Orthosis, fastening device for same, and method for putting on an orthosis

Abstract

The invention relates to a fastening device (10) for an orthosis and to the orthosis comprising the fastening device for securing the orthosis to a user, wherein the fastening device has a support (20) on which at least one holder (30) is arranged, which can be put on a limb, wherein at least two clamp elements (42, 44) are arranged on the support, of which at least one is pivotably mounted and can be pivoted from an open position into a closed position and back and can be locked in the closed position.

Description

[0001]

[0002] Ottobock SE & Co. KGaA Lawyer's File:

[0003] Max-Näder-Straße 15 0108-2080 PCT-1

[0004] 37115 Duderstadt Germany Date:

[0005] December 2, 2025

[0006] Orthosis, fastening device therefor and method for applying an orthosis

[0007] The invention relates to an orthosis with a fastening device for securing the orthosis to a user, wherein the fastening device has a carrier on which at least one holder is arranged, which can be attached to a limb. The invention also relates to a fastening device for such an orthosis and a method for applying such an orthosis.

[0008] Orthoses are applied to and attached to a user's body, for example, to an existing limb. They serve, among other things, to guide movement, limit the range of motion of a joint, and influence the movement of a limb. This influence can be achieved, for example, by an actuator, which can be passive. With a passive actuator, movements are dampened; if necessary, kinetic energy is stored and released after a reversal of movement. This is possible, for example, with springs in the form of mechanical or pneumatic, and sometimes hydraulic, springs. Pure resistance devices dissipate kinetic energy into heat energy and act as brakes or dampers. Furthermore, active actuators can be used to initiate, assist, or decelerate movements.For this purpose, motors or other drives are used that can be activated, deactivated, or have their drive behavior modified to influence, prevent, or enable the movement of a limb. Orthoses often consist of an upper and a lower part that are articulated together. The upper and lower parts are each attached to a limb or part of a limb, ensuring the orthosis is correctly positioned on that limb. Fastening devices include, for example, straps, bands, clamps, cuffs, shells, elastic or flexible textiles, or similar materials.

[0009] Knee braces, for example, consist of a proximal brace for the thigh and a distal brace for the lower leg. Both braces are connected by a hinge. Depending on the design of the brace, the braces can be attached to one side of the leg or both sides, medially and laterally. The braces are secured to the thigh or lower leg with straps and may be padded on the inside. They may also be embedded in or attached to a textile covering that is pulled over the leg. A similar fastening mechanism is used for braces that are attached to the upper arm and forearm.

[0010] Applying an orthosis can be problematic for patients with limited mobility, for example, due to paralysis. Applying an orthosis to a limb with partial or complete immobilization is difficult because, for instance, the patient may only have one hand available on the contralateral side to apply the orthosis to the affected arm.

[0011] The object of the present invention is to provide an orthosis, a fastening device and a method for applying an orthosis, with which the problems of the prior art can be avoided or at least reduced.

[0012] This problem is solved by an orthosis with the features of the main claim, a fastening device with the features of the dependent claim, and a method with features of the dependent claim. Advantageous embodiments and further developments of the invention are disclosed in the dependent claims, the description, and the figures.

[0013] The orthosis, comprising a fastening device for securing the orthosis to a user, and the fastening device having a carrier on which at least one holder is arranged that can be attached to a limb, is characterized in that at least two clamping elements are arranged on the carrier, at least one of which is pivotably mounted and can be pivoted from an open position to a closed position and back, and locked in the closed position. The pivotable mounting of at least one of the clamping elements makes it possible to provide an open position in which the orthosis can be easily positioned on the carrier. The holder, which is attached to the limb, is coupled to the carrier and is positioned, and in particular secured, on the user via the clamping elements.In the open position, one clamping element is separated from the other, allowing the body part or section to move easily through this gap. From the open position, at least one clamping element is moved into the closed position and locked there when the desired position is reached, so that in the closed position the orthosis is applied to and secured on the user.

[0014] Advantageously, both clamping elements are pivotally mounted on the support, allowing the user to choose which clamping element to operate. If the two clamping elements are coupled, operating one clamping element pivots both simultaneously. This simplifies operation and enables use on both the right and left sides of the body.

