Orthopedic devices and how to wear them

Abstract

The orthopedic brace includes a posterior brace system coupled to an anterior brace system. The posterior brace system includes a first plurality of elastic side panels, the first elastic side panel coupled to a first belt member and the second elastic side panel coupled to a second belt member. The anterior brace system includes a second plurality of elastic side panels, such as a third elastic side panel and a fourth elastic side panel. The first elastic side panel and the first belt member are arranged in a curved shape such that the first belt member is attached to the third elastic side panel of the anterior brace system, and the second elastic side panel and the second belt member are arranged in a curved shape such that the second belt member is attached to the fourth elastic side panel of the anterior brace system.

Description

[Technical field]

[0001] (Related Applications) This application claims priority to U.S. Provisional Application No. 63 / 305,678, filed February 1, 2022, which claims priority to U.S. Application No. 18 / 162,383, filed January 31, 2023, each of which is incorporated by reference in its entirety.

[0002] FIELD OF THE DISCLOSURE

[0002] Embodiments of the present disclosure relate to the field of medical devices. More specifically, one embodiment of the present disclosure relates to an orthopedic prosthesis and a method for wearing the same. [Background technology]

[0003] The following description contains information that may be helpful in understanding the described invention. No admission is made that any of the information provided herein is prior art or currently relevant to the claimed invention, or that any publications specifically or implicitly referenced are prior art.

[0004] Orthopedic braces (brace) usually need to be adjusted or customized in some way to fit the body part to which the brace is attached and then positioned properly. A typical brace usually consists of at least two parts, a rigid part that supports the body part and a flexible or semi-flexible part that secures the brace to the body. One type of orthopedic brace is called a "thoracic-lumbar-sacral orthosis" or by the acronym "TLSO."

[0005] A TLSO is a brace that restricts movement of the wearer's spine from the thoracic (mid-back) to the sacrum (lower back). At the same time, the TLSO allows the wearer's neck to move freely. This type of brace is typically used to support and stabilize the spine after a back injury or surgery, and in some cases may be utilized to address spinal pathologies.

[0006] One common problem with traditional TLSOs is that the fitting process is very difficult. Proper fitting of the brace usually reduces pain for the wearer and promotes healing, especially if the orthotist is working to ensure that the TLSO fits and immobilizes the patient. Traditional TLSOs rely on a soft material, a long belt extending from the posterior brace with a hook-and-loop fastener attached to a complementary hook-and-loop fastener on the top surface of the anterior brace, to secure the anterior brace to the posterior brace. Thus, the fitting process may require multiple "log rolls" of the patient (moving from prone to supine or vice versa) to adjust and fit the TLSO to the patient. For example, the patient may be placed in the posterior brace system, then "log rolled" into the anterior brace to adjust the belt size and hide the excess belt strap. The patient may then be "log rolled" one or more times and the posterior brace system or belt may be adjusted to increase the immobilization of the patient. By avoiding the complicated (and sometimes painful) application process, TLSO-based orthopedic prostheses can be used more effectively.

[0007] Additionally, there are a variety of braces for different conditions, including the use of an orthopedic brace with a cervical collar, called a cervical-thoracic-lumbar-sacral brace (CTLSO). It would be advantageous to provide an orthopedic brace that features a uniform structure to allow for the transition from TLSO to CTLSO and vice versa. [Brief description of the drawings]

[0008] Embodiments of the present invention are illustrated by way of example, and not by way of limitation, in the accompanying drawings in which like reference numbers refer to similar elements and in which:

[0009] [Figure 1] FIG. 1 is a rear perspective view of an exemplary embodiment of an orthopedic brace with a posterior brace system.

[0010] [Figure 2A]FIG. 2A is an exploded view of an exemplary embodiment of the posterior brace system of FIG.

[0011] [Figure 2B] FIG. 2B is an exemplary embodiment of the posterior brace system of FIG. 1 with a liner pad for attachment.

[0012] [Figure 3A] FIG. 3A is a top-down plan view of an exemplary embodiment of a pulley subsystem with guide channels formed in the rear cover of FIG. 2A.

[0013] [Figure 3B] FIG. 3B is a side view of an exemplary embodiment of a back cover showing a second chamber formed at least in part by a guide channel.

[0014] [Figure 3C] FIG. 3C is a cross-sectional view of an exemplary embodiment of a support opening implemented within the rear panel of FIG. 2A.

[0015] [Figure 3D] FIG. 3D is a perspective view of an exemplary embodiment of a heat staking process in which posts and support openings serve as connection points between the rear panel and rear cover of FIG. 2A.

[0016] [Figure 4A] 4A is a top plan view of the brace adjustment system with the elastic panel and belt disposed between the rear panel and rear cover of FIG. 2. FIG.

[0017] [Figure 4B] FIG. 4B is a cross-sectional view of the brace adjustment system showing a stop including a first stop type for preventing the telescoping side panel from continuing to extend out of a first chamber formed between the rear panel and the rear cover.

[0018] [Figure 4C]FIG. 4C is a top plan view of a rear harness system with elastic side panels that work in conjunction with an adjustable belt member.

[0019] [Figure 5A] FIG. 5A is an exemplary embodiment of a brace fixation subsystem disposed within the orthopedic brace of FIG.

[0020] [Figure 5B] FIG. 5B is a side view of an exemplary embodiment of a posterior brace system including the pulley subsystem of FIG. 5A.

[0021] [Figure 5C] FIG. 5C is a top-down plan view of an exemplary embodiment of the pulley base of FIG. 5A.

[0022] [Figure 5D] FIG. 5D is a top-down plan view of an exemplary embodiment of a pulley subsystem operating in a first condition.

[0023] [Figure 5E] FIG. 5E is a top-down plan view of an exemplary embodiment of the pulley subsystem operating in a second state in response to a tightening operation in which the elastic side panels and belt members are partially returned to the first and second chambers.

[0024] [Figure 6A] FIG. 6A is an exemplary embodiment of internal sizing of a belt and subsequent sizing of elastic side panels disposed within the rear harness system of FIG. 2A. [Figure 6B] FIG. 6B is an exemplary embodiment of internal sizing of a belt placed within the rear harness system of FIG. 2A followed by sizing of elastic side panels.

[0025] [Figure 6C] FIG. 6C is an exemplary embodiment of external sizing of the belt and subsequent sizing of the elastic side panels disposed within the rear harness system of FIG. 2A. [Figure 6D] FIG. 6D is an exemplary embodiment of external sizing of the belt and subsequent sizing of the elastic side panels disposed within the rear harness system of FIG. 2A.

[0026] [Figure 6E] FIG. 6E is an exemplary embodiment of the brace fastening system adjusted to show the combination of different side panels and belt members having different sizing performed according to different belt sizing processes as shown in FIGS. 6A-6D.

[0027] [Figure 7A] FIG. 7A is a rear perspective view of an exemplary embodiment of a first group of rear harness systems including a first type of rear panel and a different type of extension panel.

[0028] [Figure 7B] FIG. 7B is a rear perspective view of an exemplary embodiment of a second group of rear harness systems including a second type of rear panel and a different type of extension panel.

[0029] [Figure 8A] FIG. 8A is a perspective view of a first type of extension panel disposed on the rear panel as shown in FIG. 7A.

[0030] [Figure 8B] FIG. 8B is a perspective view of a second type of extension panel disposed on the rear panel as shown in FIG. 7A.

[0031] [Figure 8C] FIG. 8C is a perspective view of a third type of extension panel attached to the rear panel as shown in FIGS. 7A-7B.

[0032] [Figure 9] FIG. 9 is a perspective view of a third type of extension panel disposed on the rear panel as shown in FIGS. 7A-7B.

[0033] [Figure 10A] FIG. 10A is a front perspective view of an exemplary embodiment of an orthopedic brace with an anterior brace system. [Figure 10B] FIG. 10B is a front perspective view of an exemplary embodiment of an orthopedic brace with an anterior brace system. [Figure 10C] FIG. 10C is a front perspective view of an exemplary embodiment of an orthopedic brace with an anterior brace system. [Figure 10D] FIG. 10D is a front perspective view of an exemplary embodiment of an orthopedic brace with an anterior brace system.

[0034] [Figure 11] FIG. 11 is a rear perspective view of the exemplary embodiment of the anterior brace system of FIGS. 10A-10D.

[0035] [Figure 12A] FIG. 12A is a front perspective view of the front panel of the anterior brace system of FIGS. 10A-10D.

[0036] [Figure 12B] FIG. 12B is a rear perspective view of the front panel of FIG. 12A showing the first side sewn channel.

[0037] [Figure 13A] FIG. 13A is a rear perspective view of the front panel of FIGS. 12A-12B with the filler attached. [Figure 13B] FIG. 13B is a rear perspective view of the front panel of FIGS. 12A-12B with the filler attached.

[0038] [Figure 14] FIG. 14 is a bottom perspective view of the anterior brace system of FIGS. 10A-10B.

[0039] [Figure 15A]FIG. 15A is an additional front perspective view of various sized front panels of the embodiment of the anterior brace system of FIGS. 10A-10D. [Figure 15B] FIG. 15B is an additional front perspective view of various sized front panels of the anterior brace system embodiment of FIGS. 10A-10D. [Figure 15C] FIG. 15C is an additional front perspective view of various sized anterior panels of the anterior brace system embodiment of FIGS. 10A-10D.

[0040] [Figure 16A] FIG. 16A is a front right side perspective view of a wishbone extension coupler that couples an extension rod and a cervical-thoracic orthosis (CTO) clip coupled to a cervical orthosis.

[0041] [Figure 16B] FIG. 16B is a rear perspective view of a wishbone extension coupler that couples an extension rod and a CTO clip coupled to the cervical brace of FIG. 16A.

[0042] [Figure 16C] FIG. 16C is a side perspective view of a wishbone extension coupler that couples an extension rod and a CTO clip coupled to the cervical brace of FIG. 16A.

[0043] [Figure 16D] FIG. 16D is a front perspective view of a second embodiment of a wishbone extension coupler and its coupling to a CTO clip.

[0044] [Figure 17A] FIG. 17A is an exemplary embodiment illustrating a side panel lockout process for restricting removal of an orthopedic prosthesis to a particular side. [Figure 17B] FIG. 17B is an exemplary embodiment illustrating a side panel lockout process for restricting removal of an orthopedic prosthesis to a particular side. [Figure 17C]FIG. 17C is an exemplary embodiment illustrating a side panel lockout process for restricting removal of an orthopedic prosthesis to a particular side. [Figure 17D] FIG. 17D is an exemplary embodiment illustrating a side panel lockout process for restricting removal of an orthopedic prosthesis to a particular side.

[0045] [Figure 18A] FIG. 18A is an exemplary embodiment of a support strap configuration for interconnecting the posterior brace system of FIGS. 1-9 and the anterior brace system of FIGS. 10A-16C. [Figure 18B] FIG. 18B is an exemplary embodiment of a support strap configuration for interconnecting the posterior brace system of FIGS. 1-9 with the anterior brace system of FIGS. 10A-16C.

[0046] [Figure 19A] FIG. 19A is an exemplary embodiment of a mounting process for configuring the orthopedic device to be worn. [Figure 19B] FIG. 19B is an exemplary embodiment of a mounting process for configuring the orthopedic device to be worn. [Figure 19C] FIG. 19C is an exemplary embodiment of a mounting process for configuring the orthopedic device to be worn. [Figure 19D] FIG. 19D is an exemplary embodiment of a mounting process for configuring the orthopedic device to be worn. [Figure 19E] FIG. 19E is an exemplary embodiment of a mounting process for configuring the orthopedic device to be worn. [Figure 19F] FIG. 19F is an exemplary embodiment of a mounting process for configuring the orthopedic device to be worn. [Figure 19G] FIG. 19G is an exemplary embodiment of a mounting process for configuring the orthopedic device to be worn. [Figure 19H] FIG. 19H is an exemplary embodiment of a mounting process for configuring the orthopedic device to be worn. [Figure 19I] FIG. 19I is an exemplary embodiment of a mounting process for configuring the orthopedic device to be worn.

