This invention relates to the field of prosthetics and more particularly to joints in prosthetic feet.
Prosthetic devices have evolved through the years from simple blocks of a material placed on a stump of a limb to sophisticated energy storage and return devices which can be formed to look like the missing part. Further, a goal of these improvements is to provide better feedback and therefore more comfort and usefulness to the wearer.
A number of prosthetic feet now include an “ankle.” The prosthetic ankle serves the purpose of allowing the prosthetic foot to move relative to a mounting pylon for attachment to the wearer's stump.
U.S. Pat. No. 817,340 (Rosenkranz) discloses and artificial limb that includes a leg portion 6 and a foot portion 5. A ball 10 and bolt 7 in cooperation with socket 12 are used to connect the leg portion and the foot portion. A cushion block 9 separates the leg portion and foot portion and provides a spring return function when the leg portion and foot portion move relative to the other. While the Rosenkranz prosthesis looked like the part being replaced, it provided only limited energy storage and return capabilities.
U.S. Pat. No. 5,019,109 (Voisin) discloses a prosthetic foot with an ankle plate 12, bottom plate 14 and fore and aft spring members 16 and 18 located between the ankle plate and the bottom plate. The spring members tense or compress upon movement of the ankle plate relative to the lower plate. While the Voisin prosthetic foot provided some multi-axial capability, this capability was limited.
U.S. Pat. No. 5,116,384 (Wilson et al.) discloses a prosthetic foot with a ball joint used as an ankle. The ball joint 24 connects a lower member 12 with an upper lower member 48. An elastic snubber 64 is bonded to the bottom lower member and serves to limit how close the top and bottom lower members can get. However, the Wilson et al. prosthetic device used three ball joints making it difficult and expensive to make.
U.S. Pat. No. 5,112,356 (Harris et al.) discloses a prosthetic foot with a resilient ankle joint. The foot includes an upper member 12A and a lower member 12B. The ankle joint is made from a ball and socket mounted above and connected to the top side of the upper member 12A. The range of motion is limited by an adjusting screw and through use of metal plates structured around the ball in desired locations. While the Harris et al. prosthetic foot allowed for multi-axial movement of the prosthetic foot relative to the pylon, it was complex and required many assembly steps to manufacture.
U.S. Pat. No. 5,181,932 (“Phillips '932) discloses a prosthetic foot with an ankle portion demountably and interchangeably connected thereto. Ankle section 14 connects a foot portion 12 with a pylon 30 and provides a flexible support for the foot potion allowing fore and aft rotational motion of the portion relative to the pylon. While the Phillips '932 prosthetic foot was relatively simple to manufacture, the ankle limited movement of the foot to rotational movement in only one plane.
U.S. Pat. No. 5,571,212 (Cornelius) discloses a prosthetic ankle joint including a foot attachment structure, a pylon attachment structure and a spherical bearing connecting the two attachment structures. The foot attachment structure includes two fins between which the spherical bearing mounts. The pylon attachment structure includes a threaded hole for receiving a threaded rod connected to the spherical bearing. Cushions are placed into holes in the attachment means to limit the movement of the ankle joint. Cornelius did allow for movement of a prosthetic foot in many directions, but it required many steps for manufacturing the attachment structures.
U.S. Pat. No. 5,800,569 (Phillips '569) discloses a prosthetic foot having a upper member, a lower member and an ankle block disposed between and connecting the upper member and the lower member. The ankle block is made of a resilient material that allows movement of the lower member relative to the ankle plate. While the Phillips '569 prosthetic foot allows for motion either fore and aft or laterally, it really does not allow for wide multi-axial motion of the foot relative to the pylon.
U.S. Pat. No. 6,280,479 (Phillips '479) discloses a prosthetic foot having upper and lower members. A block of resilient material 16 is attached between the upper lower member and the lower member. The block is constructed with holes extending through the block into which spring elements may be embedded. However, wide multi-axial function was not achieved.
Soviet Union Patent Application SU 1391643 (Yarolyan et al.) discloses an artificial foot having a lower member and a ball joint. The lower member includes a cylindrical talocrural hinge 2 into which a ball is inserted. The ball is connected to an extension of the wearer's stump. This foot, however does not provide energy storage and return.
PCT patent application WO84/00681 (Itsuro) discloses an artificial foot including a leg portion for attaching to a stump. The leg portion is attached to a foot portion through two hinges, one on either side of the foot. Elastic units 3, 4.1 and 4.2 are used to control motion of the foot relative to the leg portion. The Itsuro prosthetic does not, however, allow movement around more than one axis.
French Patent Publication 2 410 998 (Lebre) discloses a connection between an artificial foot 22 and a leg extension 3. The connection includes a ball joint 30.
While many different multi-axial motion artificial feet have been made, they have been complex and expensive to build, or they lack true multi-axial capability with energy storage and return.
The present invention is a wide multi-axial prosthetic foot that is easy to assemble and uses moldable or stock parts and has energy storage and return. An upper member and a lower member can be molded from a lightweight metal such as titanium or can be formed from a fiber reinforced matrix material. A ball joint is added to the lower member, preferably with a bottom opening for the ball joint extending beyond a bottom surface of the upper member. A post is added to the lower member, the post having a diameter such that it may fit within the bottom opening of the ball joint. Buffers, made of a deformable material, are placed between the upper member and the lower member forward and aft of the post to restrict and control the amount of forward and aft rotation of the lower member relative to the upper member.
