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Review

The Impact of COVID on Lower-Limb Exoskeleton Robotic System Patents—A Review

by
Cristina Floriana Pană
,
Virginia Maria Rădulescu
*,
Daniela Maria Pătrașcu-Pană
,
Florina Luminița Petcu (Besnea)
*,
Ionuț Cristian Reșceanu
,
Ștefan Irinel Cismaru
,
Andrei Trășculescu
and
Nicu Bîzdoacă
Faculty of Automation, Computers and Electronics, University of Craiova, Blvd. Decebal nr. 107, RO-200440 Craiova, Romania
*
Authors to whom correspondence should be addressed.
Appl. Sci. 2022, 12(11), 5393; https://doi.org/10.3390/app12115393
Submission received: 5 April 2022 / Revised: 20 May 2022 / Accepted: 23 May 2022 / Published: 26 May 2022
(This article belongs to the Special Issue Exoskeleton Robotic Systems)

Abstract

:
In recent decades, the field of physical rehabilitation, with the help of robotic systems that aid the population of any age with locomotor difficulties, has been evolving rapidly. Several robotic exoskeleton systems of the lower limbs have been proposed in the patent literature and some are even commercially available. Given the above, we are asking ourselves at the end of the COVID-19 pandemic: how much has this pandemic affected both the publication of patents and the application of new ones? How has new patents’ publication volume or application in robotic exoskeleton systems changed? We hypothesize that this pandemic has caused a reduction in the volume of new applications and possibly publications. We compare pandemic analysis and the last decade’s analysis to answer these questions. In this study, we used a set of statistical tests to see if there were any statistically significant changes. Our results show that the pandemic had at least one effect on applying for new patents based on the information analyzed from the three databases examined.

1. Introduction

According to the literature, exoskeleton systems can be classified into two broad categories: medical and non-medical systems, depending on the field of applicability. Medical ones include the exoskeleton systems used for rehabilitation, compensation, paraplegics, and amputees. In contrast, the type of non-medical ones consists of those used in the army (help soldiers transport heavy equipment on rough roads, improving mobility), rescue operations (rescuers can use it to transport supplies or firefighters can use it to transport firefighting equipment), construction (workers can use it to transport construction materials), and support (for healthy older adults). Although the study of the exoskeleton of the lower limbs came from the military, in recent years, the medical field has become a priority. In the following, we will focus on the systems of the exoskeletons of the lower limbs mainly, and only the patents of the exoskeletons that treat the whole leg or certain parts of the lower limb are considered. Exoskeletal patents involving the upper body, although vital in themselves, do not significantly contribute to mobility and are therefore omitted from this study.
The oldest exoskeleton patent was probably registered by Nicholas Yagn from Russia in 1890 [1] under the name “Apparatus for facilitating walking, running and jumping” (Figure 1a). As it stands in the original request, this patent aims to increase the efficiency of walking, running, and jumping, thus reducing the inherent fatigue that arises as a result of these actions. Such a “device”, which acts parallel with the human body to aid human locomotion, is now called the exoskeleton and can be considered a starting point for modern exoskeleton systems [2,3].
Exoskeleton lower-limb rehabilitation robots constitute a significant class of robotic rehabilitation systems. Rehabilitation of the lower limbs with the help of robotic exoskeletons appeared over 40 years ago as an alternative to conventional manual gait training [4,5]. These exoskeletal systems connect to the human body in a portable way. Compared to traditional therapy, walking rehabilitation using a robotic exoskeletal system can provide highly controlled training (being able to control the movement of all joints in the training and recovery process), repetitive and intensive [6], and can reduce the physical load on the therapist and provide accurate and fast progress of patients [7,8]. Among the latest patents applied for and published in 2021 (according to the Google Patents platform), it is registered in South Korea. It is entitled “Lower extremity exoskeleton robotic device” (Figure 1b). The patent application states that the present invention relates to a robot device with a lower exoskeleton used for rehabilitation exercises. The exoskeleton robotic system is a device mainly used for rehabilitation by supporting the muscular strength of the wearer when the lower extremities are paralyzed by accident or when the muscular strength of the lower extremities is insufficient due to old age. This device can also be used for industrial or military purposes, such as running [9].
Figure 1. (a) US420179—Apparatus for facilitating walking, running and jumping (see the reference [1]); (b) KR102292983B1—Lower extremity exoskeleton robotic device (see the reference [9]).
Figure 1. (a) US420179—Apparatus for facilitating walking, running and jumping (see the reference [1]); (b) KR102292983B1—Lower extremity exoskeleton robotic device (see the reference [9]).
Applsci 12 05393 g001
Several revisions have emerged over the last decade that address various aspects of lower extremity rehabilitation and support devices. For example, in 2013, Chen et al. [4] focused on robotic lower extremity care exoskeletons used in rehabilitation therapy. In 2015, Yan et al. [10] presented a comprehensive analysis of all lower-limb exoskeletons developed after the 1990s; all devices analyzed were classified based on four criteria: mechanical structure, robot control system, user validation, and sensory devices used. Moreover, in 2015, Meng et al. [11] analyzed the recent evolution of control mechanisms and strategies for robotic lower-limb rehabilitation devices. Then, in 2016, Rupal et al. [12] conducted a review of exoskeleton robots’ construction and technological features for existing lower extremities, classifying them based on amplifying and rehabilitating human power into commercial or prototype versions. Moreover, in 2016, Chen et al. [13] described the evolution of the exoskeletons of the lower limbs in terms of their structure, the control algorithms used, the detection technology to determine the wearer’s intention to move, and the detection technology, the remaining challenges in this area. The walking rehabilitation exoskeletons presented in this review were classified as treadmill and ground training/assistance exoskeletons. Then, Shi et al. [14] published a comprehensive study in 2019 summarising the current state of exoskeleton robots for lower limbs, focusing on human gait analysis and the design of the drive system and control of these devices. Moreover, in 2019, Sanchez-Villamañan et al. [15] analyzed 52 wearable exoskeletons of the lower limbs in their review, focusing on three main aspects of compliance: drive, structure, and interface attachment components. The authors highlighted the disadvantages and advantages of different solutions and suggested several promising lines of research. In 2021, Koch and Font-Llagunes [16] conducted a review in which the primary purpose was to provide a comprehensive overview of the technological status of exosuits and the clinical results obtained when applied to users with reduced mobility based on 19 studies identified by the authors as relevant. Finally, in March 2022, Kian et al. [17] published a study that provides a comprehensive review of how portable sensor technology has contributed to the activation and control of motorized ankle exoskeletons developed over the past two decades. The authors also investigated the control schemes and operating principles used in the revised motorised ankle exoskeletons and their interaction with the integrated sensor systems. Other reviews have focused on reviewing the technological aspects of exoskeletons from a general perspective [2], while others have concentrated on bipedal locomotion [18,19] or designing specific joints [20]. This review provides an overview of robotic lower-limb exoskeletal systems for rehabilitation that are intended primarily for use by people with gait disorders.
Compared to other studies, we set out to analyze the effect of the COVID-19 pandemic on the publication and application of new patents. According to the World Health Organization, the year 2020 began with the extremely rapid spread of the COVID-19 pandemic and, by 2022, has already reached multiple peaks. This pandemic has affected almost every aspect of life, from industry, economics, and tourism to politics, arts, sports, and in particular health, and yet there has been a global union and effort, especially from the scientific research community, to find ways to deal with it. As such, the patterns of innovative research have also been severely affected by this crisis. Therefore, this systematic review was conducted to answer the following questions: (1) how much has this pandemic affected the publication of patents and the application of new ones? (2) how has new patents’ publication volume or application in robotic exoskeleton systems changed? According to our literature analysis, scientometric analysis has not been performed on research involving robotic exoskeleton patents for lower limbs. Thus, our study is the first evaluation analysis of this field of research using this method. We aim to provide an objective picture of the development of science and the productivity of researchers, as well as to evaluate the topicality of this field of research on the following aspects: (1) a historical map of the subject; (2) a ranking of countries in terms of patent application/publication; (3) the distribution between exoskeletons dealing with the whole of the respective lower system, which deals in part with segments; (4) the time elapsed between the filing and publication of the patent; (5) type of exoskeleton structure: rigid or suit, and mode of wearing: portable or non-portable; (6) patents applied/published during the COVID-19 pandemic. We hope that this study could provide a guide for researchers when they want to file a new patent on robotic exoskeleton rehabilitation for lower limbs, and, at the same time, encourage them in the sense that whenever a situation arises—a crisis (even worldwide) or any impediment of any kind—solutions will be found to help continue their research work. Although work information (patents) collected from public platforms are known and can be accessed by the general public, this paper seeks to generate debate focused on improving current systems and also on how to cover the shortcomings of other identifiable solutions.

2. Review Methodology

2.1. Search Strategy

2.1.1. Inclusion Criteria

All patterns must be:
  • Filter 1: published in or translated to English and directly related to rehabilitation of lower-limb exoskeletons robot systems.
  • Filter 2: related to the International Patent Classification (IPC) A61H3/00—appliances for aiding patients or disabled persons to walk about; A61F 5/0102—orthopedic devices for correcting deformities of, or supporting, limbs; A61F 5/0106—for the knees, A61F 5/0111—for the feet or ankles.
  • Filter 3: describing the design, manufacturing method, and control of an exoskeleton.
  • Filter 4: able to be registered in any patent office in any country.
  • Filter 5: granted.
  • Filter 6: in the COVID-19 pandemic period 12 March 2020–12 March 2022.

2.1.2. Exclusion Criteria

All patterns must not be:
  • Filter 7: patent application or limited patent.
  • Filter 8: inactive, discontinued or pending legal status.
  • Filter 9: related to upper rehabilitation limb (hand or arm) exoskeletons robot systems.
  • Filter 10: published in a non-English language and those whose translations to English were very inadequate.
  • Filter 11: with an application date before 2012.

2.1.3. Information Databases and Search Methodology

We considered that portable exoskeletons are all those that have a rigid external structure, but also soft exoskeletons or exosuits were included in the present study. Exoskeletons that have used bodyweight support or a treadmill have been excluded to focus only on patents with the effect of wearable technology.
We searched for pattern publications in three online databases: Google Patents, PatentScope, and Lens, from 1 March 2012 until 31 March 2022, using the following search terms: (exoskeleton) AND (robot) AND (walk OR gait) AND ((leg OR lower) AND (limb OR extremity)) AND (rehabilitation).
With the above keywords and filters: 1, 2, 4, and 9, we initially retrieved 1021 patents on Google Patents, 128 patents on PatentScope and 161 patents on Lens. After applying filters 5, 7, and 8, we get the following: 281 patents on Google Patents, 128 patents on PatentScope, and 74 patents on Lens.
An example of the application of the search methodology presented above can be seen in Figure 2 for the Lens platform. Initially, we obtained 161 patents that fulfilled the respective filters: of which 84 appear as patent applications, and the remaining 77 are published patents. Moreover, out of the 161 patents, 120 complied with the requirement of filter 8. After applying filters 5 and 7, we obtained a number of 74 patents. Further, using filters 6 and 12, we get 74 patents. The numerical distribution of these patents by year of publication and by inventors can be seen in Figure 2.

