1277 results about "Shoulder joint capsule" patented technology

An implant assembly and associated method for selectively performing reverse and traditional arthroplasty for a shoulder joint that includes a humerus and a glenoid. The implant assembly may include a head, a cup, a humeral stem and an adapter. The method includes inserting the humeral stem to the humerus and connecting a male taper of the adapter to a female taper of the head. For reverse arthroplasty, the method includes attaching the adapter to the glenoid and the cup to the stem. For traditional arthroplasty, the method includes attaching the adapter to the humeral stem and the cup to the glenoid. The method also includes articulating the head with the cup.

A method of performing a shoulder joint surgery involving a scapula having a glenoid cavity, a humerus and a humeral ball on a surgical table includes mounting a retractor support to the surgical table and positioning the retractor support about the shoulder joint. The skin and flesh layers proximate the shoulder joint are incised and the skin and flesh layers are manually retracted with a retractor. The retractor is secured in a selected position by attaching the retractor to the retractor support.

A fluid operated retractor for use in surgery. The retractor has a portion that is expandable upon the introduction of fluid under pressure. The expandable portion is made of a material strong enough, and is inflated to enough pressure, to spread adjoining tissues within the body. The retractor is especially useful in fiber optic surgery because it can be inserted percutaneously through a small opening then expanded to a much larger dimension when in the desired location, to retract tissue from within. The retractor may be used to spread a joint such as a knee joint or a shoulder joint, or may be used to separate tissue planes generally to spread a joint such as a knee joint or a should joint or may be used to separate tissue planes generally, to improve visualization and create a working space for the surgeon.

The present invention relates to an exoskeleton interface apparatus that parallels human arm motion and is comprised of a serial assemblage of five powered linkages and joints based at a rigid support structure worn on the torso of the human subject. Such apparatus generates shoulder rotation using three orthogonal revolute joints mounted on serial linkages encompassing and intersecting at the anatomical glenohumeral joint. Elevation of the shoulder joint is articulated using a link member driven by a single revolute joint mounted in the torso structure. Passive adjustable linkages are used to match variation in anatomical forearm length, upper arm length, and scapula-to-glenohumeral radius. A plurality of integrated dc motor / harmonic drive transmission modules is co-located on adjoining linkages to power the joints. Force is exchanged with the human at the handgrip and elbow brace, and reacted to the torso structure via the base attachment. The present invention is applicable in particular to rehabilitation of the shoulder.

A fluid operated retractor for use in surgery. The retractor has a portion which is expandable upon the introduction of fluid under pressure. The expandable portion is made of a material strong enough, and is inflated to enough pressure, to spread adjoining tissues within the body. The retractor is especially useful in fiber optic surgery because it can be inserted percutaneously through a small opening then expanded to a much larger dimension when in the desired location, to retract tissue from within. The retractor may be used to spread a joint such as a knee joint or a shoulder joint, or may be used to separate tissue planes generally, to improve visualization and create a working space for the surgeon.

A fluid operated retractor for use in surgery. The retractor has a portion which is expandable upon the introduction of fluid under pressure. The expandable portion is made of a material strong enough, and is inflated to enough pressure, to spread adjoining tissues within the body. The retractor is especially useful in fiber optic surgery because it can be inserted percutaneously through a small opening then expanded to a much larger dimension when in the desired location, to retract tissue from within. The retractor may be used to spread a joint such as a knee joint or a shoulder joint, or may be used to separate tissue planes generally, to improve visualization and create a working space for the surgeon.

An implant assembly and associated method for selectively performing reverse and traditional arthroplasty for a shoulder joint that includes a humerus and a glenoid. The implant assembly may include a head, a cup, a humeral stem and an adaptor. The method includes inserting the humeral stem to the humerus and connecting a male taper of the adaptor to a female taper of the head. For reverse arthroplasty, the method includes attaching the adaptor to the glenoid and the cup to the stem. For traditional arthroplasty, the method includes attaching the adaptor to the humeral stem and the cup to the glenoid. The method also includes articulating the head with the cup.