[0047] [Figure 20A] FIG. 20A is a second exemplary embodiment of a fitting process for placing an orthopedic prosthesis on a wearer. [Figure 20B] FIG. 20B is a second exemplary embodiment of a fitting process for placing an orthopedic prosthesis on a wearer. [Figure 20C] FIG. 20C is a second exemplary embodiment of a fitting process for placing an orthopedic prosthesis on a wearer. [Figure 20D] FIG. 20D is a second exemplary embodiment of a fitting process for placing an orthopedic prosthesis on a wearer. [Figure 20E] FIG. 20E is a second exemplary embodiment of a fitting process for placing an orthopedic prosthesis on a wearer. [Figure 20F] FIG. 20F is a second exemplary embodiment of a fitting process for placing an orthopedic prosthesis on a wearer. [Figure 20G] FIG. 20G is a second exemplary embodiment of a fitting process for placing an orthopedic prosthesis on a wearer. [Figure 20H] FIG. 20H is a second exemplary embodiment of a fitting process for placing an orthopedic prosthesis on a wearer. [Figure 20I] FIG. 20I is a second exemplary embodiment of a fitting process for placing an orthopedic prosthesis on a wearer. [Figure 20J] FIG. 20J is a second exemplary embodiment of a fitting process for placing an orthopedic prosthesis on a wearer. [Figure 20K] FIG. 20K is a second exemplary embodiment of a fitting process for placing an orthopedic prosthesis on a wearer. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0048] The embodiments of the present disclosure generally relate to an orthopedic brace including a posterior brace system and an anterior brace system. According to one embodiment of the present disclosure, the posterior brace system features a brace fixation subsystem including a stretchable side panel that extends from the opposite side of the posterior brace system and works in conjunction with an adjustable belt to aid in fitting the orthopedic brace to a patient. As described herein, the orthopedic brace can comprise any type of lumbosacral brace (LSO), including a standard LSO (lumbar brace belt) or other braces configured to enhance patient immobilization, such as a thoracic LSO (TLSO) or a cervical TLSO (CTLSO), as described below.

[0049] When deployed as a TLSO, CTLSO or LSO, the orthopedic brace posterior brace system may be configured according to a laminated component structure including a rear panel, a rear cover and a pulley cover. Each of these components may be formed of a rigid material, such as, for example, hardened plastic, to provide additional rigidity for patient immobilization. Here, the rear panel is shaped and sized to rest against the middle to lower part of the patient's back to partially immobilize the patient's spine. The rear cover is sized to cover the central area of ​​the rear panel, and the pulley cover is sized to cover the central area of ​​the rear cover. This laminated structure creates separate chambers for housing the various components that form the brace fixation subsystem. For example, the rear panel and rear cover create a first chamber for housing and securing the ends of the lateral (side) panels that can be telescopically slidably extended from the side openings in the first chamber. Similarly, the rear cover and pulley cover create a second chamber for housing the pulley subsystem to which the adjustable belt members are attached. The belt member is secured to the elastic side panel at a location based on the size of the belt member. For example, the full lateral extension of the belt member may complement the placement of the elastic side panel to extend from the first chamber a distance consistent with lateral movement of the belt member after attachment of the elastic side panel.

[0050] According to one embodiment of the present disclosure, as an illustrative example, the rear cover is positioned to partially cover a rear surface of the rear panel, such as a central portion of the rear panel. As a result, a first chamber is formed between the front (forward facing surface) of the rear cover and the rear (rear facing surface) of the rear panel. Additionally, the pulley cover is positioned to partially cover the rear surface of the rear cover, such as over a recessed area formed as part of the rear cover. As a result, a second chamber is formed between the front (forward facing surface) of the pulley cover and the rear (rear facing surface) of the rear cover.

[0051] Similarly, the anterior brace system features a brace fixation subsystem that includes elastic side panels that extend from opposite sides of the anterior brace system and are locked into place by locking mechanisms on opposite sides of the anterior brace system, with the extension of each elastic side panel aiding in the overall sizing of the orthopedic brace when combined with the posterior brace system. The orthopedic brace may be positioned around the patient's torso. As described herein, the orthopedic brace may comprise any type of lumbosacral brace (LSO), including standard LSOs (lumbar brace belts) and other braces configured to enhance patient immobilization, such as thoracic LSOs (TLSOs) and cervical TLSOs (CTLSOs) described below.

[0052] When deployed as a TLSO or CTLSO, the anterior brace system of the orthopedic brace can be configured according to a structure that includes a front panel with a locking mechanism on the opposite side and a stretchable side panel slidably coupled to the inner (or "rear") side of the front panel. Thus, the anterior brace system operates to slidably extend (or retract) such that the stretchable side panel is coupled to the front panel and the locking mechanism of the front panel rotates to releasably couple with the stretchable side panel, thereby locking it into place. As a result, the stretchable side panel can extend or retract as a size adjustment mechanism based on the size of the patient's torso, e.g., for the purpose of immobilizing the patient (wearer).

[0053] Each component of the anterior brace system may be formed of a rigid material, such as, for example, hardened plastic, to provide greater rigidity for patient immobilization, where the anterior panel is shaped and sized to resupport the mid-to-lower anterior torso of the patient and partially immobilize a portion of the neuromuscular and skeletal systems, such as the patient's spine.

[0054] As described below and shown in the accompanying figures, the interior of the front panel includes a plurality of side panel guide posts (guide posts) configured to mate with guide channels of the telescoping side panels. In particular, the mating posts of the front panel and the guide channels of the telescoping side panels combine to allow the telescoping side panels to extend (or retract) in a controlled manner. Additionally, a locking mechanism located opposite the exterior of the front panel rotates about a hinge and mates with the exterior of the telescoping side panel to lock it into a desired extended or retracted position. The desired extended or retracted position may be according to specific size indicia provided on the exterior of each telescoping side panel.

[0055] Each side panel locking mechanism may include a hinge and a rotatable locking member rotatable about the hinge. The locking mechanism may be configured to releasably lock (or hold) the stretch side panel (side panel) in a preferred position using a hook-and-loop fastener system. More specifically, an outer portion of the side panel may include an unbroken loop (UBL) material and a first side of the rotatable locking member may include a hook material that couples with the UBL material, such that when the rotatable locking member rotates to contact the UBL material, the side panel is locked (or held) in its current position. A second side of the rotatable locking member may include a UBL material disposed thereon for coupling with a belt of a posterior brace system of an orthopedic brace.

[0056] The anterior brace system may also include an extension rod extending vertically upward from the anterior panel. A wishbone extension attachment (wishbone coupler) is coupled to a distal end of the extension rod. The wishbone coupler further couples with a number of attachments, thereby providing compatibility between attachments such as a support chest plate when the orthopedic brace is configured for TLSO placement, or a CTO clip that further couples with a cervical brace when the orthopedic brace is configured for CTLSO placement.

[0057] According to one embodiment, the patient may lie supine, for example, on the posterior brace system, and the anterior brace system may be positioned over the patient's anterior torso with the liner (pad) against the patient. The anterior panel is contoured to follow the curvature of the patient's anterior torso. The anterior outwardly facing surface includes two portions of UBL material on either side, each portion at least partially surrounding a locking mechanism. The rotatable locking member of the locking mechanism is rotatable from an open position to a closed position, where the rotatable locking member contacts and engages the side panel, holding the side panel in its current position.

[0058] Thus, the anterior brace system can be sized to fit a patient by laterally (outwardly) stretching the side panels. When the desired length of the side panel (e.g., the amount that the distal end of the side panel extends laterally from the end of the side panel) is reached, the rotatable locking member rotates from an open position to a closed position and contacts the outwardly facing side of the side panel to hold the side panel in its current position. The side panel can cover a portion of the patient's lateral torso. As a result, the length of the side panel correlates with the size of the anterior brace system.

[0059] The side panels extend (or recede) in a direction generally perpendicular to the patient's midline. The side panels may include one or more slotted rails configured to receive guide posts extending posteriorly (e.g., toward the patient's body) from the front panel. Thus, movement of the side panels is restricted to a direction generally perpendicular to the patient's midline.

[0060] Here, the connection between the rear and front orthotic systems is realized by belt members attached to the elastic side panels and support straps extending between these orthotic systems. More specifically, after stretching the belt members and elastic side panels of the rear orthotic system to a desired length (size), the elastic side panels can be partially wrapped around the waist of the wearer and partially overlap the stretched side panels of the front orthotic system. In particular, the elastic side panels stretch and bend with a curvature while remaining adjacent to the sides of the wearer after attachment of the front orthotic system. A first portion of each belt member extends from the pulley subsystem and overlaps the corresponding side panel. A second portion of each belt member extends beyond the edge of the corresponding side panel and is attached to the front surface of the front panel. This attachment can be achieved by disposing a non-continuous loop (UBL) fabric on the front surface of the front panel and a loop-and-hook fastener including a hook for attaching to the UBL fabric to function as a hook-and-hook fastener on the rear surface of the belt member.

[0061] Each belt member includes a first end for attachment to the pulley subsystem and a second end for attachment to the front surface of the front panel. The second end of the belt member includes a rigid portion oriented widthwise (longitudinal) and inserted into the fabric used for the second end. A guide strap integrated as part of the fabric of the second end of the belt member is oriented lengthwise from the integrated rigid portion to form a loop structure when the guide strap is placed in a first operating state. Here, the first guide strap includes a hook fastener disposed on a first surface (rear-facing surface) for attachment to the UBL fabric disposed on the first (forward-facing) surface of the second guide strap to form a loop extending from the front surface of the front panel.

[0062] The first and second guide straps can be detached to a second operating state. In this state, the first and second guide straps, instead of being connected to form a loop accessible to the wearer (or a third party) and placed on the front of the front panel, are detached and wrapped around the edge of the front panel of the front orthosis system, and the hook fastener of the first guide strap is securely attached to the UBL fabric located on the second guide strap. As a result, the belt member is connected to the front panel and the wearer cannot exit the orthopedic brace by removing this belt member from the front panel. Instead, the other belt member remains in the first operating state (loop) to allow the belt member to be removed from the front panel to form a side opening for the wearer to remove the orthopedic brace.

[0063] The posterior orthosis system, which operates in conjunction with each other, may be coupled to the anterior orthosis system via a plurality of support straps. As described below, each support strap includes a first end segment and a second end segment. The first end segment of the support strap may include a hook-and-loop fastener system. For example, a loop fastener may be disposed on a first surface of the first end segment, and a hook fastener may be disposed on a first surface of a distal end of the first end segment. Thus, after the distal end of the first end segment is inserted into a strap slot disposed in an extension panel of the posterior orthosis system (or a first opening of a strap guide of the posterior panel aligned with the slot of the extension panel) and folded back, the hook fastener may be secured to the loop fastener. This connects the support strap to the posterior orthosis system. The second end segment includes a buckle disposed at a distal end of the second end segment for secure attachment. The plurality of buckles may be connected to respective snap connectors of the support chest plate, described below.

[0064] More specifically, to connect each of the first plurality of support straps between the rear and front orthotic systems, each support strap may be coupled to one or more strap retaining members (e.g., strap slots in the extension panel or strap guides in the rear panel) for positioning the support strap over the shoulder. According to one embodiment of the present disclosure, the strap retaining member includes a single slot formed toward the top of the extension panel, into which a distal end of a first end segment of the support strap is inserted from the front to the rear side of the strap slot and looped back to the top of the extension panel. The distal end of the first end segment is attached to another portion of the first end segment to form a looped end secured to the extension panel.

[0065] Additionally or alternatively, each support strap of the plurality of support straps (or second plurality of support straps) may be coupled to a strap guide. The strap guide includes an opening formed in an upper portion of the rear panel with a member disposed across the opening forming a first opening and a second opening. The first and second openings are aligned with a strap slot disposed toward a lower portion of the extension panel with an opening in an area where the support strap can be inserted into and removed from the strap slot. In the illustrated example, a distal end of a first end segment of each support strap is inserted into a first opening of the strap guide and looped back around the member and threaded through a second opening of the strap guide. The member is then configured as a termination point for the first end segment of the support strap. The second end segment of the support strap may be configured with a buckle disposed at a distal end of the second end segment for attachment to the support chest plate.

[0066] The plurality of support straps may be positioned over the shoulders of the wearer, however, when a first plurality of support straps is coupled to a strap slot formed toward the top of the extension panel, one or more support straps may be coupled to the strap guides described above to extend between the posterior and anterior brace systems under the wearer's armpits, thereby providing additional fixation of the orthopedic brace.

[0067] 1. Terminology In the following description, certain terms are used to describe aspects of the invention. For example, the term "member" may be interpreted as a structural component of an orthopedic brace. In certain circumstances, the member may include a component covered with a soft commodity, such as one or more textiles, one or more fabrics (woven and / or nonwoven), leather, and / or another cover material. These soft commodity may feature a "loop" type fastener or other variant to which a "hook" type fastener can be attached, or a hook type fastener for attachment to a loop type fastener. In other circumstances, the member is a soft commodity attached to another structural component of the orthopedic brace, such as a textile or fabric sewn together, such as a knitted textile with a pocket, within which a structural component can be placed.

[0068] The term "chamber" refers to a partially enclosed housing, i.e., a structure having a perimeter that is partially enclosed except for one or more openings, e.g., at least two openings on opposing sides along the perimeter, such that the partially enclosed chamber functions as a structure configured to secure, maintain, and protect the prosthetic fixation subsystem components.

[0069] The term "attach" and other tenses of the term (such as attached, attaching, etc.) may be interpreted as physically connecting a first member to a second member. A "fastener" may be interpreted as any physical component used to attach different members together. Examples of different types of fasteners and fastening techniques include, but are not limited to, snaps, buttons, clasps, buckles, adhesives, sewing, heat sealing (or melting), bonding, knitting, or other physical joining techniques such as hook and loop connections.