[0015] In this further development, the two clamping elements are coupled to each other via a gearbox and / or at least one drive. The gearbox coupling has the advantage that both clamping elements are moved simultaneously. Both clamping elements are moved simultaneously from an open position to a closed position and vice versa, whereby the gearbox can also have a transmission ratio other than 1. If a first clamping element is pivoted around its pivot axis by a certain angle, the second clamping element, which is coupled to the first clamping element via a gearbox, can execute a larger or a smaller pivot angle; a transmission ratio of 1 is also possible in principle. Alternatively or additionally, at least one of the clamping elements, particularly the clamping elements themselves, is assigned a drive.When the clamping elements are coupled via a gearbox, usually only one drive is needed to move both clamping elements, i.e., from the open position to the closed position or vice versa. The drive can also lock the clamping elements in their respective positions. Alternatively, two or more drives can be used, linked via an electronic control system, to coordinate the movement of the clamping elements relative to each other.

[0016] At least one of the clamping elements is curved or hook-shaped, so that in the closed position, a receiving space or gap is formed between one end, which is pivotally mounted on the support, and the other, free end. This space is partially or completely enclosed by the clamping elements and holds a part of the body or a limb within it. The ends of the clamping elements then rest against each other. In the closed position, where the clamping elements are locked, the clamping elements, or at least one clamping element, may also rest against the patient's body, fixing or securing the orthosis there.

[0017] In one embodiment, the clamping elements are assigned at least one locking device to ensure that they remain in the closed position. Advantageously, the locking device is reversibly lockable to allow the clamping elements to be repeatedly moved from an open position to a closed position and back again. The locking device comprises, for example, a positive locking element, a force-locking element, a friction-locking element, and / or a self-locking mechanism. The locking device can, for example, be designed with a magnetic catch, in particular a self-locating magnetic catch, or be additionally secured.The positive locking element can be designed as a loop, snap fastener, hook and loop fastener, or hook; the frictional locking element is, for example, a clamping rope guide or belt guide and can be provided as a locking device alone or together with a self-locking mechanism that provides the connection between the two clamping elements. All combinations of these elements, both individually and in combination, are considered and included as a locking device.

[0018] Advantageously, the locking device also has a release device, or such a release device is associated with the locking device, in order to be able to release the clamping elements from the locked position in order to allow them to assume a different position.

[0019] In one embodiment, the holder is movably attached to the support and / or designed as a clamp, shell, or cuff. In particular, the holder is slidably or rotatably mounted on the support, especially within a rotational guide. Particularly when the holder is designed as a clamp, shell, or cuff, it is possible to easily position it on the limb, guide it, and simultaneously allow rotation about its longitudinal axis. The clamp-shaped design has the advantage that the holder can be opened and placed around the mass. For this purpose, the parts of the clamp are either articulated and, in particular, spring-loaded, or elastically designed to allow the clamp elements to expand and ensure a secure fit on the limb.In a shell-like design, additional fastening means can be provided to fix the limb to the holder, for example, straps fastened with hook-and-loop fasteners or a hinged cover. Alternatively, a cuff is provided that is placed around the limb. The cuff can be closed and flexible, particularly elastic. Alternatively, the cuff can be flexible and multi-part, allowing it to be opened and closed. Opening and / or closing is achieved, for example, via a hook-and-loop fastener. The holder is arranged on the support so that it is longitudinally displaceable and rotatable, and rotation around multiple axes is also possible. For example, a rotation guide can be provided to allow rotation along the longitudinal extent of the limb.A pivoting movement about a pivot axis essentially parallel to the longitudinal extent of an orthotic splint. The holder itself may contain a rotatable padding or support device that comes into contact with the limb and allows for a relative rotational movement between the support and the limb. Due to the movable and / or rotatable mounting of the holder, it is possible, despite secure fixation to, for example, the torso, to perform a natural movement of the limb, such as a pendulum movement of the arm, while simultaneously allowing internal and external rotation.