2.2. Data Collection

The data obtained from the queries of the three patent platforms are presented in the tables in Appendix A (Table A1, Table A2 and Table A3). Moreover, in the tables in Appendix A, a classification of the exoskeletons was made according to the area of the lower limb that treats it (in whole or part), the type of rigid or suit structure and the portability mode: portable, portable with wheels (which also contain a set of auxiliary wheels for locomotion) and non-portable (which are fixed and can only be used in the spaces where they were placed).

2.3. Analysis Method

We used both a short-term analysis technique, focusing on the pandemic period 13 March 2020–13 March 2022, and an analysis technique in the longer term by which we compared the publication patterns of the last decade (2012–2022). Our study used a set of statistical tests to find statistically significant changes. These tests were performed both short-term and longitudinally on each of the three platforms, Google Patents, PatentScope, and Lens. At the short-term level, these tests indicate whether there are statistically significant differences when comparing the number of patents applied with those published. At the longitudinal level, these tests show whether there are statistically significant differences when comparing patents published before the pandemic with those published during the pandemic.

3. Results

To answer the two questions that were the main objectives (Section 1), we used the method of analysis presented in Section 2.3. Following these tests, we obtained the following results presented in the subsections below.

3.1. Google Patents Platform

In the first analysis of the data collected, one can see a particular concern for the development of exoskeletons of Asian researchers. We studied the applications for granting patents worldwide aimed at exoskeletons. We observed that out of 281 published patents (for the period 2012–2022), researchers from Asia applied for a percentage of 70% of them. We can see these data in Table 1 and Figure 3, respectively.
The distribution of these requests, divided by country, reveals, and reinforces the fact that there is a concern in finding the best and most refined solutions to the problems that exoskeletons can solve. Furthermore, Chinese researchers are very active, and an extraordinary number of applications support this. Our statements are reinforced by the data in Table 2 and the graphs in Figure 3.
Once we have established the areas of interest, we can move on to data analysis. An important aspect is the date on which the patent applications were filed. The period analyzed in this study is from the year beginning 2005. It seems a timid beginning for what this field can offer today. Still, the researchers of a US team started with gait rehabilitation methods and apparatuses, the essential operation for the development of new techniques and technologies. It was a timid start because the patent was validated after nine years. From Table 3, it can be easily seen that when new roads are opened, a period of adaptation and understanding of the proposed new techniques and technologies is needed. From here, a series of waiting for the results appears. From our study, the period in which nothing was published is quite long (applications submitted in the period 2005–2011 began to be approved only in 2012), strengthening the abovementioned beliefs.
What we found earlier entitles us to refine our study further, and we will take for analysis the last decade, i.e., the period 2012–2022. In 2012, there were more patent applications in North America and Asia.
We now consider only patent applications. At the beginning of the analyzed period, a typical trajectory of things can be observed in Table 3. We can say that the ascending trend was set in terms of research in exoskeletons and filing patent applications. However, we see that starting in 2020, the presence of the pandemic is starting to make itself felt. For example, if in 2018, 51 applications were submitted, and in 2019 they decreased to 34 (i.e., the applications decreased by more than 30%), then in 2020 and 2021 they were likely to be drastically reduced. One of the ideas that emerges from the analysis of the above data would be the one that affected entire areas during the pandemic, namely the limitation of the interaction between the members of the research teams.
The analyzed phenomenon has two components (the patent filing component and the one for their approval); the second one must be investigated. If we examine the above, we can conclude that the pandemic was a disaster on all levels, but there is still a positive aspect. Analyzing Table 3 and the data collected on granting patents, we can observe an increasing trend even during the pandemic. We can say that we tried to help put into practice as many scientific ideas as possible used by all humanity during this period.
Another interesting issue is the problem that these exoskeletons deal with of exoskeletons. Here are two approaches:
  • − Treatment of the entire lower system
  • − Partial treatment of the lower system (its different subsystems).
During the analysis period (2012–2022), out of the 264 patents applied in the Google Patents platform, 82% treated the entire lower system, and another part focused on different subsystems. This aspect can also be seen in Figure 4.
Another aspect can be observed by analyzing Table 4 and Table 5, namely that the pandemic, in a way, prevented the development of things. Until 2018, we follow an increasing trend in the analysis and implementation of complete exoskeletons and the performance and improvement of research in subsystems. From 2019 we can see, unfortunately, a downward trend. This trend is seen to have affected subsystem research more strongly. From the analyzed patents, the research teams focused on updating entire exoskeleton structures to help patients move in conditions where they could no longer move to specialized centers.
Regarding publishing patents, we can say that an increasing trend is observed, as shown in Table 4. The data analysis makes us say that this trend was ensured by the conditions imposed by the appearance of the COVID-19 pandemic.
Furthermore, we will resume a previously mentioned aspect, namely that the research, during the pandemic, was directed towards ensuring the movement of patients and, therefore, this research was focused on the entire lower system and not only on its subsystems. It is also easy to see that more patents deal with the total lower exoskeleton than those dealing with the exoskeleton that treats the same leg parts.
The subject of interest is the time interval between the date of application of a patent and the date of its publication. The patents analyzed by us in this platform reveal a fascinating fact. During the pandemic, the time elapsed between the moment of application for a patent and the date when it was published was reduced. Therefore, we can say that more attention has been paid to these patents to implement the obtained results faster.
Further, in Figure 5, you can see the numerical distribution of patent types based on the year of publication. Figure 5 shows two peaks of a substantial increase in the number of patents published on PExoRP in 2018 (32 patents) and 2020 (48 patents). The number of patents published on PExoRNP follows a growth curve with the maximum growth peak in 2021 (12 patents). Patents published on PExoPR have gained more interest since 2019. There has also been an interest in PEoxS since 2013 (one patent) continuing to grow timidly in 2021 (three patents). We can say that patents published on PEoxRP, compared to other types, predominate throughout the period.

3.2. PatentScope Platform

As we did in the previous case, we analyzed the number of applications and the number of patent publications on this platform. The distribution by region according to the year of application of the patent after the use of the filters 5 and 7 can be seen in Figure 6. The highest percentage of patent applications is registered in South America.
As can be seen from Table 6, the period in which we find information is longer. It includes requests since the early 2000s. As in the case of the analysis in the previous subsection, due to the minimal number of applications/publications, we can conclude that the valuable research period can be considered as starting with the year 2012. Hence, in this case, the data distribution confirms that the period in which we did the analysis is correct and fair.
Going further with the data analysis, for the period considered in our study to be the reference period, we find some ideas previously stated in Section 3.1. In Figure 7, we can see the direction of declining patent applications as the pandemic begins. In terms of patent approval, an upward trend can be seen. Following these findings, we maintain the idea stated at the beginning of the study, namely that the pandemic negatively affected the research teams and their results. However, we can also say that the publishing process has shown an upward trend.
From 2012 to 2022, 74% treated the total lower system, and 26% focused on different subsystems of the lower limb. This aspect can also be seen in Figure 8.
Next, for a more in-depth study, we looked at the problem that these exoskeletons treat. We found that most research that debates and applies issues of the entire lower patient system has been preserved, as shown in Figure 9 and Figure 10.
As we did in the case of the analysis of the Google Patents Platform, we also determined for this platform the time intervals between the date of filing the patent and the date of its publication. The results obtained can be seen in Table 7 It is also observed that during the COVID-19 pandemic, the maximum interval decreased.
Figure 11 shows the following: a fluctuation in the number of patents published on PExoRP, in the sense that their number increased significantly in 2016, decreased in 2017, increased in 2018, and then fell and increased again in 2021. As for the number of patents published on PExoRNP, it seems to keep the same trend of increase and decrease every 2 years (+/− 1) until 2018, and then there will be a more considerable difference in the period 2019–2020 (+3), and 2021–2022 (−2). Patents published on PExoPR gain interest only in 2019 and then decrease. There is also an interest in PEoxS since 2015, continuing with growth peaks in 2019 and 2021. Overall, we can say that patents published on PEoxRP predominate throughout the period compared to other types.

3.3. Lens Platform

Our analysis on this platform is presented in Section 2.1.3 and presented in Figure 12. However, due to the small number of patents obtained because of the consequences of filter use, we consider it unnecessary to detail further. Here, it should be mentioned that no patents have been found on this platform with the application date being 2020–2022 and complying with the filtering criteria considered.
According to Figure 12, most published patents dealt with the total foot.
In Figure 13, you can see the numerical distribution of patent types based on the year of publication. For example, according to Figure 13, there is a decrease in published patents. Their distribution by structure and applicability is as follows: in 2020, eight PExoRP, two PExoRP and one PExoS; in 2021, five PExoRP and one PExoRP, and in 2022 it is completely absent.

4. Discussion

Lower-limb exoskeletal robotic systems integrate advanced mechanical structures, materials, electronics, bionics, control, and even artificial intelligence. In the last decade, the progress in their development has been remarkable. Significant improvements have been made in performance and design. This thing is also clear from the reviews that have been written on this topic. Over time, several studies have looked at the exoskeletons of the lower limbs for rehabilitation. Some of these reviews have focused on reviewing general aspects of exoskeleton technology [2,20,21,22,23]; others have focused on more specific issues, such as control strategies [19,24] or joint design [25]. In [20], Meda-Gutiérrez and the team aim to identify state of the art medical device designs, based on an analysis of patents and literature. Although they encountered some difficulties in processing records due to a lack of filters and standardization of names (discrepancies appearing between search engines), the conclusion obtained from the study reflects a tendency to use the mechanical design of exoskeletons based on rigid structures, joints, and elements that provide strength for the movement of the system.
Based on our research in the literature at the time of this study, there have been no reviews of the COVID-19 pandemic patent study results. The only review [26] found in the literature studied the influence of the COVID-19 pandemic on publishing research articles. In this paper, Aviv-Reuven and Rosenfeld analyzed changes in biomedical publication patterns due to the pandemic.

4.1. The Context of the Main Objective Analysis

The COVID-19 pandemic posed an unprecedented challenge to humanity and science. As a result of the new outbreaks of Coronavirus, a state of emergency was declared in almost all countries on 13 March 2020. At the same time, all national institutions closed their activities with the public, with employees being forced to work from home through video conferencing, telephone, or online platforms. This has also happened with national and international patent or trademark registration offices. Moreover, starting on 13 March, these offices announced some different forms of exemption available to patent and trademark applicants. These exemption forms can be divided into two broad categories: term extensions and tax exemptions. For example, in the US, extensions were not granted automatically but were conditional on the actual existence of the COVID-19 outbreak. In addition, for an extension to be valid, the party requesting the exemption had to submit a statement that the delay in filing or payment was due to the COVID-19 outbreak. The applicant also had to be a micro or small institution that was in the process of processing or paying pre-examination maintenance fees.