[0070] The term "rigid" or "rigid" with respect to a member or portion of a member may be interpreted as the member being at least partially configured to resist bending or deformation. According to this definition, different lengths of a particular structure and configuration may be rigid at shorter lengths and flexible at longer lengths. As used herein, the term "rigid" with respect to a member or portion of a member may be interpreted as the member being capable of being permanently deformed or broken when bent or twisted at least 90 degrees. Examples of rigid members include, but are not limited to, a rear panel, a front panel, or an extension panel. A telescoping side panel is rigid, but flexible enough to be placed into a concave shape without breaking.

[0071] Finally, the terms "or" and "and / or" as used herein are to be interpreted as inclusive, or meaning either one or any combination. For example, "A, B or C" or "A, B and / or C" means "any of A, B, C, A and B, A and C, B and C, A, B and C." Exceptions to this definition occur only when combinations of elements, features, steps, or acts are in some way inherently mutually exclusive.

[0072] Because the invention is susceptible of embodiment in many different forms, the present disclosure should be considered as an example of the principles of the invention and is not intended to limit the invention to the specific embodiments shown and described.

[0073] 2. General Structure – Posterior Bracing System 1, a perspective rear view of an exemplary embodiment of a posterior brace system 110 positioned as part of an orthopedic brace 100 is shown. Here, the posterior brace system 110 features a posterior panel 120 oriented to be approximately or substantially parallel to the patient's forehead when worn. As shown, filler material 115 (padding) may be inserted adjacent the front of the posterior panel 120. The posterior panel 120 provides support along the thoracic and lumbar regions of the patient's spine.

[0074] As further shown, the rear brace system 110 further comprises a number of structural members superimposed on the rear panel 120 to form a number of chambers therebetween. These structural members include, but are not limited to, a rear cover 140 and a pulley cover 160. The rear cover 140 is coupled to a curved mid-region 125 of the rear panel 120. The mid-region 125 has a generally concave shape to conform to the thoracic and lumbar regions of the patient's spine. One or more slot openings 130 are disposed on each side (left side 126, right side 128) of the mid-region 125 to reduce the lateral stiffness of the rear panel 120 and allow the sides of the rear panel 120 to move laterally and forward when worn. Also as shown, the upper region 132 of the rear panel 120 includes a lock slot 134 for holding an extension panel (not shown) and a strap guide 136 for holding an attachment strap (not shown).

[0075] The pulley cover 160 is coupled to the rear cover 140, i.e., to a central region 145 of the rear cover 140. This central region 145 of the rear cover 140 is provided with a recessed area (not shown) shaped to hold a pulley subsystem 150 including a plurality of pulley bases 1521-1522. Each pulley base 1521 or 1522 includes (i) a base member 1541 or 1542 having a plurality of staggered pulley members (not shown) and interconnected with a designated pulley cord 1801 or 1802 with a handle 1851 or 1852, and (ii) a belt slot 1561 or 1562 located on an outer side edge of the pulley base member 1541 or 1542. Each pulley cord 1801 or 1802 is threaded through a cord passage opening 1701 or 1702 that is in the same cross-sectional plane. The pulley cover 160 is smaller in size (e.g., width and height) than the rear cover 140 so as to cover the recessed area of ​​the rear cover 140, thereby configuring the pulley cover 160 not to cover the upper cover area 158 and the lower cover area 159 of the rear cover 140.

[0076] Referring to FIG. 2A, an exploded view of an exemplary embodiment of the rear gear system 110 of FIG. 1 is shown. Here, the rear gear system 110 is characterized by the rear panel 120, the rear cover 140, and the pulley cover 160 as shown in FIG. 1. The liner 115 is disposed forward of the front surface 200 of the rear panel 120. Additionally, a plurality of side panels 210 are made of a rigid or semi-rigid material such as any type of hardened flexible plastic (e.g., a sheet of polyethylene, polycarbonate, etc.) and are disposed within a first chamber 280 (see also FIG. 2B) formed between the rear surface 205 of the rear panel 120 and the front surface 220 of the rear cover 140 (adjacent to another liner 117). The pulley subsystem 150 is disposed within a second chamber 290 (see also FIG. 2B) formed between the rear surface 225 of the rear cover 140 and the front surface 230 of the pulley cover 160. The adjustable belt member 240 is mounted in belt slots 1561-1562 formed in the pulley bases 1521-1522.

[0077] More specifically, the front surface 220 of the rear cover 140 includes a plurality of posts 260 that are coupled to the rear panel 120 by inserting the posts 260 into corresponding support openings 265 in the rear panel 120 and permanently fusing them thereto (e.g., bonded to one another by a heat staking process). The posts 260 (i) function as spacers that maintain the width of the side openings formed in the first chamber 280 substantially constant to provide structural integrity (see FIG. 2B), allowing the telescoping side panel 210 to be adjusted inwardly and outwardly from the first chamber 280, and (ii) function as stops that prevent the side panel 210 from being completely removed from the first chamber 280 by the tab portions of the side panel 210 engaging the posts 260, as shown in FIGS. 4A and 4B and described below.

[0078] Here, according to one embodiment of the present disclosure, the elastic side panels 210 provide support by relieving circumferential pressure and stabilizing the spinal system from bending laterally (coronal plane). The rigid plastic side panels 210 extend from the sacrococcygeal junction to just below the scapula. In combination with the side panels associated with the anterior brace system (see system 1110 in FIG. 10A) that extend from the pubic symphysis to the sternal notch to the soft liner, the side panels 210 help limit movement of the entire trunk in the sagittal, coronal and transverse planes, while also providing lateral strength.

[0079] Additionally, the pulley cover 160 features a front surface 230 that also includes a number of posts 270. However, the posts 270 may be removably coupled to support openings 275 formed in the rear cover 140. The posts 270 act as spacers and provide structural integrity to prevent the side openings formed in the second chamber 290 from significantly narrowing or closing in response to a force applied to the pulley cover 160 in a forward direction D1 or a force applied to the rear cover 140 in a rearward direction D2. This allows the belt slots 1561-1562 in the pulley bases 1521-1522 to be exposed from the second chamber 290 and out of the way during use.

[0080] 2A and 2B, the pulley bases 1521-1522 are interconnected by pulley cords 1801-1802, and when one or both of the pulley cords 1801-1802 are tightened (i.e., when the handle 1851 at the end of the pulley cord 1801 is pulled), both pulley bases 1521-1522 move inwardly toward one another along the guide channels 222 formed in the rear surface 225 of the rear cover 140. During the movement, one or more of the orthopedic belt members 240 are tightened. During such tightening, the pulley bases 1521-1522 move inwardly toward one another, thereby shortening the length of each side panel (e.g., side panel 210) and the corresponding belt member 240 extending from the first chamber 280 and the second chamber 290, respectively. This is because each belt member 240 is coupled to a corresponding side panel via a hook-and-loop fastener, with the loop connection attached to a surface of the belt member 240 and threaded through a slot in the side panel 210 to attach to a complementary fastener on the side panel. As a result, during adjustment, both the side panel 210 and its corresponding belt member 240 may be moved away from the first and second chambers 280 and 290 along the first lateral direction (L1) 292. However, during tightening, the side panel 210 and its corresponding belt member 240 are pulled back into the first and second chambers 280 and 290 according to the second lateral direction (L2) 294, as will be described in more detail below.

[0081] 3A, a top-down plan view of an exemplary embodiment of a pulley subsystem 150 is shown with a guide channel 222 formed within the rear cover 140. Showing the rear face 225 of the rear cover 140, the rear cover 140 can be comprised of an intermediate cover area 145 having an upper cover area 158 and a lower cover area 159 integrated therebetween. The intermediate cover area 145 includes a guide channel 222 formed by a first guide member 300, a second guide member 310, and a third guide member 320.

[0082] 3A, a first set (two or more) of pulley stops 330 are disposed along a side 305 of the first guide member 300, and a second set of pulley stops 335 are disposed along a side 325 of the third guide member 320. The first and second sets of pulley stops 330 and 335 are positioned to prevent the pulley bases 1521 and 1522 from accidentally sliding out of the guide channel 222. More specifically, each pulley base member 1541 and 1542 includes a first flange 340 and 341 and is positioned to engage one of the first set of pulley stops 330 (e.g., pulley stops 331 and 332) when each belt member 240 is sized and fully extended from the second chamber 290. Similarly, each pulley base member 1541 and 1542 is positioned to engage one of the second set of pulley stops 335 (e.g., pulley stops 336 and 337). As an optional feature, in addition to pulley stops 331-332 and 336-337, the first and second sets of pulley stops 330 and 335 may include pulley stops 333-334 and 338-339 to prevent the pulley bases 1521 and 1522 from moving further inward beyond a predetermined position.

[0083] 3B, a side view of an exemplary embodiment of rear cover 140 is shown illustrating second chamber 290 formed at least in part by guide channel 222. Given that rear panel 120 is now shaped to conform to the contours of the thoracic and lumbar regions, rear surface 312 of second guide member 310 is located below rear surface 302 of first guide member 300 and rear surface 322 of third guide member 320. Rear surface 302 of first guide member 300 is approximately perpendicular to side surface 305 of first guide member 300, and rear surface 322 of third guide member 320 is approximately perpendicular to side surface 325 of third guide member 320. This structure provides sufficient clearance for the pulley 350 attached to the front surface 352 of the pulley base member (e.g., pulley base member 1542 of the pulley base 1522) as the pulley base 1522 slides along the first guide member 300 and the third guide member 320 in response to forces applied to the belt slot 1562 and / or through the pulley 350.

[0084] 3C, a cross-sectional view of an exemplary embodiment of support openings 265 implemented within the rear panel 120 of FIG. 2A is shown. Now, as shown in FIGS. 3A-3C, in FIGS. 3B-3C, a plurality of support openings 265 are positioned to correspond to a plurality of posts 260 extending from the front surface 220 of the rear cover 140. As shown, a first set of support openings 360 are positioned to engage with a first set of posts 370 extending from the upper cover area 158 of the rear cover 140. Additionally, a second set of support openings 365 are positioned to engage with a second set of posts 375 extending from the lower cover area 159 of the rear cover 140. According to one embodiment, with the exception of the optional central support opening 361, the remainder of the first set of support openings 360 may be coplanar. Similarly, with the exception of the central support opening 366, the remainder of the second set of support openings 365 may be coplanar. Support openings 275 for engaging with posts 270 associated with pulley cover 160 (see FIG. 2A ) can be positioned along first guide member 300 and second guide member 320 closer to pulley stops 331-332 and 336-337 than support openings 265.

[0085] 3D, a perspective view of an exemplary embodiment of a heat skating process is shown, in which a post 260 and a support opening 265 serve as a joining point and a reinforcing member between the rear panel 120 and the rear cover 140. According to this embodiment of the present disclosure, a post 260 of the rear cover 140 is inserted into a corresponding support opening 265 formed in the rear panel 120 and joined together. For example, the post 260 and the support opening 265 are joined together by a heat staking process. In particular, after inserting the post 260 into the support opening 265, a predetermined amount of heat is applied to the post 260. The heat causes the material associated with the post 260 to melt slightly and form a head portion (dome) with a diameter larger than the opening, such that upon cooling, the post 260 cannot be removed from the support opening 265 without the head portion deforming or disappearing.

[0086] 4A, a top-down plan view of the rear brace system 110 is shown featuring a stretchable side panel 210 disposed between a first chamber 280 formed between the rear panel 120 and the rear cover 140. According to one embodiment of the present disclosure, the stretchable side panel 210 includes a main panel region 400 and a retention panel region 410. As shown, the main panel region 400 corresponds to the portion of the side panel 210 that can be removed from the first chamber 280, i.e., the enclosure portion formed between the rear surface 205 of the rear panel 120 and the front surface 220 of the rear cover 140. The amount of the main panel region 400 that is removed from the first chamber 280 varies depending on the size (large (L), medium (M), small (S), or variations thereof, e.g., XL, 2XL, XS, etc.) selected for the belt strap member 240 attached to the side panel 210, as shown in FIGS. 6A-6E.

[0087] According to one embodiment of the present disclosure, the main panel region 400 of the elastic side panel 210 may include a buckle attachment opening 425 sized to accommodate a buckle associated with a support strap (not shown) positioned under the wearer's armpit. When the support strap is inserted, the buckle attachment opening 425 includes a buckle retention appendage 426 that is flexible and applies a force against the inserted buckle to retain the buckle at least partially within the buckle attachment opening 425. As a result, the buckle attachment opening 425 helps to retain the buckle and its support strap under and away from the wearer's armpit, thereby preventing unwanted movement of the strap when the orthopedic brace 100 is being worn.

