The present invention relates broadly to prosthetic device liners and, more particularly relates to a prosthetic limb or liner cover, sock or sock cuff configured to act as an acoustic muffler (i.e., an “acoustic muffler sock”) to inhibit sounds that often exit a prosthetic liner at the top and on occasion, through the prosthetic liner or the prosthetic device itself.
Liners for a prosthetic limb are used to cushion transfer loads and reduce friction from the prosthetic components to protect the skin between the prosthetic socket and the residual limb. Also, liners provide additional functionality by contributing to the suspension of the prosthesis.
Suspension usually relies on the tenacity with which the liner maintains its grip on the residual limb. Satisfactory performance of the prosthesis as a whole depends on many factors, but the quality of the fit or grip of the liner on the residual limb is essential. Unfortunately, this grip, due to the poor heat transfer of the liner and often also the prosthesis, increases the temperature in the liner, causing sweating and moisture buildup.
This collection of moisture leads to the development of an audible “burping or squeaking noise.” In addition to the complete nuisance of this noise, often transmitted with every step, the prosthetic wearer cannot be quiet in their approach and often feels embarrassed and sometimes even ashamed preventing them from participating in activities, or avoiding attendance of certain social settings. This acoustic burden can have a drastic negative impact on quality of life along with the patient's mental health, especially to the most vulnerable amputees who are already having a difficult time coping with limb-loss-grieving, depression, PTSD, low self-esteem and in many instances leading to social isolation. In addition, this increase in sweating leads to a poorly fitting socket and in some patients the prosthesis falling completely off the residual limb. The medical sequela include dermatitis/skin irritation/sores/ulceration, Verrucous hyperplasia, skin breakdown/sensitivity, skin infection, increase in stump pain, exacerbation of nerve pain, and increase in phantom sensations. The only treatment is prolonged disuse of the entire prosthesis leading to the inability of the amputee to ambulate for many weeks at time.
Historically, liners have been made from open and closed cell foams formed around the residual limb. Foam liners are still used in a few clinics today but the overwhelming majority of modern liners are primarily made of an outer fabric layer and an inner elastomeric layer, comprising silicone, a thermoplastic elastomer, or polyurethane; such foam liners are essentially “rolled-on” to the residual limb, in practice. These more modern rolled liners are believed to offer better suspension, durability, and cushioning than foam.
The primary reasons liners or socks have failed/or are not worn by patients, have to do with comfort, providing the proper cushion (i.e. protect skin integrity) & the feel of the material against the skin. If the material is not comfortable or causes skin irritation, rash, etc., no amputee will wear the prosthesis no matter how well it performs heat transfer/dissipation. These are the main reasons why silicone and gel are found in the majority of liners.
Regardless of the choice of the liner material, method of suspension, etc., there nevertheless is the “squeak and burp” noise issue, as explained above, and other noises that occur that reduces the amputee's quality of life. The inventive acoustic muffler sock works with all methods of suspension and methods of donning and doffing of the prosthesis to resolve this critical noise issue for amputees. Although this acoustic muffler sock solves this horrible noise problem for amputees, there are other applications for the inventive acoustic muffler sock, as now explained in further detail.
The present invention overcomes the shortcomings of known arts, such as those mentioned above. For example, and in an embodiment, the invention provides an innovative prosthetic limb cover, sock or sock cuff, or prosthetic liner, sock or sock cuff, engineered to act as an acoustic muffler (i.e., an “acoustic muffler sock”) to inhibit the sounds that often exit the prosthetic liner at the top and on occasion, through the prosthetic limb cover, liner, sock, sock cuff or the prosthesis itself.
The inventive acoustic muffler sock can be a full sock that replaces the standard sock that amputees wear, with a muffler top that tucks into or over the liner or remains above the liner, or the acoustic muffler sock can be just the muffler itself that is attached at the top of the liner, prosthetic, another sock, etc., without limitation, if configured according to the inventive principles set forth below herein. The inventive acoustic muffler sock is either tucked into the liner or remains above the liner. The inventive acoustic muffler sock with muffler can either be just a sock, an acoustically absorptive sock, or an acoustic absorptive/barrier sock that can absorb and stop the sounds that often exit out of the liner at the top, or from the liner, or from the liner and prosthesis before the sounds reach and exit from the top of the liner. The muffler is made with a sound absorbing layer that may be any type of material that can be made into a wearable attachment to the prosthetic limb or liner, including but not limited to weaves, knits, neoprene with an absorbent layer, organic or inorganic material, antibacterial or microperforated, etc.
A first embodiment of the inventive acoustic muffler sock is depicted in
In another embodiment, an acoustic muffler sock 10′ is depicted in
The barrier material 18 may comprise a moldable loaded vinyl, or like barrier material. Preferably, the layer of sound barrier material 18 is configured as an outer layer, but the invention is not limited thereto. Moreover, the invention may comprise two layers of barrier material surrounding a layer of sound absorbing material or two layers of sound absorbing material surround a layer of sound barrier material. The top of the acoustic muffler sock 10′ is either tucked into a liner for a residual limb, or extends above and beyond the liner. In the embodiment shown, the acoustic muffler sock 10′ preferably is worn over the liner 20.
In another embodiment, an acoustic muffler sock 30 is depicted in
In another embodiment, an acoustic muffler sock 30′ is depicted in
The barrier may be something as simple as one thin layer or more of Lumitex distributed by SoundSense, or any product with the required transmission loss in the frequencies of disturbance to inhibit the disturbing noise from exiting through the liner and prosthesis prior to that sound reaching the top of the acoustic muffler sock, such as a moldable loaded vinyl, without limitation. The top of acoustic muffler sock is tucked into the liner or is attached to the attachment segment 26 and extends above the liner. In the embodiment shown, the acoustic muffler sock 30′ preferably is worn above the liner 20.
The resulting acoustic muffler sock 10, 10′ or acoustic muffler sock 30, 30′, with the sound absorbing 16 material or sound absorbing 16/barrier layer 18 material, are preferably flexible so that they may be configured to function as a boundary to unwanted sound, and stay close and preferably tight to the skin and/or liner of the user, so that the sound generated in the confine of the liner or prosthetic socket or device is forced to travel thru the muffler before exiting the sides, top or opening. This is inclusive of allowing the sock to be of any color or design that the amputee feels best suits their liking.
In another embodiment, as shown in
As will be evident to persons skilled in the art, the foregoing detailed description, applications and figures are presented as examples of the invention, and that variations are contemplated that do not depart from the fair scope of the teachings and descriptions set forth in this disclosure.
This application derives the benefit of the filing date of U.S. Provisional Patent Application No. 62/642,046, filed Mar. 13, 2018, the content of which provisional application is incorporated herein by reference.
Number | Date | Country | |
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62642046 | Mar 2018 | US |