitudinal direction in at least one cross-section (in others, however, it is). It may be provided that in these embodiments, the finger cot at least does not completely cover the circumference of the finger accommodated therein.

[0044] The associated advantages include allowing the skin as much contact with the atmosphere as possible, thus counteracting sweating caused by wearing the device as much as possible.

[0045] In addition, this design can also make the use of the device helpful for patients with only temporarily swollen fingers or joints.

[0046] Furthermore, such a design can be advantageously used by a variety of individuals or patients, regardless of, for example, their natural finger circumference, etc. In this way, it may be sufficient to keep the number of different sizes for the device to a minimum, or even to maintain only one standard size of the device. In some embodiments of the device according to the invention, the cover is a sock, in others a glove or a cuff.

[0047] In some embodiments of the device according to the invention, the at least one pressure element is a compressed air system or is comprised of such a system. Thus, the pressure element can be an inflatable element and / or an element that can be displaced or moved by means of compressed air.

[0048] To adapt well to the patient's extremities, the pressure element can be ergonomically designed. For example, especially in areas where the patient should still be able to bend their joints while using the device, such as the metacarpophalangeal joints, the wrist, the knee, etc., it can have suitable and specially designed recesses and / or shapes, for example, a convex or otherwise curved edge of the pressure element toward the fingers. For example, in the example of a glove, the convex edge of the palm toward the fingers can be traced using the shape of the pressure element.

[0049] Through-openings through the device or through components thereof, e.g. through the main air cushion, may be provided.

[0050] At least one optional through-opening can be provided in the middle or a central portion of the portion of the pressure element that rests on the palm, or at another location. This can facilitate or even enable the bending of the fingers, such as when closing the hand. A recess in the pressure element toward the wrist can advantageously preserve the free flexion and rotation of the same during use of the device.

[0051] Any shape and design of the outer edges and / or through-openings of the pressure elements which is suitable for maintaining the patient's freedom of movement is conceivable at this point and is encompassed by the present invention.

[0052] In some embodiments, at least one pressure element rests on the palm of the hand; in certain embodiments, it may extend further to the back of the hand.

[0053] A compressor, an air pump or the like may be provided to be controlled by the control device to build up air pressure.

[0054] In certain embodiments, a suction device may be provided to create a vacuum in the pressure elements. In some of these embodiments, the vacuum causes the material of the pressure element to shorten, thus exerting pressure on the extremity.

[0055] In some embodiments, the compressed air system includes an inlet valve and an outlet valve, each optionally connected to the atmosphere. In certain embodiments, no inlet valve is provided.

[0056] In some embodiments, inlet and outlet valves are provided to be controlled by the control device, in particular to be opened or closed. In some embodiments, the control device is configured to activate the existing pressure elements, air cushions, vibration motors or elements, etc., or combinations thereof, according to a predetermined pattern. In such an exemplary pattern, for example, one or more comparatively distal components are activated first, followed by one or more comparatively proximal components. This can lead to a massage toward the torso, i.e., in a proximal direction. Such coordinated activation can be perceived as a massage.The direction in which the effects of the individual components alternate or their temporal onset may be toward the heart, which may promote venous outflow; other directions, particularly away from the heart, may also be initiated by the appropriately configured control device.

[0057] If several air cushions are provided, it may be provided that at least two of them (e.g. main air cushion and finger air cushion) are activated one after the other.

[0058] In some embodiments, the pressure element is or comprises a vibration system or parts thereof. The device can be configured to use—at least temporarily in certain modes—either the vibration system as the sole pressure element or in combination with another pressure element, which may, for example, be controlled by air pressure, for example, as also disclosed herein.

[0059] The vibration system exerts pressure on the skin and the underlying tissue, for example through friction or other

[0060] Interaction that occurs when a vibrating vibration motor or, more generally, a vibration element is applied. Stimulation such as that caused by vibration is also understood here as pressure.

[0061] In some embodiments, the vibration system includes vibration motors.

[0062] In some embodiments, the vibration motors are detachably connected to and can be detached from the control device and / or the voltage source by means of conductors, e.g., electrically conductive yarn, and two plugs.

[0063] In some embodiments, it is possible to arrange some or all of the vibration motors at any position of the device according to the invention in order to be able to define individual massage points.

[0064] In some embodiments, some or all of the vibration motors are located on the side of the cover facing the patient's palm during use, preferably only there.

[0065] In some embodiments, the vibration motors press against the user's palm during use of the device.

[0066] In some embodiments, the pressure on the body part to be treated is changed over time by means of a pressure change in the pressure element in such a way that a massage effect is achieved.

[0067] In certain embodiments, a massage is achieved solely through vibration motors. In some embodiments of the device, the pressure element is arranged in a pocket of the cover or is otherwise surrounded on both sides by cover material and / or a textile.

[0068] In these embodiments, the bag, the covering material and / or the textile is / are in particular non-conductive, for example cotton, elastane or the like or combinations of such materials.

[0069] In some embodiments of the device, electrically conductive yarn is provided for the electrical supply of the pressure element, vibration system or control device, in others it is not.

[0070] In some embodiments of the device, the pressure element is realized by or comprises a material that shortens in length depending on the current or voltage applied to it. The pressure effect can thus be generated by corresponding material shortening.

[0071] In some embodiments of the devices, one or more pressure elements are arranged in the device at locations which, in use, lie over or on joints of the patient, e.g., finger joints, wrists, knees, etc.

[0072] In certain embodiments, the printing elements are located beneath the covering, meaning they are not visible from the outside during use. They can be located between two layers of the covering and / or a textile. In some embodiments of the device, different modes for operating the printing element can be selected using the control device.

[0073] In some embodiments of the device, the control device is detachably connected to other components of the device by means of a plug connection, such as the motor, the pump, or the like.

[0074] In certain embodiments, the control device is connected to the cover by means of fastening loops, straps or other devices, and can therefore also be detached from it.

[0075] This makes it possible to separate the device from the control device (or vice versa) and wash it, for example, without electrical components such as a power source and / or control device, etc. In some embodiments, the vibration motors can be provided as a non-removable part of the device. Tests have shown that they can remain in or on the device during a washing process. In other embodiments, they are a detachable part of the device. They can be provided for removal from, for example, a textile layer.

[0076] Further advantages may include the ability to easily replace the control device with a successor version, should this be necessary. Replacement is also possible in the event of a defect. The charging process can also be simplified. Delivering the device with a customized control device is also easily possible, and access to the control device, for example, for installing software updates, could also be made easier. Regardless of whether the control device is designed to be detachable or not, in some embodiments it can be prepared to be updated or adapted via a software update.

[0077] In some embodiments of the device, the cover is elastic and / or waterproof, at least in sections.

[0078] In certain versions, the cover is breathable. This means that skin respiration is not or only slightly impaired, which can benefit wearing comfort.

[0079] In some embodiments, the cover has loops, pockets, or the like into which the hand or fingers not inserted in the device can be inserted before, during, or after use of the device. These are also referred to herein as pull-out loops.

[0080] These can be used in particular to make it easier to remove and / or pull out the device according to the invention from the patient's extremity, for example by pulling on them, for example with a finger.

