UNWEIGHTING GARMENTS FOR SIMULTANEOUS USE WITH UNWEIGHTING AND FALL SAFETY SYSTEMS
An integrated unweighting garment includes one or more reinforcement straps to couple the garment to a fall safety system. An unweighting garment includes an article of clothing having two leg portions configured to fit around legs of a user, a buttocks portion configured to fit around the user's buttocks, and a waist portion configured to fit proximate to hips of the user. One or more force distribution loop sections or reinforcement straps provided are attached along both leg portions or the buttocks portion or other portion of the garment or shoulder strap. An unweighting garment may include one or more of a sensor, a compression system or overhead suspension system connection points.
This application claims priority to U.S. Provisional Patent Application No. 62/134,521, filed Mar. 17, 2015, titled UNWEIGHTING GARMENTS FOR SIMULTANEOUS USE WITH UNWEIGHTING AND FALL SAFETY SYSTEMS”; U.S. Provisional Patent Application No. 62/049,307, filed Sep. 11, 2014 titled “UNWEIGHTED TRAINING SYSTEMS AND METHODS OF USING AND CALIBRATING SUCH SYSTEMS FOR MOBILITY IMPAIRED OR OBESE USERS”; and U.S. Provisional Patent Application No. 62/049,149, filed Sep. 11, 2014, titled “UNWEIGHTING GARMENTS”, each of which are herein incorporated by reference in its entirety.
INCORPORATION BY REFERENCEAll publications and patent applications mentioned in this specification are herein incorporated by reference in their entirety to the same extent as if each individual publication or patent application was specifically and individually indicated to be incorporated by reference.
FIELDDescribed herein are various embodiments of reinforced garments for use in systems for unweighting or offsetting an individual's load or permitting exercise in combination with one or more fall safety devices also connected using the garment.
BACKGROUNDMethods of counteracting gravitational forces on the human body have been devised for therapeutic applications as well as physical training. Rehabilitation from orthopedic injuries or neurological conditions often benefits from precision unweighting (i.e. partial weight bearing) therapy.
Differential Air Pressure (DAP) systems have been developed to use air pressure in, for example, a sealed chamber to simulate a low gravity effect and support a patient at his center of gravity without the inconvenience of water-based therapies. DAP systems generally utilize a chamber for applying differential air pressure to a portion of a user's body. In order to use these systems, an air-tight seal must be established with the user's body. This seal typically requires that a close-fitting garment be worn. Wearing this close-fitting garment over other garments worn by the user, in addition to the necessary presence of the pressurized air chamber surrounding the user, however, can cause discomfort and/or restriction of the natural arm swing as the user moves. Moreover, in some instances, an individual may have limited or low degree of mobility, which may hinder his ability to access the chamber and/or garment.
An alternative to DAP systems are the less expensive traditional methods of counteracting the effects of gravity by suspending a person using a body harness to reduce ground impact forces. Suspension systems can be inexpensive in that these systems can be used with a user's existing home gym or exercise equipment. However, currently available harness systems are often uncomfortable and result in direct vertical lifting that can distribute weight unnaturally and uncomfortably on the user's body. Harness systems often employ the use of bungee or tensioning cords and cables that need to be hooked or unhooked to harnesses worn by the users. The harnesses themselves are generally uncomfortable as pressure points develop where the lifting force pulls on the user's body. In some cases, prolonged use with these harness suspension systems can result in injuries that range from mild skin abrasion or contusions to musculoskeletal injury.
An additional alternative to DAP systems includes unweighting systems that mechanically unweight an amount of the user's weight similar in principle to the unweighting benefits of DAP systems. Mechanical unweighting systems also enable training methods for counteracting the effects of gravity by mechanically unweighting a user to reduce ground impact forces.
As such, a need exists for a garment design that can be used with inexpensive unweighting system such as suspension systems and/or DAP and/or mechanical unweighting systems that allow users to comfortably unload a portion of their weight. Additionally, a need exists for a garment design that can be used easily by those users desiring fall safety protection as well.
SUMMARY OF THE DISCLOSUREEmbodiments described herein provide unweighting garments with force distribution portions to comfortably distribute a lifting or suspension force on a user's body. Moreover, embodiments described include access features and size adjusters allowing users to easily put on and take off the unweighting garments. Integral to these designs are one or more attachment points to be used in cooperation with a fall safety system or device.
In general, in one embodiment, an unweighting garment includes an article of clothing having two leg portions configured to fit around legs of a user and a waist portion configured to fit proximate to hips of the user. A pair of attachment mechanisms is in the waist portion. The pair of attachment mechanisms is configured to attach the article of clothing to a device for unloading a portion of the user's weight. A pair of force distribution sections is within or attached to the article of clothing. Each force distribution section extends from one of the attachment mechanisms and along one of the leg portions. The pair of force distribution sections is configured to distribute a force acting on the pair of attachment mechanisms to the legs of the user when the article of clothing is attached to the device and the portion of the user's weight is unloaded.
The unweighting garment may also be configured to extend over a portion of the abdomen or abdomen and torso of a user. Optionally, an adjusting mechanism may be provided to adjust the fit of various regions of the garment to the user.
In general, in one embodiment, a fall mitigation garment for use with a differential air pressure system, including an article of clothing having two leg portions configured to provide an airtight fit around legs of a user and a waist portion configured to fit proximate to hips of the user; a differential air pressure seal coupled to the waist of the garment and including an engagement element used to form a seal with a component of a differential air pressure system; a support strap attached to the article of clothing extending from the waist portion along and around the user leg portions and to form a pair of suspenders adapted to extend over the user's shoulders; and an overhead support system adapted to be coupled to the user via the suspenders.