[0088] As further shown, as shown in FIGS. 4A-4B, the retention panel area 410 corresponds to the smallest portion of the side panel 210 configured to remain within the first chamber 280 at all times. According to this embodiment of the disclosure, the retention panel area 410 includes a first tab portion 420 extending from an edge 430 thereof. The first tab portion 420 (and the side panel 210) is positioned to engage with a post 260 of the rear cover 140 when the side panel 210 is stretched to a size where the main panel area 400 is fully removed from the first chamber 280, and acts as a "stop" for the side panel 210. When engaged with the post 260, the first tab portion 420 prevents the side panel 210 from being accidentally removed from the first chamber 280. As shown in FIG. 4A , in addition to the first tab portion 420, a second tab portion 440 may extend from an edge 450 of the retention panel region 410 and be positioned to engage another post 260 of the rear cover 140 when the main panel region 400 is completely removed from the first chamber 280.

[0089] 4C, a top-down plan view of the rear gear system 110 with the telescoping side panels 210 operating with an adjustable belt member 240 is shown. Here, the belt member 240 is attached to the pulley base 1521 via the belt slot 1561. The belt member 240 can be sized based on the indicia 460 attached to the belt member 240 aligned with a portion of the pulley base 1521 such as the belt slot 1561. Here, however, the belt member 240 is sized to a maximum length indicated by the first flange 340 and the second flange 342 engaging the pulley stops 331 and 336. The side panels 210 and belt member 240 are moved laterally and forward to couple with the front gear system as shown in FIG. 20L.

[0090] 5A, an exemplary embodiment of a brace fixation subsystem 500 disposed within the orthopedic brace 100 is shown. Implemented as a component of the posterior brace system 110, the brace fixation subsystem 500 includes a pulley subsystem 150, a telescoping side panel 210 (e.g., first side panel 520 as shown), and a belt member 240 (e.g., first belt member 525 as shown) that operate together to size and fit the orthopedic brace 100 to a patient. The first telescoping side panel 520 slidably extends from a first chamber 280 formed under the rear cover 140 in a direction opposite to the extension direction of the second telescoping side panel (not shown). Further, a first end 510 of the first belt member 525 is fixed in a belt slot 1561 of the first pulley base 1521, and a first end of a second belt member (not shown) is fixed in a belt slot 1562 of the second pulley base 1522.

[0091] 5A-5B, pulley subsystem 150 includes a first pulley base 1521 and a second pulley base 1522 coupled to one another via pulley cords 1801 and 1802. Although not shown, pulleys mounted beneath pulley bases 1521-1522 apply tension such that pulley cord 1802 is pulled forward and / or laterally (i) causes first belt member 525 to move inward (towards central region 550 of second chamber 290) and pulley cord 1801 is pulled forward and / or laterally (ii) causes a second belt member (not shown) to move inward. Further, as shown in FIG. 5B, given that a portion of the first belt member 525 proximate the second end 530 of the first belt member 525 is attached to the first side panel 520, e.g., via complementary loop-and-hook fasteners, inward movement of the first belt member 525 causes a complementary inward movement of the first side panel 520, and vice versa. The same adjustment scheme can be applied to the second side panel (not shown). This allows for easier application of the orthopedic brace without having to roll the patient for customized reapplication of the rear side panel.

[0092] 5C, a top-down plan view of an exemplary embodiment of the pulley base (e.g., pulley base 1521) of FIG. 5A is shown. Here, the pulley base 1521 includes a base member 1541 characterized by (i) a belt slot 1561 disposed proximate a first outer lateral edge 560 of the base member 1541, (ii) a first flange 340 disposed at a second outer lateral edge 562 of the base member 1541, and (iii) a second flange 342 disposed at a third outer lateral edge 564 of the base member 1541. Here, the second and third outer lateral edges 562 and 564 are generally perpendicular to the first outer lateral edge 560. The second and third outer lateral edges 562 and 564 are disposed on opposite sides of the base member 1541.

[0093] The first pulley cord attachment member 570 attached to the base member 1541 is configured to securely attach the end 182 of the second pulley cord 1802 to the pulley base 1521. The second pulley cord 1802 is provided from the first pulley cord attachment member 570 to the second pulley base 1522 as shown in FIG. 5A. The first pulley 580 attached to the base member 1541 is further configured to receive the second pulley cord 1802 from a pulley attached to the second pulley base 1522, where the second pulley cord 1802 is passed through the input port 581, wound around the first pulley wheel 582, and passed through the output port 583 toward the cord passage opening 1702. The second pulley 585 is configured to receive a first pulley cord 1801 from the second pulley base 1522, and the first pulley cord 1801 is configured to be passed through an input port 586, wrapped around a second pulley wheel 587, and passed through an output port 588 back to another pulley on the second pulley base 1522.

[0094] As shown in FIG. 5D, after sizing and attaching the belt member 240 to the lateral panel 210, the pulley bases 1521-1522 of the pulley subsystem 150 are disposed in a first state. In the first state, the pulley bases 1521-1522 can be disposed closer to the pulley stops 331-332 and 336-337 than to the central region 550 of the second chamber 290. As shown in FIG. 5E, in response to tightening of the pulley cords 1801 and / or 1802, the pulley bases 1521-1522 move along the guide channel 222, and in particular the first and third guide members 300 and 320, toward the central region 550 of the second chamber 290. The pulley bases 1521-1522 are non-fixed because they push the corresponding side panel / belt combinations outwardly from the first and second chambers during initial sizing, and pull the corresponding side panel / belt combinations into the first and second chambers 280 and 290 during tightening. For example, the pulley base 1521 is configured to pull the corresponding side panel / belt combination 520 / 525 into the first and second chambers 280 and 290 during initial sizing.

[0095] 6A-6B, an exemplary embodiment of internal sizing of a second belt member 600 (e.g., opposite belt member 525 in FIG. 5A) is shown, followed by sizing of an elastic side panel 620 (e.g., opposite side panel 520 in FIG. 5A). Here, the second belt member 540 includes a first set of indicia 610 that identifies different belt sizes (e.g., large, medium, small, etc.) when oriented relative to a selected portion of the pulley base 1522. For example, in the illustrated embodiment, the indicia 610 includes a plurality of indicia elements 615, each corresponding to a different belt size, and the second belt member 600 is sized accordingly. More specifically, the selected sign element 612 is directed to a selected portion of the pulley base 1522 (e.g., within the belt slot 1562 of the pulley base 1522), and then a first fastener 625 (e.g., a loop-and-hook fastener) at a first end 622 of the second belt member 600 is coupled to a second fastener 626 (e.g., a complementary loop-and-hook fastener) disposed along an inner surface 628 of the second belt member 600 such that the second belt member 600 is wrapped around the belt slot 1562 with the connection point facing inward. As a result, the second belt member 600 is sized and positioned to correspond to the selected sign element 612.

[0096] As shown in FIG. 6B, once the second belt member 600 is sized, the indicia 630 on its outer surface 632 aligns with the indicia 640 on the back surface 642 of the stretchable side panel 620, so that the stretchable side panel 620 is the same size. Thus, the second belt member 600 limits the lateral stretch of the stretchable side panel 620 to match the size of the second belt member 600. The outer sized belt 600 can also be permanently attached to the side panel 620, thereby reducing the need for sizing by the orthopedic surgeon. As a result, the orthopedic surgeon or clinician does not need to align the belt with the indicia 640 on the side panel 620.

[0097] 6C-6D, an exemplary embodiment of the external sizing of a belt member (e.g., the first belt member 525 of FIG. 5A) is shown, followed by sizing of the elastic side panel 520. Here, the first belt member 525 includes a first set of indicia 650 that identifies different belt sizes (e.g., large, medium, small, etc.) when oriented with respect to a selected portion of the pulley base 1521. For example, similar to the internal sizing of the belt member shown in FIGS. 6A-6B as the illustrated embodiment, the indicia 650 includes a number of indicia elements 660, each corresponding to a different belt size, and the first belt member 530 may be sized accordingly. More specifically, the selected signage element is directed to a selected portion of the pulley base 1522 (e.g., within the belt slot 1561 of the pulley base 1521), and then a first fastener 670 (e.g., a loop-and-hook fastener) at a first end 672 of the first belt member 525 is coupled to a second fastener 674 (e.g., a complementary loop-and-hook fastener) disposed along an outer surface 676 of the first belt member 525 such that the first belt member 525 is wrapped around the belt slot 1561 with the connection point facing outward. As a result, the first belt member 525 is sized and positioned to correspond to the selected signage element.

[0098] 6D , once the first belt member 525 is sized, the indicia 680 on its outer surface 682 aligns with the indicia 684 on the back surface 686 of the stretchable side panel 520, so that the stretchable side panel 520 is the same size. Thus, the first belt member 525 limits the lateral expansion of the stretchable side panel 520 to the size of the first belt member 525.

[0099] As a result, as illustrated in FIG. 6E, the first belt member 525 is sized to a "medium" size according to the external sizing process. The second belt member 600 is sized to a "large" size according to the internal sizing process. The markings 680 of the first belt member 525 are aligned with the slots (or markings) of the first elastic side panel 520. The markings 630 of the second belt member 600 are aligned with the slots (or markings) of the second elastic side panel 620. As a result, the second elastic side panel 620 (large size) extends further outside the first chamber than the first elastic side panel 520 (medium size) since the sizes of both side panels 520 and 620 match the corresponding belt members 525 and 600.

[0100] 7A, a perspective rear view of an exemplary embodiment of a first group of posterior bracing systems 700 is shown, with each posterior bracing system 700 featuring a first type of posterior panel and a different type of extension panel. More specifically, for purposes of illustration, the first group of posterior bracing systems 700 includes a first posterior bracing system 710, a second posterior bracing system 712, and a third posterior bracing system 714. Each of these posterior bracing systems 710, 712, and 714 includes a first type of posterior panel 720 (corresponding to posterior panel 120 of FIG. 1) that is generally octagonal in shape having a first defined length and width such that, when worn by a patient, the first posterior panel 720 supports against the thoracic and lumbar regions of the patient's spine.

[0101] According to one embodiment of the present disclosure, the first back panel 720 includes a plurality of locking slots 730, a plurality of strap guides 732 (e.g., a first strap guide 734 and a second strap guide 735), and a stabilizing slot 736. More specifically, the first back panel 720 may include (i) a pair of locking slots 730 sized to receive a locking projection 740 formed in each extension panel 750, 760, 770, and (ii) a strap guide 732 for holding an attachment strap (not shown). The strap guides 732 are positioned to align with strap slots implemented at specific locations on each extension panel, such that a strap passes through the extension panel 750 before being wrapped around and secured to the corresponding strap guide 732. As described below, the stabilizing slots 736 are sized to receive a stabilizing component on the third (neck) extension panel 770, and are otherwise left unused by the first or second extension panels 750 and 760.

[0102] As further illustrated and described below, the first rear panel 720 can be fitted with a first extension panel 750, a second extension panel 760, or a third extension panel 770. The first and second extension panels 750 and 760 are attached to the first rear panel 720 to function as a TLSO. In a TLSO, the extension panels 750 / 160 provide additional support to the upper back and neck area, allowing the patient's head to move freely even after the patient wears the orthopedic brace. The difference between the first extension panel 750 and the second extension panel 760 relates to the size of the patient. The first extension panel 750 is a standard size for the patient, while the second extension panel 760 has a longer length 761 (and possibly a narrower width 762) to accommodate taller patients. However, a third extension panel 770 is attached to the first rear panel 720 and acts as a CTLSO, with the third extension panel 770 attached to the rear of the cervical collar 780 to block movement of the patient's head once donned. A lower region 771 of the third extension panel 770 is approximately the same width as the first and second extension panels 750 and 760. An upper region 772 of the third extension panel 770 is narrower than the first and second extension panels 750 and 760, and furthermore the CTLSO extension 770 does not have the strap slots 755 and 765 located in the upper regions of these extension panels 750 and 760.

[0103] As further shown, the rear gear system 710 further comprises a plurality of structural members stacked on the first rear panel 720 and forming a plurality of chambers therebetween. These structural members include, but are not limited to, a rear cover 790 and a pulley cover 791. The rear cover 790 is coupled to the rear panel 720 and provides a first protective chamber that houses a telescoping side panel (not shown) extending from the first protective chamber. The pulley cover 791 is coupled to the rear cover 790 and protects a pulley subsystem (not shown). The pulley subsystem is provided within a second protective chamber formed between a front surface of the pulley cover 791 and a recessed area on the rear surface within the rear cover 790. The pulley cover 791 is smaller in size (width, length, etc.) than the rear cover 790 so as to cover the recessed area of ​​the rear cover 790 which contains the pulley subsystem and not cover at least the upper rear panel area 792 which contains the multiple lock slots 730, the multiple strap guides 732, and the stabilizing slots 736.