[0020] In one embodiment, at least one spring or spring-damper unit is arranged between the movable holder and the support to influence the relative movement of the support and holder. Such a spring or energy storage device, as well as a spring-damper unit, can also be arranged between two other articulated components of the orthosis, for example, a proximal and a distal splint, or between the clamping elements and the support.

[0021] In one embodiment, at least one further orthotic component is attached to the carrier and / or the holder, in particular by means of a joint, to form a multi-part, articulated orthosis. This further orthotic component can also be a device for influencing the movement between the carrier, the holder, other orthotic components, and / or clamping elements. In one embodiment, the orthotic component is articulated and / or slidably mounted on the carrier or the holder. This allows relative movements between parts of a limb or the orthotic components to be compensated for, or the orthosis to be adapted to the individual patient.

[0022] In one design, the further orthosis component is assigned an actuator, a stop and / or a locking element to influence, limit or prevent pivoting and / or displacement.

[0023] In this training, the clamping elements, when applied, rest against each other and / or against the user's body in the closed position. When the two clamping elements are in contact in the closed position, they enclose a space in which, when applied, a part of the body, such as the torso or a limb, is positioned. The ends of the clamping elements can also rest against the user's body and secure the orthosis in this position, for example, by clamping it to the user or resting on the user and being held in place by gravity.

[0024] In one embodiment, the clamping elements have padding at the ends opposite the bearing points on the wearer (the free ends), which makes wearing the orthosis more comfortable. The padding can be adjustable on the clamping elements. Likewise, the padding can be articulated and / or slidably attached to the clamping elements to allow for optimal adjustment of the orthosis to the user.

[0025] In one embodiment, at least one clamping element is equipped with an actuating element, in particular a cable, a linkage, a lever, or a switch, so that the clamping elements can be adjusted remotely by actuation. The locking device can also be designed with such an actuator to allow the user to perform or trigger the actuation at a suitable location and not have to exert force in the area of ​​the free ends or the locking mechanism in or on the clamping elements themselves. A movable arrangement of the clamping elements on the support also makes it possible to achieve compensation and move the bearing points relative to the support, thus ensuring natural limb movement without the clamping elements causing restrictions in the support and fixation of the orthosis.

[0026] Specifically, the orthosis is designed as a shoulder orthosis, and the holder serves to support the upper arm. The clamping elements then lie above the acromion or in the shoulder area, either against each other or against the user, and encircle the shoulder area.

[0027] One embodiment of the invention is a fastening device comprising a carrier, a holder, and clamping elements that are movable from an open position to a closed position and are lockable on the carrier in the closed position. In further developments and advantageous embodiments, the fastening device includes the elements and components associated with it as described above.

[0028] The procedure for applying an orthosis, as described above, involves first moving the clamping elements into the open position, placing a limb in the holder, and then moving the clamping elements into the closed position and locking them in place. The holder does not need to fully grasp or encircle the limb, but can only partially grasp it and provide guidance. The clamping elements hold the orthosis to the user, at least against the force of gravity.

[0029] In one embodiment, the clamping elements are brought into the closed position at or above a shoulder, and an upper arm is positioned against the holder. The following basic example of the invention is explained in more detail with reference to the figures. They show:

[0030] Figure 1 - an orthosis in open position on an arm model;

[0031] Figure 2 - an orthosis according to Figure 1 in the open position in the laid-down state;

[0032] Figure 3 - a detailed view of the carrier with holder and clamping elements;

[0033] Figure 4 - a detailed view of the orthosis in a closed position;

[0034] Figure 5 - the orthosis in medial and lateral views in the closed and open states;

[0035] Figure 6 - a variant of the orthosis with one actuator;

[0036] Figure 7 shows a detailed view of the bracket elements in their applied state;

[0037] Figure 8 - a variant of Figure 7;

[0038] Figures 9 and 10 - an orthosis with an actuator;

[0039] Figure 11 - various embodiments of locking and unlocking devices;

[0040] 12 - a variant with a motor drive;

[0041] Figure 13 - a variant with a manual actuator and a release device; as well as

[0042] Figure 14 - a detailed view of the mounting of the holder on the support.