This and other embodiments can include one or more of the following features. In one aspect, the garment can further include a fitting to couple the suspenders to the overhead support system. In another aspect, the fitting can be a D-ring. In a further aspect, the fitting can include a snap shackle. In an alternative aspect, the support strap can be a strip of nylon webbing. In yet another aspect, the support strap can be a strip of nylon webbing that can be stitched to the garment at a spacing wherein a loop of the support strap can be formed between each location where the support strap can be stitched to the garment. In still another aspect, the support strap can be a strip of nylon webbing that can be stitched to the garment at a spacing wherein a loop of the support strap can be formed at a pre-determined interval along a portion of the garment. In one aspect, a portion of the suspenders can be an elastic material further including a limited elastic material support strap attached to the suspenders to form one or more loops of the support strap. In another aspect, the garment can include a sacrificial stitch positioned to indicate when use of the garment should end. In a further aspect, the garment can further include a restraining strap attached to a portion of the suspenders to maintain the fitting in relation to the overhead support system connection point. In an alternative aspect, the garment can further include a portion of the garment extending over a portion of the user abdomen or torso. In yet another aspect, the garment can further include a reel tensioned adjustment device within a portion of the garment extending over a portion of the user abdomen or torso or in a portion of the garment adjacent a thigh or the buttock. In still another aspect, the garment can further include a pair of attachment mechanisms in the waist portion, the pair of attachment mechanisms can be configured to attach the garment to a device for unloading a portion of the user's weight. In one aspect, one single reinforcement member can be provided to be the reinforcement member within or attached to the article of clothing extending from one of the attachment points and along and around the user leg portions to another of the attachment points and the straps extending from the attachment points to extend over the user's shoulders with a fitting to couple the straps to the overhead device. In another aspect, the garment can further include a portion of the support strap around the leg portion and along an interior aspect of the thigh can have a length of the support strap that can be about the same length as the underlying garment material.
In general, in one embodiment, a fall mitigation garment, including an article of clothing having two leg portions configured to fit around legs of a user and a waist portion configured to fit proximate to hips of the user; a pair of attachment points in the waist portion, the pair of attachment points configured to attach the article of clothing to an overhead device for supporting a portion of the user's weight; a reinforcement member within or attached to the article of clothing extending from one of the attachment points and along and around the user leg portions to another of the attachment points; straps extending from the attachment points to extend over the user's shoulders with a fitting to couple the straps to the overhead device.
This and other embodiments can include one or more of the following features. In one aspect, the fitting can be a welded D-ring. In another aspect, the fitting can include a snap shackle. In a further aspect, the reinforcement member can be a strip of nylon webbing. In an alternative aspect, the reinforcement member can be a strip of nylon webbing that can be stitched to the garment at a spacing wherein a loop of the reinforcement material can be formed between each location where the reinforcement material can be stitched to the garment. In yet another aspect, the reinforcement member can be stitched to the garment at a spacing wherein a loop of the reinforcement material can be formed at a pre-determined interval along a portion of the garment. In still another aspect, the straps extending from the attachment points to extend over the user's shoulders can include an elastic material and a reinforcement material can be attached to the shoulder straps to form one or more loops of reinforcement material. In one aspect, the garment can include a sacrificial stitch positioned to indicate when use of the garment should end. In another aspect, the garment can further include a DAP seal coupled to the waist portion of the garment. In a further aspect, the garment can further include a portion of the garment extending over a portion of the user abdomen or torso. In an alternative aspect, the garment can further include a reel tensioned adjustment device within a portion of the garment extending over a portion of the user abdomen or torso or in a portion of the garment adjacent a thigh or the buttock. In yet another aspect, the garment can further include a pair of attachment mechanisms in the waist portion, the pair of attachment mechanisms can be configured to attach the garment to a device for unloading a portion of the user's weight. In still another aspect, one single reinforcement member can be provided to be the reinforcement member within or attached to the article of clothing extending from one of the attachment points and along and around the user leg portions to another of the attachment points and the straps extending from the attachment points to extend over the user's shoulders with a fitting to couple the straps to the overhead device. In one aspect, the garment can further include a portion of the reinforcement member around the leg portion and along an interior aspect of the thigh has a length of the reinforcement member that is about the same length as the underlying garment material.
Any of these embodiments can include one or more of the following features. The article of clothing can be a pair of shorts. The unweighting garment can further include a force distribution section coupled with the belt that can extend into a leg portion or buttocks portion. The force distribution section can be configured to further distribute the force from the attachment mechanisms to the legs or buttocks of the user. The force distribution section(s) can be configured to distribute force placed on the attachment mechanism to a thigh or hamstring of the user when the article of clothing is attached to the device. The force distribution section(s) may not overlap with a crotch area of the article of clothing. The force distribution sections(s) can be configured to distribute force placed on the attachment mechanism to the legs or buttocks of the user while the user is running or walking. The force distribution section(s) can at least partially encircle each of the leg portions of the article of clothing. At least one force distribution section can be a strap. There can be a plurality of straps. The plurality of straps can overlap one another such that the pair of attachment mechanisms can be coupled with each strap of the plurality of straps. The material can be a two-way stretch fabric that, when pulled in one direction, shrinks in another direction. The belt can include a plurality of rigid members. The rigid members can be articulatable with respect to one another. The force distribution section(s) can be configured to apply tensile force to the user along predetermined lines, sectors, or portions. The force distribution section(s) can be configured to apply circumferential force to the user. The force distribution section(s) can include nylon, neoprene, spandex, elastic fibers, an elastomeric polymer, cotton, or canvas. The force distribution section(s) can include a woven structure with biaxial or triaxial weaving. The material can include a garment having a fiber orientation, weave, or strand orientation that is different from the rest of the garment. The force distribution section(s) and the article of clothing can be sewn together or seamlessly joined. The force distribution section(s) can be under or overlaid on top of a layer of the article of clothing. The unweighting garment can further include at least one additional attachment element. The panels can be configured to tighten or loosen with a closing mechanism. The closing mechanism can include a lacing system, a cinching mechanism, hooks, laces, buckles, buttons, Velcro, or a zipper. The closing mechanism can be configured to extend axially down a lateral side of the user's leg. The pair of attachment element can be each attached to the article of clothing through a panel. The unweighting garment can further include a rigid member configured to further distribute the force. The pair of attachment mechanisms can include hooks, clips, lops, or Velcro. A strap can be configured to extend substantially axially down a lateral side of the user's leg. A strap can be configured to extend across a user's thigh. A strap can be configured to extend across a portion of the user's buttocks. A crotch area of the article of clothing can include four-way stretch fabric.