[0081] In some embodiments of the device according to the invention, some or all of the pneumatic and / or electrical supply lines for the at least one pressure element are protected from contact with the skin of the patient's body part being treated by the device by textiles or parts of the covering. In some embodiments of the device, it further comprises a heating and / or cooling system. An energy source can be provided for this purpose.

[0082] In some embodiments, a heating system is implemented by preheating the air that is conveyed into the printing elements. In some embodiments, heating is provided by electrical energy. In some systems, cooling is achieved by the cooling system by regularly or continuously exchanging the air that is in the printing element with, for example, ambient air.

[0083] Some embodiments provide heating or cooling devices that operate on a chemical or other basis and need to be activated, for example, by squeezing or breaking sections of them. These devices can be based on the principle of hand warmers. That is, they consist of a sturdy plastic bag containing a supersaturated sodium acetate (C2HaNaO2) solution and a metal plate. When the metal plate is bent, the solution is stimulated to crystallize, releasing heat.

[0084] Likewise, heat storage or latent heat storage or cold storage or latent cold storage can be provided, which can be pre-tempered, for example, before they can be inserted, for example, into a pocket of the device. Pockets, insertion options, etc. can be provided on the device or a part thereof. In some embodiments, the device, in particular its control device, is in a wired or wireless signal connection (e.g., via Bluetooth, Wi-Fi, etc.) to another device or unit, for example, of the patient, a caregiver, a doctor, or the like. Such a device can, for example, be or comprise a smartphone, a tablet, a smartwatch, or the like. This another device or unit can, for example, serve to operate the device, its control device, valves, etc.A user interface for the patient to operate the device can therefore be provided on the device, but does not have to be. For example, such an interface can be completely relocated to the smartphone as an example of such an additional device, on which sufficient space can be created for the control elements such as switches, touch surface(s), etc., without being spatially restricted, e.g. by the size of the device that carries the switches, etc. Optionally, parts or aspects of the operation can be relocated to the additional device, but certain control options, such as the basic ones, can still be provided on or on the device itself.

[0085] In some embodiments, such additional devices can also serve to provide information to the patient or third parties; for example, the duration and / or intensity of use, for example of the device itself, can be recorded and stored and then retrieved or output.

[0086] In some embodiments, such further

[0087] Devices can also serve documentation purposes, e.g. how often and / or with what intensity the device was used in a certain period of time.

[0088] In some embodiments, such additional devices may allow inputs from patients, medical personnel, or caregivers, for example, to document massage success, patient condition, device settings for further treatment, or the like.

[0089] In some embodiments, such additional devices can be used in addition to inform the patient about the operation of the device according to the invention, for example by playing tutorials on such additional device or by means of which tutorials can be called up.

[0090] In some embodiments, such additional devices can additionally serve to facilitate communication between different patients using the device according to the invention. In the form of an organized and / or social network of interacting patients (a community), these patients can, for example, exchange experiences or provide mutual assistance via the additional devices.

[0091] Light sources such as LEDs, OLEDs, lamps, or the like can be provided on the device in some embodiments to visually indicate operation or an operating mode (e.g., through a light source of a specific color), to indicate the charge level of a rechargeable battery, a battery, etc., to indicate the type of pressure being generated at a specific moment (compressed air, vibration, etc.), and / or the like. Such displays can also be displayed on the further device, e.g., as a light source, button, icon, etc., which can be wirelessly connected to the control device.

[0092] In some embodiments, light sources, buttons, icons, etc. may be provided to indicate an alarm, for example a malfunction.

[0093] In some embodiments, the device has a connection device to a power source, such as a socket for a plug. In some embodiments, the device is connected to a power source. The power source can be a rechargeable battery, a battery, etc. It can be part of, for example, a laptop, a smartphone, the household power line, etc., to which the device is connected, for example, via a cable and, for example, a USB interface.

[0094] In some embodiments of the device, the control device may be or comprise a plug-in operating unit.

[0095] In some embodiments, the control device may include a circuit board with programming.

[0096] In some embodiments, the circuit board of the control device can have two boards, of which a first board is preferably configured or programmed for internal control and a second board for user or patient communication, i.e., for controlling the control unit or interface. In some embodiments, the voltage source, for example, the battery, can be charged externally, for example, at a suitable charging station provided for this purpose.

[0097] In some embodiments, the power source is charged via a USB port, e.g., a USB-C port, or any other suitable port.

[0098] In some embodiments, the power source is charged via a magnetic charging port. Induction can also be used.

[0099] In some embodiments, the power source is housed in a common housing with the control device. Both can thus be easily separated from the rest of the device, for example, to wash the latter.

[0100] In some embodiments, the appearance of the device according to the invention differs little or not at all from a conventional item of clothing, for example a glove or a sock.

[0101] In some embodiments, the control device is configured so that the level of pressure or force applied cannot be determined or changed by the user or patient. Alternatively or additionally, the device or the control device does not have a corresponding switch, a correspondingly designed interface, etc. In some embodiments, the control device, possibly depending on the set mode, determines the duration during which the air pressure is increased in at least one of the pressure elements, during which the increased pressure is maintained, during which the pressure is reduced again and / or when the pressure is allowed to increase again. This can occur automatically, i.e. be pre-programmed, and require no action from the user.

[0102] In some embodiments, the pressure elements are configured either to apply pressure by vibration or not to apply pressure by vibration. In the latter case, the pressure can be applied in any way other than vibration.

[0103] In some embodiments, the optional loops which are designed as pull-out loops to assist in pulling out the device, for example when it is designed as a glove, and / or the optional tensioning elements, or some of these, are designed from or with hook-and-loop fastener or corresponding material (Velcro, for example).

[0104] In some embodiments, the device includes LEDs for indicating the charge level of a voltage source, the set mode, the operating state, etc.

[0105] In some embodiments, the device does not have any pressure elements, air cushions, or vibration motors arranged or stacked on top of one another—partially, completely, or overlapping. In certain embodiments, air cushions, e.g., the main air cushion, and vibration elements, pressure elements, air cushions, and / or vibration motors are arranged or stacked on top of one another—partially, completely, or overlapping.

[0106] In some embodiments, the device is not or does not include a neck support.

[0107] In certain embodiments, the device includes resistance coils as or as part of the heating element. In other embodiments, the device does not include resistance coils.

[0108] In some embodiments, the device comprises a plurality of finger cots that are connected to one another, e.g., by means of textile layers of the device.

[0109] In some embodiments, the device does not include paraffin-filled elements or bladders.

[0110] In some embodiments, the device or its covering comprises several layers, e.g., two or more, which are each arranged within one another, e.g., as an inner layer and an outer layer. The different layers may consist of or comprise the same or different materials. For example, the inner layer may consist of or comprise, preferably entirely or substantially, a breathable, skin-friendly material, whereas the outer layer may consist of or comprise a different material, selected, e.g., for aesthetic reasons, as protection against rain, etc. In some embodiments, the device comprises vibration-pressure elements only—or predominantly—on those sides of its body which, during use, lie or act on the palmar side of the hand, i.e., the palmar side, but not also on the back of the hand, i.e., the dorsal side.

[0111] In some embodiments, the device includes one or more sensors that can be used to collect patient data, such as pulse, heart rate, temperature, blood oxygen, and / or the like. Such sensors and their modes of operation are known in the art.