4.2. General Discussion on the Results of the Analysis of the Patent Platforms

A pertinent observation, we would say, would be that the pre-pandemic period was a perfect time for researchers/research teams. They have been able to develop different relationships and have been able to carry out their activity without limitations. Therefore, the results obtained have led to many patent applications. However, this large volume of applications probably hindered the approval process and hence the time differences between the application and approval periods (a statement from our study). With the onset of the COVID-19 pandemic, research teams have been limited in their interactions physically (at least) and hence there have been fewer patent applications. However, this was a “plus” (if we can say so) for the patent application evaluation teams having, on the one hand, a small number of applications to analyze and sufficiently thorough time. Another aspect that we noticed was that during the pandemic, the difference between the date of the filing of the patent application and its publication decreased a lot. Despite introducing tax exemptions, the number of patents granted is not high due to the introduction of term extensions for regions with a COVID-19 outbreak.
If we analyze the data in Table 7 versus the data in Table 6 that deal with the same issue, we can see the effects of processing a large volume of data. The publication period on the PatentScope platform is significantly shorter in most cases; this may be due to prioritizing patent applications.
Another predominant general idea that emerged from the analysis of the mentioned platforms is that the number of patents published during the entire analyzed period (as well as during the pandemic) on rigid and portable structured exoskeletons is much higher than the rest of the types. This fact is essential and beneficial in gaining the independence of users from hospital spaces in particular and the physical presence of specialists specialized in recovery, especially during the pandemic.
Another interesting aspect that emerges from the Google Patents platform is that although the COVID-19 pandemic had as its starting point in China, the most patent applications have been filed in this country. On the other hand, according to data extracted from the PatentScope platform, the country with the most patent applications during the pandemic was the US. According to Lens platform, no patent application has been filed during this period.
Over the last decade, research on real-life exoskeletons has grown significantly; this can be estimated from the number of patents reported in Section 3. The main reason would be that the lifestyle of modern society is constantly growing and developing rapidly, and people always want to stay active, independent, and live a quality life. Portable exoskeleton technology (whether rigid or suitable) is the key to providing individualized mobility recovery solutions for millions of people immobilized from various causes (injuries, trauma, disabilities, or ageing) to continue their desired activities. Despite the above, the technology is in its infancy. There are still factors that are not/are less addressed about obtaining a fully efficient exoskeleton, in terms of performance and cost.
To see the chronological evolution of the development of this technology, we arbitrarily analyzed some of the patents on the PatentScope platform, selecting the patents published at the beginning, middle, and end of the analyzed period.
The first patents published since 2013, as presented, are designed to reinforce joints. After that, the patents designed for this specific domain gradually became more complex and complementary. From this point forward, several improvements regarding gait rehabilitation have been made, focusing on enhancing previous studies and patents. For example, suppose the first patent focused on knee joint reinforcement. In that case, the following patent is designed to adjust pelvic movement with the same objective: gait training to help people have a more natural walk movement.
The first patent focuses on knee joint reinforcement, followed by concepts designed to adjust pelvic movement with the same objective: gait training to help people have a more natural walk movement.
The Active Knee Rehabilitation Orthotic System (ANdROS) [27] is intended to assist everyday tasks rather than gait retraining. The invention describes wearable and portable assistive equipment for gait neuro-rehabilitation that addresses primary gait abnormalities by reinforcing around the knee joint a preferred gait pattern via correcting torque fields applied. The patent is a wearable assistive device for gait rehabilitation in patients who have lost motor control due to a neurological condition, such as a stroke.
A motorized footplate with force feedback and an exoskeleton to regulate pelvic movement during gait training [28] makes this innovation perfect for implementing ecologically sound procedures that accurately simulate real-life settings and maximize motor improvements in stroke patients. In addition, to optimize rehabilitation effects, an active pelvic prosthesis with a non-treadmill pedal system is necessary.
The following published patents were born from ideas intended to improve mobility further. Therefore, exosuit-based systems with actuators were developed to provide active support for the ankle. Fixed in three points on the leg and created from a lightweight material, it shows comfort for the user and improves torque.
This patent [29] discusses three-point contact with the leg and a series of elastic elements for improved torque control. Apart from their small size (0.88 kg), these devices can monitor joint angle and torque. A combination of proportional feedback and suspension injection is employed during walking trials to modulate torque. The closed-loop torque control of the exoskeleton devices was evaluated by controlling 50 N-m and 20 N-m linear chirps in intended torque while using exoskeletons and measuring bandwidths more significant than 16 Hz and 21 Hz, respectively. There was a maximum torque of 120 N-m and a tracking error of 2.0 N-m. These testbeds demonstrate how exoskeletons may be employed to study a variety of control and support paradigms rapidly. The document provides an exoskeleton system that comprises a cable, a lever attached to the cable, a frame having a strut directing the cable to the lever, and a motor coupled to the cable and adapted to cause the cable to deliver torque around the rotating joint.
In addition to previous innovations, it was considered the proper time to introduce smart materials that will block or even actuate joints to expand the possibilities of implementation for wearable robotic devices. However, smart material-based exoskeleton publications are found in a minimal number and provide a substantial implementation complexity; therefore, such a type of patent is to be considered.
The work [30] aims to offer an exoskeletal device with semi-active joints that can lower articular tensions caused by limb weight, reduce physical labor load, and promote physical workouts for motor ability rehabilitation following cerebral or orthopedic accidents. In addition, other objectives are realized via a mechanism, namely, an exoskeleton with at minimum two links joined by an electro- or magneto-rheological fluid joint.
Further improvements of the exoskeletons are being developed concerning the user’s biological skeleton and flexible materials to deliver improved customized mobility according to the user’s needs.
With a soft exosuit system and an actuator system, the concept [31] provides active support for natural actions, such as normal leg movement. The soft exosuit uses flexible materials and actuators and depends on the user’s biological skeleton to aid in applying forces and transferring loads, unlike previous art-rigid exoskeletons.
It has lower mechanical impedance and kinematic constraints than rigid exoskeletons and does not considerably limit or restrict the user’s flexibility. Furthermore, by adding regulated energy impulses rather than the direct command of limb position(s), this system can help improve locomotion and minimize the metabolic cost of movement without limiting mobility.
Other powered devices and control methods [32] can greatly aid ambulation, especially in youngsters with cerebral palsy (CP). Less complex knee extension help was tested in the stance and late swing phase. Compared to the baseline condition, the tested gadget reduced crouching. Moreover, it considerably changed lower extremity kinematics, increasing maximal knee extension in both the left and right legs during the stance phase.

4.3. Limitations of This Study

The main limitation of this study is that these platforms do not declare patent applications unless they have been approved and published. Thus, for the period of the COVID-19 pandemic, the analysis of the number of patent applications was performed only on the data extracted from these platforms. However, the primary purpose of this review was to provide a comprehensive overview of the effort to innovate the lower-limb exoskeletons even during this pandemic.

5. Conclusions

This study looked at how the COVID-19 pandemic affected the publication and application of new patents based on data extracted from three platforms: Google Patents, PatentScope and Lens. We used two types of analysis to address our research questions: short-term analysis (pandemic period 2020–2022) and longer-term analysis (2012–2022). Following the analysis made, the hypothesis issued by us at the beginning of the study that the pandemic has caused a reduction in the volume of new applications and, possibly, the publications, is valid. However, only on the data extracted from these platforms did the number of new patent applications drop dramatically. The number of published patents has been much higher than the number of applications. Therefore, we can say that the COVID-19 pandemic has negatively affected the number of applications for new patents in the field of exoskeletal robotic systems of the lower limbs and in a positive sense (at least kept the trend of recent years) affected the number of patents published (granted).
The main challenge of the paper was to conduct an in-depth analysis of the systems and current patents to summarize their need for development in terms of the benefits of exoskeletal rehabilitation technology. In addition, through its scientometric analysis of patents, this paper wanted to be state of the art and offer/act as a reference point for scientists and researchers. Who wants to develop systems to meet the needs of millions of people with locomotor problems?
In the future, we want to carry out new analysis in which we will use delimiters related to the materials of the components and the actuation and control systems of the exoskeleton robots. Moreover, following the research conducted in the literature, there is a need to perform a qualitative comparative study on the ease of using these robotic exoskeleton systems by patients. The lack of such a study could lead to some biases, especially related to the clinical efficacy of lower-limb exoskeletons for rehabilitation.
Another interesting study that we would like to do is analysis, such as the one made in this review, but post-pandemic.

Author Contributions

Conceptualization, C.F.P., V.M.R. and D.M.P.-P.; methodology, C.F.P. and V.M.R.; validation, C.F.P., F.L.P. and D.M.P.-P.; formal analysis, C.F.P. and V.M.R.; investigation, C.F.P., F.L.P., D.M.P.-P. and I.C.R.; resources, F.L.P., Ș.I.C. and A.T.; data curation, F.L.P., I.C.R., Ș.I.C. and A.T.; writing—original draft preparation, C.F.P., V.M.R. and F.L.P.; writing—review and editing, C.F.P., V.M.R. and F.L.P.; supervision, C.F.P. and N.B.; project administration, C.F.P. and V.M.R.; funding acquisition, N.B. All authors have read and agreed to the published version of the manuscript.

Funding

This research was funded by European Social Fund within the Sectorial Operational Program Human Capital 2014–2020, grant number POCU380/6/13/123990, National Council for the Financing of Higher Education, grant number CNFIS-FDI-2022-0468 and POC-Competitiveness Operational Program.

Institutional Review Board Statement

Not applicable, because this review did not involve humans or animals.

Informed Consent Statement

Not applicable, because this review did not involve humans or animals.

Data Availability Statement

Not applicable.

Acknowledgments

This work was supported by the grant POCU380/6/13/123990, “Entrepreneurial University—higher education and training system for the Romanian labor market by awarding scholarships for doctoral students and postdoctoral researchers and implementing innovative entrepreneurship training programs”, co-financed by the European Social Fund within the Sectorial Operational Program Human Capital 2014–2020 and grant “Increasing the quality of the educational act by modernizing the research infrastructure of the University of Craiova”, cod CNFIS-FDI-2022-0468 and HUB-UCv-Support Center for International RD Projects for the Oltenia region-cod SMIS 107885.

Conflicts of Interest

The authors declare no conflict of interest.