[0043] Figure 1 shows an orthosis with a fastening device 10 in its applied state. The orthosis is shown applied medially to an arm and comprises an upper arm splint 90, an elbow joint 92, a forearm splint 94, and a fastening element 96 for securing the forearm splint 94 to the forearm and for receiving the hand. The upper arm splint 90, the joint 92, the forearm splint 94, and the fastening element 96 are orthosis components attached to a carrier 20. In the illustrated embodiment, the fastening is achieved in an elongated hole in the carrier 20. Alternatively, the upper arm splint 90 is part of the carrier 20. A longitudinally displaceable holder 30 is arranged on the carrier 20; this holder is designed as a brace and, in the applied state, extends at least partially around the upper arm. This holds the upper arm splint 90 to the upper arm or aligns it with the upper arm.At the proximal end of the support 20, two clamping elements 42, 44 are mounted on the support 20 as further components of the fastening device 10. In the illustrated embodiment, the two clamping elements 42, 44 are coupled to each other via a gear 50 and pivotably mounted. The gear 50 is designed as a toothed gear and couples the two clamping elements 42, 44 in a gear ratio of 1:1, so that the two clamping elements 42, 44 perform a movement in the same direction and to the same extent about their respective pivot axis. Pads 420, 440 are arranged at the free ends of the clamping elements 42, 44, which are designed so that they rest against the body surface when in the applied position. The two clamping elements 42, 44 are shown in the open position in Figure 1, in which the two free ends and the pads 420, 440 are spaced apart from each other.The elongated, curved clamping elements 42, 44, which are bent so that they can be guided between the arm and the torso and run in front of and behind the shoulder area when applied, are approximately at right angles to each other. The distance between the pads 420, 440 is at least large enough to allow the holder 30 to be positioned on the inside or medial side of the upper arm, with the two clamping elements 42, 44 located in front of and behind the shoulders. The mechanism 50 is located below the armpit.

[0044] The joint 92, which connects the upper arm splint 90 to the forearm splint 94, is designed as a so-called double joint; alternatively, the upper arm splint 90 can be coupled to the forearm splint 94 via a single-axis joint. The fastening element 96 is slidably mounted in an elongated hole within the forearm splint 94 and can be fixed in the desired position. The holder 30, which is slidably arranged along its longitudinal extent in the elongated hole in the support 20 and can be fixed in the desired position, can be made up of multiple parts and, in particular, can also be attached to the support 20 in a rotation guide. This makes it possible to pivot the holder 30 relative to the support 20 about a pivot axis that runs essentially along the humerus.

[0045] The two clamping elements 42, 44 with their respective bearing points and the gearbox 50 can be designed as a module and attached to the carrier 20. The module can also be slidably and / or rotatably attached to the carrier 20 to allow for a pseudoarthrosis in the applied state.

[0046] Figure 2 shows the individual components of the orthosis in a medial view when not in use. Figure 2 shows that the holder 30, on the back of which the support 20 is located, is designed as a shell or brace with a groove-like shape into which the upper arm can be inserted. The two clamping elements 42, 44 are further bent outwards, with the pads 420, 440 spaced as far apart as possible. A locking device 70, designed as a strap, is arranged on one of the dorsal clamping elements 42 and is attached to the free end of the clamping element 42 in the area of ​​the pad 420. The locking device 70 serves to maintain the closed position, which is shown later, so that the two clamping elements 42, 44 cannot be unintentionally separated from each other when closed.For this purpose, the locking device 70 is detachably attached in the area of ​​the front or anterior clamping element 44, for example in the area of ​​the pad 440, for example via a hook, a buttonhole connection, a Velcro fastener, a magnetic fastener or the like.

[0047] Figure 3 shows the orthosis with the fastening device in a medial view. A padding 35 is arranged within the holder 30, which also allows rotational movement within the holder 30 perpendicular to the longitudinal extent of the upper arm splint, so that internal and external rotation of the upper arm is possible without subjecting the clamping elements 42, 44 to a moment. The fastening device 96 for the forearm and hand is shown on the forearm splint 94; here, too, a groove-shaped clip is attached to the forearm splint 94, which can be fixed in the forearm via a hook-and-loop fastener or a strap. At the distal end of the

[0048] The forearm splint 94 has the receptacle 96 for the hand mounted in a hinged manner, as can be seen more clearly in Figure 2.