[0104] 7B, a perspective rear view of an exemplary embodiment of a second group of rear brace systems 705 is shown, each of which includes a second type of rear panel 795 and an optional third extension panel 770. Like the first rear panel 720, the second rear panel 795 is generally octagonal in shape, with a second prescribed length and width smaller than the first prescribed length and width. Thus, this arrangement is intended for smaller patients, and only requires the third extension panel 770 to be accommodated to provide the CTLSO function. Of course, the second rear panel 795 is configured with a lock slot 796, strap guide 797, and stabilization slot 798, which are arranged in the same relationship to each other as the lock slot 730, strap guide 732, and stabilization slot 736 provided by the first type of rear panel 720. This allows extension panels 750 and 760, and a third (cervical) extension panel 770 with an extension rod and rear portion of the cervical collar (as shown), to be used interchangeably between either the first rear panel 720 or the second rear panel 795.

[0105] 8A, a perspective view of a first extension panel 750 that can be placed on the rear panel 720 / 795 of FIGS. 7A-7B is shown. Here, the first rear panel 720 has been selected as the rear panel type, and the connection with the extension panel 750 / 760 / 770 is shown. The first extension panel 750, which is generally configured in a polygonal shape (e.g., a hexagonal configuration), includes an upper region 800, a middle region 802, a lower left region 804, and a lower right region 806. Here, the upper region 800 of the extension panel is provided with first and second strap slots 755 that are arranged to receive an adjustable strap that is placed on the shoulders of a user. The middle region 802 is provided with a fastening clip 810 that is arranged to be securely coupled to the upper end of the rear panel 720 when the extension panel 750 is fastened to the first rear panel 720. The fastening clip 810 is approximately centered between fastening projections 740 which are insertable into fastening slots 730 in a rear panel (eg, first rear panel 720) as shown in FIG. 7A.

[0106] As further shown in FIG. 8A, the lower left region 804 includes a third strap slot 820 that is horizontally aligned with the first strap guide 734 of the first rear panel 720 when the first extension panel 750 is attached to the rear panel (e.g., the first rear panel 720). The third strap slot 820 is configured with a width greater than the width of either the first or second strap slots 755, allowing the adjustment strap to pass unimpeded through the first strap guide 734 located within the first rear panel 720, loop around a member extending across the first strap guide 734, and return to the front of the rear harness system 710. Although oriented similarly, the fourth strap slot 825 is positioned to be horizontally aligned with the second strap guide 735 when the extension panel 750 is attached to the first rear panel 720 via the lock slot 730 / protrusion engagement 740. A first curvature (DC1) of a first peripheral section extending from the lower left region 804 toward the upper region 800 may be substantially equal to a second curvature (DC2) of a second peripheral section extending from the lower right region 806 toward the upper region 800.

[0107] 8B, a perspective view of a second type of extension panel 760 (hereinafter, "second extension panel 760") configured to be attached to the rear panel as shown in FIG. 7A is shown. Similar to the first extension panel 750, the second extension panel 760 is generally configured in a polygonal shape (e.g., a hexagonal configuration) including an upper region 830, a middle region 832, a lower left region 834, and a lower right region 836. The upper region 830 of the extension panel is provided with strap slots 765, i.e., a first slot 840 and a second strap slot 842 positioned to receive an adjustable strap that is placed on a user's shoulder. The middle region 832 is also provided with a fastening clip 810 positioned to be securely coupled to an upper perimeter section (edge) 785 (see FIG. 7A) of the first rear panel 720 when the second extension panel 760 is secured to the first rear panel 720. The securing clip 810 is centered on the locking projection 846 / 848 , which can be inserted into a locking slot in a rear panel, such as the locking slot 730 in the first rear panel 720 .

[0108] As further shown in Figure 8B, the bottom left region 834 includes a third strap slot 850 that is positioned to align horizontally with the first strap guide 734 of the first back panel 720 when the second extension panel 760 is attached to the first back panel 720. Similarly, a fourth strap slot 852 is positioned to align horizontally with the second strap guide 735 when the second extension panel 760 is attached to the first back panel 720. As shown in Figure 8A, the curvature (DC3-DC4) along the perimeter section of the second extension panel 760 is greater than the curvature (DC1-DC2) along the perimeter section of the first extension panel 750.

[0109] 8C, there is shown a perspective view of a third type of extension panel 770 (hereinafter "third extension panel 770") configured to be attached to the back panel 720 or 795 as shown in FIGS. 7A-7B. Similar to the second extension panel 760, the third extension panel 770 is generally configured in a polygonal shape (e.g., a hexagonal configuration) including an upper region 860, a left lower region 862, and a right lower region 864. A cantilever support 870 intersecting the upper region 860 and the lower regions 862 / 864 of the third extension panel 770 is configured to secure and maintain a neck collar adjustment rod 900 having a height setting opening 905 of FIG. 9 sized to engage one or more fasteners 872 disposed as part of the cantilever support 870 when the rod 900 is inserted into a channel 874 of the cantilever support 870.

[0110] The lower left region 862 is provided with a first strap slot 890 that is horizontally aligned with the first strap guide 734 of the first back panel 720 when the third extension panel 770 is attached to the first back panel 720. In a similar orientation, the second strap slot 892 is horizontally aligned with the second strap guide 735 when the third extension panel 770 is attached to the first back panel 720. Each of the one or more locking projections 895 can be positioned between the cantilever support 870 and a corresponding strap slot 890 / 892 and is sized to securely couple to a locking slot 730 of a back panel (e.g., the first back panel 720) as shown in FIG. 7A.

[0111] 9, there is shown a rear view of the rear brace system 714 of FIG. 7A and the third extension panel 770 of FIG. 8C. The cantilever support 870 further includes a closed end 900 that is separated from a portion of the lower left region 862 and the lower right region 864 of the third extension panel 770 via a cutout area 910. The cutout area 910 provides a separation between (i) the rear surface 920 of the lower left region 862 of the third extension panel 770 and the first rail 930 of the cantilever support 870, and (ii) the rear surface 925 of the lower right region 864 of the third extension panel 770 and the second rail 935 of the cantilever support 870. Upon connection, the top perimeter 940 of the first rear panel 720 is inserted into the cutout area 910 as the stabilizing component 950 slidably engages. The stabilizing slot 736 further enhances the lateral stability of the third extension panel 770. Thus, the cantilever support 870 is positioned on the rear side 960 of the first rear panel 720, and other portions of the third extension panel 770 (e.g., the first and second lower regions 862 and 864) are positioned on the forward side 970 of the first rear panel 720.

[0112] 3. General Structure – Anterior Orthotic System 10A-10D, there are shown a number of front perspective views of an exemplary embodiment of an orthopedic brace with an anterior brace system, according to some embodiments. With reference to FIG. 10A, an anterior brace system 1110 of an orthopedic brace system 1100 is shown, which includes a front panel 1120, an extension rod 1140 coupled to and extending upwardly therefrom, and first and second telescoping side panels 1130A, 1130B (collectively side panels 1130) extending laterally therefrom. Here, the side panels 1130 may be made of a rigid or semi-rigid material, such as any type of hardened flexible plastic (e.g., a sheet of polyethylene, polycarbonate, etc.). As a result, the side panels 1130 may be angled and bent into a concave shape to provide lateral support for the orthopedic brace system 1100.

[0113] As shown, the front panel 1120 includes an open receptacle for receiving an extension rod 1140, and an extension rod locking member 1128 rotates between an open position and a closed position to lock (or hold) the extension rod 1140 in a particular position, where the position of the extension rod 1140 refers to the amount the extension rod 1140 extends upward. The front panel 1120 also includes a pair of locking mechanisms 1124A, 1124B (collectively, locking mechanisms 1124) located on its front side that are configured to engage (couple) with fastener material located on the front side of the side panel 1130.

[0114] Further, each of the locking mechanisms 1124 includes a rotatable locking member 1127A, 1127B (collectively, locking member 1127) configured to rotate about a hinge 1126A, 1126B (collectively, hinge 1126) and a fastener portion 1125A, 1125B (collectively, fastener portion 1125) including a first fastener material. The locking member 1127 is configured to rotate about a corresponding hinge between an open position and a closed position (or locked position). The closed position means that the locking member is in a position contacting a front side of the side panel 1130. The open position means that the locking member is in a position other than the closed position. Further, the locking member includes a first and a second side, the first side including a first fastener material and the second side including a second fastener material. The first side refers to a front side when the locking member is in the closed position, and the second side refers to a rear side when the locking member is in the closed position. Thus, the second side is configured to contact the front side of the side panel 1130 when the locking member (eg, rotatable locking member 1127A or 1127B) is in the closed position.

[0115] Additionally, the terms "first fastener material" and "second fastener material" refer to complementary components of a hook and loop fastener system, where the first fastener material and the second fastener material are configured to bond upon contact.

[0116] 10A further illustrates that the side panels 1130 include fillers 1131A, 1131B (collectively fillers 1131 or pads 1131) at the rear side, with the pads 1131 configured to contact the patient's body. Additionally, each side panel 1130 includes, at a portion of its front side, second fasteners 1135A, 1135B (collectively first fasteners 1135) that are complementary to the first fasteners 1129 disposed on the aforementioned rotatable locking member 1127. The side panels 1130 include size indicators 1137A, 1131B (collectively first fasteners 1135) that are complementary to the first fasteners 1129 disposed on the aforementioned rotatable locking member 1127. 1-x and 1137B 1-x (In FIG. 10A, x≧1, x=3) (collectively, indicators 1137) may also be included. Indicators 1137 represent predefined size settings such as large (1137A1, 1137B1), medium (1137A2, 1137B2), small (1137A3, 1137B3), etc. 1-x It was noted that the indicia 1137A is simply represented as 1137B. Thus, the indicia 1137 provides the medical professional with sizing parameters for stretching or contracting the side panels to a particular size setting. As a result, the size indicia 1137 provides the advantage of allowing the medical professional (or wearer) to quickly determine the amount to stretch or contract each side panel 1130 to place the anterior brace system 1110 at a pre-set size.

[0117] In summary, the anterior brace system 1110 of FIG. 10A includes a front panel 1120 with first and second locking mechanisms disposed at the front side thereof, which are configured to rotate between an open position and a closed position. Additionally, the anterior brace system 1110 includes first and second side panels 1130 coupled to the rear side of the front panel 1120 via guide posts 2120 (see FIG. 11), which are configured to expand and contract in a medial / lateral direction. The anterior brace system 1110 is configured to rest against the anterior torso of the patient and is sized to the patient by the expansion or contraction of the side panels 1130. Once the side panels 1130 have expanded a desired amount based on the size of the patient's torso, the locking member 1127 is rotated from the open position to the closed position. At this time, the first fastener material of the side panels contacts and engages the second fastener material of the locking member, and the side panels are locked in a desired position (e.g., a desired amount of expansion). The extension and retraction of the side panels and locking in a desired position is shown in Figures 10A-10D and further described below.

[0118] Also shown in FIG. 10A is a wishbone extension coupler (wishbone coupler) 1150 coupled to a distal end of the extension rod 1140. The wishbone coupler 1150 is shown further coupled to a supportive chest plate 1160 via insertion mechanisms 1165A, 1165B (collectively insertion mechanisms 1165). The supportive chest plate 1160 includes a snap connector 1167 adapted to receive a complementary buckle (see FIGS. 18B and 20K), which is shown with a pad 1170 disposed on its rear side. As described below, the wishbone coupler 1150 is configured to allow various attachments to be coupled to the front panel 1120 via the extension rod 1140. As previously described, when the orthopedic orthosis is configured for TLSO placement, the wishbone coupler 1150 couples to the support chest plate 1160, and when configured for CTLSO deployment, the wishbone coupler 1150 couples to the cervical brace (see Figures 16A-16C).

[0119] 10B, the first side panel 1130A is shown in a contracted position as compared to FIG. 10A, which shows the first side panel 1130A in a fully extended position. In particular, the first side panel 1130A has been contracted (slid inwardly) from the fully extended position shown in FIG. 10A to a "medium" pre-configured size as indicated by label 1137A2. For example, the front brace system 1110 may be configured to contract the outer (lateral) edge 1124A of the front panel 1120 by either label 1137A. 1-x 10B. The anterior brace system 1110 can be sized according to a predetermined sizing by aligning the anterior brace system 1110 with the indicia 1137A2 ("Medium"). FIG. 10B also shows the locking member 1127A in an open position, which allows the side panel 1130A to easily expand and contract.

[0120] 10C, the locking member 1127A is shown in a closed position with fastener material disposed on a second side of the locking member 1127A and a front side of the side panel 1130A mating. This mating effectively locks the side panel 1130A in its current position (e.g., no further extension or contraction is permitted until the locking member and side panel are decoupled). The locking member 1127A and side panel 1130A can be decoupled (and subsequently extended or contracted) by using a force to pull the locking member 1127A away from the side panel 1130A.

[0121] 10D, the second side panel 1130B is in a fully extended position and the locking member 1127B is in a closed position, thus locking the side panel 1130B in its current position until the locking member 1127B and the side panel 1130B are separated.