An implant assembly and associated method for selectively performing reverse and traditional arthroplasty for a shoulder joint that includes a humerus and a glenoid. The implant assembly may include a head, a cup, a humeral stem and an adaptor. The method includes inserting the humeral stem to the humerus and connecting a male taper of the adaptor to a female taper of the head. For reverse arthroplasty, the method includes attaching the adaptor to the glenoid and the cup to the stem. For traditional arthroplasty, the method includes attaching the adaptor to the humeral stem and the cup to the glenoid. The method also includes articulating the head with the cup.

A fluid operated retractor for use in surgery. The retractor has a portion that is expandable upon the introduction of fluid under pressure. The expandable portion, is made of a material strong enough, and is inflated to enough pressure, to spread adjoining tissues within the body. The retractor is especially useful in fiber optic surgery because it can be inserted percutaneously through a small opening then expanded to a much larger dimension when in the desired location, to retract tissue from within. The retractor may be used to spread a joint such as a knee joint or a shoulder joint, or may be used to separate tissue planes generally, to improve visualization and create a working space for the surgeon.

In a first aspect the present invention provides a glenoid prosthesis assembly for use in shoulder joint arthroplasty to address conditions where deterioration of the rotator cuff mechanism of the shoulder joint is severe, the assembly comprising a first shell component to be affixed to a scapula by fixing means, and a smaller second component adapted to nest within the first component and having an articulation surface for articulating with a humeral head, the first component being over-sized relative to the glenoid surface of a scapula whereby the first component may be first affixed to at least two of the glenoid, acromion and coracoid processes of the scapula in use by the fixing means and the second component may be cemented in place within the first component allowing initial adjustability in the poise of the second component relative to the first component. Amongst other aspects the invention also provides a modular proximal humeral prosthesis system for use in shoulder joint arthroplasty which enables the proximal humeral prosthesis to be changed between anatomical and reverse of anatomical configurations to address differing degrees of shoulder joint deterioration.

A system and process is provided for dynamically positioning or repositioning a robot in a surgical context based on workspace and task requirements, manipulator requirements, or user preferences to execute a surgical plan. The system and method accurately determines and indicates an optimal position for a robot with respect to a patient's anatomy before or during a surgical procedure. Optimal positions for a robot are intuitively indicated to a user, surgical procedures can illustratively include surgery to the knee joint, hip joint, spine, shoulder joint, elbow joint, ankle joint, jaw, a tumor site, joints of the hand or foot, and other appropriate surgical sites.

An orthopedic device and method of use are provided that incorporate complex, non-spherical articulating surfaces to allow a greater available range of motion compared with existing artificial shoulder joint and artificial hip joints. According to some embodiments, complex, non-spherical articulating surfaces can be incorporated on a humeral head and / or glenoid of a shoulder prosthesis. In other embodiments, complex, non-spherical articulating surfaces can be incorporated on the acetabulum and / or femoral head of a hip prosthesis. These non-spherical surfaces can be used to adjust constraint, joint thickness, soft tissue tension, moment and arc of motion, and in doing so, influence motion.

The present invention relates to an exoskeleton interface apparatus that parallels human arm motion and is comprised of a serial assemblage of five powered linkages and joints based at a rigid support structure worn on the torso of the human subject. Such apparatus generates shoulder rotation using three orthogonal revolute joints mounted on serial linkages encompassing and intersecting at the anatomical glenohumeral joint. Elevation of the shoulder joint is articulated using a link member driven by a single revolute joint mounted in the torso structure. Passive adjustable linkages are used to match variation in anatomical forearm length, upper arm length, and scapula-to-glenohumeral radius. A plurality of integrated dc motor / harmonic drive transmission modules is co-located on adjoining linkages to power the joints. Force is exchanged with the human at the handgrip and elbow brace, and reacted to the torso structure via the base attachment. The present invention is applicable in particular to rehabilitation of the shoulder.

The invention relates to an upper limb rehabilitation training robot which comprises a first joint, a second joint, a third joint, a fourth joint and a fifth joint; the five joints are sequentially connected serially; the movement of all the joints respectively corresponds to the unfolding / folding of shoulder joints, the bending / extension of the shoulder joints, the bending / extension of elbow joints, the internal rotation / external turning of forearms, the bending / extension of wrist joints and the bending / extension of fingers; all the joints of the robot are driven by independent motors; each joint is provided with a mechanical hard limit and an electric limit to protect the training of a patient; and the second joint and the fourth joint are respectively provided with a adjustment device capable of adjusting relative positions between the second joint and the third joint and between the third joint and the fifth joint. The upper limb rehabilitation training robot provides various rehabilitation movement for the turning of the shoulders, elbows and forearms as well as the wrist and finger joints of the upper limbs of the patient in a three-dimensional space, and can complete the upper limb rehabilitation training to the upper limbs of the patient with higher quality.

