# US 8,771,208 B2 · Powered orthosis systems and methods > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 8,771,208 B2 - Document ID: US8771208B2 - Status: Granted - Kind: B2 - Application number: 13/213,176 - Filed: 2011-08-19 - Published: 2012-02-23 - Granted: 2014-07-08 - Earliest claimed: 2010-08-19 - Applicants: Sunil K. Agrawal; Kyle N. Winfree; Paul Stegall; John P. Scholz - Inventors: Sunil K. Agrawal; Kyle N. Winfree; Paul Stegall; John P. Scholz - Web page: https://patentgrep.com/patent/US8771208B2 ## CPC - A61H 1/0244: {Hip (A61H1/0255 takes precedence)} - A61H 1/024: {Knee (A61H1/0255 takes precedence)} - A61H 1/0255: {Both knee and hip of a patient, e.g. in supine or sitting position, the feet being moved together in a plane substantially parallel to the body-symmetrical plane (A61H1/0214 takes precedence)} - A61H 3/008: {using suspension devices for supporting the body in an upright walking or standing position, e.g. harnesses} - A61H 2201/1215: Rotary drive - A61H 2201/1261: combined with active exercising of the patient - A61H 2201/1621: Holding means therefor - A61H 2201/1642: Holding means therefor - A61H 2201/1676: Pivoting - A61H 2201/5061: Force sensors - A61H 2201/5071: Pressure sensors - A61H 2201/5092: Optical sensor - A61H 2201/5097: wireless - A63B 22/02: with movable endless bands {, e.g. treadmills (other training appliances for running on the spot A63B69/0028)} - A61H: PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY (electrotherapy, magnetotherapy, radiation therapy or ultrasound therapy A61N) - A63B: APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT (apparatus for passive exercising, massage A61H) ## Abstract Powered orthosis systems and methods are disclosed. An orthosis system includes a frame, a trunk brace adapted to be secured to a user's trunk, a trunk joint coupling the trunk brace to the frame, an upper leg brace adapted to be secured to a user's upper leg, a hip joint coupling the upper leg brace to the trunk brace, a lower leg brace adapted to be secured to a user's lower leg, a knee joint coupling the lower leg brace to the upper leg brace, and a controller. The hip joint or knee joint includes an actuator operable to rotate the adjacent braces relative to each other. The controller is programmed to operate the actuator. An orthosis method includes securing a user to the orthosis system, enabling the user to walk while secured to the orthosis system, and actuating the hip or knee actuator to rotate the adjacent braces. ## Claims ### Claim 1 An orthosis system comprising: a frame for supporting the orthosis system; a trunk brace adapted to be secured to a trunk of a user; at least one trunk joint coupling the trunk brace to the frame, at least one trunk joint enabling the trunk of the user to move relative to the frame in four degrees of freedom, wherein movement in each of the four degrees of freedom is uncoupled from movement in any of the other degrees of freedom; an upper leg brace adapted to be secured to an upper leg of the user; at least one hip joint coupling the upper leg brace to the trunk brace, the at least one hip joint including a hip actuator operable to rotate the upper leg brace relative to the trunk brace; a lower leg brace adapted to be secured to a lower leg of the user; at least one knee joint coupling the lower leg brace to the upper leg brace; and a controller programmed to operate the hip actuator to rotate the upper leg brace relative to the trunk brace. ### Claim 2 (depends on 1) The orthosis system of claim 1, wherein the controller is programmed to operate the hip actuator when a motion of the hip joint falls outside of a predetermined range. ### Claim 3 (depends on 2) The orthosis system of claim 2, wherein the controller operates the hip actuator to assist a walking motion of the user. ### Claim 4 (depends on 2) The orthosis system of claim 2, wherein the controller operates the hip actuator to resist a walking motion of the user. ### Claim 5 (depends on 1) The orthosis system of claim 1, wherein the hip actuator comprises a motor coupled directly to the hip joint to rotate the upper leg brace relative to the trunk brace. ### Claim 6 (depends on 1) The orthosis system of claim 1, wherein the four uncoupled degrees of freedom comprise up/down motion, forward/backward motion, side-to-side motion, and rotation around a vertical axis. ### Claim 7 (depends on 1) The orthosis system of claim 1, wherein the upper leg brace and the lower leg