Abbreviations

The following abbreviations used by us in this manuscript are:
PExo_tPatent of the total (treats the whole leg) exoskeleton robot system of the lower limb
PExo_pPatent of the partial (treats a specific part of the foot) exoskeleton robot system of the lower limb
PExoRPPatent involving exoskeleton with rigid structure and is portable
PExoRPWPatent involving rigid structure exoskeleton, is portable and has a pair/pairs of auxiliary wheels
PExoRNPPatent involving exoskeleton with rigid structure and is non-portable
PexoSPatent involving exoskeleton suit

Appendix A

Table A1. Google Patents platform.
Table A1. Google Patents platform.
CiteCountry CodeTitleType of TreatmentType of StructureApplication DatePublication Date
[33]USGait device with a crutchPExo_tRigid
portable
17 January 201327 November 2018
[34]USPatient aid devices, particularly for mobile upper extremity support in railed devices such as parallel bars and treadmillsPExo_tRigid
portable
23 October 201714 April 2020
[35]USRecognition method of human walking speed intention from surface electromyogram signals of plantar flexor and walking speed control method of a lower-limb exoskeleton robotPExo_tRigid non-portable20 January 201608 October 2019
[36]KRWalk assist apparatusPExo_tRigid
portable
02 April 201203 March 2014
[37]KRWearable crutch with lap jointsPExo_tRigid
portable
20 August 201323 June 2015
[38]USInteractive exoskeleton robotic knee systemPExo_pRigid
portable
21 June 201527 August 2019
[39]KRActive type step assistance apparatusPExo_tRigid
portable
09 July201312 December 2014
[40]USLow-profile exoskeletonPExo_tRigid
portable
05 November 201518 February 2020
[41]USMulti-function lower-limb ambulation rehabilitation and walking assist devicePExo_tRigid non-portable29 September 201617 October 2017
[42]CNFor aiding in the soft machine armor of human motionPExo_tRigid
portable
30 May 201404 May 2018
[43]CNSoft exterior protector for aiding in human motionPExo_tSuit17 September 201309 June 2017
[44]KRGait assistant robotPExo_tRigid
portable with wheels
08 November 2013 13 September 2016
[45]KRRobot for assisting user to walkPExo_tRigid
portable
with wheels
10 May 201720 May 2019
[46]ESSystem to assist walkPExo_tRigid
portable
19 November 201506 April 2018
[47]KRRobot for assisting user to walk with lower body exoskeletonPExo_tRigid
portable
with wheels
25 March 201621 June 2018
[48]CNRehabilitation type lower-limb exoskeletonPExo_tRigid
portable
07 August 201813 March 2020
[49]USExoskeleton ankle robotPExo_pRigid
portable
21 June 201501 October 2019
[50]USMobility system including an exoskeleton assembly releasably supported on a wheeled basePExo_tRigid
portable
with wheels
01 November 2013 26 December 2017
[51]KRRehabilitation robot of legs, boarding and driving method thereofPExo_tRigid
portable
with wheels
29 June 201812 March 2019
[52]ESSupport structurePExo_tRigid
portable
with wheels
18 February 201608 May 2020
[53]CNWearable lower-limb exoskeleton driven by lasso artificial musclesPExo_tRigid
portable
26 July 201703 November 2020
[54]ESExoskeleton for human movement assistancePExo_tRigid
portable
27 November 201406 April 2017
[55]CNA kind of lower-limb rehabilitation exoskeleton system and its walking control methodPExo_tRigid
portable
15 January 201809 July 2019
[56]KRWearable apparatus for support holding posturePExo_tRigid
portable
22 April 201604 September 2017
[57]USPneumatic lower extremity gait rehabilitation training systemPExo_pRigid non-portable12 September 201621 May 2019
[58]USSystems, methods, and devices for assisting walking for developmentally delayed toddlersPExo_tRigid
portable
05 February 201507 May 2019
[59]CNVariable-rigidity flexible driver for exoskeleton type lower-limb rehabilitation robotPExo_tRigid non-portable02 February 201806 December 2019
[60]USActuation system for a jointPExo_pRigid
portable
13 March 201422 November 2016
[61]CNLower-limb rehabilitation training exoskeleton system and its walking control method and hip joint structurePExo_tRigid
portable
28 January 201820 September 2019
[62]KRWeight bearing bracePExo_tRigid non-portable12 December 201708 July 2019
[63]KRTraining system for leg rehabilitation having separated treadmillPExo_tRigid non-portable11 October 201117 June 2013
[64]CNWearable lower-limb exoskeleton rehabilitation robotPExo_tRigid
portable
16 November 201721 February 2020
[65]USLower extremity exoskeleton for gait retrainingPExo_tRigid
portable
28 September 201201 December 2015
[66]CNA kind of bionical lower-limb exoskeleton robot driven based on ropePExo_tRigid
portable
06 March 201702 August 2019
[67]CNMovable parallel flexible cable driven lower-limb rehabilitation robot and implementation method thereofPExo_tRigid
portable
with wheels
02 May 201818 February 2020
[68]CNWearable lower-limb exoskeleton robotPExo_tRigid
portable
31 August 201614 August 2018
[69]EPRobotic device for assistance and rehabilitation of lower limbsPExo_tRigid
portable
07 October201321 December 2016
[70]USAdmittance shaping controller for exoskeleton assistance of the lower extremitiesPExo_tRigid
portable
25 June 201506 March 2018
[71]CNExoskeleton-type moves walking rehabilitation training device and methodPExo_tRigid
portable
with wheels
28 December 201501 February 2019
[72]CNBased on rope-pulley mechanism drive lacking lower-limb assistance exoskeleton robotPExo_tRigid non-portable03 July201717 May 2019
[73]EPMethod for estimating posture of robotic walking aidPExo_tRigid
portable
21 July201617 March 2021
[74]USHybrid terrain-adaptive lower-extremity systemsPExo_pRigid
portable
01 September 200916 April 2013
[75]CNA kind of dedicated power-assisted healing robot of single lower-limb individuals with disabilitiesPExo_tRigid non-portable24 July 201727 September 2019
[76]JPActuator device, power assist robot and humanoid robotPExo_tRigid
portable
12 September 201420 April 2016
[77]KRMonitoring system of walking balance for lower-limb rehabilitationPExo_tRigid non-portable29 December 201726 August 2019
[78]USPowered lower-limb devices and methods of control thereofPExo_tRigid
portable
03 November 201707 December 2021
[79]CNA kind of artificial intelligence motion’s auxiliary equipmentPExo_tRigid non-portable29October 201529 March 2017
[80]JPActuator device, humanoid robot and power assist devicePExo_tRigid
portable
26 December 2014 30 November 2016
[81]USRobotic system for simulating a wearable device and method of usePExo_tRigid non-portable20 December 2012 22 November 2016
[82]USPassive swing assist leg exoskeletonPExo_tRigid non-portable04 April 200802 December 2014
[83]EPForward or rearward oriented exoskeletonPExo_tRigid
portable
06 May 201519 January 2022
[84]USApparatus and system for limb rehabilitationPExo_tRigid
portable
with wheels
29 November 2018 03 December 2019
[85]ESMovement assist devicePExo_tRigid
portable
17 June 201315 July 2020
[86]CNSitting type walking rehabilitation robotPExo_tRigid non-portable28 October 201512 January 2021
[87]EPHuman movement research, therapeutic, and diagnostic devices, methods, and systemsPExo_tRigid non-portable21 April 201503 July 2019
[88]CNHip joint rehabilitation exoskeleton based on multifunctional driver and motion control method thereofPExo_tRigid
portable
16 October 201823 February 2021
[89]USWearable robot and control method thereofPExo_tRigid
portable
02 December 201412 February 2019
[90]USWearable robot and method for controlling the samePExo_tRigid
portable
03 September 2014 11 February 2020
[91]CNA kind of link-type lower-limb exoskeleton rehabilitation robotPExo_tRigid
portable
22 May 201726 June 2018
[92]JPExoskeleton robotPExo_tRigid
portable
13 April 201829 July 2020
[93]CNInterface for the movement by externally applied force motivation of adjustment orthopedic appliancePExo_tRigid
portable
15 January 201409 October 2018
[94]USMethod and apparatus for providing deficit-adjusted adaptive assistance during movement phases of an impaired jointPExo_pRigid
portable
20 November 201417 April 2018
[95]CNWalking aidPExo_tRigid
portable
29 November 201311 September 2020
[96]CNA kind of quasi-passive knee ankle-joint coupling lower-limb exoskeleton and its control methodPExo_pRigid
portable
31 March 201718 June 2019
[97]CAMethod and apparatus for providing economical, portable deficit-adjusted adaptive assistance during movement phases of an impaired anklePExo_pRigid
portable
20 June 201624 March 2020
[98]EPBall screw and tensile member exoskeleton joint actuation devicePExo_tRigid
portable
04 May 201716 February 2022
[99]KRRobot for assisting user to walkPExo_tRigid
portable
with wheels
12 June 201712 June 2019
[100]CNReconfigurable ectoskeletonPExo_tRigid
portable
11 December 2013 29 September 2017
[101]USGait rehabilitation methods and apparatusesPExo_tRigid non-portable04 February 200518 November 2014
[102]USMethods of operating an exoskeleton for gait assistance and rehabilitationPExo_tRigid
portable
30 July 201217 January 2017
[103]USPowered orthosisPExo_tRigid non-portable04 April 200803 April 2012
[104]KRA treatment device for hemiplegiaPExo_tRigid
portable
25 July 201310 April 2015
[105]USWearable robotic devicePExo_tRigid
portable
21 March 201912 October 2021
[106]EPAn exoskeleton and method for controlling a swing leg of the exoskeletonPExo_tRigid
portable
23 July 200904 September 2019
[107]KRWearing tool for measuring biological signal, and wearing-type motion assisting devicePExo_tSuit10 September 200924 January 2013
[108]JPWheelchair walking assist robotPExo_tRigid
portable
with wheels
09 October 200929 January 2014
[109]CNReduction exoskeleton joint and exoskeleton power assisting device thereofPExo_tRigid
portable
03 May 201614 April 2020
[110]USCable driven joint actuator and methodPExo_tRigid
portable
15 January 201521 March 2017
[111]USOrthopedic device including protruding membersPExo_pRigid
portable
10 April 201515 December 2020
[112]CNA kind of passive exoskeleton device of hip joint based on energy timesharing regulationPExo_tRigid
portable
05 December 2017 22 November 2019
[113]USMethods of enhancing the rehabilitation or training of an exoskeleton wearerPExo_tRigid
portable
11 November 201503 March 2020
[114]KRRobot for assisting user to walkPExo_tRigid
portable
with wheels
10 May 201720 May 2019
[115]EPLeg support devicePExo_tRigid
portable
21 June 201018 February 2015
[116]USSystems and methods for assistive exosuit systemPExo_tSuit23 August 201723 February 2021
[117]ESDevice and method for reducing a person’s oxygen consumption during a regular walk by using a load-bearing exoskeletonPExo_tSuit19 May 200922 October 2015
[118]CNDevice and method for decreasing energy consumption of a person by use of a lower extremity exoskeletonPExo_tRigid
portable
19 May 200918 March 2015
[119]JPWalking robot system that regenerates energyPExo_tRigid
portable
27 March 201801 September 2021
[120]CNIt is single to drive bionical gait rehabilitation training robot systemPExo_tRigid
portable
06 October 201630 November 2018
[121]USControl logic for biomimetic joint actuatorsPExo_tRigid non-portable28 August 200920 May 2014
[122]KRLegged robotic device utilizing modifiable linkage mechanismPExo_tRigid
portable
06 May 201513 September 2017
[123]CNLower-limb exoskeleton robot system based on man–machine terminal interactionPExo_tRigid
portable
23 October 201813 October 2020
[124]USSystems for neural bridging of the nervous systemPExo_tRigid non-portable02 June 201608 December 2020
[125]CNUse the lower-limb exoskeleton robot control method of air bag sensorPExo_tRigid
portable
23 February 201606 April 2018
[126]CAControl system and device for patient assistPExo_tRigid non-portable28 March 201309 October 2018
[127]ESSemi-motorized exoskeleton of the lower extremitiesPExo_tRigid
portable
13 April 200605 September 2014
[128]CNContact displacement actuator systemPExo_tRigid non-portable17 July 200728 January 2015
[129]EPSystem for controlling a robotic device during walking, in particular for rehabilitation purposes, and corresponding robotic devicePExo_tRigid
portable
09 March 201122 October 2014
[130]KRRobot for assisting user to walkPExo_tRigid
portable
with wheels
10 May 201703 December 2021
[131]CNLower-limb rehabilitation walking-aid robot supporting omnidirectional movement and control methodPExo_tRigid
portable
with wheels
04 March 201624 March 2020
[132]USApparatus and method for reduced-gravity simulationPExo_tRigid non-portable18 June 200910 April 2012
[133]ESPowered orthopedic system for cooperative above-ground rehabilitationPExo_tRigid
portable