A fluid operated retractor for use in surgery. The retractor has a portion that is expandable upon the introduction of fluid under pressure. The expandable portion is made of a material strong enough, and is inflated to enough pressure, to spread adjoining tissues within the body. The retractor is especially useful in fiber optic surgery because it can be inserted percutaneously through a small opening then expanded to a much larger dimension when in the desired location, to retract tissue from within. The retractor may be used to spread a joint such as a knee joint or shoulder joint, or may be used to separate tissue planes generally, to improve visualization and create a working space for the surgeon.

Glenoid prosthesis with a hybrid design (combining both peg and keel designs), and surgical methods for reconstitution of a shoulder joint. The hybrid design combines both peg and keel components into one device. The hybrid glenoid component of a shoulder prosthesis includes an oval body having a concave lateral articulating surface and an opposing convex medial surface. The medial surface is provided with a plurality of pegs and a single inferior protrusion. The pegs are used to attain both a superior location as well as a central location. The inferior protrusion provides stability in the superior-to-inferior translation of the humeral head, as well as rotational articulation of the same.

A monitor-holding device is attached to a table, holds a monitor and has a vertical support, a shoulder joint, an inner arm, an elbow joint (40), an outer arm, a universal joint and a monitor bracket. The shoulder joint is attached to the vertical support. The inner arm is connected pivotally to the shoulder joint. The elbow joint is connected rotatably to the inner arm. The outer arm is connected to the elbow joint and pivots relative to the inner arm. The universal joint is connected pivotally to the outer arm and has an inner joint, an outer joint and a connector bracket connected to the outer joint. The monitor bracket has a monitor connector detachably connected to the connector bracket and has multiple fingers connected to the monitor. The monitor with the monitor bracket can be easily detached from or attached to the connector bracket.

A method and adjustable apparatus for stabilizing and strengthening the shoulder muscles and rotator cuff provides an active range of motion activities that can be performed with or without resistance. In particular, the method and apparatus provide for scapular retraction and protraction, shoulder flexion, extension, adduction and abduction, as well as internal and external shoulder rotation, performed horizontally and vertically. All of these motions are beneficial to the shoulder joint because they allow the joint to move freely throughout its normal range of motion using natural mechanics of the rotator cuff and surrounding muscles. The method and apparatus provide the essential benefit of stabilizing the shoulder and rotator cuff throughout these motions so that the user's range of motion and strength building is optimized. The method and apparatus also provide for self myofascial release techniques to decrease spasm.

Arrangement for ascertaining function-determining geometric parameters of a joint of a vertebrate, especially a hip or shoulder joint of a human being, in preparation for the installation of a joint replacement implant, especially a hip or shoulder socket or an associated stem implant, by means of an optical coordinate-measuring procedure, having a stereocamera or stereocamera arrangement for the spatial recording of optical transducer signals, a mobile multipoint transducer which is in the form of a movable sensor for sensing bony references in the joint region in order to determine the coordinates thereof, at least one bone-fixed multipoint transducer which is configured for rigid attachment, especially screwed or clamped attachment, (in a region sufficiently distant from the joint) to an extremity originating from the joint, especially close to the proximal end of a femur or a humerus, an interactive sequence controller for controlling the sequential registration and storage of a set of measurement point coordinates supplied by the mobile multipoint transducer and sets of measurement point coordinates recorded in a first plurality of positions of the bone-fixed multipoint transducer in a plurality of rotated positions of the extremity and their subsequent processing in accordance with a previously stored processing sequence, an evaluation unit for evaluating the sets of measurement point coordinates supplied by the multipoint transducers and recorded by the camera arrangement for the purpose of determining the geometric parameters, which comprises means for determining the transversal, vertical and sagittal body axes as well as means for carrying out an iterative procedure, especially an adjustment calculation in accordance with the least squares method, to determine the coordinates of the center of rotation of the joint, and an output unit, which is connected to the sequence controller and to the evaluation unit, for issuing manipulation proposals to an operating surgeon in accordance with the predetermined process sequence and in dependence upon the results of the determination of the geometric parameters, and for displaying the results of the evaluation.