In still further alternative embodiments, any of the above unweighting garments may be modified to provide one or more of a sensor to measuring a physiological signal of a user wearing the unweighting garment. In still further embodiments of any of the above, there is also provided unweighting garments adapted and configured to measure physiologic signals such as EKG, EMG, SpO2 and pulse during active exercise or therapy. In some embodiments, there is provided an unweighting garment embodiment having one or more motion sensing or motion capture sensors. In one aspect, there is provided an unweighting garment including an inertial measurement unit. In still other unweighting garment embodiments, there is provided on an unweighting garment one or more accelerometers, gyroscopes or other sensors for detecting or measuring user movements. In another aspect, the placement or selection of a particular sensor or combination of sensors is selected and positioned on the unweighting garment to provide user specific data to assess one or more aspects of the user's gait. It is to be appreciated that the one or more sensors or sensor integration packages—depending upon the number of sensors or desired physiological signal or attribute being measured—are positioned within those locations available for sensor placement given the other unweighting garments other design requirements mentioned herein.
In still further embodiments, any of the above unweighting garments may be adapted and configured with one or more cable guide or routing arrangement that includes a tightening system or device adapted and configured to adjust the unweighting garment to accommodate users from User Categories I, II, III or IV including unweighting garments having one or more connections for use with an overhead suspension or patient assistance system.
In yet another embodiment, any above described unweighting garment can further include one or more attachment points adapted and configured for releasable attachment to one or more load transfer straps of a fall safety system. In a further embodiment, any above described unweighting garment can further include a DAP seal and wherein the one or more attachment points can be airtight attachment points for use with the DAP seal. In another embodiment, any above described unweighting garment can further include an overhead transport trolley attached to the one or more load transfer straps. In an further aspect, an unweighting garment can further include an overhead transport trolley and a load spreader wherein the transport trolley can be coupled to the load spreader and the one or more load transfer straps can be coupled to the load spreader. In an alternative embodiment, an unweighting garment can further include a height adjustment control device adapted and configured to adjust the length of one or more straps or connectors based on the user being in a sitting position or a standing position.
The novel features of the invention are set forth with particularity in the claims that follow. A better understanding of the features and advantages of the present invention will be obtained by reference to the following detailed description that sets forth illustrative embodiments, in which the principles of the invention are utilized, and the accompanying drawings of which:
Described herein are garments, such as shorts, configured to distribute a load during unweighting of a user. The garments can be configured to include a waist portion that sits proximate to a user's hips and leg portions configured to cover or surround a user's upper legs. The garment can include a pair of attachment mechanisms configured to attach to an unweighting device and one or more force distribution configured to distribute force to the user's thighs when a force is placed on the attachment mechanisms.
As described further below, the garments described herein (such as garment 700) can further include force distribution sections (not shown in
A similar garment 1100 is shown in
The force distribution sections can allow unweighting force (e.g. lifting force) and/or the unloaded weight of the user to be more evenly distributed.
Thus, referring to
As described in the embodiments above, the waist section 103 may also include one or more attachment elements 102a,b for attaching the garment to an unweighting system. The attachment elements 102a,b can include any mechanical means or mechanism for attaching or coupling the garment to an unweighting system, such as hooks, clips, loops, or Velcro. The attachment elements 102a,b may be attached to both the main body 101 and/or the force distribution section 108a,b. For example, in the case where a force distribution section 108a,b is placed onto of textiles or fabrics of the main body 101, the attachment element 102a,b may be fixed or secured to both fabrics.
The leg members 106a,b can extend from the waist section 103. In some embodiments, leg cuffs 107 can be placed at an end of the leg members 106a,b. In some embodiments, the leg members 106a,b have a length sufficient to cover and surround the user's thighs. In further embodiments, the leg members 106a,b may reach from the user's hips to partway down their thighs. In other embodiments, the leg members 106a,b may reach from above the user's waist and down to below the knees. In still other embodiments, the leg members may extend to the user's ankles or above the user's feet.
The force distribution sections 108a,b can extend from the attachment mechanisms 102a,b into the leg members 106a,b. The force distribution sections 108a,b can include straps made of webbing (e.g., of nylon or polyester), fabrics of different characteristics than the rest of the main body, and/or panels that are configured to cinch together.
