Stance Flexion is a term used in the prosthetic industry to describe a feature on a knee-shin system that allows the amputee to exhibit “bent knee walking.” In a more simplistic form the stance flexion feature allows the knee axis to bend slightly under weight bearing without comprising the stability of the knee. Compromised knee stability can cause an amputee to break the knee and stumble. Stance flexion allows a certain degree of knee flexion at heel strike to more closely mimic normal gait patterns for non-amputees. This also acts as a shock absorbing component that may reduce the forces felt by the amputee's residual limb during ambulation.
Advantageously, there exists an established HCPC code for a Stance Flexion feature that states: Addition to an endoskeletal knee-shin system, stance flexion feature, adjustable. AOPA interpretation: An adjustable addition to a knee-shin system that allows the knee to flex slightly under weight-bearing forces, to absorb shock, conserve energy, and normalize gait.
Presently, there is no known modular stance flexion component on the market. All known stance flexion features are presently built into the knee-shin system itself. They are adjustable and work reasonably well. However, a modular adjustable component is desired so that prosthetists may use this feature on a majority of the knees available without the stance flexion feature, thereby increasing the number of amputees who can benefit from this feature.
It is a first aspect of the present invention to provide a modular prosthetic limb component adapted to be selectively/removably interconnected between a prosthetic knee component and a prosthetic socket component, where the modular component provides (or augments) stance flexion approximate the proximate knee component.
It is a second aspect of the present invention to provide a modular prosthetic limb component adapted to be selectively/removably interconnected between a prosthetic knee component and a prosthetic socket component, where the modular component comprises: (a) a first vertical end adapted to be coupled to a first prosthetic limb component, (b) a second vertical end adapted to be coupled to a second prosthetic limb component, (c) an anterior pivot point operatively coupled between the first and second vertical ends which allows the first and second prosthetic limb components to pivot inwardly with respect to each other, and (d) a bias operatively provided between the first and second vertical ends which allows the first and second prosthetic limb components to flex towards each other approximate the posterior end thereof at least under weight bearing forces and/or heel strike.
It is a third aspect of the present invention to provide a modular prosthetic limb component adapted to be selectively interconnected between a prosthetic knee component and a prosthetic socket component, where the modular component comprises a substantially C-shaped body (having a pair of substantially horizontal top and bottom extensions emanating from a curved end) of adequately flexible and strong material (such as, for example, a carbon fiber material), where the extensions of the C-shaped body each include couplings for coupling to other prosthetic limb components (i.e., the top extension adapted to be coupled to a proximal prosthetic limb component and the bottom extension adapted to be coupled to a distal prosthetic limb component), where the curved end of the C-shaped body is adapted to be positioned approximate the anterior of the prosthetic limb knee component and where the open end of the C-shaped body is adapted to be positioned approximate the posterior of the prosthetic knee component, and where the modular component further comprises a posterior bias/shock-absorber (such as, for example, a rubber-like sphere) operatively provided between the top and bottom extensions. With at least this third aspect, it is within the scope of the invention that the modular component is able to be flipped over if desired (i.e., the top extension becomes the bottom extension adapted to be coupled to a distal prosthetic limb component and vice-versa), while keeping the curved end positioned approximate the anterior of the prosthetic limb knee component. This ability to be flipped over provides the modular component flexibility for interconnecting a broader range of prosthetic limb components.
With any of the above three aspects, it is further within the scope of the invention to provide a posterior retainer (such as a strap) that substantially limits posterior outward expansion (i.e., provides a hyperextension limit) of the component.
A fourth aspect of the invention provides a method for providing stance flexion in a prosthetic limb that includes the step of selectively/removably coupling a modular stance flexion component (such as described above) between a prosthetic limb socket component and a prosthetic limb knee component.
A fifth aspect of the invention modifies the purpose somewhat in that it is provided primarily as a modular shock absorber component for a prosthetic limb. In this forth aspect, a modular prosthetic limb component adapted to be selectively interconnected between two prosthetic limb components comprises a body of adequately flexible and strong material (such as, for example, carbon fiber material) substantially in the shape of a vertically compressed “O” (having a pair of opposing, substantially flat horizontally extending top/bottom ends interconnected by a pair of opposing, substantially curved anterior/posterior ends), where each of the flat horizontally extending top/bottom ends of the body include couplings adapted to be coupled to a respective one of the two prosthetic limb components, and where each of the curved anterior/posterior ends allow the top/bottom ends to flex together at least upon moments of impact such as heel strike. With this fourth aspect, it is also within the scope of the invention that the modular component is able to be flipped over if desired (i.e., the top extension becomes the bottom extension adapted to be coupled to a distal prosthetic limb component and vice-versa).