brace are adjustable in length. ### Claim 8 (depends on 1) The orthosis system of claim 1, further comprising: a foot brace adapted to be secured to a foot of the user, the at least one foot brace comprising a pressure sensor to sense a pressure exerted on the foot brace by the user. ### Claim 9 (depends on 1) The orthosis system of claim 1, further comprising: at least one motion sensing device positioned at the hip joint, the at least one sensing device configured to sense a motion of the hip joint during use of the orthosis system by the user. ### Claim 10 (depends on 1) The orthosis system of claim 1, further comprising at least one spring coupled between the trunk brace and the frame, the at least one spring configured to remove at least a portion of the weight of the orthosis system from the user. ### Claim 11 (depends on 1) The orthosis system of claim 1, wherein a portion of the at least one hip joint may be rotated such that in a first position, orthosis system is adapted to be secured to a right leg of the user, and in a second position, orthosis system is adapted to be secured to a left leg of the user. ### Claim 12 An orthosis system comprising: a frame for supporting the orthosis system; a trunk brace adapted to be secured to a trunk of a user; at least one trunk joint coupling the trunk brace to the frame, at least one trunk joint enabling the trunk of the user to move relative to the frame in four degrees of freedom, wherein movement in each of the four degrees of freedom is uncoupled from movement in any of the other degrees of freedom; an upper leg brace adapted to be secured to an upper leg of the user; at least one hip joint coupling the upper leg brace to the trunk brace; a lower leg brace adapted to be secured to a lower leg of the user; at least one knee joint coupling the lower leg brace to the upper leg brace, the at least one knee joint including a knee actuator operable to rotate the lower leg brace relative to the upper leg brace; and a controller programmed to operate the knee actuator to rotate the lower leg brace relative to the upper leg brace. ### Claim 13 (depends on 12) The orthosis system of claim 12, wherein the controller is programmed to operate the knee actuator when a motion of the knee joint falls outside of a predetermined range. ### Claim 14 (depends on 13) The orthosis system of claim 13, wherein the controller operates the knee actuator to assist a walking motion of the user. ### Claim 15 (depends on 13) The orthosis system of claim 13, wherein the controller operates the knee actuator to resist a walking motion of the user. ### Claim 16 (depends on 12) The orthosis system of claim 12, wherein the knee actuator comprises a motor coupled directly to the knee joint to rotate the lower leg brace relative to the upper leg brace. ### Claim 17 An orthosis method comprising steps of: securing a user to an orthosis system having a trunk brace, an upper leg brace, and a lower leg brace; coupling the trunk brace to a frame using at least one trunk joint, the at least one trunk joint enabling the trunk of the user to move relative to the frame in four degrees of freedom, wherein movement in each of the four degrees of freedom is uncoupled from movement in any of the other degrees of freedom; enabling the user to walk while secured to the orthosis system; and actuating at least one of (i) a hip actuator to rotate the upper leg brace relative to the trunk brace and (ii) a knee actuator to rotate the lower leg brace relative to the upper leg brace. ### Claim 18 (depends on 17) The orthosis method of claim 17, wherein the actuating step comprises at least one of: actuating the hip actuator when a motion of the hip joint falls outside of a predetermined range; and actuating the knee actuator when a motion of the knee joint falls outside of another predetermined range. ### Claim 19 (depends on 18) The orthosis method of claim 18, wherein the actuating step comprises: actuating the at least one of the hip actuator and the knee actuator to assist a walking motion of the user. ### Claim 20 (depends on 18) The orthosis method of claim 18, wherein the actuating step comprises: actuating the at least one of the hip actuator and the knee actuator to resist a walking motion of the user. ### Claim 21 (depends on 17) The orthosis method of claim 17, further comprising the step of: recording a walking motion of the user while the user is secured to the orthosis system using one or more motion sensing devices.