In some embodiments, the force distribution sections 108a,b may redistribute or direct a lifting force applied to the user (i.e., through the attachment mechanisms 102a,b) into tensile force applied along predetermined lines, sectors or portions. In other embodiments, the force distribution sections 108a,b can be used in the garment 100 to convert a portion of a lifting force applied to the garment into a partial, complete or overlapping circumferential compression force. The tensile or compressive forces provided by the one or more force distribution sections 108a,b may assist in keeping the garment 100 in a desired position on the user's body, redistribute forces that would otherwise cause pain or unwanted rotation, and/or prevent the garment 100 from riding up the user's body during use. In some embodiments, a force distribution section 108a,b may include aspects that provide both tensile (lift) force distribution and compressive force distribution.
Suitable materials suited for use with the force distribution section 108a,b include, for example, natural fibers such as cotton or canvas and synthetic fibers such as nylon, neoprene, spandex, elastic fibers, elastomeric polymers (e.g. polyethylene), Lycra, or any blends of materials. In some embodiments, the fabrics used in a force distribution section 108a,b may have a weight of about 8 ounces/square yard, 12 ounces/square yard, or 10.9 ounces/square yard. The force distribution section may, additionally or alternatively, also include either a nonwoven or woven structure. In some embodiments, the force distribution sections 108a,b may include or be lined with a stretchable, breathable material.
In some cases, the force distribution sections 108a,b employ a woven structure with multi-directional weaving. For example, the woven structure may be a biaxial or triaxial braiding or weaving of the fabric fibers. In some embodiments, the force distribution section 1108a,b is made of a mesh or netted weave that is woven with large gaps or holes. In one aspect, the fabric is cut on a bias and incorporated into the garment so that the lifting force causes the fabric section to contract in a predetermined way (i.e., determined by the fabric cut, fiber orientation, weave, strand orientation and the like alone or in combination). In one example, the lifting force acts on the material of the force distribution section 108a,b that responds by tightening the grip of the garment on a portion of the user's body that is within the garment. In other embodiments, the force distribution sections 108a,b are made from a fabric 108a,b that has variable movement in different directions.
The main body 101 and the force distribution sections 108a,b can be attached together in any suitable manner. In some embodiments, the main body 101 and the force distribution sections 108a,b are integrated together, such as by being sewn together or seamlessly joined (or threaded) together, on a fiber level. In some embodiments, the force distribution section can be under or overlaid on the main body 101. For example, a woven or mesh fabric may be placed over the fabric of the main body. In other embodiments, the force distribution sections 108a,b are enclosed within another material that forms the garment 100. For example, shorts or pants suited for use as an unweighting garment may have an outer shell and an inner liner. For both ease of use, comfort and appearance, the force distribution section 108a,b may be disposed between the outer shell and inner liner and attached to one or both of the liner/shell.
Further, the main body 101 and the force distribution sections 108a,b may be made from the same or different materials. Further, in some embodiments, the structure and materials within either the main body 101 or the force distribution sections 108a,b may vary within the respective sections. For example, the weave of the force distribution sections 108a,b may be a biaxial weave in one section and a triaxial weave in another section. Similarly, the main body may 101 include a moisture wicking and friction reducing material at, for example, the crotch area, to keep the user comfortable during movement.
The description of the various components and aspects of
Referring to the more specific features of
Another example of an unweighting garment 2200 with a force distribution section 2208 is shown in
Another exemplary unweighting garment 2700 with force distribution sections 2708a,b is shown in
Another exemplary unweighting garment 1000 with force distributions sections 1008a-e is shown in
Referring still to
In some embodiments, the force distribution sections 108a-e of the garment 1000 of
Further, in some embodiments, the force distribution sections 108a-e of the garment 1000 of
In use, a lifting force applied to the attachment elements 1002a,b can be transferred through the belt strip 1012 to each of the force distribution sections 1008a,b either directly or through an overlapping force distribution section 1008a,b. This transferring of force can move the force away from the outside of the user's hips and spread it over and around the user's legs, such as the user's thighs.
Another exemplary garment 1200 with force distribution sections 1208a,b,c is shown in
Another exemplary garment 1300 with force distribution sections 1308a,b is shown in
Another exemplary garment 2600 with force distribution sections 2608a,b,c,d is shown in
Another exemplary unweighting garment 2300 with force distribution sections 2308a,b is shown in
Another exemplary unweighting garment 5100 with force distribution sections 5108a-d is shown in
Another exemplary unweighting garment 2100 is shown in
Another alternative embodiment of an unweighting garment 1400 with a force distribution section 1408 is shown in
Another exemplary garment 8500 with force distribution sections 8508a-j is shown in
The front-side longitudinal distribution sections 8508c,g are attached to the transverse force distribution sections 8508d,h at attachment points 8511. In some embodiments, the attachment point 8511 between the two force distribution sections 8508c,g and 8508d,h has less elasticity relative to the elasticity of the fabric of the force distribution sections 8508c,g and 8508d,h. The front-side longitudinal force distribution section 8508c,g is also attached to the main body 8501 at or near the location where an unweight force, such as a lifting force is applied. For example,
The unweighting pants 8500 of
In some embodiments, pants (as shown in
Although shown as having a six longitudinal force distribution panels and two sets of transverse force distribution panels in
Another exemplary unweighting garment 3100 with a main body 3101 and force distribution sections 3108a-c is shown in
Another exemplary unweighting garment 3200 having force distribution sections 3208a-h is shown in
Another exemplary unweighting garment 3300 is shown in
Another exemplary unweighting garment 3400 is shown in
The attachment elements for the garments described herein can be any attachment element capable of releasably fixing the garment to an unweighting machine. For example, the attachment element can include a pulley or roller.