The invention discloses an exoskeletal rehabilitation robot for upper limbs. The exoskeletal rehabilitation robot comprises a base, two mechanical arm assemblies and six motor driving components, wherein the base comprises a moving base, an electrical cabinet, an electric lifting post, a base platform, a motor mounting corner bracket, a base rotating motor, a coupling, a base main bearing block, a base and ball screw nut assembly, a base nut seat, a base shared secondary bearing block, a right support, a base linear guide rail assembly and a left support; the mechanical arm assembly comprises a mechanical shoulder girdle assembly, a mechanical shoulder joint assembly, a mechanical elbow joint assembly, a mechanical front arm assembly, a mechanical wrist joint assembly and a mechanical hand part assembly; each motor driving assembly comprises a motor and speed reducing component, a torque sensor component and a driving component which are respectively arranged on the same motor driving base frame. The exoskeletal rehabilitation robot can be worn on the upper limbs of the human body and can be used for assisting the upper limbs of the human body in moving in a three-dimensional space and performing rehabilitation training.

A device for users with sequels of central nervous system affections and / or locommotorium affection of a body has a plurality of modules covering areas of the user's body, a recliner with bands for embracing shoulder joints, a structure for correcting a medium area of the user's body, a structure for correcting lower extremities of the user's body, a structure for correcting feet of the user's body, as well as correction rotating elements and connecting elements.

A separate section is introduced between the sleeve and the body of any garment such as a jacket, parka, wind shirt, or shirt of any type to isolate, to a considerable extent, the motion of the sleeve from the main body of the garment. This isolation of movement is accomplished by shaping the edges of the separate section and the adjoining edges of the garment body and the sleeve in such a way that excess fabric is available between the sleeve and the body of the garment regardless of which direction the arm is moved. In particular, excess fabric is available to accommodate the volume of the shoulder joint when it moves upward from a rest position as the arm is raised. The result is that the wearer can move the arm over a very wide range of motion with much less movement of the main body of the garment and much less movement of the sleeve cuff up and down the arm than with other methods of sleeve attachment.

The invention provides an exoskeleton type upper limb rehabilitation robot, comprising a five-degree-of-freedom or three-degree-of-freedom mechanical arm, an auxiliary mechanism and a control system. In the five-degree-of-freedom mechanical arm, a cross arm, a big arm and a small arm are sequentially connected in series to constitute an outreaching / adduction degree of freedom of a shoulder joint, a bending / stretching degree of freedom of the shoulder joint, and a bending / stretching degree of freedom of an elbow joint; the big arm and the small arm are respectively blocked by an arc-shaped sliding rail to respectively constitute an inwards rotation / outwards rotation degree of freedom of the shoulder joint and the inwards rotation / outwards rotation degree of freedom of a wrist joint; and the three-degree-of-freedom mechanical arm comprises three degrees of freedom of the shoulder joint. The auxiliary mechanism comprises a mobile base, servo stand columns and a saddle-shaped seat. The heights of the mechanical arm and the seat relative to the mobile base are respectively regulated by the two stand columns. By matched usage of mechanical limiting and electronic limiting, the rehabilitation safety of a patient is guaranteed. A display device placed before a patient seat can simulate training states under different scenes, and the training states can serve as input signals to control a virtual training game so as to improve the rehabilitation effect of the patient.

An implant assembly and associated method for selectively performing reverse and traditional arthroplasty for a shoulder joint that includes a humerus and a glenoid. The implant assembly may include a head, a cup, a humeral stem and an adaptor. The method includes inserting the humeral stem to the humerus and connecting a male taper of the adaptor to a female taper of the head. For reverse arthroplasty, the method includes attaching the adaptor to the glenoid and the cup to the stem. For traditional arthroplasty, the method includes attaching the adaptor to the humeral stem and the cup to the glenoid. The method also includes articulating the head with the cup.