[0112] In some embodiments, the patient data collected by such sensors can be made accessible to the user, the physician caring for the patient, the physiotherapist, and / or other persons, e.g., those involved in the patient's treatment. In these embodiments, the patient data can be available and made accessible as raw data or as already processed data. Necessary pre- and post-processing equipment, such as computing devices, an analysis website, an app, software, a (secure) cloud, a wired or wireless reader, etc., can be included in the device according to the invention or can be separate from it, preferably connected in a signal connection or prepared or programmed for this purpose.

[0113] In some embodiments, the software of the device according to the invention comprises algorithms and analysis techniques ("advanced analytics") based on artificial intelligence (AI), in particular neural networks, mathematical functions, and / or the like. These may include, among other things, analyses and calculations based on data acquired, e.g., by the sensors, using statistical and / or learning methods.

[0114] The term "advanced analytics" can encompass the semi-automatic or automatic analysis of data.

[0115] Within the framework of "advanced analytics," sophisticated state-of-the-art methods and tools are used, e.g., regression, clustering, cohort analysis, recommendation algorithms, optimization, for example, Bayesian optimization, gradient boosting (for example, the XGBoost library), (decision) tree algorithms, preferably directed and / or non-cyclic, influence diagrams, graphical probability models, or the like.

[0116] In some embodiments, the term "advanced analytics" particularly encompasses methods that enable models to be derived based on empirically determined data, which allow assessments and predictions to be made. Likewise, it may be provided to develop treatment regimens based on the empirically determined data, which may, for example, suggest the use of the device according to the invention for treatment, preferably of the specific person. In some embodiments, the device according to the invention may be programmed to carry out such methods.

[0117] Alternatively or additionally, various "data mining" methods can fall under the term "advanced analytics." The term "data mining" encompasses the - mostly semi-automatic or automatic - evaluation of large amounts of data (e.g., obtained from patient groups treated, for example, with the device according to the invention (e.g., with identical models thereof)) to determine occurring regularities, laws, and hidden connections, from which conclusions can be drawn about an expected development, here, for example, the course of the disease. The term "data mining" can, in turn, be encompassed by or encompass the broader process of knowledge discovery in databases (KDD).

[0118] In some embodiments, analyses and calculations can be based in particular on comparisons with data from other patients, such as patient groups, which can be classified in order to obtain information for the specific patient with regard to diagnosis, prognosis, therapy recommendations, etc.

[0119] In some embodiments, the "advanced analytics" include algorithms based on neural networks and / or machine learning, in particular "deep learning" and / or "reinforcement learning."

[0120] Neural network architectures may include convolutional neural networks (CNNs), long-short-term memory networks (long-short-term memory networks), recurrent neural networks, or other types of neural networks commonly used for optimization or classification problems and known in the art.

[0121] In some embodiments, the analysis techniques described herein may additionally incorporate inputs from patients, medical personnel, or caregivers, for example, inputs for patient feedback, for documenting massage success, for documenting a patient condition, such as pain perception, for documenting disease progression, or the like. The devices described herein may be used for these inputs.

[0122] In some embodiments, inputs from patients, medical personnel, or caregivers can be stored and used, for example, to recalculate device settings, particularly for further treatment of the specific patient, treatment suggestions, or the like. In these embodiments, the results of the "advanced analytics" can alternatively or additionally be incorporated into the treatment of other patients, particularly those with the same or similar clinical picture.

[0123] In some embodiments, the further processing of the data collected by the sensors described herein comprises calculations and analyses based on artificial intelligence (AI), as described above. In some embodiments, artificial intelligence can be used, for example, to determine relationships based on the inputs described above, which, in particular, allow for the collection of findings, diagnoses, and / or the offering or comparison of therapy methods for specific clinical pictures and / or courses of disease, such as suitable schemes when using the device according to the invention.

[0124] In some embodiments, the evaluation device can make prognostic statements regarding the progression of a clinical picture. This can be done, for example, by comparing it with stored reference data, reference progressions, by using reference databases, etc. Artificial intelligence can also be used here. Algorithms for data processing and / or data comparison, in particular those based on artificial intelligence as described above, can also be encompassed by the present invention. Thus, progression checks can be performed in this way, a subclassification of the specific condition can be performed, evaluations regarding particularly suitable use of the device according to the invention can be performed, and more can be communicated accordingly if necessary.

[0125] As further examples, alarms can be triggered for the aforementioned individuals, e.g., in the event of low battery levels, temperature abnormalities, incorrect use, device malfunctions, and / or the like. Alarms can be stored in a history, and their frequency, triggers, etc., can be monitored, particularly for inclusion in the aforementioned calculations and analyses.

[0126] In some embodiments, the device according to the invention comprises a device for audio playback. Audio playback by means of this device can be performed, in particular, at a volume that can be freely selected, for example, by the user or patient. Acoustic alarms and signals can be emitted by means of the audio playback device, for example, to draw attention to a malfunction, to indicate the expiration of a timer, etc.

[0127] In some embodiments, the device has a display or other display device, in particular a touch display, or is in signal connection thereto (or is prepared for such a signal connection). The display device can be provided and / or suitable to enable, by means of this and suitable software, the operation of the device according to the invention, the reading of values ​​(for example, the sensor values ​​mentioned above), the playing of video files (for example, tutorials on how to operate the device), the receiving of notifications (for example, local status messages from the device, visual alarms, etc. and / or global messages via the Internet, etc.) or the like.

[0128] In some embodiments, the device according to the invention comprises both a device for audio playback and a display device. In certain embodiments, it may be possible to connect these devices or the device according to the invention to another external device, for example, a patient's smartphone, or an external storage device, for example, a cloud, via a signal connection, for example, to play video or audio files (films, music, audiobooks, etc.), to receive or make calls, or the like. This can advantageously contribute to making the time spent using the device according to the invention as pleasant as possible for the patient.

[0129] In some embodiments, the device according to the invention has a microphone, by means of which the device can be operated via voice control. The voice control can operate the same functions as described above for the display device and audio playback, or a selection thereof. In addition, ambient noise can be perceived and, for example, the use of the device according to the invention can be analyzed.

[0130] In some embodiments, the user can program the functions of the device according to the invention, in particular the massage function, as he or she sees fit, e.g., completely freely or, for example, with regard to the end user, only within the framework of permissible programming steps. This can optionally be done analogously on the device itself.

[0131] Alternatively or additionally, the device can be programmed using an external device, for example a smartphone, computer, tablet, etc.

[0132] In some embodiments, programming of the functions of the device according to the invention, for example as explained above, can be provided alternatively or additionally by third parties, for example by the attending physician, the physiotherapist, by caring relatives or by other persons entrusted with the care or nursing of the patient.

[0133] In some embodiments, it may be possible to control the individual pressure elements or vibration motors individually. This can make it possible, for example, to subject individual fingers to a targeted massage. In this way, previously limited degrees of movement of the respective limbs could be regained or an instrument could be learned more easily (e.g., guitar, piano, etc.). Thus, in some embodiments, the use of the device according to the invention can contribute to the user regaining motor skills in their fingers.