The unweighting garments described herein can advantageously be used to spread the unweighting force out across the user's body to avoid unwanted pressures and rotations. Exemplary garment embodiments similar to those described above are shown in
In some embodiments, the force distribution sections (such as the fiber weave) place a force on the thighs that changes the centers of force from the outside of the hips, where it applies a force pulling legs outwards, to be more in line with the hip joint, where the force will have a neutral effect on the legs. In some embodiments, the shorts move the center of force and distribute the force by use of a rigid member. In some embodiments, the user is unweighted from the sides (or laterally). Embodiments described herein are compatible with any type of suspension unweighting regardless of the angle or direction of the lifting force.
Aspects of the various embodiments described herein advantageously include one or more innovations that assist in overcoming the shortcomings of existing unweighting garments, mechanisms, or systems. Particular areas of improvement provided by the embodiments described herein include: (1) circumferential force conversion; (2) zoned differential compression; (3) hip joint neutrality; (4) quick attachment and detachment; and (5) and ease of access. Each of these general areas will now be described.
Circumferential force conversion: When vertical lifting force is applied to a garment of uniform material content, the garment tends to ride upwards on the user until the garment binds against the user's crotch area. Because users vary widely in size and proportions, shaping the garment has limited utility in this regard. Some of the embodiments described herein utilize materials cut and aligned on the bias in relationship to the vertical lifting force. When biased sections are pulled upwards by the lifting force, the cross-sectional areas contract, causing circumferential tension and a resulting radial compression proportional to the lifting force. Embodiments relating to aspects of this improvement include, for example, with the embodiments of
Zoned differential compression: With regards to the application of unweighting or lifting forces to the body via the suspension interface garment, different parts of the anatomy have different characteristics that make them more or less suited to the application of said forces. For example, the hips have high load tolerance and low taper. The thighs have moderate load tolerance (femoral artery) and moderate taper. The crotch or groin has no load capability and high taper. As such, different areas of the body need to be loaded differently to achieve a proper balance between maximum unloading and comfort. Embodiments relating to this improvement include, for example, the embodiments of
Hip joint neutrality: While DAP loads the user's lower body uniformly in terms of area with respect to air pressure and circumferentially with respect to garment tension, non-DAP systems that do not inhibit upper body motion tend to support the lower body garment at two discrete points, one at either side of the pelvis. Since the hip joints are inboard of where the unweighting loads are typically applied in these systems, an unnatural lateral torque pulls the legs out to the sides. At low loads and/or for short durations, this effect may not be noticeable. At higher loads or for longer duration usage, this becomes an issue. The embodiments described herein address this need in two ways. In one method, unweighting load attachment points are placed fore and aft, in line with the hip joint, to minimize the lateral moment. In another method, bands cross the pelvis from their attachment points, applying an inward force and counterbalancing moment on the opposite leg, resulting in a net zero moment. Embodiments relating to this improvement include, for example, the embodiments of
Quick sliding attachment/detachment: Current unweighting and safety systems provide fixed attachment points with respect to fore and aft movements of the hips. This constraint, while fine for gymnastic and strength movements, unnaturally inhibits hip rotation during running and walking. The current design allows for independent fore and aft motion. Embodiments relating to this improvement include, for example, the embodiments of
Ease of access: There is also a need to address the difficulty of accessing known harness systems when the user desires to remain in street clothes rather than athletic gear or wants to exercise in an unweighted environment while avoiding the process of removing and putting back on shoes. Each of the embodiments described herein may be sized in order to be worn over clothes.
As described herein, there are several unweighting systems utilizing either differential air pressure (DAP), mechanical unweighting or overhead lifting devices separately or in combination to remove weight from a user's lower extremities. Regardless of the mechanism being used to provide the actual unweighting forces, an unweighting garment as described herein is used as the interface between the system and the user being un-weighted. In some embodiments, these garments have included harnesses for mechanical lifting systems and airtight shorts for DAP systems, with some instances of shorts being used with mechanical lifting systems in an attempt to provide greater comfort to certain user groups such as runners and heavier users.
In addition, there is also a need for unweighting garments to meet three often conflicting requirements: comfort, speed of access, and maximum unweighting. In still other alternative embodiments, there is also provided unweighting garments adapted and configured to measure physiologic signals such as EKG, EMG, SpO2 and pulse during active exercise or therapy. In some embodiments, there is provided one or more sensor integration packages—depending up on the desired physiological signal to be measured and the locations available for sensor placement given the garments other requirements mentioned above. As described herein are unweighting garments adapted and configured to integrate one or more sensors into an unweighting garment in such a way as to facilitate intimate contact with the user's skin for signal acquisition as appropriate based on the sensor type while also meeting the other unweighting garment functional requirements described herein.
In still further alternative embodiments, any of the above unweighting garments may be modified to provide one or more of a sensor to measuring a physiological signal of a user wearing the unweighting garment. In still further embodiments of any of the above, there is also provided unweighting garments adapted and configured to measure physiologic signals such as EKG, EMG, SpO2 and pulse during active exercise or therapy.
In some embodiments, there is provided an unweighting garment embodiment having one or more motion sensing or motion capture sensors. In one aspect, there is provided an unweighting garment including an inertial measurement unit. In still other unweighting garment embodiments, there is provided on an unweighting garment one or more accelerometers, gyroscopes or other sensors for detecting or measuring user movements. In another aspect, the placement or selection of a particular sensor or combination of sensors is selected and positioned on the unweighting garment to provide user specific data to assess one or more aspects of the user's gait. It is to be appreciated that the one or more sensors or sensor integration packages—depending upon the number of sensors or desired physiological signal or attribute being measured—are positioned within those locations available for sensor placement given the other unweighting garments other design requirements mentioned herein.