[0122] 11, a rear perspective view of the exemplary embodiment of the anterior brace system of FIGS. 10A-10D is shown, according to some embodiments. The rear view of FIG. 11 shows the posterior (or medial) side 2000 of the anterior brace system 1110. As shown, each side panel 1130A and 1130B, respectively, includes a guide channel 2100A. 1-2 and 2100B 1-2 (collectively, guide channels 2100). Each guide channel 2100A 1-2 and 2100B 1-2 The corresponding guide post 2120A 1-2 , 2120B 1-2 (collectively guide posts 2120). As shown, the guide posts 2120 are received in corresponding guide channels 2100, thereby allowing the side panel 1130 to slide (telescope) along the guide posts 2120.

[0123] It should be noted that the guide channel 2100 is shown with smooth edges that allow for easy, unrestricted, or unhindered movement of the side panel 1130. However, in some embodiments, the guide channel 2100 may include various ridges or notches that provide some resistance to movement of the side panel 1130. For example, the edges of the guide channel 2100 may be jagged or include a series of alternating peaks and valleys. In other embodiments, the guide channel 2100 includes either notches or grooves at intervals that correspond to the size indicia 1137.

[0124] According to one embodiment of the present disclosure, the guide posts include posts extending rearward from the front panel 1120, where the posts are disposed within the corresponding guide channels 2100. The distal ends of the posts include rear caps sized larger than the width of the guide channels 2100 and operate to maintain the coupling between the side panel 1130 and the front panel 1120. The rear caps can take a variety of shapes, including including a circular cross section as shown. Additionally, upon assembly, the posts are disposed in openings in the front panel 1120, and the front ends may include a front cap that prevents the posts from passing completely through the opening (see FIG. 10D). The side panel 1130 can be coupled with the front panel 1120 such that the posts of each guide post 2120 are disposed within the corresponding guide channels 2100 of the side panel. The rear caps can then be attached to each guide post 2120 (e.g., via threaded fasteners or adhesive).

[0125] Additionally, the front surface of each side panel 1130 may include one or more strips of fastener material 2220A, 2220B configured to couple with corresponding fastener material disposed on the fillers 4000A, 4000B (see Figures 13A and 13B), or may be directly coupled to the front surface of the fillers 4000A, 4000B.

[0126] 12A, there is shown a front perspective view of the front panel 1120 of the front brace system 1110 of FIGS. 10A-10D, according to some embodiments. The front brace system 1110 shown in FIG. 12A shows the front panel 1120 without the side panels 1130 or the extension rods 1140 coupled thereto. Additionally, the front panel 1120 is shown without the fastener material overlay shown in FIGS. 10A-11. Thus, FIG. 12A clearly shows the components of the locking mechanism 1124, and in particular the locking mechanism 1124A. In particular, the locking member 1127A is in a closed position and the hinge 1126A is in a position in which the locking member 1127A rotates. Additionally, there is shown a hinge attachment portion 3004A that couples the hinge 1126A to the front panel 1120 and is disposed under the fastener material overlay of FIGS. 10A-11.

[0127] The fastener portion 1125 is contoured such that the fastener portion 1125A is comprised of a base portion 3000A and two portions 3002A extending laterally from the base portion 3000A and partially surrounding the locking member 1127A when the locking member 1127A is in the closed position. 1-2 In some embodiments, the front panel 1120 is shown to include an intermediate body portion 3100 and a lateral portion 3105A disposed laterally of the intermediate body portion 3100. 1-2 , 3105B 1-2 For example, the fastener portion 1125A may be divided into two portions 3002A. 1-2 The side portion 3105A 1-2 Similarly, although not shown, the two portions 3002B of the fastener portion 1125B may be 1-2 The side portion 3105B 1-2 It may be placed on top.

[0128] 12B, a rear perspective view of the front panel of FIG. 12A is shown showing the sewing channels on the first side, according to some embodiments. The rear perspective view of FIG. 12B shows the front of the front panel 1120 and illustrates one embodiment of the sewing channels 3110, 3115. In some embodiments, the fastener portion 1125A may be sewn to the front panel 1120 along the sewing channels 3110, 3115. In some embodiments, an adhesive may also be used, while in other embodiments, an adhesive may be used instead.

[0129] 13A-13B, a rear perspective view of the front panel of FIG. 13A-13B is shown with a filler attached thereto, according to some embodiments. FIG. 13A shows that the filler (pad) 4000A, 4000B is disposed on the front of the side panel 1130 and configured to abut against the patient and provide cushioning between the side panel 1130 and the patient's body. The pad 4000A, 4000B can be coupled to the front of the side panel 1130 via one or more fastener material strips 2220A, 2220B. In some embodiments, the front of the pad 4000A, 4000B includes a complementary fastener material strip (not shown). In other embodiments, the rear of the pad 4000A, 4000B is directly coupled to the fastener material strips 2220A, 2220B, as shown. In other embodiments, various fastening means may be utilized, such as snap fasteners or buttons (wherein the front panel and pads 4000A, 4000B each include the complementary components of a snap fastener and button fastening mechanism (e.g., a button and receptacle)). FIG. 13B illustrates that a central torso pad 4100 may also be positioned between the patient's body and the anterior brace system 1110. Although not shown, the pad 4100 may be coupled to the front side of the front panel using one or more fastener material strips, snap fasteners, and / or buttons.

[0130] 14, a bottom perspective view of the front brace system of FIGS. 10A-10B is shown according to some embodiments. In particular, FIG. 14 shows that the side panels 1130 can expand or contract to create movement between the front panel 1120 and the pad 4100. Additionally, FIG. 14 clearly shows that the locking members 1127, namely, each of the locking members 1127A and 1127B, are in an open position. When in the open position, the locking members 1127 resemble flaps extending outward from the front panel 1120.

[0131] 15A-15C, additional front perspective views of various sized front panels of the embodiment of the anterior brace system of FIGS. 10A-10D are shown, according to some embodiments. The variation in size of the front panels of FIGS. 15A-15C highlights one aspect of the interoperability / compatibility of the anterior brace system 1100 disclosed herein. In particular, the front panel 1120 of FIG. 15A (and also shown in some of FIGS. 10A-14) is referred to as a standard size front panel and has a first height (H STD In contrast, the front panel 6000 of FIG. STD The front panel 6100 in FIG. 15C may be referred to as a petite front panel having a second height less than H STD It is sometimes called a grande-sized front panel, which has a third height higher than the original.

[0132] The front panels 1120, 6000, 6100 may vary in size, but each maintains a connection with the side panels 1130 and the extension rod 1140. In some cases, a shortened extension rod may be used in the front panel 6000 compared to the extension rod 1140. Both the extension rod 1140 and the shortened (or extended) version can connect with any of the front panels 1120, 6000, 6100, and with the wishbone coupler 1150.

[0133] Thus, depending on the size of the patient, a medical professional can simply replace one of the front panels 1220, 6000, 6100 with another version while the other components remain the same. In some cases, a shortened extension rod can be used in place of the extension rod 1140.

[0134] 4. Typical Construction – Wishbone Coupler and Cervicothoracic Brace Clip In Figs. 10A-15C, the anterior brace system 1100 is illustrated and details the incorporation of a front panel and telescoping side panels, the maneuverability of the telescoping side panels, and the ability to lock them into place by transitioning a locking mechanism from an open to a closed position. As a result, the telescoping side panels can be locked in a particular size configuration. Additionally, many of Figs. 10A-15C include an extension rod extending upwardly and distally from the front panel, the distal end of which includes a wishbone coupler coupled to either a supporting chest plate or a Cervical-Thoracic Orthosis (CTO) clip. Figs. 16A-16C and the following description provide a detailed description of the manner in which the wishbone coupler is coupled to the CTO clip. However, the coupling of the wishbone coupler to the CTO clip functions in the same manner as the coupling of the wishbone coupler to the supporting chest plate (see Figs. 10A-10D). Therefore, the following description of the coupling of the wishbone coupler to the CTO clip applies equally to the coupling of the wishbone coupler to the supporting chest plate.

[0135] 16A, there is shown a front right perspective view of a wishbone (extension) coupler 1150 coupling an extension rod 1140 and a cervical-thoracic orthosis (CTO) clip 7100 coupled to a cervical orthosis, according to some embodiments. The distal end of the extension rod 1140 is shown coupled to the wishbone coupler 1150, which is rotatably coupled to the CTO clip 7100. The CTO clip 7100 is coupled to a cervical collar 200 (e.g., a cervical orthosis), specifically coupled to a thoracic support orthosis 202. The cervical collar 200 further comprises an anterior cervical collar portion 204.

[0136] The extension rod 1140 can be coupled to the wishbone coupler 1150 by inserting a distal end of the extension rod 1140 into a receiving cavity 7001 located at the bottom (lower end) of the wishbone coupler 1150. The extension rod 1140 can be retained within the receiving cavity 7001 by interconnection of one or more latches or notches (not shown).

[0137] The wishbone coupler 1150 includes a body portion 7000, a receiving cavity 7001, and an extension arm 7002 extending distally upward from the body portion 7000. 1-2 (collectively extension arms 7002). As shown, the extension arms 7002 form a wishbone shape, with each extension arm 7002 extending distally upward at a slight opposing angle relative to the centerline of the wishbone coupler 1150. This configuration creates an opening 7003 between the extension arms 7002. The extension arms 7002 terminate at a distal end 7004. 1-2 (collectively distal end 7004) and terminate at a distal ridge 7005 1-2 (collectively distal ridge 7005) and distal connecting rim 7006 1-2 (collectively referred to as the connecting rim) and the connecting knob 7007 1-2 (collectively connecting knob 7007) is connected to a distal connecting rim 7006 1-2 (See FIG. 16C).

[0138] When the wishbone coupler 1150 is coupled to the CTO clip 7100, the distal connecting rim 7006 is urged against the receiving component 7106 of the CTO clip 7100. 1-2 FIG. 16A shows a front view of a CTO clip 7100, which includes first and second extensions 7104. 1-2 (collectively, first and second extensions 7104) and a lower support portion 7112. The first and second extensions 7104 include first and second receiving components 7106 configured to receive a connecting rim 7006 and accommodate a connecting knob 7007.1-2 (collectively, receiving component 7106). Receiving component 7106 includes a cavity 7108. 1-2 (collectively, cavity 7108) and slot 7110 1-2 (collectively slots 7110).

[0139] The CTO clip 7100 includes an upper ridge 7105 that mates with the upper portion of the chest support brace 202 of the cervical collar 200. 1-2 (collectively upper ridge 7105), which is also shown in FIG. 16B. Referring to FIG. 16B, a rear perspective view of a wishbone extension coupler that couples an extension rod and a CTO clip coupled to the cervical brace of FIG. 16A is shown, according to some embodiments. Rear notch 7114 1-2 Extending from the upper ridge 7105 and gripping the posterior side of the chest support brace 202. Additionally, a lower posterior clip 7115 of the CTO clip 7100 is shown, as is a lower bridge portion 7117. 1-2 16A , the lower posterior clip 7715 is coupled to the anterior side 7113 of the CTO clip 7100. The opening 7116 allows the lower bridge portion 7117 to pass through. 1-2 7100 and configured to receive the tongue 206 of the CTO clip 7100.

[0140] Referring to Figure 16C, a side perspective view of a wishbone extension coupler for coupling an extension rod and a CTO clip coupled to the cervical orthosis of Figure 16A is shown, according to some embodiments. Figure 16C shows a view of the wishbone coupler 1150 adjacent to the cervical orthosis (cervical collar) 200. As mentioned above, Figure 16C shows a view of the distal end 7004 of the extension arm 7002, including the distal ridge 7005, the connecting rim 7006, and the connecting knob 7007.

[0141] 16D, a perspective view of a second embodiment of a wishbone coupler 1150 coupling an extension rod 1140 and a cervicothoracic orthosis (CTO) clip 7200 coupled to a cervical orthosis is shown, according to some embodiments. A distal end of the extension rod 1140 is coupled to the wishbone coupler 1150, which is rotatably coupled to the CTO clip 7200. The CTO clip 7200 is coupled to a cervical collar 200 (e.g., a cervical orthosis).

[0142] The extension rod 1140 can be coupled to the wishbone coupler 1150 by inserting a distal end of the extension rod 1140 into a receiving cavity 7300 located at the bottom (lower end) of the wishbone coupler 1150. The extension rod 1140 can be retained within the receiving cavity 7300 by interconnection of one or more latches or notches (not shown).

[0143] The wishbone coupler 1150 comprises a first body portion 7310, a second body portion 7320 rotationally coupled to the first body portion 7310 by a hinge 7325 oriented about a substantially horizontal axis of rotation, and an extension arm 7330 extending distally upwardly from the second body portion 7320. 1-2 (collectively extension arms 7330). As shown, the extension arms 7330 form a wishbone shape, with each extension arm 7330 extending distally upward at a slight opposing angle relative to the centerline of the wishbone coupler 1150. This configuration creates an opening 7340 between the extension arms 7330. The extension arms 7330 have a distal end 7335 1-2 (collectively distal end 7335 ) and adapted to be rotationally coupled to coupling member 7210 of CTO clip 7200 .