13 March 201416 December 2021
[134]CNWalking stick type autonomous falling protection rehabilitation walking-aid robotPExo_tRigid
portable
with wheels
02 August 201714 July 2020
[135]CNThe ectoskeleton wheelchair integrated mobile auxiliary robot of telescopicPExo_tRigid
portable
with wheels
29 November 201620 April 2018
[136]CNA kind of link joint integrated hydraulic driving ectoskeletonPExo_tRigid
portable
01 March 201620 November 2018
[137]CNCollapsible mobile lower-limb exoskeletonPExo_tRigid
portable
08 January 201611 July 2017
[138]CNLower-limb rehabilitation robot based on bidirectional neural interfacePExo_tRigid non-portable26 July 201830 July 2021
[139]USTorque control methods for an exoskeleton devicePExo_pRigid
portable
25 May 201711 February 2020
[140]KRSensor system for a user’s intention following and walk supporting robotPExo_tRigid
portable
29 December 200906 August 2012
[141]USWalking assist robot and control method thereofPExo_tRigid
portable
03 December 201423 May 2017
[142]CNLower-limb exoskeleton system with actively adjustable leg rod length and control method thereofPExo_tRigid
portable
25 May 202014 September 2021
[143]CNVariable-rigidity lower-limb exoskeleton power-assisted robotPExo_tRigid
portable
20 August 201917 December 2021
[144]CNWearable lower-limb healing robot based on exoskeletonPExo_tRigid
portable
07 May 201623 January 2018
[145]CNA kind of passive energy storage foot mechanism for lower-limb assistance exoskeletonPExo_tRigid
portable
23 February 201620 October 2017
[146]CNLower-limb rehabilitation robot movement intention reasoning methodPExo_tRigid non-portable22 December 201722 October 2021
[147]CNPortable ankle joint rehabilitation robot based on active intention controlPExo_pRigid
portable
29 November 201701 September 2020
[148]CNA kind of passive exoskeleton device of hip knee double jointed based on clutch timesharing regulationPExo_pRigid
portable
14 September 2018 08 October 2019
[149]CNExoskeleton hybrid control system and method for lower-limb walking aid machinePExo_tRigid
portable
with wheels
11 August 201622 May 2020
[150]USReconfigurable ankle exoskeleton devicePExo_pRigid
portable
24 June 201005 February 2013
[151]ESActive orthosis for the neurological rehabilitation of the movement of the lower limbs, a system comprising said orthosis and a process to put said system into operationPExo_tRigid
portable
20 February 201304 May 2018
[152]CNLower-limb exoskeleton control method and devicePExo_tRigid non-portable16 October 201904 January 2022
[153]CNA kind of wearable flexible lower-limb exoskeleton based on negative pressure rotary pneumatic artificial-musclePExo_tRigid
portable
25 April 201826 July 2019
[154]CNA kind of portable waist hunting gearPExo_tRigid
portable
with wheels
12 October 201511 July 2017
[155]CNA kind of Unweighting walking rehabilitation training robotPExo_tRigid
portable
with wheels
22 April 201616 October 2018
[156]CNA kind of wearable flexible knee joint robotic exoskeleton equipment based on gaitPExo_tRigid
portable
01 December 201609 April 2019
[157]CNSemi-automatic bone installations of pulling togetherPExo_pRigid non-portable21 June 201609 March 2018
[158]RUActuation system for hip joint orthosisPExo_pRigid
portable
08 February 201604 December 2019
[159]CNLower-limb exoskeleton heterogeneous knee joint based on parallel elastomersPExo_pRigid
portable
23 October 201815 June 2021
[160]CNFlexible body harnessPExo_tRigid
portable
25 February 201610 April 2020
[161]USLower-limb training rehabilitation apparatusPExo_tRigid non-portable12 March 201809 November 2021
[162]CNMotion control method suitable for exoskeleton robotPExo_tRigid
portable
31 May 202025 May 2021
[163]CNAnti-falling system based on lower-limb exoskeleton robotPExo_tRigid non-portable19 July 201829 December 2020
[164]CNA kind of lower-limb exoskeleton robotPExo_tRigid
portable
17 August 201605 September 2017
[165]CNA kind of unpowered wearable auxiliary walking servomechanismPExo_tRigid
portable
01 December 2016 25 December 2018
[166]CNA kind of sufficient isomorphism deformation type wheelchair exoskeleton robot of wheelPExo_tRigid
portable
with wheels
22 February 2018 03 December 2019
[167]CNOverload slipping mechanism of lower-limb exoskeleton robotPExo_tRigid
portable
26 April 201908 October 2021
[168]CNThe external bone robot of hemiparalysis recovery typePExo_tRigid
portable
15 July 201612 October 2018
[169]CNA kind of exoskeleton robotPExo_tRigid
portable
21 December 2016 28 December 2018
[170]JPLife activity detection device and life activity detection systemPExo_tSuit24 August 201619 August 2020
[171]KRWalking assistance apparatus and operation method of the samePExo_tRigid
portable
with wheels
06 December 201720 June 2019
[172]CNHuman lower-limb assisting devicePExo_tRigid
portable
30 November 201818 September 2020
[173]JPControl design framework for resistant exoskeletonPExo_tRigid
portable
15 July 201616 December 2020
[174]CNAuxiliary exercise system and lower-limb exoskeleton control methodPExo_tRigid portable06 June 201918 May 2021
[175]CNA kind of the lower-limb exoskeleton training method and system of the triggering of Mental imagery pattern brain–computer interfacePExo_tRigid non-portable25 January 201603 November 2017
[176]CNHuman motion intention recognition control device and control methodPExo_tRigid
portable
23 November 2018 25 December 2020
[177]KRAnkle module for gait rehabilitation robotPExo_pRigid
portable
04 November 2016 28 December 2018
[178]KRSoft Exosuit for Fall Prevention and Gait AssistancePExo_tSuit29 November 2018 30 September 2019
[179]CNThe ectoskeleton walk help system driven with functional muscle electric stimulationPExo_tRigid
portable
19 September 2016 08 January 2019
[180]USIntegrated platform to monitor and analyze individual progress in physical and cognitive tasksPExo_tRigid
portable
18 July 201614 January 2020
[181]CNHuman motion trend detection device and detection method based on force sensorPExo_tRigid non-portable25 March 201628 July 2020
[182]CNExoskeleton robot leg exercise systemPExo_tRigid
portable
31 August 201607 September 2018
[183]CNOnline step generation control system for exoskeleton robot contralateral trainingPExo_tRigid non-portable09 December 202016 April 2021
[184]CNA kind of detachable recovery set for lower limbs and control methodPExo_tRigid
portable
with wheels
02 December 201630 April 2019
[185]EPAdaptive assistive and/or rehabilitative device and systemPExo_tRigid
portable
with wheels
12 February 201908 September 2021
[186]USWearable assistive device that efficiently delivers assistive forcePExo_tRigid
portable
22 February 201906 October 2020
[187]JPLeg straightening device and straightening devicePExo_tRigid
portable
24 June 201514 February 2020
[188]CNThe lower-limb rehabilitation ectoskeleton control system and method that subject dominatesPExo_tRigid
portable
11 August 201624 May 2019
[189]TWWalking rehabilitation robot systemPExo_tRigid
portable
07 September 201801 September 2020
[190]KRAnkle assist apparatusPExo_pRigid
portable
17 November 201705 September 2019
[191]CNA kind of single rope towards gait and balance rehabilitation training suspends active loss of weight system in midairPExo_tRigid non-portable18 September 201610 July 2018
[192]CNConvalescence device walking trigger control method based on trunk center of gravity shiftPExo_tRigid
portable
25 November 201513 April 2018
[193]CNBrain-myoelectricity fusion small-world neural network prediction method for human lower-limb movementPExo_tSoft non-portable15 July 202007 September 2021
[194]JPAssisted rehabilitation training robotPExo_tRigid non-portable28 February 201707 August 2019
[195]KRWearable soft exoskeleton apparatusPExo_tRigid
portable
25 July 201604 January 2018
[196]CNWalking aid for hemiplegia patientsPExo_tRigid
portable
06 June 201830 June 2020
[197]ESDrive device for motorized orthosisPExo_tRigid
portable
12 April 201830 September 2021
[198]KRWearable robot and control method for the samePExo_tRigid
portable
31October 201320 August 2020
[199]USSystem and device for guiding and detecting motions of 3-DOF rotational target jointPExo_pRigid
portable
16 January 201705 October 2021
[200]CNAnkle treatment and exoskeleton measurement device not making contact with ground, capable of being worn and capable of being reconstructedPExo_pRigid
portable
15 April 201325 June 2014
[201]CNA kind of unpowered walking power-assisted flexible exoskeleton devicePExo_tRigid
portable
27 December 201720 September 2019
[202]CNLower-limb exoskeleton driverPExo_tRigid
portable
29 August 201929 September 2020
[203]EPWalking training apparatus and state determination methodPExo_tRigid non-portable15 March 201730 September 2020
[204]KRShoe module for detecting walking phase, method, gait analysis system and active walking assist device using the samePExo_pRigid non-portable10 November 201416 August 2016
[205]KRMuscle rehabilitation training method using walking-assistive robotPExo_tRigid
portable
28 January 201401 October 2015
[206]CNMethod for controlling man-machine interactive motion of lower-limb exoskeleton based on joint stressPExo_tRigid
portable
26 December 2018 11 February 2022
[207]CNPelvic auxiliary walking rehabilitation training robotPExo_pRigid non-portable21 November 201909 November 2021
[208]CNAuxiliary standing device and auxiliary standing mechanismPExo_tRigid
portable
with wheels
19 July 201928 December 2021
[209]USTendon device for suit type robot for assisting human with physical strengthPExo_tSuit27 October 201713 October 2020
[210]CNPneumatic waist assistance exoskeleton robotPExo_pRigid
portable
20 April 201808 September 2020
[211]CNExoskeleton robot line winding driving hip jointPExo_tRigid
portable
31 August 201614 August 2018
[212]USMethod and system for control and operation of motorized orthotic exoskeleton jointsPExo_tRigid
portable
01 April 201507 May 2019
[213]USSystem and method for the regeneration of at least one severed nerve conduitPExo_tRigid non-portable20 July 201802 February 2021
[214]KRRobot for Assistance Exoskeletal PowerPExo_tRigid
portable
with wheels
07 March 201218 February 2014
[215]CNSit and stand and go multi-functional motion auxiliary robotPExo_tRigid
portable
with wheels
22 August 201801 May 2020
[216]EPWearable assistive device performing protection operation for drive systemPExo_tRigid
portable
with wheels
26 February 201910 November 2021
[217]CNA kind of exoskeleton robot follow-up control devicePExo_tRigid
portable
12 June 201531 May 2017
[218]USWalking assistance method and apparatusesPExo_pRigid
portable
04 January 201807 September 2021
[219]USMethods of exoskeleton communication and controlPExo_tRigid
portable
14 April 201630 June 2020
[220]EPFoot for a robotic exoskeleton for assisted walking of persons suffering from locomotor disordersPExo_pRigid
portable
14 July 201617 July 2019
[221]CNExternal structure holder devicePExo_tRigid
portable
08 July 201409 January 2018
[222]USMagneto-rheological series elastic actuatorPExo_tRigid
portable
30 March 201821 April 2020
[223]KRA knee-orthosis to assist the gait by support the knee-jointPExo_pRigid
portable
01 February 201215 November 2013
[224]CNA kind of plantar pressure measuring device and method for ectoskeleton controlPExo_pRigid
portable
25 April 201612 October 2018
[225]USExoskeleton devicePExo_tRigid
portable
10 May 201915 June 2021
[226]USExoskeleton devicePExo_tRigid
portable
10 May 201917 August 2021
[227]CNPower-source-free knee joint mechanismPExo_pRigid
portable
12 June 202029 September 2020
[228]CNA kind of ectoskeleton walk help system driven with functional muscle electric stimulationPExo_tRigid
portable
19 September 201605 April 2019
[229]KRRobot for lower limb with multi-link type knee joint and method for controlling the samePExo_tRigid
portable
25 March 201613 February 2018
[230]CNA kind of hip joint structure of wearable exoskeleton robotPExo_pRigid
portable
23 May 201621 September 2018
[231]CNVariable-rigidity lower-limb exoskeleton robot based on shape–memory alloyPExo_tRigid
portable
03 August 202004 January 2022
[232]CNLower-limb exoskeleton inverse motion analysis method under random road surface conditionPExo_tRigid
portable
11 November 201619 May 2020
[233]CNA kind of light-duty ankle-joint ectoskeletonPExo_pRigid
portable
06 January 201705 February 2019
[234]CNWearable metatarsophalangeal joint walking power assisting devicePExo_pRigid
portable
22 June 202027 August 2021
[235]CNFlexible exoskeleton robot assisting movement of hip joint and knee jointPExo_pRigid