[0134] In some embodiments, the control device is configured to control one or all of the vibration motors via frequency modulation, and / or one or all of the vibration motors are frequency-modulatable. It can be provided that the controlled vibration motor oscillates or is intended to oscillate at a specific one of several adjustable or selectable frequencies, adjustable by the user. Additionally or alternatively, this can be done in such a way that the control device itself specifies varying frequencies for the oscillation, thus allowing treatment to be carried out over time with a changing frequency or a constant frequency, if desired.

[0135] Furthermore, as also provided in some embodiments, individual or all fingers can be controlled by means of the device according to the invention, e.g., as when playing a preset song or a predefined melody. The microphone optionally built into the glove can be used for this purpose.

[0136] In some embodiments, the device according to the invention has a modular design. This means that one, several, or all components can be separated from one another. Thus, in certain embodiments, the components that come into contact with the skin of the patient's body part to be treated can be easily washed or cleaned without having to wash other components. This design enables a high degree of hygiene.

[0137] In some embodiments, a modular design can contribute to more variable or individual use, for example by allowing individual components (for pressure, vibration, etc.) to be inserted into or placed over specific joints, i.e. fixed there (for example by means of the tensioning or adjustment elements, as explained herein). This allows individual, changeable patient- and / or illness-related massage of individual joints and / or body parts to be carried out. For example, a first pressure element (or another first component) can be provided at one location A today, but at a different location B tomorrow. For example, three pressure elements (or three other components) can be attached today, but more or fewer than three tomorrow.

[0138] In some embodiments of the device according to the invention, the pressure element consists of or has a main air cushion and at least one secondary air cushion.

[0139] In some embodiments, the main air cushion and the individual secondary air cushions (collectively referred to as "air cushions") each have separate air supply lines. In certain embodiments, these lines can be connected to a single pressure source, such as a pump, via a distributor. Air cushions supplied with air (or gas) via separate lines are considered fluidically separated from each other in some embodiments.

[0140] In certain embodiments, these lines are fluidically connected by means of suitable connectors provided for this purpose via suitable connections on the respective air cushion.

[0141] The positions of the connections on the air cushions are preferably determined by the anatomical conditions.

[0142] In some embodiments, the air cushions of the pressure element are made of thermoplastic polyurethanes (TPU) or comprise such a material.

[0143] In some embodiments, some or all of the air cushions of the printing element are or were manufactured by welding two films together.

[0144] In some embodiments, some or all of the air cushions of the printing element can be manufactured or are manufactured using additive manufacturing, also known as additive processes or three-dimensional (3D) printing processes. These are available in various forms, starting from building materials in liquid, viscous, solid, or powder form.

[0145] Fused Filament Fabrication (FFF) uses a continuous filament made of a thermoplastic material that is applied in molten form to the growing (emerging) workpiece.

[0146] Another type of 3D printing process uses powdered build material that is selectively solidified by sintering, melting, fusing, or bonding the powder at selected locations to create features. These features are built up by depositing powdered build material layer by layer. A feature is formed by applying a layer of powdered build material to a build platform and then, based on computer-generated data, selectively heating or bonding the powder in the parts of the layer that will become part of the feature. For example, the powder can be liquefied or melted by infrared radiation, sintered by a laser beam, or bonded with a bonding material. The platform is then lowered, another layer of powdered build material is added, and the layers are again melted, fused, or bonded. These steps are repeated until the feature is created.

[0147] Selective heating can be achieved by a laser beam, such as in selective laser sintering (SLS), or by infrared radiation, such as in multi-jet fusion (MJF) processes, including high-speed sintering (HSS).

[0148] Selective consolidation can be achieved, among other things, through binder jetting processes. The main principle of these consolidation processes is the use of a powder that is treated to solidify at predetermined locations to produce the element.

[0149] Building materials used in additive manufacturing are often polymers, and the quality of the elements obtained in these processes depends on the polymer used. One highly desirable polymer class for additive manufacturing is polyamide, a very robust polymer that is resistant to environmental influences and has good mechanical properties. Therefore, polyamide in powder form is a useful building material and is used in multi-jet fusion (MJF), HSS, and selective laser sintering (SLS) processes. Other well-known processes use light to solidify photoreactive liquid resin, for example, laser-based stereolithography (SLA) and digital light processing (DLP). Another well-known process is multi-jet

[0150] Modeling (MJM), in which material is heated and "trickled" from nano-jets onto the build platform, hardened, and cured with UV light.

[0151] Other materials useful in sintering processes are thermoplastic polymers such as thermoplastic elastomers, such as thermoplastic polyurethane (TPU), thermoplastic polyamides (TPA), thermoplastic copolyester compounds (TPC), among others.

[0152] In some embodiments, some or all of the air cushions of the pressure element are made of or comprise silicone.

[0153] In some embodiments, some or all of the air cushions of the pressure element are manufactured by casting or injection molding.

[0154] Due to the way they are produced, the air cushions can be advantageously adapted or individualized in size and shape to suit the respective patient or the body part to be treated.

[0155] In some embodiments, an air cushion, e.g., the main air cushion, comprises layers of different thicknesses and / or stiffnesses, wherein, for example, a layer facing away from the patient's skin or furthest away from it is thicker and / or has a higher stiffness than a layer facing the patient's skin. For example, the layer facing away from the skin can consist of or comprise a TPU-coated textile, while the layer facing the skin can consist of or comprise TPU film, for example. An air layer that builds up between these layers thus causes the lower layer facing the skin to expand greater than the upper layer of the pressure element facing away from the patient's skin. This allows the pressure on the patient's hand H to be increased or maintained while the external dimensions of the device remain virtually constant.

[0156] In certain embodiments, the printing system is not made of foam and does not include foam.

[0157] In some embodiments, motors, in particular vibration motors, in particular as disclosed herein, may be arranged between the patient's skin and the layer of the pressure element facing the patient's skin.

[0158] In certain embodiments, the motors are a detachable component of the device, in particular of the glove, as described herein. The device can be configured to allow one, several, or all of the motors to be placed at different locations on the cover or textile and releasably connected there, for example, by means of a correspondingly provided hook-and-loop connection, hook-and-loop connection, plug-on connection, etc. In some embodiments, some or all of the air cushions do not have a closed perimeter and / or are not cylindrical in shape.

[0159] In some embodiments, some or all of the air cushions do not have a perimeter that covers the entire circumference of the body part to be treated, or that covers it in one piece. Thus, in use, they do not form a closed perimeter around the body part.

[0160] In certain embodiments, some or all of the air cushions may be provided or worn to completely or partially cover the circumference of the body part to be treated or even overlap themselves.

[0161] In some embodiments, the device according to the invention has, e.g., dorsally (i.e., for example, on the back of the hand), at least one zipper, hook-and-loop fastener, hook-and-loop fastener, or other type of fastener. Preferably, one end of the fastener lies in the fabric, while the other is preferably at the edge. Protection of the patient's skin from contact with the zipper, e.g., by means of protruding fabric or material, can be provided in certain embodiments. The fastener can be provided to enable comfortable donning and doffing of the device according to the invention. The cover can have a slit that allows the entry opening, e.g., for the hand, to be widened and can then be closed by means of the fastener.

[0162] In some embodiments, the device does not have

[0163] Bandage or cuff, especially one that stretches more easily circumferentially than longitudinally during use.

[0164] In some embodiments, the device is not designed to be applied to an elbow.

[0165] In some embodiments, the control device of the device is not configured to perform or be capable of performing a pressure increase to a peak amplitude of at least 1000 Pa within one second or less.

