# US 4,393,876 A · Shoe orthosis or shoe orthosis parts > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 4,393,876 A - Document ID: US4393876A - Status: Granted - Kind: A - Application number: 06/264,110 - Filed: 1981-05-15 - Granted: 1983-07-19 - Earliest claimed: 1980-05-22 - Inventors: Alfred Dieterich - Web page: https://patentgrep.com/patent/US4393876A ## CPC - A43B 7/26: with toe-spacers or toe-spreaders - A43B 7/00: Footwear with health or hygienic arrangements - A61F 5/019: {Toe correcting or spreading devices} - A43B: CHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR - A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C) ## Abstract A shoe orthosis device for corrective treatment of foot deformities such as flat-foot, bent foot, splay-foot, hammer toes, hallux valgus, and others, comprising a sole member having a force transmitting mechanism and a foot pressure plate mounted thereon so that downward force at the heel during walking will be transmitted to the forefoot region to rotate and/or transversely move the forefoot, and great toe, and press the toes downwardly to correct the deformities. ## Claims ### Claim 1 A shoe orthosis device for corrective treatment of foot deformities wherein the pressure of the posterior part of the foot on the device is transmitted to the part of the foot which is to be treated in an intermittently acting force, comprising a sole member, means within said sole member which are adapted to be operated by said pressure to rotate the forefoot around the longitudinal axis of the foot and/or move it substantially transversely to said longitudinal axis substantially about an axis perpendicular to the sole, whereby said means act on the inner side of the forefoot to lower it, thus rotating said forefoot. ### Claim 2 (depends on 1) A device as claimed in claim 1 wherein said means comprises an actuator disposed in the heel portion of said sole which is operated by said pressure and a force transmission means operatively associated with said actuator to transmit the force produced by said actuator to said forefoot. ### Claim 3 (depends on 2) A device as claimed in claim 2 adapted to produce correction of "bent foot" (talipes valgus) and "flatfoot" (fallen arches and pes supinatus, concurrent with talipes valgus), wherein said means produces a lowering of the outer side of the heel in a rotational direction opposite to that of the forefoot and further comprising particularly at least one foot support stepping plate for support of the foot connected to said sole to allow upward and downward movement thereof with respect to said sole and said actuator includes means on said stepping plate adapted to engage with and operate said force transmission means. ### Claim 4 (depends on 3) A device as claimed in claim 3 wherein said force transmission means comprises at least one strap member. ### Claim 5 (depends on 4) A device as claimed in claim 4 wherein said stepping plate is connected to said sole by hinge means, and said actuator comprises at least one roller mounted on said sole and at least one roller mounted on the bottom of said stepping surface in longitudinal closely spaced relationship, said strap passing between and over the surface of said rollers and being fastened at one end to the heel portion of said sole so that downward movement of said stepping plate will progressively increase tension on said strap. ### Claim 6 (depends on 5) A device as claimed in claim 5 wherein said rollers are disposed on the outer posterior heel portion of said sole and stepping plate, said stepping plate being pivotally connected to the sole at the outer side and said strap is connected at its forward end to the forward part of said sole and passes underneath said stepping plate in the region of the metatarsus, and a space is provided under said stepping plate in the metatarsus region to permit it to swing downwardly around said pivot, said strap exerting a downward force on said forefoot when tension force is produced by said actuator. ### Claim 7 (depends on 6) A device as claimed in claim 6 and further comprising an adjustable means on said strap to adjust the effective length of the strap and the positions of attachment of said strap are adjustable. ### Claim 8 (depends on 2, 3) A device as claimed in claim 2 or 3 wherein said actuator comprises a chamber made of a flexible material and containing a liquid provided under the posterior part of said stepping plate, said strap extending around said chamber so that a downward motion of the stepping plate causes an expansion of the perimeter of said chamber, thus producing a tensioning force in the strap. ### Claim 9 (depends on 1, 2, 3, 4, 5, 6, 7) A device as claimed in any one of claims 1 to 7 for correcting pes adductus ("sickle foot") and concurrent pes supinatus, wherein the device lowers the inner side part of the forefoot (metatarsal region) and at the same time pushes it laterally. ### Claim 10 (depends on 2, 3) A device as claimed in any one of claims 2 or 3, wherein said force transmission means comprises a rod member which produces said rotation and transverse motion. ### Claim 11 (depends on 2, 3) A device as claimed in claim 2 or 3 wherein said force transmission means comprises a two-armed lever having a short and a long arm pivotally mounted to said sole so as to swing around an axis which is vertical to the sole, and said actuator comprises a projection on the bottom of said stepping plate, an actuating surface on said projection which runs at an angle to its direction of motion, said short arm is transverse to said longitudinal axis and is disposed in the path of travel of said actuating surface to engage with and be moved thereby about said pivot, said long arm extending in the longitudinal direction and being swung by said short arm in the transverse direction so as to rotate and move the forefoot (metatarsal region), and further comprising a loop surrounding the forefoot and extending through the transverse hollow opening in said sole, the anterior end of said long lever arm engaging said loop so that its transversely directed force acts on said loop, and the anterior inner side load surface of the sole is lower than the anterior outer side load surface of the sole. ### Claim 12 (depends on 11) A device as claimed in claim 11 wherein said long lever arm has a joint which enables the deflection of the sole or stepping plate. ### Claim 13 (depends on 3, 4, 5, 6, 7) A device as claimed in any one of claims 3 to 7 and further comprising a sliding member which acts as a rotational and transversely movable means for the forefoot slidably mounted in the sole in the region beneath said stepping plate and being operatively connected to said force transmission means and to the forefoot. ### Claim 14 (depends on 13) A device as claimed in claim 13 wherein said sliding member is disposed approximately in the plane of said stepping plate and is movable to a different angular position with respect thereto in which position said sliding member is lower on its inner side than on its outer side, pivot means for said slide mounting substantially at the outer side edge of said sole and a space underneath said sliding member into which said member and its mounting may be swung. ### Claim 15 (depends on 14) A device as claimed in claim 14 wherein an extension is provided on one of the ends of said sliding member which extends substantially vertically upwardly and a loop is provided surrounding at least part of the forefoot, one end of said loop being attached to the upper end of said extension. ### Claim 16 (depends on 13, 14, 15) A device as claimed in any one of claim 13 to 15 wherein said strap is fastened at its forward end to the underside of said sliding member, and further comprising a guiding roller for said strap mounted on said sole underneath said sliding member, such that when said strap is tensioned by said actuator said sliding member is lowered at the inner side or is slid transversely, or is both lowered and slid transversely. ### Claim 17 (depends on 16) A device as claimed in claim 16 wherein said sliding member is provided near the inner side with an extension which engages the great toe and furher comprising a mechanism mounted on said sole and operatively connected to said strap to move said sliding member so that it moves the great toe in the inner direction via said actuator when the heel is lowered. ### Claim 18 (depends on 17) A device as claimed in claim 17 and further comprising a pulling-cord means operatively connected to said device for producing a downward pressure on toes two through five when the heel is lowered to correct "hammer-toe" and acts together with the motion of the sliding member to correct hallux valgus of the great toe. ### Claim 19 (depends on 18) A device as claimed in claim 18 wherein a pressure plate is disposed above toes two through five, and said strap is connected to said pressure plate whereby when said strap is tensioned said toes are pressed downwardly.