portable
14 June 201826 June 2020
[236]KRWalking Pattern Training and Intension Analysis System Through Complex Stimulus, and Method thereofPExo_tRigid
portable
27 June 201728 December 2018
[237]USBelt for effective wearing and wearable assistive device having the samePExo_tRigid
portable
14 March 201931 March 2020
[238]RUFemal link of an active foot orthosisPExo_tRigid
portable
11 July 201625 May 2017
[239]KRGait rehabilitation apparatusPExo_tRigid non-portable30 May 201806 July 2020
[240]CNThe walking trigger control method of convalescence device based on foot pressure sensorPExo_tRigid non-portable25 November 201515 May 2018
[241]KRWalking assistance apparatus and operation method of the samePExo_tRigid
portable
with wheels
06 December 201728 August 2019
[242]JPJoint motion assist devicePExo_pRigid
portable
10 January 201429 March 2017
[243]EPWalking training apparatus and method of controlling the samePExo_tRigid non-portable15 December 2017 23 September 2020
[244]CNControl method of lower-limb exoskeleton robotPExo_tRigid
portable
28 November 2018 22 December 2020
[245]CNSole human–computer interaction measuring device based on multi-source information fusionPExo_pRigid
portable
23 October 201806 July 2021
[246]CNHandrail type intelligent tumble protection walking aid rehabilitation robotPExo_tRigid
portable
with wheels
24 July 201804 August 2020
[247]CNSupport member and the self-adapting seat device with the support memberPExo_tRigid
portable
29 September 201531 October 2017
[248]CNLower-limb power assisting devicePExo_tRigid
portable
13 May 201908 February 2022
[249]KRWalking assistance apparatus and operation method of the samePExo_tRigid
portable
with wheels
06 December 201728 August 2019
[250]CNA kind of convalescence device speed of travel control method rocked based on trunkPExo_tRigid
portable
13 November 201505 January 2018
[251]CNA kind of adaptive ectoskeleton knee joint support plate unlockedPExo_tRigid
portable
17 August 201615 June 2018
[252]CNStanding mode control method of exoskeleton mechanical leg rehabilitation systemPExo_tRigid
portable
24 February 201722 September 2020
[253]CNElectromyographic signal collection position choosing method based on complex networkPExo_tSuit23 March 201629 May 2018
[254]CNThe bionical dynamic knee joint system in the wearable list source of one kind and its control methodPExo_pRigid
portable
29 December 201730 August 2019
[255]EPExoskeleton and mounting arrangementPExo_tRigid
portable
18 December 201825 November 2020
[256]USActive arm passive leg exercise machine with guided leg movementPExo_tRigid non-portable02 April 201910 August 2021
[257]CASelf-supported device for guiding motions of a target jointPExo_tRigid non-portable13 May 201908 June 2021
[258]CNA kind of wearable leg power brace of self-regulationPExo_tRigid
portable
18 July 201612 February 2019
[259]CNA wheeled drive self-balancing power ectoskeleton of sole for spinal cord injury patientPExo_tRigid
portable
12 April 201720 March 2020
[260]EPControlling position of wearable assistive device depending on operation modePExo_tRigid
portable
with wheels
26 February 201917 November 2021
[261]RUModular orthopedic apparatusPExo_pRigid
portable
04 September 201728 June 2018
[262]USMethods and systems for an exoskeleton to reduce a runners metabolic ratePExo_pRigid
portable
15 April 201904 February 2020
[263]CNTelescopic structure and exoskeleton robot with samePExo_tRigid
portable
14 November 2018 02 February 2021
[264]EPAdvanced gait control system and methods enabling continuous walking motion of a powered exoskeleton devicePExo_tRigid
portable
23 April 201805 January 2022
[265]USExoskeleton systemPExo_tRigid
portable
30 April 201907 December 2021
[266]KRReaction force adjusting device of exoskeleton system and variable stiffness actuator using the samePExo_tRigid
portable
30 March 201816 January 2020
[267]USSafety monitoring and control system and methods for a legged mobility exoskeleton devicePExo_tRigid
portable
18 November 201603 August 2021
[268]KRElastic type sole assembly in wearable robot absorbing impact and detecting ground reaction forcePExo_pRigid
portable
16 September 201410 May 2016
[269]JPFoot mounting structure of joint motion assist devicePExo_pRigid
portable
09 August 201308 June 2016
[270]USAdaptable robotic gait trainerPExo_tRigid non-portable20 April 201805 October 2021
[271]KRReaction force adjusting device and method using variable stiffness actuator of exoskeleton systemPExo_tRigid
portable
30 March 201816 January 2020
[272]USExosuit systems and methodsPExo_tSuit28 November 2018 07 December 2021
[273]CNA kind of ectoskeleton stopping meansPExo_tRigid
portable
19 May 201630 January 2018
[274]ESSystem to assist walkingPExo_tRigid
portable
17 October 201611 September 2018
[275]CNElectro–hydraulic hybrid driving exoskeleton devicePExo_tRigid
portable
25 May 201807 April 2020
[276]CNPneumatic weight-reducing walking power-assisted robotPExo_tRigid
portable
30 August 201816 June 2020
[277]DEMobility systemPExo_tRigid non-portable17 August 201605 October 2017
[278]KRGait assist robot for rehabilitation training with lift devicePExo_tRigid
portable
with wheels
24 October 201903 December 2021
[279]KRRobot device for upper and lower extremity rehabilitationPExo_tRigid non-portable21 April 202030 September 2021
[280]CNDevice and method for realizing cooperative motion of weight-reducing vehicle and lower-limb robot through communicationPExo_tRigid
portable
with wheels
18 November 201921 September 2021
[281]CNCounter weight type lower-limb rehabilitation robotPExo_tRigid non-portable21 October 201916 November 2021
[282]CNLower-limb exoskeleton robot with overload slipping functionPExo_pRigid
portable
26 April 201908 October 2021
[283]CNDevice and method for assisting lower-limb robot to transfer gravity center by aid of weight reduction vehiclePExo_tRigid
portable
with wheels
02 December 201919 November 2021
[284]CNAnti-falling walking aid vehicle for lower-limb rehabilitation training and rehabilitation training methodPExo_tRigid non-portable12 July 201921 July 2020
[285]KRPatient weight burden reduction device of walking rehabilitation training robotPExo_tRigid
portable
with wheels
24 October 201926 October 2021
[286]CNExoskeleton joint self-locking mechanism, knee joint and bionic rehabilitation robotPExo_pRigid
portable
29 September 2020 05 February 2021
[287]CNLower-limb exoskeleton ankle joint based on telecentric mechanismPExo_pRigid
portable
23 October 201802 March 2021
[288]KRLower extremity exoskeleton robotic devicePExo_tRigid
portable
20 May 202124 August 2021
[289]CNLower-limb exoskeleton capable of being used for both wheel and legPExo_tRigid
portable
with wheels
01 July 201911 May 2021
[290]CNAuxiliary dual-purpose outer limb robot for human body movementPExo_tRigid
portable
08 July 201908 September 2020
[291]KRRehabilitation walking method considering patient’s rom characteristics and system thereofPExo_tRigid
portable
27 December 2017 09 September 2019
[292]JPLower limbs of the exoskeleton with low power consumptionPExo_tRigid
portable
19 September 201817 March 2021
[293]CNNovel self-balancing ectoskeleton robotPExo_tRigid
portable
23 April 202101 February 2022
[294]KRRehabilitation robotPExo_tRigid non-portable24 July 201826 February 2020
[295]KRLeg opening joint of walking exoskeleton and walking exoskeleton comprising the samePExo_tRigid
portable
19 November 201815 November 2019
[296]CNMotion decoupling parallel driving type exoskeleton robot ankle jointPExo_pRigid
portable
23 April 202125 January 2022
[297]CNLocking-free hip adjusting devicePExo_pRigid
portable
23 December 202009 April 2021
[298]CNConstant-force human body suspension system for rehabilitation trainingPExo_tRigid non-portable06 August 201929 September 2020
[299]CNControl method of hydraulic system of knee joint rehabilitation robotPExo_pRigid
portable
24 August 201721 July 2020
[300]CNWalking-aid bootsPExo_pRigid
portable
20 September 201707 April 2020
[301]KRWalking assistance systemPExo_tRigid non-portable18 February 202017 January 2022
[302]KRWearable suit control methodPExo_tSuit15 November 201910 August 2021
[303]CNPower-assisted exoskeleton control method, power-assisted exoskeleton control system and computer equipmentPExo_tRigid
portable
15 November 201929 October 2021
[304]CNVariable-rigidity knee joint exoskeleton robot based on shape–memory alloyPExo_pRigid
portable
03 August 202014 January 2022
[305]KRMotion assist apparatusPExo_pRigid
portable
25 July 201816 September 2020
[306]RUExoskeletonPExo_tRigid
portable
15 April 202126 November 2021
[307]KRTwo-leg walking assistant system for boarding typePExo_tRigid
portable
02 December 201303 March 2015
[308]USSoft inflatable exosuit for knee rehabilitationPExo_tSuit31 July 201801 March 2022
[309]KRWalk assistance and fall prevention wearable suitPExo_tSuit15 November 201907 March 2022
[310]KRSize-adjustable pelvis unit and wearable walking robot comprising the samePExo_pRigid
portable
16 March 201609 August 2017
[311]CNA kind of human foot’s bionic exoskeleton systemPExo_tRigid
portable
22 September 201628 August 2018
[312]KRApparatus and method for observing feedback force of wearable exoskeleton systemPExo_tRigid
portable
13 February 201801 October 2019
[313]JPMeasurement system, measurement method, and programPExo_tRigid
portable
18 May 201702 June 2021
[314]KRDevices designed to be positioned near joints and systems incorporating such devicesPExo_pRigid
portable
28 October 201909 December 2021
Table A2. PatentScope platform.
Table A2. PatentScope platform.
CiteCountry CodeTitleType of TreatmentType of StructureApplication DatePublication Date
[315]USLower extremity exoskeleton for gait retrainingPExo_tRigid
portable
26 October 201502 June 2016
[27]USLower extremity exoskeleton for gait retrainingPExo_tRigid
portable
28 September 201229 August 2013
[316]WOLower extremity exoskeleton for gait retrainingPExo_tRigid
portable
28 September 201204 April 2013
[317]USPneumatic lower extremity gait rehabilitation training systemPExo_tRigid non-portable12 September 201615 March 2018
[318]WOPowered orthotic system for cooperative overground rehabilitationPExo_tRigid
portable
13 March 201402 October 2014
[319]INRobotic exoskeleton assisted (locomotion) rehabilitation system “rears”PExo_tRigid
portable
with wheels
14 December 201701 February 2019
[320]WOActive sling for the motion neurological rehabilitation of lower limbs, system comprising such sling and process for operating such systemPExo_tRigid
portable
20 February 201319 September 2013
[321]EPActive orthosis for the motion neurological rehabilitation of lower limbs, system comprising such orthosis and process for operating such systemPExo_tRigid
portable
20 February 201321 January 2015
[322]WOInterface for adjusting the motion of a powered orthotic device through externally applied forcesPExo_tRigid
portable
15 January 201424 July 2014
[323]EPInterface for adjusting the motion of a powered orthotic device through externally applied forcesPExo_tRigid
portable
15 January 201425 November 2015
[324]EPPowered orthotic system for cooperative overground rehabilitationPExo_tRigid
portable
13 March 201420 January 2016
[325]EPAssistive flexible suits, flexible suit systems, and methods for making and control thereof to assist human mobilityPExo_tSuit03 December 201419 October 2016
[326]WOInteractive exoskeleton robotic knee systemPExo_pRigid
portable
01 March 201617 November 2016
[327]USAdmittance shaping controller for exoskeleton assistance of the lower extremitiesPExo_pRigid
portable
05 December 201712 April 2018
[328]USAssistive flexible suits, flexible suit systems, and methods for making and control thereof to assist human mobilityPExo_tSuit03 December 201420 July 2017
[329]WOBio-inspired adaptive impedance-based controller for human–robot interaction and methodPExo_tRigid non-portable26 August 201927 February 2020
[330]USApparatus and system for limb rehabilitationPExo_tRigid
portable
with wheels
29 November 201820 June 2019
[28]USLower extremity robotic rehabilitation systemPExo_tRigid non-portable05 October 201210 April 2014
[331]USAdmittance shaping controller for exoskeleton assistance of the lower extremitiesPExo_pRigid
portable
25 June 201518 February 2016
[332]USModular and minimally constraining lower-limb exoskeleton for enhanced mobility and balance augmentationPExo_tRigid
portable
04 October 201722 August 2019
[333]WOModular and minimally constraining lower-limb exoskeleton for enhanced mobility and balance augmentationPExo_tRigid