[0144] To couple the wishbone coupler 1150, the CTO clip 7200 includes a first set of fastener members 7220. 1-2(collectively fastener members 7220). By way of example, fastener members 7220 may comprise a "D-ring" fastener integrated as part of CTO clip 7200. D-ring fastener 7220 1-2 The first support strap 7230 1-2 Each first support strap 7230 is configured to receive 1-2 7235 includes a first end 7235 1-2 and the second end 7240 1-2 More specifically, a first end 72351 of the first support strap 72301 is securely attached to a D-ring fastener 72201. This attachment may be achieved by a complementary hook and loop fastener (UBL material) inserted into the D-ring fastener 72201 and then disposed along an opposing surface of the first end 72351. A similar arrangement may occur between the D-ring fastener 72202 and the second end 72352 of the first support strap 72302.

[0145] As further shown in FIG. 16D, the second end 7240 1-2 The distal portion of each of the brackets 7245 1-2 This bracket is provided with 7245 1-2 The second support strap 7255 1-2 Complementary brackets 7250 each directed toward the distal end of 1-2 More specifically, the bracket 72451 of the first support strap 72301 is securely attached to a complementary bracket 72501 of the second support strap 72551. Similarly, the bracket 72452 of the second support strap 72302 is securely attached to a complementary bracket 72502 of the second support strap 72552. 1-2 may extend under the wearer's armpits.

[0146] 5. Side Panel Lockout As shown in FIG. 17A, the connection between the rear gear system 110 and the front gear system 1110 is achieved in part by the belt members 240 (e.g., first belt member 8000 and second belt member 8005) attached to the elastic side panels 210 (e.g., first side panel 8010 and second side panel 8015) and the support straps 8020 extending between the gear systems 110 and 1110. More specifically, as further shown in FIGS. 17A-17B, after the belt members 8000 / 8005 and elastic side panels 8010 / 8015 of the rear gear system 110 are extended to a desired length (size), the elastic side panels 8010 and 8015 can be partially wrapped (typically around the wearer's waist) and at least partially overlapped with the extended side panels 8030 and 8035 of the front gear system 1110. In particular, the elastic side panels 8010 and 8015 are stretched and bent with a curvature so as to remain adjacent to the wearer's sides after attachment of the front orthosis system 1110. A first portion of each belt member 240 extends from the pulley subsystem and overlaps the corresponding side panel as shown in FIG. 4C. A second portion 8040 / 8045 of each belt member 8000 / 8005 extends beyond the adapted side panels 8030 and 8045 of the front orthosis system 1110 and is attached to the front surface 8050 of the front panel 1120. This attachment may be achieved by loop and hook fasteners. In a loop and hook fastener, an unbroken loop (UBL) fabric 8060 is disposed on the front 8050 of the front panel 1120, and the back 8070 / 8075 of the second portion 8040 / 8045 of the belt member 8000 / 8005 includes hooks for attachment to the UBL fabric 8060.

[0147] According to an embodiment of the present invention, each of the second portions 8040 / 8045 of the belt members 8000 / 8005, particularly the distal end 8042 / 8047 of the second portions 8040 / 8045 of the belt members 8000 / 8005, includes a rigid portion 8080 oriented in the width direction (longitudinal direction). For example, as shown in FIG. 17C, the rigid portion 8080 is inserted under a fabric 8082 covering the distal end 8042 of the second portion 8040. A first guide strap 8090 is integrated as part of the fabric 8082 at the distal end 8042 included as part of the second portion 8040 of the first belt member 8000. The first guide strap 8090 is oriented in the longitudinal direction from the integrated rigid portion 8080 and forms a loop structure when the first guide strap 8090 is placed in a first operating state as shown in FIG. 17B. Although not shown in detail, the same structure applies to the second belt member 8005, as shown in FIG. 17B.

[0148] Returning to FIG. 17C, the first guide strap 8090 includes a hook fastener 8100 disposed on a first surface 8110 (rear-facing surface) and is attached to the UBL fabric 8120 deployed on a first (front-facing) surface 8130 of the second guide strap 8140, forming a loop extending from the front surface 8050 of the front panel 1120.

[0149] Here, the first and second guide straps 8090 / 8140 may be cut and placed in a second operating state. In this state, instead of being connected to each other to form a loop accessible to the wearer (or a third party) and positioned on the front surface 8050 of the front panel 1120 as shown in FIG. 17D, the first and second guide straps 8090 / 8140 may be cut and wrapped around the edge portion 8150 of the front panel 1120 of the front brace system 1110, and the hook fastener 8100 of the first guide strap 8090 may be securely attached to the UBL fabric 8120 deployed on the second guide strap 8140 (not shown). As a result, the belt member 8000 is connected to the front panel 1120 and the wearer is prevented from slipping out of the orthopedic brace by disconnecting the belt member 8000 from the front panel 1120. Instead, the second belt member 8005 remains in the first operative state as it is attached to the UBL fabric 8060 on the front surface 8050 of the front panel 1120. As a result, by grasping the loop handle formed by the guide straps 8160 and 8165 on the distal end 8047 of the second belt member 8005, the wearer can remove the second belt member 8005 from the front panel 1120, allowing the wearer to remove the orthopedic brace through the side opening.

[0150] 6. Support Strap Configuration 18A-18B, the connection between the posterior brace system 110 and the anterior brace system 1110 is also achieved through support straps 8020, such as a first set of support straps (e.g., first support strap 8500) and a second set of support straps (e.g., second support strap 8600), as shown. The first support strap 8500 can be deployed over the wearer's shoulder, and the first support strap 8500 is deployed utilizing a strap slot 8560 in the extension panel 8570, while a strap guide 8580 may be used as a fixing point for the first support strap. Although not shown, another support strap belonging to the first set of support straps may be fixed by a strap slot 8565 or a strap guide 8585, as shown in FIG. 18A. Similarly, the second support strap 8600 may be placed under the wearer's armpit. Here, first support strap 8500 indicates the arrangement of a first set of support straps, and second support strap 8600 indicates the arrangement of a second set of support straps.

[0151] In particular, as shown in FIG. 18A, the first support strap 8500 includes a first end segment 8510 and a second end segment 8550. The first end segment 8510 can include a hook and loop fastener system 8520. For example, the loop fastener 8530 can be disposed on a first surface 8515 (e.g., an upwardly facing surface) of the first end segment 8510, as shown in FIG. 18A. Thus, the hook fastener 8535 can be secured to the loop fastener 8530 after the distal end 8540 of the first end segment 8510 is inserted and folded back into one of the openings 8582 / 8584 of (i) a strap slot 8560 (e.g., corresponding to strap slot 755 / 765 in FIG. 7A) disposed within the extension panel 8570 of the rear brace system 110 or (ii) a strap guide 8580 (e.g., corresponding to strap guide 136 in FIG. 7A) of the rear panel 120. This connects the first support strap 8500 to the posterior brace system 110. As shown in Figure 18B, the second end segment 8550 has a buckle 8590 disposed at a distal end of the second end segment 8550 for attachment to the support chest plate 1160 of Figure 10A. Multiple buckles can be simultaneously connected to each snap connector 1167 of the support chest plate 1160.

[0152] More specifically, to connect the first support strap 8500 between the rear orthosis system 110 and the front orthosis system 1110, the first end segment 8515 is positioned to be secured by one or more strap retaining members (e.g., strap slot 8560 of the extension panel 8570 or strap guide 8580 of the rear panel 120) for positioning the first support strap 8500 over the wearer's shoulder. According to one embodiment of the present disclosure, the strap retaining member can include a single slot (e.g., strap slot 8560) formed toward the top of the extension panel 8570, into which a distal end 8540 of the first end segment 8510 of the first support strap 8500 is inserted from the front to the rear of the strap slot 8560 and looped back to the top of the extension panel 8570 as shown. The distal end 8540 of the first end segment 8510 is attached to another portion of the first end segment 8510 to form a looped end secured to the extension panel 8570.

[0153] Alternatively, not shown, the first support strap 8500 may be coupled to a strap guide 8580 formed in the top of the back panel 110 by a member 8583 positioned to straddle the opening, forming a first opening 8582 and a second opening 8584. The first opening 8582 and the second opening 8584 may be aligned with a strap slot (not shown) positioned toward the bottom of the extension panel, the strap slot having an opening in an area that allows the first support strap 8500 to be inserted into and removed from the strap slot as needed. As an illustrative example, as shown with the second support strap 8600, the distal end of that support strap may be inserted into the second opening 8584 of the strap guide 8580 and attached directly to a loop fastener or looped back into the first opening 8582 of the strap guide 8580. As a result, member 8583 is configured as the termination point of a first end segment of the support strap, with a single opening 8582 or 8584 being used as the attachment point for the support strap (where multiple openings are provided for size adjustment), or both openings 8582 and 8584 being used with member 8583 acting as the attachment point.

[0154] 18A-18B, when a first set of support straps (e.g., first support strap 8500 and complementary support strap (not shown)) are coupled to strap slots 8560 and 8562 formed toward the top of extension panel 8570, one or more support straps (e.g., second support strap 8600) can be coupled to strap guides 8580 and / or 8585 above and extend between the posterior brace system 110 and the anterior brace system 1110 under the wearer's armpits. This provides further fixation of the orthopedic brace.

[0155] 7. How to Wear Orthopedic Brace – Sizing 19A-19I, a first exemplary embodiment of a fitting process for fitting an orthopedic brace to a wearer is shown. Here, as shown in FIGS. 19A-19D, each belt member (e.g., second belt member 8005 of FIG. 17A) may be sized according to the internal (or optionally external) sizing process described in FIGS. 6A-6D. This sizing process (FIGS. 19A-19E) is optional, and the rear brace system 110 may be sized before the orthotist begins the fitting process, or the rear brace system 110 may be manufactured and sized to fit the majority of patients without adjusting the rear belt. In this case, differences in patient sizes may be accommodated by the front brace system 1110.

[0156] Here, according to one embodiment of the disclosure, in accordance with an internal sizing process, a first portion 9000 of each belt member (e.g., second belt member 8005 of FIG. 17A ) is threaded through a belt slot 1562 of a pulley base 1542 of a pulley subsystem and includes an end portion 9005 that is folded over a predefined area of ​​an inner surface 9010 of the belt member 8005 such that the end portion 9005 directly contacts an elastic side panel 8015. Here, the end portion 9005 includes a hook fastener 9020, the predefined area features a UBL fabric 9025 located on the inner surface 9020, and the belt member 8005 can be sized by indicators as described above and shown in FIGS. 6A-6B .

[0157] As shown in FIGS. 19C-19D, according to one embodiment and external sizing process of the present disclosure, a first portion 9030 of each belt member (e.g., first belt member 8000 of FIG. 17A) includes an end 9035 that is threaded through a belt slot 1561 of a pulley base 1541 of a pulley subsystem. The first portion 9030 is folded over a predefined area on an outer surface 9040 of the belt member 8000, such that the end 9035 faces away from the elastic side panel 8010, and according to one embodiment, the end 9035 is located immediately behind the elastic side panel 8010. The end 9035 may be folded over or under the outer surface 9040 of the belt member 8000. This can be achieved by placing a UBL on a majority of the top / bottom surface of the belt member 8000.

[0158] As shown in FIG. 19E, in an exemplary embodiment, the side panel (e.g., side panel 8015) may be sized according to indicia representing the size of the belt member 8005. As a result, the side panel 8015 is removably connected to the belt member 8005. Thus, as shown in FIG. 19F, when the handle 9045 attached to both the belt member 8005 and the side panel 8015 is pulled, the belt / panel combination 8005 / 8015 is stretched to a prescribed size. Alternatively, a webbing sewn to the inside of each belt member 8000 or 8005 is configured to hook onto the corresponding side panel 8010 or 8015, respectively. Thus, when the end of the belt member (e.g., belt member 8000) is pulled, the side panel (e.g., side panel 8010) is pulled along with it.

[0159] 19G, the orthopedic surgeon adjusts the first and second elastic side panels 1130A, 1130B of the anterior brace system 1110, which may correspond to the size selected for the belt members. However, it is contemplated that the size selected for the side panels 1130A, 1130B may be independent to adjust the tightness of the orthopedic brace on the wearer. The size of the side panels 1130A, 1130B may be based on indicia 1137 provided on the side panels 1130A, 1130B aligned with the side edge 9050 of the front panel 1120.

[0160] 19H-19I, the rear orthotic system 110 is positioned such that the rear face 9060 of the rear panel 120 rests on a surface (table, ground, etc.) and the filler 115 (pad) is positioned on the front face 9065 of the rear panel 120. The rear side 9070 of the front orthotic system 1110 is positioned to rest on the wearer's chest and faces the front face 9065 of the rear panel 120. The belt members 8000 and 8005 are moved towards the front face 8050 of the front panel 1120 to attach to the UBL fabric 8060 attached to the front face 8050 of the front panel 1120. Additionally, a handle (e.g., handle 1851) coupled to the pulley subsystem via a designated pulley cord (e.g., cord 1801) can be adjusted to attach to the UBL fabric 8060.