With any of the above aspects, it is also within the scope of the invention to integrate such components into a proximal end of a prosthetic knee chassis (such as a prosthetic knee-shin system). In such an embodiment, the component would no longer be modular (i.e., selectively coupled) with respect to the knee chassis.
Furthermore, with any of the above aspects of the invention, it is within the scope of the invention that one or more of the coupling expedients include, without limitation: an integrated pyramid coupling (which may or may-not be rotatably and/or laterally adjustable), an integrated pyramid receiver (which may or may-not be rotatably and/or laterally adjustable), one or more sets of threaded holes (i.e., in the standard four-hole pattern), or one or more sets of bolts/screw receiving through holes or bores.
The present invention provides a modular prosthetic limb component that is adapted, in an exemplary embodiment, to be selectively (i.e., removably) interconnected between a prosthetic knee component and a prosthetic socket component (adapted to receive the patient's residual limb), where the modular component provides (or augments) stance flexion approximate the prosthetic knee component. In a more detailed exemplary embodiment, the invention provides a “C” shaped (in elevational cross-section) component of carbon fiber or some other resilient, lightweight, high strength material that will allow a degree of compression upon weight bearing. The “adjustability” criteria may be provided by various design applications.
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The shuttle lock component 48 may be a top-loaded PDI Xtreme® suspension lock in which threaded screws (not shown) extend distally from the lock 48 through the distal end of the prosthetic limb socket 36 and into the threaded holes 24 of the top extension 14 modular stance flexion component 10. As discussed above, flat head socket cap screws (not shown) extend from the distal end of the modular stance flexion component into correspondingly threaded holes in the base of the pyramid receiver 47.
As discussed above, it is possible to ‘flip’ the modular stance flexion component 10 over such that the extension 14 becomes the bottom or distal extension and such that the extension 16 becomes the top or proximal extension, so long as the pivot point provided by the curved end 18 remains positioned on the anterior side of the modular component. With the embodiment illustrated in
In use, during ambulation, the extensions 14 and 16 will flex together at their respective posterior ends, pivoting about a pivot point formed by the curved anterior end 18, during heel strike or any other weight-bearing circumstance. The sphere 22 will absorb shocks during such weight-bearing event and will also provide a biasing element to help bias the extensions 14 and 16 back apart upon the weight-bearing event ending. Certainly, an array of durometer settings may be provided for these spheres 22 to provide stance flexion adjustability.
It is also within the scope of the invention to provide a hyperextension limiting element, such as a posterior strap (not shown) which will prevent the flexion stance component 10 from hyperextending (i.e., the posterior ends of the extensions 14, 16 pivoting apart from each other too far). This limitation on hyperextension may be also facilitated by a mechanical linkage extending through the sphere 22 and into the top and bottom extensions. It should also be apparent to those of ordinary skill that the bias and shock absorbing affects provided by the sphere 22 may be provided by other elements such as springs, and/or alternate shapes such as short cylinders.
In use, the component 56 is coupled vertically between a pair of prosthetic limb components such that it will compress under weight bearing loads. Similar to the modular stance flexion components described above, the modular vertical shock reducing component 56 will provide shock absorption during ambulation. As with the above embodiment, the modular component 56 is able to be flipped over if desired (i.e., the top end becomes the bottom end adapted to be coupled to a distal prosthetic limb component and vice-versa).
Furthermore, similar to the modular stance flexion component described above with respect to
Following from the above detailed description, it will be apparent to those of ordinary skill in the art that, while the apparatuses and processes herein described constitute exemplary embodiments of the present invention, it is understood that the invention is not limited to these precise apparatuses and processes and that changes may be made therein without departing from the scope of the invention as claimed or as illustrated by the various aspects of the present invention set forth in the summary. Additionally, it is to be understood that the invention is defined by the claims and it is not intended that any limitations or elements describing the exemplary embodiments set forth herein are to be incorporated into the meanings of the claims unless such limitations or elements are explicitly listed in the claims. Likewise, it is to be understood that it is not necessary to meet any or all of the identified advantages or objects of the invention disclosed herein in order to fall within the scope of any claims, since the invention is defined by the claims and since inherent and/or unforeseen advantages of the present invention may exist even though they may not have been explicitly discussed herein.
This application claims the benefit of U.S. Provisional Patent Application No. 60/549,115, filed Mar. 1, 2004, the disclosure of which is incorporated herein by reference.
Number | Date | Country | |
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60549115 | Mar 2004 | US |