The invention discloses a pneumatic-muscle-driven exoskeleton assisting mechanism. One-arm members with four rotation freedom degrees are connected with both sides of the upper portion of a back support and are identical in structure. Each one-arm member comprises a shoulder joint part, an upper arm part, an elbow joint part and a forearm part which are connected successively. Two sides of the lower portion of the back support are connected with one-leg members with identical structures. Each one-leg members with identical structure comprises a hip joint part, a thigh part, a knee joint part, a shank part, an ankle joint part and a pressure shoe part. Each of the shoulder joint parts and the hip joint part has three rotation freedom degrees, and each of the elbow joint parts, the knee joint parts and the ankle joint parts has one rotation freedom degree. The exoskeleton assisting mechanism has 18 rotation freedom degrees altogether. The mechanism is simple in structure, low in weight, good in flexibility and capable of increasing wearer function power and being used in occasions of military actions, disaster relief, rescuing and the like, where human power is not enough to support required loads.

The invention provides a surgical instrument tail end structure of a minimally invasive surgery robot. A first joint rotating base back end is fixedly connected with a connecting cylinder front end of a surgical instrument, a first joint rotating base front end is hinged to a second joint rotating base back end, and accordingly a bending freedom degree is achieved. A second joint rotating base front end and a third joint rotating base back end are hinged, and a rotating freedom degree is achieved. A third joint rotating shaft back end is arranged at a third joint rotating base front end through a bearing to achieve a torsion freedom degree. The back end of a jaw fixing part is fixedly connected with the front end of a third joint rotating shaft, a jaw moving piece is hinged to the jaw fixing part, and accordingly a jaw opening freedom degree is achieved. The four freedom degrees are controlled by a steel wire rope connected into a cylinder, the four freedom degrees simulate moving functions of all doctor arm joints of shoulder joints, elbow joints and wrist joints, and accordingly the safety of minimally invasive surgery is effectively improved.

The invention discloses an exoskeletal rehabilitation robot for upper limbs. The exoskeletal rehabilitation robot comprises a base, a mechanical shoulder girdle assembly, a mechanical shoulder joint assembly, a mechanical elbow joint assembly, a mechanical front arm assembly, a mechanical wrist joint assembly, a mechanical hand part assembly and a motor driving assembly, wherein the base supports the whole exoskeletal rehabilitation robot for the upper limbs; the mechanical shoulder girdle assembly is connected with the base; the mechanical shoulder joint assembly is connected with the mechanical shoulder girdle assembly; the mechanical elbow joint assembly is connected with the mechanical shoulder joint assembly; the mechanical front arm assembly is connected with the mechanical elbow joint assembly; the mechanical elbow joint assembly is connected with the mechanical front arm assembly; the mechanical hand part assembly is connected with the mechanical wrist joint assembly; the motor driving assembly is used as a power source of the whole exoskeletal rehabilitation robot for the upper limbs. The exoskeletal rehabilitation robot disclosed by the invention can be used for assisting the upper limbs of a human body in moving in a three-dimensional space and performing rehabilitation training.

The invention provides rehabilitation training system and method combined with functional electric stimulation and a robot. The system comprises a functional electric stimulation part, a robot part and a control unit which is respectively connected with the functional electric stimulation part and the robot part, wherein the control unit is used for receiving bioelectric signals and controlling the functional electric stimulation part and the robot part at real time according to the mode of adjustable auxiliary proportion of the functional electric stimulation part and the robot part or the mode of adjustable tracking error so that the functional electric stimulation part can stimulate the corresponding muscle groups of a joint of a patient and the robot part can provide a joint auxiliary torque for the patient. The invention can be applied to progressive interactive rehabilitation of elbow joints, wrist joints, knee joints, ankle joints and shoulder joints and can help patients carry out active rehabilitation training in an improved movement space, thereby greatly accelerating the recovery of movement function of joints of affected sides.

A flexible overlay for providing cooling therapy to the shoulder joint and the upper arm area. The overlay has pockets for holding cooling material; additional pockets can be attached to it in order to cool chest and / or back muscles or more of the upper arm area. One end of the overlay is removably secured around the neck, and the other end is wrapped around the wearer's upper arm. The overlay is typically made from a soft fabric such as cotton, but can also be made from a disposable plastic material.