[0049] Figure 4 shows the orthosis in a medial view in the closed position, in which the clamping elements 42, 44 are in the closed position and have come so close together that the pads 420, 440 touch or at least lie against the user in the shoulder area.

[0050] Figure 5 shows the open position in the left-hand view, as explained in Figure 1. The closed position is shown in the right-hand view, with the clamping elements 42 and 44 lying anterior-posteriorly against the user's shoulder area.

[0051] Figure 6 schematically illustrates a variant in which an actuator 60, in the form of a spring-damper assembly, is positioned between the support 20 and the other orthosis component 94 (in the illustrated embodiment, the forearm splint). The actuator 60 allows the relative movement of the two orthosis components 90 and 94 to be controlled. The longitudinal displacement of the holder 30 on the support 20 is indicated by the double arrow below the elongated hole.

[0052] Figure 7 shows the attachment of the pad 420 to a clamping element 42. The locking device 70, in the form of a strap, is reversibly attached to the pad 420 via a so-called buttonhole closure and can be guided over the shoulder and reversibly fixed or released on the opposite padding element (not shown). The locking device 70 prevents the two clamping elements 42, 44 from unintentionally moving from the closed to the open position. The distance between the two free ends of the clamping elements 42, 44 can be individually adjusted by adjusting the length of the locking device 70. Instead of a positive locking mechanism using the buttonhole closure, a frictional locking mechanism using a magnetic element, a positive locking mechanism using a hook-and-loop fastener, or a frictional locking mechanism using a clamping device can be used.Alternatively or additionally, the coupling of the displacement of the two clamping elements 42, 44 can take place via a self-locking gearbox in the area of ​​the bearing points of the clamping elements 42, 44, which is coupled to a drive, so that by actuating a switch or a remote control the clamping elements 42, 44 are pivoted or moved away from each other.

[0053] The cushion 420 is articulated on the clamping element 42, for example via a ball joint or an elastic solid element, allowing displacement by three degrees of rotational freedom and a certain degree of longitudinal displacement in the embodiment using a solid joint. This articulated mounting of the cushions 420 and 440 enables automatic adjustment to the user.

[0054] Figure 8 shows a variant of the design of the padding 420 in which operating elements 85 in the form of buttons or sensor fields are arranged on a support element of the padding 420. These operating elements 85 make it possible to open the fastening device from the closed position to the open position, particularly when the movement is performed by a motor drive. A first button or sensor field can be used for opening, while the second operating element is used for closing. Advantageously, the operating elements 85 are arranged on the clamping element 42 or the padding 420, which rests against the front of the shoulder.

[0055] Figure 9 shows a variant for actuating the clamping elements 42, 44, in which a force transmission element, for example a cable, belt, chain or the like, is driven by a movement of the forearm part or forearm splint 94 relative to the upper arm splint 90. The drive is effected via a type of ratchet mechanism 60, which actuates the force transmission element and moves the clamping elements 42, 44 towards or away from each other. A switching mechanism is provided for reversing the direction of movement.

[0056] In the embodiment shown in Figure 10, an actuator 60 is arranged on the support 20, enabling the motorized movement of the clamping elements 42, 44. The actuator 60 is designed as a prefabricated module and can be attached to the support 20. In addition to pivoting the clamping elements 42, 44 away from and towards each other, the actuator 60 can also adjust the length of the upper arm splint or the position of the holder 30 on the support 20. The actuator 60 can also be used to hold the forearm splint 94 relative to the support 20 and thus to the upper arm splint 90. When released, the forearm can oscillate freely relative to the upper arm; a corresponding circuit can dampen or assist this oscillation. The module with the actuator 60 can be detachably fixed to the support 20 and / or the upper arm splint 90.