[0166] In some embodiments, the device does not have bellows, in particular two bellows, as a pressure source.

[0167] In some embodiments, the pressure element, e.g., an air cushion, such as the main air cushion, has multiple sections, e.g., optionally two or more first sections and one or more second or further sections. The sections give the pressure element an overall shape that may deviate from that of simple geometric figures such as a circle, triangle, or rectangle. Thus, the multiple sections may give the pressure element a branched or ramified shape, as shown in an example in Fig. 5, or a combination of shapes such as a rectangle, square, semicircle, etc. In this way, it is advantageously possible, for example, to cover a large area of ​​the user's hand using the pressure element, without, however, depriving the hand of its function and mobility by providing the pressure element or excessively restricting them. In other words, the pressure element or its sections may be provided where they are more useful than intrusive.Some or all embodiments of the invention may have one, several or all of the advantages mentioned above and / or below.

[0168] One advantage of the present invention may be the reduction or even elimination of pain, fatigue, stiffness, and swelling in the hands and fingers by means of automatic compressed air massage, particularly of the palms and finger joints. The origin of this pain, fatigue, stiffness, and / or swelling is irrelevant. They could, for example, occur as a result of daily work with the hands or due to illness (e.g., rheumatoid arthritis).

[0169] When rheumatoid arthritis causes the joints of the hand and fingers (often on both sides) to swell, stiffen, and become painful, a hand massage can provide relief, but a person isn't always available to provide this service. Using the present invention, a hand massage can be performed automatically, thus saving time and manpower.

[0170] A further advantage of the present invention may be that it can create a realistic massage experience, similar to that experienced by a physiotherapist. This allows a patient or user to have their extremity massaged flexibly, in addition to or instead of the usually weekly physiotherapy treatments.

[0171] By means of the present invention, a needs-based

[0172] Massage of various hand areas in different modes is possible. This can be another advantage.

[0173] A further advantage of the present invention may be that, in addition to alleviating physical pain, the user also improves their mental health. Patients with rheumatoid arthritis may be more likely to suffer from depression due to the aforementioned symptoms.

[0174] The present invention preserves the freedom of movement of the hands, as in some embodiments, for example, the fingertips are not covered. Thus, the haptic perception of the fingertips is advantageously present or not restricted. For example, when using the present invention, devices, particularly those of daily use, such as a coffee machine, a smartphone, a touchscreen, or the like, can be operated. The handling of other everyday objects, such as turning pages of magazines, newspapers, or books, is also not restricted. Thus, the present invention can be easily integrated into everyday life. This feature can contribute to both patient comfort and patient safety.

[0175] Due to the individual adaptability of the present invention, in particular through a suitable selection of the type and number of tensioning or adjusting elements, both to the respective user (e.g. his size) and to the condition of the extremity of the same at the time of wearing, a high level of wearing comfort is advantageously achieved.

[0176] A further advantage of the present invention may be that, due to the modular design and the resulting washability of the components of the device according to the invention that are in contact with the skin of the patient's body part to be treated, a high degree of hygiene is ensured without having to wash other components such as the motors, since these are removable, for example by means of Velcro connections, which in turn can indirectly contribute to patient safety.

[0177] Since 3D printing processes are now a global technology that can also be used mobile, a further advantage of the present invention is that it can be used worldwide without great effort, since the air cushions of the printing element can be manufactured in this way.

[0178] A further advantage of the present invention can be the application of pressure to the body regions to be treated, particularly to loosen the joints or muscles, while vibration can stimulate blood circulation in the affected body region. However, the inventors have also observed that pressure, especially intermittent pressure, can also promote blood circulation. Vibration is also beneficially associated with muscle relaxation, nerve stimulation, and endorphin release, with the known effects on the patient.

[0179] The present invention is described below purely by way of example with reference to the accompanying figures. Like reference numerals denote like or similar components. Figure 1 shows a highly simplified schematic of a device according to the invention in a first embodiment;

[0180] Fig. 2 shows a simplified schematic view of a glove as an example of a cover of a device according to the invention in a further embodiment, looking at the back of the hand;

[0181] Fig. 2a shows a simplified schematic view of a glove as an example of a cover of a device according to the invention in a further embodiment with a view of the palm of the hand;

[0182] Fig. 3 shows a compressed air system of a device according to the invention in a further embodiment;

[0183] Fig. 3a shows the pressure element of Fig. 3, which is intended for the palm of the hand, laid out flat in a view from above;

[0184] Fig. 4 shows an example of an operating unit or an interface of a control device of a device according to the invention in an exemplary embodiment;

[0185] Fig. 5 shows an example of a main air cushion of a further embodiment of the device according to the invention laid out flat and shown in a view from above;

[0186] Fig. 6 shows an example of a finger air cushion of a

[0187] Pressure element in yet another embodiment of the device according to the invention, laid out flat and in a view from above; and

[0188] Fig. 7 shows a section of a main air cushion of a

[0189] Printing element of an inventive

[0190] Embodiment of the device resting on the hand of a patient in a sectional view.

[0191] Fig. 1 shows a highly simplified schematic representation of a device 10 according to the invention for use in arthritis, osteoarthritis, chronic inflammation and / or for reducing muscle pain and tension with respect to an extremity of a patient in a first embodiment.

[0192] The device 10 comprises a cover 11, which in the example of Figure 1 has a lower (inner during use) part of the cover 11a, which is configured to accommodate the extremity or a part thereof or to cover a body portion of the patient, or a part thereof. What is stated herein regarding the extremity can also apply to the body portion in any embodiments, which is why, for the sake of simplicity, only the extremity is sometimes referred to. Extremities can include arms, hands, legs, and feet, as well as shoulder(s), head, back, upper body, and / or other body parts.

[0193] The lower (inner during use) cover 11a can have particular hygienic advantages, e.g., it can be washable. In some embodiments, the device 10 can be additionally or alternatively designed for application to the patient's extremity.

[0194] The cover 11 could, for example, be designed as a glove (see Fig. 2), as a sock or as a cuff.

[0195] Preferably, the cover 11 is adaptable to different sizes of an extremity. For this purpose, it can have at least one tensioning element 25 (see also Fig. 2).

[0196] By means of the at least one tensioning element 25, the device or parts thereof can be individually adjusted to the patient during use. Differences in the dimensions of the patient's extremities, for example, from one wearing time to the next, such as swelling, weight loss, or the like, can also be accommodated in this way without compromising comfort.

[0197] A tensioning element 25 can be more or less elastic or not elastic at all.

[0198] The device 10 according to the invention further comprises at least one pressure element 13, which in some embodiments herein may be designed, for example, as an inflatable pressure cushion, by means of which variable force or variable pressure can be applied to the extremity during use of the device 10.

[0199] A control device 15, which is also included in the device 10 according to the invention, can be configured or programmed to cause the pressure element 13, directly or indirectly, to exert force or pressure on the patient's extremity which is or has been received in the cover 11 or to which the cover 11 is or has been applied.

[0200] A further (outer in use) part of the cover 11b is provided in the example of Fig. 1, for example to hold the pressure element 13 in place and / or to conceal it, which can offer particular optical advantages.