In some embodiments described herein, there is provided an unweighting garment having one or more or a combination or a set of a tightening feature, a closure feature and a connection feature that address all three unweighting garment requirements simultaneously. In still further embodiments, there are provided unweighting garments configurations that are also adapted and configured to properly position and maintain secure fixation of one or more or a combination of biometric sensors to improve the experience of users undergoing partial body unweighting therapy and training.
Various different cable systems and tightening mechanisms may be incorporated into the various unweighting garment fit adjustment feature 80 embodiments including for example a reel, a ratchet, a lever, a two speed lever, a two speed knob, a two speed reel, a bidirectional reel, a bidirectional level, a bidirectional knob and the like. In still further alternative embodiments, the tightening mechanism may include features as in those tightening mechanisms illustrated and described in U.S. Pat. Nos. 2,991,523; 3,738,027; 4,961,544; and 8,443,501; 8,468,657 and 8,832,912, each of which is incorporated herein by reference in its entirety.
In some additional embodiments, a garment worn by a user adapted and configured to couple the user to an unweighting system (i.e., DAP or mechanical unweighting system) may also be modified to releasably couple to a fall safety device that operates in relation to the unweighting system. The fall-safe garment embodiments described herein could be supported overhead by attachment to a fixed point of support for fall safety or to a system that has an adjustment mechanism for vertical lift or variable vertical support.
In addition, the overhead support may be fixed in position or may include a translational trolley that maintains support as the supporting element moves along a lateral structural element. The trolley may be powered or unpowered roller system. In one embodiment, a plurality of lift attachment points are integrated directly into a garment designed for use in a DAP system so that a single garment, once donned by a user then meets both the requirement of creating a substantially airtight seal in a DAP pressure chamber while also providing one or more attachment points for an overhead lift, fall safety or upper body stability system. In one aspect, an unweighting garment adapted and configured for use within an unweighting system is modified to provide for one or more connections to an embodiment of a fall safety system. As a result, a user puts on a single unweighting/fall safety garment that is adapted and configured to couple to both an unweighting system and a fall safety system.
In a similar way, garments adapted for use with exercise equipment alone or with other non-DAP unweighting systems may similarly be modified to also provide one or more attachment points for an overhead lift, fall safety or upper body stability system as described herein. In one embodiment, a fall safety device includes a frame integrated to or positioned adjacent to the unweighting system. In this embodiment, a fall safety harness is supported by the frame and moveable between a first position where the user is not using the unweighting system and a second position where the unweighting garment which is donned by the user in the first position is coupled to the unweighting system in the second position. The frame supports a moving connection adapted and configured to support the weight of the user and permit movement between the first and the second positions. A translational support or trolley may be any of a variety of moveable connections including, by example and not limitation, a linear bearing, a roller, a sliding bearing, a rack and pinion or any other suitable coupling permitting movement of the fall safety device relative to the frame in conjunction with user movement relative to the unweighting machine. Connections between the fall safety device and the attachment points to the garment may be one to many, many to many, or many to one or any other combination depending upon the specific garment design, attachment points and safety harness configuration.
Optionally, in some embodiments, one or more of a handle, a strap, a bar or other a stability hand hold is provided for the user within the safety harness device. In one aspect, a bar is suspended between two straps connected to right and left garment points in a position in front of the patient. In still another aspect, there a stop or a latch within the safety device moving mechanism to hold the roller or slider in position. A latch release may be provided within the fall safety harness within reach of the user or an assistant when the fall safety device is coupled to the garment.
In another aspect, the fall safety device operates as a fall protection system in contrast to a powered lift assistance and mobility system as described in other various embodiments. In use, a user wearing a garment adapted and configured for use with an unweighting system attaches one or more straps or connectors from a fall safety device to one or more appropriately configured connection points or couplings provided on the garment for that purpose. In one aspect, the roller or movable connection is adapted and configured to be compatible with or supported by a commercially available overhead frame system such as the PUMA or OASUS commercially available from Enliten LLC (further described at www.enlitenllc.com), or other support frame system modified for appropriate placement relative to an unweighting system. In one embodiment the overhead frame system for supporting the fall safety device is a stand-alone component adjacent to the involved unweighting system. In this configuration, the overhead frame system may be attached to or at least partially supported by the unweighting system. In another aspect, the overhead support system is integrated or formed with or supported by the same base or mainframe as the unweighting system. In one aspect, the support frame is similar in design to that in, for example,
In some aspects, garment modifications may take on any of a number of different embodiments to enable releasable attachment to an embodiment of a fall safety device. In one aspect, the straps or lines from the fall safety device terminate in a connection element adapted and configured to attach to a complementary connection element on the unweighting garment worn by the user. In one embodiment, a quick release device such as a snap shackle is incorporated between the user harness and the lift support system. In still another aspect, the straps or lines from the fall safety device are adapted and configured to attach or couple to a strap or line that is connected to the unweighting garment. In another alterative embodiment one or more straps or connectors of the fall safety device is connected to a reel tensioning system permitting slack removal from a strap or connector to adjust the tension or slack of the lines or connectors used in the fall safety device.