[0057] Figure 11 shows two illustrations on the left of an orthosis with a transmission 50 between the clamping elements 42 and 44, the coupling being established by a so-called toothed segment joint. In the illustrated embodiment, a pawl mechanism is assigned to the rear, dorsal clamping element 42 as a locking device 70, in which a gear 72 is driven via a part of the toothed segment joint 50. A pawl 74 is assigned to the gear 72, which prevents the gear 72 from rotating clockwise when the pawl 74 is engaged with the gear 72. Counterclockwise rotation is possible due to the orientation of the teeth, while clockwise rotation of the gear is blocked.The pawl 74, which can be moved by an actuator that then acts as a release device 80, is spring-loaded in one embodiment, ensuring that an opening movement, as indicated in the upper left of Figure 11, is blocked if the actuator fails. The actuator disengages the pawl 74 from the gear 72, thereby allowing relative movement of the two clamping elements. A closing movement is always possible in the illustrated embodiment because the teeth of the gear 72 are shaped accordingly.

[0058] In the lower left illustration of Figure 11, the pawl mechanism, acting as a locking device 70, is arranged directly on the bearing of the dorsal clamping element 44, so that the relative movement of the clamping elements 42 and 44 can be locked or unlocked without the need for gears. In the illustrated embodiment, the pawl 74 locks the closing movement of the clamping elements 42 and 44. By reversing the toothing or orientation of the pawl 74, an opposing locking device 70 is possible. A cable pull can be arranged on the locking device 70 as a release device 80, either in addition to or instead of a motorized actuator.In the illustrated embodiment, the cable pull is attached to the pawl 74 as a release device 80 and enables the pawl 74 to be moved from the locked position to an unlocked position. A return movement is effected, for example, by a spring (not shown) that biases the pawl 74 towards the gear.

[0059] In the upper right illustration, the coupling of the two clamping elements 42, 44 by the transmission 50 in the form of a gear segment joint is indicated. The lower right illustration in Figure 11 shows an alternative embodiment of a locking device 70, which is designed as a rack and is displaced along the longitudinal extent of the support 20 when the clamping elements 42, 44 pivot relative to each other. For example, when the two clamping elements 42, 44 are moved from the closed position shown to an open position, the rack of the locking device 70 moves to the right. A positive locking element prevents such movement into the open position and can only be unlocked by actuating the release device 80, for example, as a push button, knob, spring-loaded latch, lever, or the like, thus allowing the two clamping elements 42, 44 to open.Figure 12 shows another variant of the orthosis in which an actuator 60 is directly coupled to the anterior clamping element 44. The two clamping elements are again coupled to each other via a transmission, for example, a toothed segment joint, so that pivoting the anterior clamping element 44 about the pivot axis leads to pivoting of the dorsal clamping element. The actuator 60 is activated and deactivated via a control unit 65 and is coupled to a worm gear 64, so that a rotary motion by the electric motor is converted into a linear motion. This motion is indicated by the double arrow. The worm gear 64 is also responsible for blocking any unwanted rotary motion of the clamping elements 42 and 44 when the actuator 60 is not activated. This prevents the clamping elements 42 and 44 from moving apart or toward each other without motor drive.In the embodiment shown in Figure 12, the release device 80 is designed in the form of a button, which is arranged on the pad of the dorsal clamping element 42. A cable connection to the control unit 65 activates the actuator 60 accordingly, in order to move the clamping elements 42, 44 from the closed position to the open position and back.

[0060] Figure 13 shows another variant of the orthosis in which the clamping elements are actuated by a mechanical actuator 60, which can, for example, be designed as a ratchet. In one embodiment, the two clamping elements are again coupled to each other via a gear mechanism, so that both clamping elements do not need to be adjusted separately. When the two clamping elements are coupled via a gear mechanism, it is also sufficient to provide a single locking device 70, which is designed analogously to the locking devices 70 in Figure 11 and is implemented as a pawl mechanism. The gear is again secured against rotation by a pawl; the locking can be applied in both directions of rotation, so that neither opening nor closing is possible when the device is locked.Alternatively, a preferred direction is defined in which displacement can always occur; for example, the clamping elements 42, 44 can always be closed, and opening can always be blocked. In the illustrated embodiment, a total of three release devices 80 are provided: a manual release device that engages the locking pawl directly via a cable; another release device 80 is arranged as a button or switch on the pad and acts on an actuator that is coupled to the locking pawl; and a third release device 80 is arranged on the forearm rail and can either act on the actuator or be directly mechanically coupled to the locking pawl. The release device 80 is then either an electrical circuit or a mechanical release mechanism.