portable
04 October 201712 April 2018
[334]EPSoft exosuit for assistance with human motionPExo_tSuit30 May 201413 April 2016
[335]EPSoft exosuit for assistance with human motionPExo_tSuit30 May 201417 February 2021
[336]USMethods of enhancing the or training rehabilitation of an exoskeleton wearerPExo_tRigid
portable
11 November 201522 March 2018
[337]WOApparatus and system for limb rehabilitationPExo_tRigid
portable
with wheels
29 November 201820 June 2019
[338]USBio-inspired standing balance controller for a full-mobilization exoskeletonPExo_pRigid
portable
16 July 202021 January 2021
[339]WOMethods for improved user mobility and treatmentPExo_tRigid
portable
27 May 202102 December 2021
[340]WOExoskeleton ankle robotPExo_pRigid
portable
01 March 201617 November 2016
[341]USPowered medical device and methods for improved user mobility and treatmentPExo_tRigid
portable
27 May 202102 December 2021
[342]WOMethods of enhancing the rehabilitation or training of an exoskeleton wearerPExo_tRigid
portable
11 November 201519 May 2016
[343]EPSoft wearable muscle assisting devicePExo_tSuit21 December 201702 September 2020
[344]EPExoskeletonPExo_tRigid
portable
11 November 201520 September 2017
[345]WOSoft wearable muscle assisting devicePExo_pSuit21 December 201705 July 2018
[346]USHuman movement research, therapeutic, and diagnostic devices, methods, and systemsPExo_tRigid non-portable21 April 201502 February 2017
[347]USRobotic management system for limb rehabilitationPExo_tRigid
portable
with wheels
30 October 201904 June 2020
[348]USInterface for adjusting the motion of a powered orthotic device through externally applied forcesPExo_tRigid
portable
15 January 201410 December 2015
[349]USControl system for movement reconstruction and/or restoration for a patientPExo_tRigid non-portable13 November 201914 May 2020
[350]USData logging and third-party administration of a mobile robotPExo_tRigid
portable
27 May 202102 December 2021
[351]USApparatus comprising a support system for a user and its operation in a gravity assist modePExo_tRigid non-portable17 August 201716 September 2021
[352]USIntegrated platform to monitor and analyze individual progress in physical and cognitive tasksPExo_tRigid
portable
18 July 201614 January 2020
[353]EPSoft exosuit for assistance with human motionPExo_tSuit17 September 201322 July 2015
[354]EPMovement assistance devicePExo_tRigid
portable
17 June 201322 April 2015
[355]WOMovement assistance devicePExo_tRigid
portable
17 June 201319 December 2013
[356]USExoskeleton and masterPExo_tRigid
portable
27 June 201701 August 2019
[357]USPowered orthotic system for cooperative overground rehabilitationPExo_tRigid
portable
13 March 201404 February 2016
[358]EPExoskeleton for assisting human movementPExo_tRigid
portable
25 November 201504October 2017
[359]WOData logging and third-party administration of a mobile robotPExo_tRigid
portable
27.05.202102 December 2021
[360]USReconfigurable exoskeletonPExo_tRigid
portable
11 December 2013 10 December 2015
[32]USPowered gait assistance systemsPExo_tRigid
portable
31 July 201730 September 2021
[361]CAApparatus and method for restoring voluntary control of locomotion in neuromotor impairmentsPExo_tRigid non-portable-05 December 2013
[362]AUApparatus and method for restoring voluntary control of locomotion in neuromotor impairmentsPExo_tRigid non-portable29 May 201311 December 2014
[363]WOApparatus and method for restoring voluntary control of locomotion in neuromotor impairmentsPExo_tRigid non-portable29 May 201305 December 2013
[364]EPApparatus for restoring voluntary control of locomotion in neuromotor impairmentsPExo_tRigid non-portable29 May 201308 April 2015
[365]EPReconfigurable exoskeletonPExo_tRigid
portable
11 December 201321 October 2015
[366]WOMethods of communication exoskeleton and controlPExo_tRigid
portable
14 April 201620 October 2016
[367]EPSoft exosuit for assistance with human motionPExo_tSuit17 September 201317 March 2021
[368]USSoft exosuit for assistance with human motionPExo_tSuit17 September 201325 June 2015
[369]EPApparatus for restoring voluntary control of locomotion in neuromotor impairmentsPExo_tRigid non-portable29 May 201308 November 2017
[370]USSoft exosuit for assistance with human motionPExo_tSuit17 March 201512 November 2015
[371]USPower-assist with adjustable lower-limb exoskeleton robot stiffness jointsPExo_tRigid
portable
10 January 201929 October 2020
[372]WOMobility assistance devices with automated assessment and adjustment controlPExo_tRigid
portable
07 February 201827 September 2018
[373]USSoft exosuit for assistance with human motionPExo_tSuit13 April 201604 August 2016
[374]USExoskeleton ankle robotPExo_pRigid
portable
21 June 201517 November 2016
[375]USMobility assistance devices with automated assessment and adjustment controlPExo_tRigid
portable
07 February 201827 February 2020
[376]EPMethod and apparatus for providing economical, portable deficit-adjusted adaptive assistance during movement phases of an impaired anklePExo_pRigid
portable
20 June 201615 September 2021
[377]WOMethod and apparatus for providing economical, portable deficit-adjusted adaptive assistance during movement phases of an impaired anklePExo_tRigid
portable
20 June 201629 December 2016
[378]WOCustomizable orthotic/prosthetic braces and lightweight modular exoskeletonPExo_pRigid
portable
14 June 201721 December 2017
[31]USSoft exosuit for assistance with human motionPExo_tSuit13 August 202011 February 2021
[379]WOPowered gait assistance systemsPExo_tRigid
portable
31 July 201701 February 2018
[380]USCustomizable orthotic/prosthetic braces and lightweight modular exoskeletonPExo_pRigid
portable
14 June 201731 October 2019
[381]INMethod and apparatus for providing economical portable deficit adjusted adaptive assistance during movement phases of an impaired anklePExo_pRigid
portable
13 December 201716 March 2018
[382]USHybrid terrain- adaptive lower-extremity systemsPExo_pRigid
portable
31 December 201811 July 2019
[383]USRobotic system for simulating a wearable device and method of usePExo_tRigid non-portable20 December 201220 June 2013
[384]USKinetic sensing, signal generation, feature extraction, and pattern recognition for control of autonomous wearable leg devicesPExo_pRigid
portable
08 November 201710 October 2019
[385]USOpen-loop control for exoskeleton motorPExo_tRigid
portable
19 March 202123 September 2021
[386]WOKinoped lower extremity performance improvement, injury prevention, and rehabilitation systemPExo_tRigid non-portable04 September 202011 March 2021
[387]EPSystem for assisting walkingPExo_pRigid
portable
18 November 201626 September 2018
[388]CAMethods of communication exoskeleton and controlPExo_tRigid
portable
14 April 201620 October 2016
[389]USMovement assistance devicePExo_tRigid
portable
17 June 201321 May 2015
[390]USHybrid terrain-adaptive lower-extremity systemsPExo_pRigid
portable
24 September 201320 March 2014
[391]USInteractive exoskeleton robotic knee systemPExo_pRigid
portable
21 June 201517 November 2016
[392]USHybrid terrain-adaptive lower-extremity systemsPExo_pRigid
portable
11 April 201613 October 2016
[393]USImplementing a stand-up sequence using a lower-extremity prosthesis or orthosisPExo_tRigid
portable
23 September 201320 March 2014
[394]USHybrid terrain-adaptive lower-extremity systemsPExo_tRigid
portable
30 July 201825 April 2019
[395]WOApparatus comprising a support system for a user and its operation in a gravity assist modePExo_tRigid non-portable17 August 201722 February 2018
[396]USOrthopedic device including protruding membersPExo_pRigid
portable
10 April 201502 February 2017
[29]USExoskeleton device and control systemPExo_pRigid
portable
25 May 201710 May 2018
[397]USCloud-based control system and method enabling interactive clinical care using a powered mobility assistance devicePExo_tRigid
portable
03 September 201916 December 2021
[398]USHybrid terrain-adaptive lower-extremity systemsPExo_pRigid
portable
28 April 201618 August 2016
[399]USMethods of communication exoskeleton and controlPExo_tRigid
portable
14 April 201605 April 2018
[400]USExoskeleton device and control systemPExo_pRigid
portable
24 February 202102 December 2021
[401]USHybrid terrain-adaptive lower-extremity systemsPExo_pRigid
portable
30 November 201630 March 2017
[402]USSoft exosuit for assistance with human motionPExo_tSuit30 May 201421 April 2016
[403]USSystems, methods, and devices for assisting walking for developmentally delayed toddlersPExo_pRigid
portable
05 February 2015 01 December 2016
[404]CAMethod and apparatus for providing economical, portable deficit-adjusted adaptive assistance during movement phases of an impaired anklePExo_pRigid
portable
-29 December 2016
[405]USTorque control methods for an exoskeleton devicePExo_pRigid
portable
25 May 201730 November 2017
[406]USPatient aid devices, particularly for mobile upper extremity support in railed devices such as parallel bars and treadmillsPExo_pRigid
portable
23 October 201715 February 2018
[407]WOAutonomous mobile support system for the robotic mobility-impairedPExo_tRigid
portable
with wheels
18 August 202006 May 2021
[408]USWearable robot and control method thereofPExo_tRigid
portable
02 December 201416 July 2015
[409]USPatient aid devices, particularly for mobile upper extremity support in railed devices such as parallel bars and treadmillsPExo_pRigid
portable
21 May 201526 November 2015
[410]WOWearable devices for protecting against musculoskeletal injuries and enhancing performancePExo_pRigid
portable
15 February 201922 August 2019
[411]WOExosuit systems and methodsPExo_tSuit28 November 201806 June 2019
[412]USExosuit systems and methodsPExo_tSuit28 November 201830 May 2019
[413]USSystem and method for the regeneration of at least one severed nerve conduitPExo_tRigid non-portable20 July 201815 November 2018
[414]USExosuit load bearing distribution systemsPExo_tSuit28 November 201830 May 2019
[415]USOrthosis leg and orthosisPExo_tRigid
portable
24 June 201508 June 2017
[416]CNLower extremity exoskeleton control method and apparatusPExo_tRigid non-portable16 October 201921 February 2020
[417]EPEsoskeleton equipped with electro-or magneto- rheological fluid type semi-active jointsPExo_tRigid
portable
29 December 201706 November 2019
[30]WOEsoskeleton equipped with electro-or magneto- rheological fluid type semi-active jointsPExo_tRigid
portable
29 December 201705 July 2018
[418]USLow profile exoskeletonPExo_tRigid
portable
05 November 201512 May 2016
[419]WOSystem for movement controlPExo_pRigid
portable
15 May 202026 November 2020
Table A3. Lens platform.
Table A3. Lens platform.
CiteCountry CodeTitleType of TreatmentType of StructureApplication DatePublication Date
[420]EP Powered orthotic system for cooperative overground rehabilitationPExo_tRigid
portable
13 March 201411 August 2021
[421]US Movement assistance devicePExo_tRigid non-portable20 June 201706 October 2020
[422]US Hybrid terrain-adaptive lower-extremity systemsPExo_pRigid
portable
30 June 201803 March 2020
[423] EP System for assisting walkingPExo_tRigid
portable
18 November 201604 November 2020
[424]US Optimal design of a lower-limb exoskeleton or orthosisPExo_tRigid
portable
16 December 201418 February 2020
[78]US Powered lower-limb devices and methods of control thereofPExo_tRigid
portable
03 November 201707 December 2021
[425]US Leg orthosis and orthosisPExo_pRigid
portable
24 June 201523 November 2021
[11]US Orthopedic device including protruding membersPExo_pRigid
portable
10 April 201515 December 2020
[426]US Soft exosuit for assistance with human motionPExo_tSuit30 May 201424 November 2020
[427]US Portable human exoskeleton systemPExo_tRigid
portable
09 February 201616 February 2021
[428]US Motorized limb assistance devicePExo_pRigid
portable
02 May 201730 June 2020
[429]US Legged robotic device utilizing modifiable linkage mechanismPExo_tRigid
portable
05 May 201508 September 2020
[430] EPEsoskeleton equipped with electro-or magneto-rheological fluid type semi-active jointsPExo_tRigid
portable
29 December 201707 April 2021
[40]US Low profile exoskeletonPExo_tRigid
portable
05 November 201518 February 2020
[213]US System and method for the regeneration of at least one severed nerve conduitPExo_tRigid non-portable20 July201802 February 2021
[431]US Regulation of autonomic control of bladder voiding after a complete spinal cord injuryPExo_tRigid non-portable21 August 201525 August 2020
[432]EP Movement assistance devicePExo_tRigid
portable
17 June 201308 January 2020