In one embodiment, there are provided one or more unweighting garment provided hooks for attachment to one or more associated straps that are part of a fall safety device. Because the various unweighting garments have been adapted for use with the fall safety device the unweighting garment connects directly to the fall safety device instead of having the user wear a separate, harness in addition to an unweighting garment. Advantageously, use of embodiments of multiple function unweighting garments would eliminate the need for a user or a patient to put on a harness for connection to a fall safety system in addition to wearing an appropriate unweighting garment. Wearing a single multiple use unweighting garment would shorten set up time for users of unweighting therapy systems used in conjunction with a fall safety device. In one embodiment, an unweighting garment may be configured to include 4 connection points for coupling to a fall safety device. In one embodiment, the unweighting garment is provided with two connection points in the front of the user and two connection points in the back of the user. In one aspect with a top down view of a clock face imposed over the user with a middle front facing user indicating 12 o'clock and the middle back of the user indicating 6 o'clock, then two front connection points may be positioned at the 10 and 2 o'clock positions, and two connections in the rear position at 4 and 8 o'clock positions. Other numbers and positions of fall safety device connection points are possible and more or fewer straps may be used in the front, the back or both.
In one aspect, one or more connection points for attaching the fall safety device to the unweighting garment are coupled to one or more of an existing strap or support element provided in the unweighting garment design. In one aspect, there are hooks provided on the unweighting garment that are positioned generally about the user's waist for connection to the fall safety device In these and other configurations of multiple use unweighting garments, the user need only put on one garment—not a separate harness—for use with unweighting systems having a fall safety device.
In one embodiment an attachment point is provided by attaching a loop to an edge of a DAP garment in the desired position. One exemplary location is along an edge of the neoprene seal used for DAP seal 11. Reinforcements or large area attachment points may be provided to prevent damage or tearing of the neoprene.
Importantly, these connects are made without impairing the pressure tight seal maintained by the DAP seal 11. In the illustrative embodiment four attachment points 7 are shown. More or fewer or a different arrangement of the connection points 7 are possible in various alternative aspects. In one embodiment, a load spreader 3 is coupled to the garment 8 and provides a support for the attachment points 7. Advantageously, connection of the attachment points (and subsequent connection to the fall safety device) to the load spreader permits distribution of forces should the user fall and force is applied from the fall safety device to the attachment points. Optionally, the attachment points may be coupled to the garment by other means such as point connections. In one aspect, one or more point connections may also include a large pad for localized distribution of any loads transferred from the fall safety device straps 4. As described elsewhere herein, the unweighting garment may also include one or more or a combination of load transfer straps. The load transfer straps may support the user under, alongside or across various body structures. These straps could wrap around the legs, as would straps in many common harness systems, or could provide transverse lift by passing diagonally from one side to lift points on the other side, or could provide lift through structures that provide gluteal support of the user. Finally, the support straps could simply be enhanced structural supports to strengthen the seal facilitating force distribution through the elastic material of the shorts. In the embodiment of
The fall safety device and multiple mode unweighting garment embodiment of
Typical support systems used in conjunction with such a fall-safe DAP garment comprise a translational trolley, 1, that can support the user's weight in the event of a fall, a height adjustment mechanism, 2, to accommodate users of different heights and to minimize slack as users transition from sitting to standing, a control means, 10, for actuating the height adjustment mechanism, 2, and a load spreader, 3, to distribute the vertical forces to several attachment points, 7, on the garment, 8. For use with low-mobility patients with compromised trunk control, an upper body stabilizer, 5, may be present for user to grasp or wear to provide upper body fall safety.
In still other embodiments, the airtight attachment points 7 and one or more garment based load transfer straps may be provided by or configured into one or more of any of the above described support garments. Still further, circumferential load 9 and garment load transfer strap 12 are only two of many different types of load bearing garment configurations. By way of example, any of the above described force distribution or unweighting garments may be substituted for or combined with the load transfer straps 9, 12 illustrated in
The lift assist support system is an easy to donn and doff harness that in many ways is self-adjusting to the size and shape of the user. The shoulder straps may also include adjustable length buckles at the locations indicated. Additionally an adjustable height chest strap is provided with a release buckle on sliding straps. When the chest strap is properly adjusted, it is used to prevent the user from falling forward. The straps located at the center back of the user are crossed to prevent the user from falling out rearward. Looped webbing material wraps around the thighs but still allows the neoprene shorts to stretch and form to the body of the user in a comfortable manner. (See
For shorts or garments used without the DAP seal, the reinforcing material may begin and end at the back crossover point thereby providing for a single strip of reinforcing material to be used for both the shoulder straps and garment reinforcement. An exemplary configuration of a non-DAP garment is shown and described below with regard to
In one embodiment, webbing will be suitably bonded or stitched down to the shorts neoprene in a loose looping pattern following the scale of 1.875 inches of webbing material stitched for every 1.5 inches of neoprene. An exemplary series of webbing loops are shown attached to a portion of a neoprene garment in
In one aspect, webbing loops continue to be attached to the garment or the strap at the indicated pitch except in the inner thigh area where a single longer continuous loop is left unstitched for user comfort. It is to be appreciated that the pitch of attachment between the webbing and the garment or the webbing and the shoulder straps may vary depending upon location, user type, and garment style. (See explanation with
As for additional details pertinent to the present invention, materials and manufacturing techniques may be employed as within the level of those with skill in the relevant art. The same may hold true with respect to method-based aspects of the invention in terms of additional acts commonly or logically employed. Also, it is contemplated that any optional feature of the inventive variations described may be set forth and claimed independently, or in combination with any one or more of the features described herein. Likewise, reference to a singular item, includes the possibility that there are plural of the same items present. More specifically, as used herein and in the appended claims, the singular forms “a,” “and,” “said,” and “the” include plural referents unless the context clearly dictates otherwise. It is further noted that the claims may be drafted to exclude any optional element. As such, this statement is intended to serve as antecedent basis for use of such exclusive terminology as “solely,” “only” and the like in connection with the recitation of claim elements, or use of a “negative” limitation. Unless defined otherwise herein, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. The breadth of the present invention is not to be limited by the subject specification, but rather only by the plain meaning of the claim terms employed.