[0161] 8. How to wear orthopedic braces - Wearing 20A-20K, a second exemplary embodiment of a fitting process for fitting an orthopedic brace to a wearer is shown. Here, as shown in FIGS. 19A-19I, an orthopedic surgeon may determine the size of each belt member (e.g., second belt member 8005 of FIG. 17A) before beginning the fitting process. As a result, both the posterior brace system 110 and the anterior brace system 1110 can be fitted to the wearer, as shown in FIG. 20A.

[0162] As shown in FIG 20B, the wearer 9500 is positioned with the thorax and lumbar region resting on the pads 115 placed on the forward-facing portion of the rear gear system 110. The elasticized side panels 210 and belt members 8000 / 8005 of the rear gear system 110 are stretched from the rear panel 120, away from the wearer 9500. This stretching can be accomplished by pulling the guide straps 8090 / 8140 laterally away from the rear panel 120, whereupon the distal ends of the belt members are disengaged from their attachment to the front side of the elasticized side panels 210 (e.g., pads attached to the front side of the elasticized side panels 210), as shown in FIG 20C.

[0163] 20D, the anterior orthosis system 1110 is positioned on the abdomen of the wearer 9500. The fasteners 1129A / 1129B associated with the locking members 1127A / 1127B are removed from the complementary fasteners 1135A / 1135B disposed on the front side of each side panel 1130A / 1130B. As shown, according to one embodiment of the present disclosure, the hook fasteners 1129A / 1129B are removed from the UBL material acting as the fasteners 1135A / 1135B, placing the locking members 1127A / 1127B in an unlocked state. In this state, the side panels 1130A / 1130B can be laterally adjusted.

[0164] More specifically, as shown in Figures 20E-20F, the first and second elastic side panels 1130A / 1130B may be stretched laterally and bent to cover the sides of the wearer 9500. Once the side panels 1130A / 1130B are stretched to the appropriate covering distance, the locking members 1127A / 1127B are locked by rotation of the locking members 1127A / 1127B and the fasteners 1129A / 1129B are reattached to different regions of the complementary fasteners 1135A / 1135B located on the front side of each side panel 1130A / 1130B. At this time, the side panels 1130A / 1130B of the anterior gear system 1110 are positioned below the side panels 210 of the posterior gear system 110, as shown in Figure 20G.

[0165] 20H, the extension rod 1140 coupled to and extending upwardly from the front panel 1120 may be adjusted to adjust the position of the support chest plate 1160. Alternatively, not shown, if the orthopedic brace operates as a CTLSO, adjustment of the extension rod 1140 may be made to adjust the position of the CTO neck brace. As shown, the extension rod locking member 1128 is configured to rotate between an open position and a closed position to lock (or hold) the extension rod 1140 in a particular position, where the position of the extension rod 1140 refers to the amount the extension rod 1140 extends upward. This is done to properly position the support chest plate 1160 on the wearer.

[0166] 20I, after the posterior brace system 110 and the anterior brace system 1110 are placed on the wearer and function together as an orthopedic brace, a first set of support straps (e.g., first support strap 8500 and support strap 9550) are placed over the shoulders of the wearer 9500 or under the wearer's armpits. Each of the support straps 8500 / 9550 includes a locking bracket 9560 / 9565, each of which snaps into a locked position when a predetermined opening 9562 / 9567 at a distal end of the locking bracket 9560 / 9565 engages a corresponding snap lock 9570 / 9575 on the support chest plate 1160.

[0167] Additionally, as shown in FIG. 20J, after the posterior brace system 110 and the anterior brace system 1110 are placed on the wearer and function together as an orthopedic brace, a second set of support straps (e.g., second support straps 8600) may be extended under the armpits or over the shoulders of the wearer 9500. Each elasticated side panel (such as elasticated side panel 210) of the posterior brace system 110 includes a buckle attachment opening 425 sized to accommodate a buckle 9580 associated with the second support straps 8600. As shown, the buckle 9580 is inserted into the buckle attachment opening 425 and the buckle retention appendage 426 engages and is inserted into an opening 9585 formed by a raised bar 9590 of the buckle attachment opening 425.

[0168] Here, the buckle attachment openings 425 aid in the donning process. As an illustrative example, when the patient or clinician pulls out the rear side panel, the buckle attachment openings 425 pull the support straps 8600 outward, thereby allowing easy access to the orthopedic brace 100. The other end of the support straps can be secured to the rear back panel or to an extension panel.

[0169] Finally, as shown in Figures 20I and 20K, the first and second sets of support straps can be tightened and the handles 1851 and / or 1852 can be pulled toward the midline to tighten the designated pulley cords 1801 and / or 1802, respectively. This adjustment causes the side panels 520 / 620 extending from the rear panel 120 to slide over the side panels 1130 extending from the front panel 1120. This increases the amount of overlap that the panels 520 and 1130A and 620 and 1130B achieve symmetrically on both sides, thereby more firmly securing the orthopedic brace 100 to the wearer. An intact orthopedic brace 100 is shown in Figure 20K.

[0170] In the preceding description, the invention has been described with reference to certain exemplary embodiments. For example, the combination of elastic side panels and adjustable belt members operating with a pulley subsystem may be disposed in an LSO orthopedic brace having a different configuration than the orthopedic brace described above. Thus, it will be apparent that certain components may be disposed in different types of orthopedic braces and that various modifications and changes may be made without departing from the broader spirit and scope of the invention.

Claims

1. a rear harness system including a first plurality of elastic side panels; a frontal brace system including a second plurality of elastic side panels; a first elastic side panel of the first plurality of elastic side panels is coupled to a first belt member and extends from the rear harness system in a first lateral direction, and a second elastic side panel of the first plurality of elastic side panels is coupled to a second belt member and extends from the rear harness system in a second lateral direction opposite the first lateral direction; the second plurality of elastic side panels includes a third elastic side panel extending in the first lateral direction from the front harness system and a fourth elastic side panel extending in the second lateral direction from the front harness system; the first elasticized side panel and the first belt member are arranged in a curved configuration so that the first belt member is attached to the third elasticized side panel of the anterior brace system, and the second elasticized side panel and the second belt member are arranged in a curved configuration so that the second belt member is attached to the fourth elasticized side panel of the anterior brace system.

2. The posterior brace system comprises: The rear panel and a rear cover coupled to the rear panel; a pulley cover coupled to the rear cover, the rear cover is configured to define a first chamber partially defined by a front surface of the rear cover and a rear surface of the rear panel; the pulley cover defines a second chamber partially defined by a front surface of the pulley cover and a rear surface of the rear cover; the first chamber is configured to receive the first and second plurality of elastic side panels, each of the first elastic side panel and the second elastic side panel being positioned to extend laterally outwardly of the first chamber; The orthopedic brace of claim 1 , wherein the second chamber is configured to house a pulley subsystem including a plurality of pulley bases.

3. the rear surface of the rear cover includes a guide channel formed on the rear surface of the rear cover; 2. The orthopedic brace of claim 1, wherein the guide channel (i) allows a first pulley base of the plurality of pulley bases to move laterally between a first opening in the second chamber and a central region of the second chamber, and (ii) allows a second pulley base of the plurality of pulley bases to move laterally between a second opening in the second chamber and the central region of the second chamber.

4. 4. The orthopedic brace of claim 3, wherein the first opening of the second chamber is located on an opposite side of the second chamber from the second opening, the first elasticized side panel is configured to be coupled to the first belt member, and the second elasticized side panel is configured to be coupled to the second belt member.

5. The orthopedic brace of claim 3 , wherein the first belt member is attached to the first pulley base and the second belt member is attached to the second pulley base.

6. the first pulley base of the plurality of pulley bases includes a first flange extending toward a first edge of the guide channel; 4. The orthopedic brace of claim 3, wherein the first edge of the guide channel includes at least one first stop that, when contacted by the first flange, prevents further lateral movement of the first pulley base toward the first opening.

7. each of the first plurality of elastic side panels includes a main panel region and a retention panel region; 3. The orthopedic brace of claim 2, wherein the main panel region of the first elasticized side panel corresponds to a first portion of the first elasticized side panel that is removable from the first chamber, and the retention panel region corresponds to a second portion of the first elasticized side panel that remains within the first chamber.

8. 8. The orthopedic brace of claim 7, wherein the retention panel area of ​​the first elasticized side panel includes first and second tab portions that contact posts of the rear cover and act as stops to prevent the first elasticized side panel from being completely removed from the first chamber.

9. The rear panel and a rear cover disposed over a portion of a rear surface of the rear panel and coupled to the rear panel; the rear cover is configured to define a first chamber partially formed between a front surface of the rear cover and a rear surface of the rear panel; 10. The orthopedic brace of claim 1, wherein the first chamber contains a plurality of rigid elastic panels that act as the first plurality of elastic side panels, each panel positioned to extend partially laterally outward from the first chamber and configured to flex concavely toward the front of the orthopedic brace to provide lateral support to a wearer of the orthopedic brace.

10. The rear harness system further comprises an extension panel including a flat panel and a plurality of locking projections disposed within the flat panel; 2. The orthopedic brace of claim 1, wherein the plurality of locking projections are configured to securely attach to a plurality of locking slots disposed in the rear panel, and a portion of the extension panel extends upwardly from a top edge of the rear panel.

11. The anterior brace system comprises: A front panel; the second plurality of elastic side panels including the third elastic side panel that stretches in the first laterally direction or contracts in an inward direction, and the fourth elastic side panel that stretches in the second laterally direction or contracts in an inward direction. the front panel includes a plurality of rotatable locking members each disposed on an opposite side of the front panel; 10. The orthopedic brace of claim 1, wherein the plurality of rotatable locking members are configured to rotate between an open position and a closed position, wherein (i) in the open position, the second plurality of elastic side panels can extend or retract, and (ii) in the closed position, the second plurality of elastic side panels are locked in their current positions.

12. at least the third elastic side panel of the second plurality of elastic side panels includes a front surface having a first fastener disposed thereon; The orthopedic brace of claim 11 , wherein the first fastener is complementary to a second fastener disposed posterior to a first rotatable locking member of the plurality of rotatable locking members.

13. 12. The orthopedic brace of claim 11, wherein the front panel of the anterior brace system further comprises: (i) an open receptacle adapted to receive an extension rod; and (ii) an extension rod locking member adapted to rotate between an open position to allow release or insertion of the extension rod and a closed position to lock and hold the extension rod in a particular position.

14. a first distal end of the extension rod including a wishbone coupler; The orthopedic brace of claim 13 , wherein the wishbone coupler includes a body portion and a pair of extension arms extending upwardly at slight opposing angles relative to a centerline of the wishbone coupler.

15. 15. The orthopedic brace of claim 14, wherein the pair of extension arms of the wishbone coupler are coupled to either (i) a cervical-thoracic orthosis (CTO) clip secured to a cervical collar brace, or (ii) a supportive thoracic plate.

16. the first elastic side panel includes a buckle attachment opening for retaining a buckle of a first support strap positioned under the wearer's armpit; The first support strap assists in holding the orthopedic brace on the wearer. The orthopedic brace of claim 10.

17. the orthopedic brace further comprising a second support strap inserted into and retained by a strap slot formed in the extension panel; The orthopedic brace of claim 16 , wherein the second support strap is positioned over the wearer's shoulder.

18. a rear harness system including a rear panel, a first plurality of elastic side panels laterally extendable from the rear panel and separate from the rear panel, a plurality of pulley bases, a plurality of belt members coupled to the plurality of pulley bases, and an extension panel coupled to the rear panel and extending upwardly beyond an upper end of the rear panel; an anterior brace system including a front panel and a second plurality of elastic side panels extensible from the front panel, the anterior brace system functions as an anterior portion of the orthopedic brace, and the posterior brace system functions as a posterior portion of the orthopedic brace; and wherein, during a donning process, when the second plurality of elastic side panels is moved toward the back panel and the first plurality of elastic side panels is moved toward the front panel, the first plurality of elastic side panels and the plurality of belt members are positioned to overlap portions of the second plurality of elastic side panels.

19. 1. A method of wearing an orthopedic brace, including a posterior brace system and an anterior brace system, comprising: sizing a belt member that is part of a rear harness system; placing the wearer's chest and waist on a forward-facing portion of a rear panel of the rear brace system; stretching a first plurality of elastic side panels associated with the rear harness system and belt members attached to the first plurality of elastic side panels away from the rear panel; placing the anterior brace system on the wearer's abdomen; disengaging a locking member to allow adjustment of a second plurality of telescoping side panels associated with said front harness system; adjusting the positions of the first plurality of elastic side panels toward the front panel so that the first plurality of elastic side panels overlie the second plurality of elastic side panels; and adjusting the position of the belt member toward the front panel so as to engage with one or more fasteners disposed on a front surface of the front panel and a front surface of one of the second plurality of elastic side panels.

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