[0061] Figure 14 shows a detailed view of the movable mounting of the holder 30 on the support 20. The double arrow indicates the movable position; the holder 30 can be mounted relative to the support 20, for example, slidably along its longitudinal axis and / or perpendicular to the longitudinal axis of the support 20. To influence the relative movement and to return the holder 30 to its initial position, a spring 32 and a damper 320 are arranged between the support 20 and the holder 30 in the illustrated embodiment. The two components can also be combined in a single assembly. In principle, several springs 32 can also be arranged opposing each other to create a stable mounting while simultaneously allowing for movement or displacement.

Claims

in te ll ec tualproper ty Ottobock SE & Co. KGaA Attorney's file: Max-Näder-Straße 15 0108-2080 PCT-1 37115 Duderstadt Germany Date: December 2, 2025 Patent claims 1. Orthosis with a fastening device (10) for fixing the orthosis to a user, wherein the fastening device (10) has a carrier (20) on which at least one holder (30) is arranged which can be attached to a limb, characterized in that at least two clamping elements (42, 44) are arranged on the carrier (20), at least one of which is pivotably mounted and is pivotable from an open position to a closed position and back and is lockable in the closed position.

2. Orthosis according to claim 1, characterized in that both clamping elements (42, 44) are pivotably mounted on the carrier (20).

3. Orthosis according to claim 2, characterized in that the clamping elements (42, 44) are coupled to each other via a transmission (50) and / or at least one drive (60).

4. Orthosis according to one of the preceding claims, characterized in that at least one locking device (70) is assigned to the clamping elements (42, 44).

5. Orthosis according to claim 4, characterized in that the locking device (70) has a positive locking element and / or force locking element and / or a friction locking element and / or a self-locking mechanism.

6. Orthosis according to claim 4 or 5, characterized in that a locking device (70) is associated with an unlocking device (80).

7. Orthosis according to one of the preceding claims, characterized in that the holder (30) is movably attached to the carrier (20) and / or is designed as a brace, shell or cuff.

8. Orthosis according to claim 7, characterized in that at least one spring (32) or a spring-damper unit (320) is arranged between the movable holder (30) and the support (20) to influence the relative movement of the support (20) and the holder (30).

9. Orthosis according to one of the preceding claims, characterized in that at least one orthosis component (90, 92, 94, 96) is attached to the carrier (20) and / or the holder (30).

10. Orthosis according to claim 9, characterized in that the orthosis component (90) is mounted on the support (20) or holder (30) in a hinged and / or slidable manner.

11. Orthosis according to claim 10, characterized in that the orthosis component (90) is associated with an actuator (60), a stop and / or a locking element (100) to influence, limit or prevent pivoting and / or displacement.

12. Orthosis according to one of the preceding claims, characterized in that the clamping elements (42, 44) in the closed position are in contact with each other and / or with the body when applied.

13. Orthosis according to one of the preceding claims, characterized in that the clamping elements (42, 44) have free ends on which pads (420, 440) are arranged.

14. Orthosis according to one of the preceding claims, characterized in that an actuating element (85), in particular an actuating element, cable pull, linkage and / or a lever, is arranged on at least one clamping element (42, 44).

15. Orthosis according to one of the preceding claims, characterized in that the clamping elements (42, 44) are movably mounted on the support (20).

16. Orthosis according to one of the preceding claims, characterized in that it is designed as a shoulder orthosis.

17. Fastening device according to one of the preceding claims for an orthosis.

18. Method for applying an orthosis according to one of claims 1 to 14, characterized in that the clamping elements (42, 44) are brought into the open position, a limb is arranged in the holder (30) and the clamping elements (42, 44) are brought into the closed position and locked therein.

19. Method according to claim 17, characterized in that the clamping elements (42, 42) are brought into the closed position on or over a shoulder and that an upper arm is arranged in the holder (30).

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