Claims
1. A fall mitigation garment for use with a differential air pressure system, comprising:
- an article of clothing having two leg portions configured to provide an airtight fit around legs of a user and a waist portion configured to fit proximate to hips of the user;
- a differential air pressure seal coupled to the waist of the garment and including an engagement element used to form a seal with a component of a differential air pressure system;
- a support strap attached to the article of clothing extending from the waist portion along and around the user leg portions and to form a pair of suspenders adapted to extend over the user's shoulders; and
- an overhead support system adapted to be coupled to the user via the suspenders.
2. The garment of claim 1 further comprising a fitting to couple the suspenders to the overhead support system.
3. The garment of claim 2 wherein the fitting is a D-ring.
4. The garment of claim 2 wherein the fitting comprises a snap shackle.
5. The garment of claim 1 wherein the support strap is a strip of nylon webbing.
6. The garment of claim 1 wherein the support strap is a strip of nylon webbing that is stitched to the garment at a spacing wherein a loop of the support strap is formed between each location where the support strap is stitched to the garment.
7. The garment of claim 1 wherein the support strap is a strip of nylon webbing that is stitched to the garment at a spacing wherein a loop of the support strap is formed at a pre-determined interval along a portion of the garment.
8. The garment of claim 1 wherein a portion of the suspenders is an elastic material further comprising a limited elastic material support strap attached to the suspenders to form one or more loops of the support strap.
9. The garment of claim 7 including a sacrificial stitch positioned to indicate when use of the garment should end.
10. The garment of claim 2 further comprising a restraining strap attached to a portion of the suspenders to maintain the fitting in relation to the overhead support system connection point.
11. The garment of claim 1 further comprising a portion of the garment extending over a portion of the user abdomen or torso.
12. The garment of claim 1 further comprising a reel tensioned adjustment device within a portion of the garment extending over a portion of the user abdomen or torso or in a portion of the garment adjacent a thigh or the buttock.
13. The garment of claim 1 further comprising a pair of attachment mechanisms in the waist portion, the pair of attachment mechanisms configured to attach the garment to a device for unloading a portion of the user's weight.
14. The garment of claim 1 wherein one single reinforcement member is provided to be the reinforcement member within or attached to the article of clothing extending from one of the attachment points and along and around the user leg portions to another of the attachment points and the straps extending from the attachment points to extend over the user's shoulders with a fitting to couple the straps to the overhead device.
15. The garment of claim 1 further comprising a portion of the support strap around the leg portion and along an interior aspect of the thigh has a length of the support strap that is about the same length as the underlying garment material.
16. A fall mitigation garment, comprising:
- an article of clothing having two leg portions configured to fit around legs of a user and a waist portion configured to fit proximate to hips of the user;
- a pair of attachment points in the waist portion, the pair of attachment points configured to attach the article of clothing to an overhead device for supporting a portion of the user's weight;
- a reinforcement member within or attached to the article of clothing extending from one of the attachment points and along and around the user leg portions to another of the attachment points;
- straps extending from the attachment points to extend over the user's shoulders with a fitting to couple the straps to the overhead device.
17. The garment of claim 16 wherein the fitting is a welded D-ring.
18. The garment of claim 16 wherein the fitting comprises a snap shackle.
19. The garment of claim 16 wherein the reinforcement member is a strip of nylon webbing.
20. The garment of claim 16 wherein the reinforcement member is a strip of nylon webbing that is stitched to the garment at a spacing wherein a loop of the reinforcement material is formed between each location where the reinforcement material is stitched to the garment.
21. The garment of claim 16 wherein the reinforcement member is stitched to the garment at a spacing wherein a loop of the reinforcement material is formed at a pre-determined interval along a portion of the garment.
22. The garment of claim 16 wherein the straps extending from the attachment points to extend over the user's shoulders include an elastic material and a reinforcement material is attached to the shoulder straps to form one or more loops of reinforcement material.
23. The garment of claim 16 including a sacrificial stitch positioned to indicate when use of the garment should end.
24. The garment of claim 16 further comprising a DAP seal coupled to the waist portion of the garment.
25. The garment of claim 16 further comprising a portion of the garment extending over a portion of the user abdomen or torso.
26. The garment of claim 16 further comprising a reel tensioned adjustment device within a portion of the garment extending over a portion of the user abdomen or torso or in a portion of the garment adjacent a thigh or the buttock.
27. The garment of claim 16 further comprising a pair of attachment mechanisms in the waist portion, the pair of attachment mechanisms configured to attach the garment to a device for unloading a portion of the user's weight.
28. The garment of claim 16 wherein one single reinforcement member is provided to be the reinforcement member within or attached to the article of clothing extending from one of the attachment points and along and around the user leg portions to another of the attachment points and the straps extending from the attachment points to extend over the user's shoulders with a fitting to couple the straps to the overhead device.
29. The garment of claim 16 further comprising a portion of the reinforcement member around the leg portion and along an interior aspect of the thigh has a length of the reinforcement member that is about the same length as the underlying garment material.
Type: Application
Filed: Sep 11, 2015
Publication Date: Mar 17, 2016
Inventors: Steven L. BASTA (Menlo Park, CA), Clifford T. JUE (Santa Cruz, CA), Gregory P. MARECEK (Palo Alto, CA), Ross JAFFE (Atherton, CA), Philip W. LONG (Castro Valley, CA), Babu S. RAHMAN (Fremont, CA), Amanda WILLIAMS (Oakland, CA)
Application Number: 14/852,401