The present teachings generally relate to prostheses for limbs such as arms and legs. The present teachings more particularly relate to a limb prosthesis having a liner and a socket that cooperate to define a spiral path for the expulsion of air therebetween. The present teachings also more particularly relate to a method of providing an improved liner/socket interface and seal for a limb prosthesis.
Various prosthetic devices for legs and arms are known in the art.
Known limb prostheses may generally include a liner and a shell socket. The liner is attached to the severed limb and the shell socket may be secured to the liner with suction. The remainder of the prosthesis may be attached to the shell.
While significant advancements have been made in the field of limb prosthetics in recent years, a need remains in the art for improved methods of suspending them to the body.
The present teachings provide a limb prosthesis having improved fit, suspension and comfort.
According to one particular aspect, the present teachings provide a liner of a limb prosthesis. The liner includes a main body portion, an open proximal end, and a closed distal end. The liner further includes a sealing rib. The sealing rib has a first portion spiraling around the liner.
According to another particular aspect, the present teachings provide a limb prosthesis having a liner and a hollow shell socket. The hollow shell socket has a proximal end and a closed distal end. The proximal end of the shell (socket) is open to receive the liner-limb combination. The shell socket further includes a valve proximate to the distal end which is required for releasing air trapped between the spiral rib of the liner and the inner socket. The liner includes a main body portion having a proximal end and a distal end. The liner further includes a sealing rib spiraling around the main body portion.
According to yet another particular aspect, the present teachings provide a method of securing a limb prosthesis to a patient. The method includes securing a liner to the patient. The liner includes a main body portion having a proximal end and a distal end. The liner further including a sealing rib spiraling around the main body portion. The method additionally includes attaching a hollow shell to the liner. The hollow shell includes a distal end and a proximal end. The shell further including a valve proximate the distal end. The method further includes releasing air between the liner and the hollow shell through the valve to create a suction seal therebetween.
Further areas of applicability of the present invention will become apparent from the detailed description provided hereinafter. It should be understood that the detailed description and specific examples, while indicating the preferred embodiment of the invention, are intended for purposes of illustration only and are not intended to limit the scope of the invention.
The present invention will become more fully understood from the detailed description and the accompanying drawings, wherein:
The following description of various aspects of the present invention is merely exemplary in nature and is in no way intended to limit the invention, its application, or uses.
With general reference to
The sub-assembly 10 may generally include a liner 14 and a shell 16.
The liner 14 may be unitarily formed to define a main body portion 18 having a proximal end 20 and a distal end 22. The main body portion 18 is hollow and the proximal end 20 is open for attachment to the patient 12. The distal end 22 is closed.
The liner 14 may further include a sealing rib 24. The sealing rib 24 may be unitarily formed with the remainder of the liner 14. The sealing rib 24 may include a first portion 26 that spirals around the main body portion 18. The sealing rib 24 may terminate distally at an end 28 that is spaced from a reminder of the sealing rib 24. The sealing rib 24 may be initially constructed with the remainder of the liner 14 of silicone or other suitable material.
The sealing rib 24 may further include a second portion 30. The second portion 30 will circumscribe the main body portion 18 and may generally reside in a plane. The plane may be generally perpendicular to a long axis of the liner 14. The first and second portions 26 and 30 of the sealing rib 24 may be continuous such that the first portion 26 is simply an extension of the second portion 30 after the second portion circumscribes the main body portion 18. Alternatively, the first portion 26 and the second portion 30 may be spaced from one another.
The liner 14 may be formed of a silicone material though a liquid injection-molding process utilizing a series of mold sizes. For certain applications, the liner 14 may be formed of Shore A silicone in durometers of “0” to “20”. For other applications, the liner may be formed utilizing a Shore 00 (gel class) in durometers varying from ““25” to “40”.
The spiral portion 26 of the sealing rib 24 may include at least one ring extending about the main body portion 18. In the embodiment illustrated, the spiral portion 26 includes at least approximately two rings extending about the main body portion 18. Liners for larger and longer applications (e.g., those used for above the knee amputees), may have more rings.
The sealing rib 24 may have a height and a width. The height may be between approximately 1/16″ and approximately 3/16″. The width may be between approximately ⅛″ and approximately 3/16″. It will be understood that these dimensions are merely exemplary and may vary depending on the material and type of application. As particularly shown in the cross-sectional view of
With reference to
The liner 14 may have a tapered proximal edge. As the liner terminates within the shell 12, contact pressure is exerted on the entire liner 14. Without the tapered proximal edge, the liner 14 may otherwise leave a marked depression and redness on the skin (referred to in the art as a line of demarcation). Furthermore, high shear forces will develop at the interface between the proximal edge of the liner and the skin. According to one particular application, the body of the liner 14 may have a thickness of approximately 6.0 mm to approximately 12.0 mm and the proximal edge may taper to approximately 1.00 mm to approximately 2.00 mm.
The shell 12 may be hollow shell having a proximal end 32 and a distal end 34. The proximal end 32 may be open to receive the liner 14. The shell 12 may include a valve 36 proximate to the distal end 34 for releasing air from an interior of the hollow shell 12. The valve 36 may be a conventional one-way valve that functions to permit art to vent from the between the shell 12 and the liner 14 and includes a button that may be depressed to reintroduce air (e.g., for removal of the shell 12).
In use, the liner 14 may be secured to the patient in a generally conventionally manner. The hollow shell 12 is inserted over the liner 14. The shell 12 may slightly compress the sealing rib 24 to provide a seal between the rib 24 and the shell 12. In certain applications, a cream (e.g., Nivea® or other) may be lightly applied to the sealing rib 24 prior to attachment of the shell 12 (e.g., wet fit). As the shell 12 is pulled into place, a seal is created at the second portion 30 of the sealing rib 24. Air trapped between the liner 14 and the shell 12 may follow a spiral path (see the arrows of
As particularly compared to a single, horizontal suction rib (or seal), the spiral seal allows air to be evacuated throughout much of its length. The suction seal effect extends over a far greater surface area of the liner/limb elements. In addition, the spiral seal created by the present teachings provides greater suspension of the liner/limb to the socket as its higher seal secures more proximal regions of the socket to it and therefore results in improved overall prosthetic control.
While specific examples have been described in the specification and illustrated in the drawings, it will be understood by those skilled in the art that various changes may be made and equivalence may be substituted for elements thereof without departing from the scope of the present teachings as defined in the claims. Furthermore, the mixing and matching of features, elements and/or functions between various examples may be expressly contemplated herein so that one skilled in the art would appreciate from the present teachings that features, elements and/or functions of one example may be incorporated into another example as appropriate, unless described otherwise above. Moreover, many modifications may be made to adapt a particular situation or material to the present teachings without departing from the essential scope thereof. Therefore, it may be intended that the present teachings not be limited to the particular examples illustrated by the drawings and described in the specification as the best mode of presently contemplated for carrying out the present teachings but that the scope of the present disclosure will include any embodiments following within the foregoing description and any appended claims.
This application claims priority to U.S. Provisional Patent Application No. 61/021,157 filed 15 Jan. 2008, which application is herein expressly incorporated by reference.
| Number | Date | Country | |
|---|---|---|---|
| 61021157 | Jan 2008 | US |