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Figure 2. (a) Publications in COVID-19 pandemic period—highlight a selection to filter 6; (b) Inventors—patents count.
Figure 2. (a) Publications in COVID-19 pandemic period—highlight a selection to filter 6; (b) Inventors—patents count.
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Figure 3. Percentage distribution by region after applying filters 5, 7 and 8.
Figure 3. Percentage distribution by region after applying filters 5, 7 and 8.
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Figure 4. Distribution of patents by design (Complete Exoskeleton versus Exoskeleton Subsystems).
Figure 4. Distribution of patents by design (Complete Exoskeleton versus Exoskeleton Subsystems).
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Figure 5. Distribution by year of the number of published patents according to the type of structure and portable mode.
Figure 5. Distribution by year of the number of published patents according to the type of structure and portable mode.
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Figure 6. Distribution of patent applications by region after applying filters 5 and 7.
Figure 6. Distribution of patent applications by region after applying filters 5 and 7.
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Figure 7. Distribution of patents in the period 2012–2022.
Figure 7. Distribution of patents in the period 2012–2022.
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Figure 8. Distribution of patents in the period 2012–2022.
Figure 8. Distribution of patents in the period 2012–2022.
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Figure 9. Distribution of patents by year of application and the problem that these exoskeletons deal with.
Figure 9. Distribution of patents by year of application and the problem that these exoskeletons deal with.
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Figure 10. Distribution of patents by year of publication and the problem that these exoskeletons deal with.
Figure 10. Distribution of patents by year of publication and the problem that these exoskeletons deal with.
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Figure 11. Distribution by year of the number of published patents according to the type of structure and portable mode.
Figure 11. Distribution by year of the number of published patents according to the type of structure and portable mode.
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Figure 12. Distribution of patents by year of publication and the problem that these exoskeletons deal with.
Figure 12. Distribution of patents by year of publication and the problem that these exoskeletons deal with.
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Figure 13. Distribution of patents by year of publication, the type of structure, and portable mode.
Figure 13. Distribution of patents by year of publication, the type of structure, and portable mode.
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Table 1. The number of application patents by region.
Table 1. The number of application patents by region.
RegionsNumber of Application Patents
Europe27
Asia197
SUA+Canada57
Total281
Table 2. The number of application patents by country.
Table 2. The number of application patents by country.
Country CodeNumber of Application Patents
CA3
CN129
DE1
ES16
EP10
JP13
KR50
RU4
TW1
US54
Table 3. The number of patent applications and publications distributed per year.
Table 3. The number of patent applications and publications distributed per year.
YearApplication DatePublication Date
200510
200610
200710
200820
200990
201020
201120
201263
2013175
20141610
2015239
2016599
20174222
20185140
20193448
20201265
2021458
2022013
Table 4. Distribution by year of the number of patents according to the time elapsed between application and publication conforms with the Google Patents platform.
Table 4. Distribution by year of the number of patents according to the time elapsed between application and publication conforms with the Google Patents platform.
Application DateThe Time Elapsed between the Application and Publication of the PatentNumber of PExo_tNumber of PExo_p
Minimum PeriodMaximum Period
20121 year5 years51
20131 year7 years152
20141 year7 years115
20152 years7 years203
20161 year5 years509
20171 year5 years3210
20181 year4 years418
20191 year3 years294
20204 months2 years95
20217 months1 year41
Table 5. Distribution of patents by year of publication.
Table 5. Distribution of patents by year of publication.
YearPExo_c.tPExo_c.p
201230
201323
201491
201590
201654
2017192
2018346
20193710
20205511
20214811
2022112
Table 6. The number of patent applications and publications distributed per year.
Table 6. The number of patent applications and publications distributed per year.
YearApplication DatePublication Date
200030
200102
200200
200311
200401
200510
200623
200700
200863
200941
201003
201102
201241
2013167
2014126
20151513
20161421
20172010
20181015
2019714
202059
2021616
202200
Table 7. Distribution by year of the number of patents according to the time elapsed between application and publication conforms with the PatentScope platform.
Table 7. Distribution by year of the number of patents according to the time elapsed between application and publication conforms with the PatentScope platform.
Application DateThe Time Elapsed between the Application and Publication of the PatentNumber of PExo_tNumber of PExo_p
Minimum PeriodMaximum Period
20121 year2 years40
20137 months8 years151
20147 months7 years120
20158 months3 years95
20166 months5 years78
20176 months4 years119
20184 months2 years91
20196 months2 years61
20206 months1 year32
20217 months10 months51
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Pană, C.F.; Rădulescu, V.M.; Pătrașcu-Pană, D.M.; Petcu, F.L.; Reșceanu, I.C.; Cismaru, Ș.I.; Trășculescu, A.; Bîzdoacă, N. The Impact of COVID on Lower-Limb Exoskeleton Robotic System Patents—A Review. Appl. Sci. 2022, 12, 5393. https://doi.org/10.3390/app12115393

AMA Style

Pană CF, Rădulescu VM, Pătrașcu-Pană DM, Petcu FL, Reșceanu IC, Cismaru ȘI, Trășculescu A, Bîzdoacă N. The Impact of COVID on Lower-Limb Exoskeleton Robotic System Patents—A Review. Applied Sciences. 2022; 12(11):5393. https://doi.org/10.3390/app12115393

Chicago/Turabian Style

Pană, Cristina Floriana, Virginia Maria Rădulescu, Daniela Maria Pătrașcu-Pană, Florina Luminița Petcu (Besnea), Ionuț Cristian Reșceanu, Ștefan Irinel Cismaru, Andrei Trășculescu, and Nicu Bîzdoacă. 2022. "The Impact of COVID on Lower-Limb Exoskeleton Robotic System Patents—A Review" Applied Sciences 12, no. 11: 5393. https://doi.org/10.3390/app12115393

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