[0201] Fig. 2 shows a simplified schematic view of a glove 20 as an example of a cover 11 of a device 10 according to the invention in a further embodiment with a view of the back of the hand.

[0202] In the example of Fig. 2, the cover 11 of the device 10 takes the form of a fingerless glove 20 with finger cots 21, with each finger of the patient's hand inserted into each finger cot 21. Fingerless gloves, as mentioned herein, can separate the fingers from each other using glove material, unlike mittens, for example. However, they do not cover the fingertips, fingertips, or, generally speaking, the distal end of one, several, or all fingers (including the thumb).

[0203] Pressure elements 13 can be accommodated in the individual finger cots 21 (inside) or applied to them (outside). In the example in Fig. 2 and Fig. 3, the pressure elements 13 rest on the outside of the cover 11. An upper (outer in use) part 11b of the cover (see Fig. 1) has been omitted for reasons of clarity. The finger cots 21 are open at their distal end 23 towards an exterior of the glove 20. The fingertips are thus exposed. The example in Fig. 2 thus exemplifies open finger cots 21, and the fingernails protruding from the finger cots 21 can be seen.

[0204] In the example of Fig. 2, the device 10 further comprises optional clamping elements 25 for each finger, two in this example, and only one on the thumb, purely as an example. They serve to vary the cross-sectional area of ​​the respective finger stall 21.

[0205] If the clamping elements 25 are designed to be elastic, this can advantageously prevent accidental overloading, especially of individual fingers. In some embodiments, the clamping elements are not elastic, which allows for better achievement of desired pressure conditions, for example, optionally on a specific individual finger.

[0206] In the example of Fig. 2, the finger cots 21 are not closed at their tip, i.e. distally.

[0207] Likewise, they are not closed along their longitudinal direction in every cross-section of the finger stall 21. At least one circumference of the finger accommodated in the finger stall 21 is therefore not completely covered by the finger stall material. This design can also optionally accommodate a better fit and increased wearing comfort.

[0208] In other embodiments, the finger cots are optionally closed all the way around, for example in the form of elastic textile tube sections. Additional pressure elements 13 can be arranged above, in or below a central section of the glove 20. In the example in Fig. 2, these are arranged crosswise over the palm and back of the hand. This arrangement is purely exemplary and in no way to be understood as restrictive. Other arrangements of the pressure elements 13 on the hand, for example by means of pockets provided specifically for this purpose, other holding devices or otherwise surrounded on both sides by covering material and / or a textile, are also encompassed by the present invention. The pockets, holding devices, covering material and / or textile are or are preferably non-conductive in these embodiments.

[0209] In some embodiments, the cover 11 is optionally elastic and / or waterproof, but preferably still breathable.

[0210] In the example of Fig. 2, the cover 11 has further pull-out loops 27 or tabs or the like on the index, middle and ring fingers (shown with dashed lines), which serve to engage with the hand not inserted in the device 10 before or during use of the device 10 or after use has ended. The loops can be adjustable in length and serve in particular to make it easier to remove and / or pull the device according to the invention from the patient's extremity, for example by pulling on them, for example with a finger. The position and number of pull-out loops 27 in the example of Fig. 2 is purely exemplary and should not be understood as limiting. Some or all of the lines, such asPneumatic and / or electrical lines which are required in use to supply the pressure element(s) 13 can be protected from contact with the skin of the treated extremity of the patient by means of textiles or parts of the cover 11 or can be protected by such.

[0211] In some embodiments, the device 10 may further include a heating and / or cooling system. Heating and / or cooling elements may be provided, e.g., on the finger cots 21, above joints, or elsewhere on the device or its cover.

[0212] In the example shown in Fig. 2, the control device 15 is arranged on the wrist. This arrangement is also purely exemplary and not to be understood as limiting; for example, the control device 15 can be provided completely physically separate from the device 10 and, for example, can only be connected wirelessly to the components of the device 10 to be controlled. The function of the control device 15 is discussed in more detail in Fig. 3.

[0213] Fig. 2a shows a simplified schematic view of a glove as an example of a cover of a glove according to the invention.

[0214] Device 10 in a further embodiment with a view of the palm of the hand.

[0215] Reference is made to the description of Fig. 2. The following descriptions concern the differences between this embodiment and the embodiment of Fig. 2.

[0216] In the example of Fig. 2a, pressure elements 13 are arranged in or on a portion of the glove 20 to exert pressure on the metacarpal bones and / or the wrist. This arrangement is purely exemplary and should not be understood as limiting. Pockets or other holding devices for the pressure elements 13 are also encompassed by the present invention.

[0217] A detailed description of the pressure element 13 for the metacarpal bones can be found in Fig. 3a, in which the through opening 19 and the first section 13a are also described in more detail.

[0218] Fig. 3 shows a compressed air system 17 of a device 10 according to the invention (see Fig. 2) in a further embodiment. The compressed air system 17 comprises several pressure elements 13, with the optional element 13H provided for the palm of the hand being described in more detail in Fig. 3a. A control device 15 is also shown.

[0219] The control device 15 is programmed or configured to cause the pressure element 13 to exert force or pressure on the patient's extremity. For this purpose, the control device 15 may be suitable and / or provided with an inlet valve V E and / or an exhaust valve V A , each of which is optionally connected to the atmosphere. Inlet valve V E and exhaust valve V A may be part of the compressed air system 17. Inlet valve V E and exhaust valve V Acan be controlled or regulated to fill or empty an air cushion, as the pressure element 13 can be configured, using air pressure, i.e., to reduce the air pressure. A compressor, an air pump, or the like can be controlled by the control device 15 to build up air pressure. It can also be seen from Fig. 3 that the control device 15 is connected, in particular detachably, to other components of the device 10, here the compressed air system 17, by means of a plug connection.

[0220] The compressed air system 17 has a pump 17a, which pumps air through or into lines 17b. The air can be directed directly to a pressure element 13, or indirectly, i.e., first to a distributor 17c, via which air is directed in a series of lines 17b to at least one or precisely one pressure element 13. In some embodiments, a distributor 17c can ensure that the same pressure is always built up in all downstream pressure elements 13. In other embodiments, it is provided to be able to individually adjust the pressure 13 of one, several, or all pressure elements 13. For this purpose, valves can be provided in some of the lines 17b, the optional distributor 17c can be adjustable, etc.

[0221] In some embodiments, the pressure element 13 may comprise a vibration system with optional vibration motors, e.g., piezo elements (not shown in Fig. 3), perhaps alternatively or additionally. Some or all of the vibration motors may be arranged on the side of the cover facing the patient's palm during use.

[0222] Power connectors S, by means of which the control device 15, or a voltage source comprised thereof, can be detachably connected to the vibration motors, the pump for the pressure elements, etc., are also visible in Fig. 3. Plugs that can be detachably connected to the power connectors S can remain on the glove along with the conductive yarn. In some embodiments, they can be washed.

[0223] Fig. 3a shows the pressure element 13H of Fig. 3, which is intended for the palm of the hand, laid out flat in a view from above.

[0224] First sections 13a, a second section 13b and third sections 13c are provided and / or suitable for completely or partially enclosing a hand, which is to be massaged with the device 10 according to the invention (not shown in Fig. 3a), at the level of the palm of the hand. The second section 13b lies on the palm of the hand, while the first and third sections 13a and 13c are arranged on the back of the hand. For this purpose, in some embodiments, fastening elements such as hook-and-loop fasteners or elements similar to the tensioning elements 25 described herein can be provided and used (not shown in Fig. 3a), ie in use the pressure element 13H encompasses both the palm of the hand and (at least parts of) the back of the hand.

[0225] To ensure a good fit to the patient's hand, the pressure element 13H can be ergonomically designed. In the example shown in Fig. 3a, it has a convex edge 13d on the second section 13b, which can trace the upper edge of the palm, pointing toward the finger.

[0226] A through-opening 19 can be provided in the center of the second section 13b and, when the device 10 is in use, can come to rest in the center of the palm. If the pressure element 13H is inflated during use via the line 17b, the through-opening 19 advantageously enables the bending of the fingers, for example when closing the hand, since there is no pressure-induced increase in the thickness of the device 10 at this point. In the example of Fig. 3a, the through-opening 19 has the shape of a triangle. This is purely exemplary and should not be understood as limiting. Other shapes of the through-opening 19, for example round, oval, or rectangular, or combinations of these shapes, are also encompassed by the present invention.

[0227] The design of the edge opposite the convex edge 13d, as viewed from the pressure element 13H, can advantageously contribute to the free mobility of the patient's wrist. In the example shown in Fig. 3a, it has a triangular recess. Any other shape of recess, for example, an arcuate configuration, is also conceivable at this point and encompassed by the present invention.

[0228] The first sections 13a and / or the third sections 13c are optional, as are the convex design of the edge 13d and / or the through opening 19.

[0229] Fig. 4 shows an example of an operating unit or an interface of a control device 15 of a device 10 according to the invention in an exemplary embodiment.

[0230] It can be seen from Fig. 4 that the device 10 can be switched on and off and operated in various modes by means of the control device 15. Furthermore, various modes and / or intensities for operating the device 10, in particular for controlling the pressure elements 13 or the vibration motors, can be selected. For example, the following modes can be switched on the control unit or interface of Fig. 4 using the buttons B1 to B8 or displayed using the display A:

[0231] Bl On / Off

[0232] B2 medium pressure air pressure mode;

[0233] B3 Air pressure mode stronger pressure, for example by pumping three times and then opening the outlet valve V A ;

[0234] B4 Vibration mode constantly on;

[0235] B5 Vibration mode interval switching;

[0236] B6 Vibration mode increasing and / or decreasing, for example 100% decreasing to 0% and then starting again from the beginning (100%);

[0237] B7 Increase in vibration intensity (+);

[0238] B8 Reduction of vibration intensity (-); ie a total of two buttons, e.g. buttons or push buttons, for increasing or reducing the intensity; and

[0239] A Display of vibration intensity (e.g. using a series of (O)LEDs; the more (O)LEDs light up, the higher the vibration intensity)

[0240] Fig. 5 shows an example of a main air cushion of another embodiment of the device 10 according to the invention, which, as an example of a pressure element 13 or part thereof, is intended to enclose the palm and back of the hand. The main air cushion is laid out flat in Fig. 5 and shown in a top view.

[0241] Reference is made to the description of the preceding figures. In the example of Fig. 5, the pressure element 13 optionally has two first sections 13a and a second section 13b. They are preferably intended and / or suitable for completely or partially enclosing a hand, which is to be massaged with the device 10 according to the invention (not shown in Fig. 3a), at the level of the palm of the hand. The second section 13b, or large parts thereof, lies on the palm of the hand, while the first sections 13a, or large parts thereof, are arranged on the back of the hand.

[0242] In this embodiment, the main air cushion has tensioning or adjusting elements, here as material strips 13e and connecting loops 13f, which can be releasably connected to one another by guiding the material strips 13e through the connecting loops 13f and tightening them, comparable to a bag strap.

[0243] In the example of Fig. 5, the pressure element 13 rests against both the palm of the hand and (at least parts of) the back of the hand during use.

[0244] In the example shown in Fig. 5, one connecting loop is provided for each material strip 13e. By passing the material strip 13e through the connecting loop 13f and thus closing, tightening, or tensioning the tensioning element or adjustment element, the pressure element 13 can be secured or closed, for example, so that it surrounds the body part to be treated.

[0245] Material strips 13e and connecting loops 13f, if provided, can be provided at any position on the pressure element 13, preferably at the opposite ends of the pressure element 13 in the longitudinal direction (in Fig. 5 in the right-left direction).

[0246] Material strips 13e can each have different angles to an imaginary longitudinal axis of the pressure element 13, which runs in a right-left direction in Fig. 5, and / or run parallel to such an axis. Preferably, the angles of the positions of the connecting loops 13f are arranged correspondingly, e.g., opposite each other, or vice versa. Such an arrangement can advantageously reflect or take into account the anatomy of the body part to be treated, in the example of Fig. 5, a hand.

[0247] In any embodiment disclosed herein, the material strips 13e may additionally or alternatively comprise portions of a hook-and-loop fastener (or Velcro), e.g., the male portions, and corresponding portions of the hook-and-loop fastener, e.g., the female portions, may be provided elsewhere, e.g., elsewhere on the main air cushion.

[0248] To ensure a good fit to the patient's hand, the pressure element 13 can be further ergonomically designed. In the example shown in Fig. 5, it has an edge 13d on the second section 13b, optionally in a convex configuration, which can trace the upper edge of the palm of the hand, pointing toward the finger.

[0249] An optional through-opening 19 can, for example, be provided in the center of the second section 13b and can be positioned in the center of the palm of the hand during use of the device 10. When the pressure element 13 is inflated during use via the line 17b, the through-opening 19 advantageously allows the fingers to bend, for example, when closing the hand, because there is no pressure-induced increase in the thickness of the device 10 and / or no stiffening of the device 10 at this point.

[0250] In the example of Fig. 5, the through-opening 19 optionally has the shape of a triangle. This is purely exemplary and not to be understood as limiting. Other shapes of the through-opening 19 are also encompassed by the present invention; see the description of Fig. 3a. Multiple through-openings 19 can also be encompassed by the present invention. Their shapes can differ from one another.

[0251] The first sections 13a are optional, as is the convex design of the edge 13d and / or the through opening 19.

[0252] A connection 17d for a connector of line 17b can be seen. The position of this connection on the main air cushion is purely exemplary. Other positions of the connection on the main air cushion are also encompassed by the present invention, as are other configurations of the connection.

[0253] Fig. 6 shows an example of a finger air cushion of a pressure element 13 in another embodiment of the device 10 according to the invention. It can be provided to surround an individual finger or thumb, or parts thereof, e.g., to completely or largely enclose it. The finger air cushion is laid out flat in Fig. 6 and shown in a top view.

[0254] It can be applied from the inside or outside of the finger. While in Fig. 6 it optionally has an H-shape, which is suitable for applying the finger air cushion to a finger while avoiding the circumference of a joint of that finger, the finger air cushion for the thumb (which has one joint less than the finger) can be square or rectangular, i.e., optionally not in the H-shape.

[0255] Reference is made to the description of the preceding figures.

[0256] In this embodiment, the pressure element 13 has two first sections 13a, a second section 13b, and two third sections 13c, which are intended and / or suitable for completely or partially enclosing a finger. For this purpose, in some embodiments, closure elements such as hook-and-loop fasteners or elements similar to the tensioning or adjusting elements 25, 13e, 13f described herein can be provided and used (not specifically shown in Fig. 6).

[0257] At least one optional through-opening 19, not shown in Fig. 6, may optionally be provided in the middle of the section or at another location.

[0258] The first sections 13a and / or the third sections 13c are optional. Their number is purely exemplary and not to be understood as limiting. Any other number of sections is also encompassed by the present invention.

[0259] A connection 17d for a connector of line 17b can be seen. The position of this connection on the finger air cushion is purely exemplary. Other positions of the connection on the finger air cushion are also encompassed by the present invention, as are differently designed versions of the connection, for example, as described above for the main air cushion.

[0260] Fig. 7 shows a section of an air cushion, e.g. the main air cushion, of a pressure element 13 of a further embodiment of the device according to the invention resting on the outermost schematically indicated hand H of a patient in a sectional view.

[0261] The main air cushion has layers of different thicknesses and / or stiffnesses. The layer L3 of the pressure element 13 facing away from the patient's hand H or furthest away from it is thicker and / or has a higher stiffness than the layer L1 of the pressure element facing the skin of the patient's hand. For example, the layer L3 facing away from the hand H can consist of or comprise a TPU-coated textile, while the layer L1 facing the hand H can consist of or comprise a TPU film.

[0262] An air layer L2 that builds up between these layers LI, L3 thus causes the lower layer LI, facing the hand H, to expand more than the upper layer L3 of the pressure element 13, facing away from the patient's hand H. This allows the pressure on the patient's hand H to be increased or ensured, while the external dimensions of the device 10 remain sufficiently constant, the pressure thus acting in the direction of the hand and not being reduced by excessive volume change of the air layer L2.

[0263] List of reference symbols

[0264] 10 Device

[0265] 11 Coating

[0266] 11a lower (inner in use) part of the cover

[0267] 11b upper (outer in use) part of the cover

[0268] 13 Pressure element

[0269] 13H Palm pressure element

[0270] 13a first sections of the printing element

[0271] 13b second section of the pressure element

[0272] 13c third sections of the printing element

[0273] 13d concave edge of the second section

[0274] 15 Control device

[0275] 17 Compressed air system

[0276] 17a Pump

[0277] 17b lines

[0278] 17c distributor

[0279] 17d Connection for air line with connector

[0280] 19 Passage opening

[0281] 20 Gloves

[0282] 21 Fingerling

[0283] 23 distal end

[0284] 25 clamping element

[0285] 27 pull-out loops

[0286] A Vibration intensity indicator

[0287] Bl to B7 Buttons of the control unit or interface

[0288] H Hand (of the patient)

[0289] LI layer of the pressure element facing the patient's skin

[0290] L2 layer of the pressure element; air layer

[0291] L3 Layer of the pressure element, facing away from the patient's skin V E Inlet valve V A outlet valve

[0292] S Power connection; plug connection

Claims

Claims 1. Device (10) for use in arthritis, osteoarthritis, chronic inflammation and / or for reducing muscle pain and tension relating to an extremity or part of the body (hereinafter referred to as extremity) of a patient, wherein the device (10) comprises the following: - a cover (11) configured to receive the extremity, or part thereof, of the patient; - at least one pressure element (13) for applying, preferably variable or varying, force and / or, preferably variable or varying, pressure to the extremity when using the device (10); and - a control device (15) for causing force, vibration, stimulation or pressure to be applied to the extremity by means of the pressure element (13).

2. Device (10) according to claim 1, wherein the cover (11) is a glove (20) with finger cots (21) for a plurality of fingers of the patient.

3. Device (10) according to claim 2, wherein one or more of the finger cots (21) are open at their distal end (23) to an exterior of the glove (20).

4. Device (10) according to claim 2 or 3, comprising at least one clamping element (25) for varying the cross-sectional area of ​​at least one of the finger cots (21) and / or for opening at least one of the Finger cots (21) .

5. Device (10) according to claim 4, wherein the The clamping element (25) is elastic.

6. Device (10) according to one of claims 2 to 5, wherein at least one of the finger cots (21) is extended along its The longitudinal direction is not closed in every cross-section.

7. Device (10) according to claim 1, wherein the coating is a A sock or a shoe.

8. Device (10) according to one of the preceding Claims, wherein the at least one pressure element (13) is a compressed air system (17) with or encompassed by at least one air cushion.

9. Device (10) according to claim 8, wherein the The compressed air system (17) or the pressure element (13) has two or more air cushions that are separated from each other, in particular physically and / or fluidically.

10. Device (10) according to one of claims 8 or 9, wherein the pressure element (13) or the Compressed air system (17) comprising at least one main air cushion and at least one finger air cushion, preferably physically and / or fluidically separated from the main air cushion.

11. Device (10) according to one of claims 9 or 10, wherein at least one of the air cushions, preferably the Main air cushion, has at least one opening through which it passes.

12. Device (10) according to one of claims 8 to 11, wherein at least one of the air cushions has layers of different thickness and / or stiffness or is limited therefrom.

13. Device (10) according to one of the preceding Claims, wherein the printing element (13) is a Vibration system is or includes.

14. Device (10) according to claim 13, wherein the The vibration system features vibration motors.

15. Device (10) according to claim 14, wherein some or all of the vibration motors are located on the palm of the hand patient-facing side of the are arranged in the overlay (11).

16. Device (10) according to one of the preceding Claims, wherein the printing element (13) is arranged in a pocket of the cover (11), or is otherwise surrounded on both sides by cover material and / or a textile, in particular non-conductively.

17. Device (10) according to one of the preceding Claims, wherein the printing element (13) is detachably connected to the coating (11) or any other section of the Device (10) is provided to be connected, in particular by means of a provided Velcro connection.

18. Device (10) according to one of the preceding Claims, wherein different modes for operating the printing element (13) can be selected by means of the control device (15).

19. Device (10) according to claim 18, wherein the Control device (15) is configured to individual to activate components of the printing element (13) sequentially.

20. Device (10) according to one of the preceding Claims, wherein the control device (15) and / or the Pressure element (13) are configured to create or cause a pressure wave to be directed towards the heart of the patient during use.

21. Device (10) according to one of the preceding Claims, wherein the covering (11) is elastic and / or waterproof, but preferably breathable.

22. Device (10) according to one of the preceding claims, wherein the coating (11) loops or has pull-out loops for gripping with the hand not in the device (10) during the Use of the device (10) .

23. Device (10) according to one of the preceding Claims, wherein some or all pneumatic and / or electrical supply lines for the at least one pressure element (13) are protected by textiles or parts of the coating (11) before contact with the skin of the Patients are protected during use.

24. Device (10) according to one of the preceding claims, further comprising a heating or cooling system.

25. Device (10) according to any one of the preceding claims, wherein the control device (15) or parts thereof and / or the pressure element (13) are detachably connected to the remaining part of the device (10), in particular by means of a plug connection.

26. Device (10) according to any one of the preceding claims Claims, wherein electrically conductive yarn is provided for the electrical supply of the pressure element (13) or control device (15).

27. Device (10) according to one of the preceding Claims, wherein for voice control of the Device (10) or sections thereof shall have at least one microphone provided.

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