In an alternative embodiment, buffers can also be placed medially and laterally of the post in order to limit the amount of medial and lateral rotation of the lower member with respect to the upper member.
Further, a heel member and heel buffer may be added to the lower member to increase the energy storage and return function.
Referring now to
The lower foot member 20 includes a top surface 17 and a bottom surface 19. In the illustrated embodiment, the lower foot member 20 has a tapered thickness along its length, such that the thickness increases from the posterior portion 18 to the medial portion 16 and decreases from the medial section 16 to the anterior portion 14. The top and bottom surfaces 17 and 19 can be generally curvilinear. The thickness of the lower foot member 14 can be between about 0.08 inches and about 0.40 inches. In another embodiment, the top and bottom surfaces 17 and 19 can be generally planar (not shown).
In an alternative embodiment as shown in
The lower member 20 can be constructed of any material capable of handling repeated loading and unloading of the wearer's weight. Lightweight materials such as titanium or composite materials such as carbon fiber/epoxy matrix can be used. In order to provide energy return to the wearer, it is preferable that the prosthetic foot 10 be flexible along its length or at least along a portion of its length.
Referring to
Referring to
Referring also to
The post 24 can be formed as a part of base unit 22. The base unit 22 can be made from stainless steel, titanium or other lightweight alloy. The base unit 22 can be attached to the lower member 20 using one or more of a variety of means including without limitation, adhesives, nut and bolt, rivets, or clamps.
In an alternative embodiment, the post 24 can be formed as part of the lower member 20. In yet another embodiment, the post 24 can be connected to the lower member 20 using one or more of a variety of means including without limitation, adhesives, nut and bolt, rivets, or clamps.
In the embodiments as shown in
In addition, slits 148 and 150 can be added to modify the tension resistance of the buffers 140 and 142. The slit 148 extends through anterior portion 141 of the first buffer 140 from anterior end 151 to the perforation 147, while slit 150 extends through posterior portion 161 of the second buffer 142 from posterior end 171 to the perforation 149.
Further, each of the perforations 147 and 149 can be filled with a plug (not shown) of a desired durometer, usually a different durometer measurement than that of the buffer material. By inserting such a plug, performance of the prosthetic foot 110 can be “tuned” so that a desired resistance or energy return characteristic may be achieved.
Referring back to
In
In one embodiment, one or both of the buffers 40 and 42 can be connected to both of the upper member 30 and the lower member 20. In an alternative embodiment, one or both of the buffers 40 and 42 can be connected to either the lower member 20 or the upper member 30, but not to both. This would result in one or both of the buffers 40 and 42 only being compressed with no stretching.
In another alternative embodiment, one or both the buffers 40 and 42 can be detachable so as to allow for replacement or adjustment of the buffer durometer. With this modification the prosthetic foot 10 has a rotation control to prevent the upper member 30 from rotating excessively.
Referring now to
Referring back to
The third and fourth buffers 44 and 46 each can be formed of an elastomer, such as polyurethane or rubber, or any other deformable material. The buffers 44 and 46 each can also be formed of a spring such as a coil or leaf spring.
In one embodiment, one or both of the third and fourth buffers 44 and 46 can be connected to both of the upper member 30 and the lower member 20. In another embodiment, one or both of the buffers 44 and 46 can be connected to either the lower member 20 or the upper member 30, but not to both. This would result in one or both of the buffers 44 and 46 only being compressed with no stretching. In yet another embodiment, one or both the third and fourth buffers 44 and 46 can be detachable so as to allow for replacement or adjustment of the buffer durometer.
Referring now to
Referring now to
In addition, the upper member 430 can have a different shape. In anterior section 431 of the illustrated embodiment, the upper member 430 can slope from planar top section 433 to anterior bottom section 438. Anterior bottom section 438 can be planar, while posterior bottom section 439 can be curvilinear. The first buffer 440 can have a generally planar top surface 443 and sloped bottom surface 445, while the second buffer 442 can have a curvilinear top surface 447 and a generally planar bottom surface 449.
Turning now to
Similarly to the prosthetic foot 110 shown in
In addition, the upper member 530 can have a different shape. In anterior section 531 of the illustrated embodiment, the upper member 530 can slope from planar top section 533 to anterior end section 537. Anterior bottom section 538 and posterior bottom section 539 can be planar. The first buffer 540 can have a generally planar top surface 543 and a sloped bottom surface 545. The bottom surface 549 of the second buffer 542 and a substantial portion of the top surface 547 of the second buffer 542 can be generally planer.
In the illustrated embodiment, the bottom surface 545 of the first buffer 540 and the bottom surface 549 of the second buffer 542 can be coated with a thin layer 588 of the same material as the buffers 40 and 42. This helps dissipate the stresses at the region where the buffers 40 and 42 contact the lower member 20.
The present invention further includes embodiments that vary from the features described above in ways recognized by one of ordinary skill in the art. Without meaning to limit the previous disclosure in any way, use of the words “can,” “can include,” “can be” and the like should be understood to also mean “but need not.
All patents and patent applications disclosed herein, including those disclosed in the background of the invention, are hereby incorporated by reference. Although the present invention has been described with reference to preferred embodiments, workers skilled in the art will recognize that changes may be made in form and detail without departing from the spirit and scope of the invention. In addition, the invention is not to be taken as limited to all of the details thereof as modifications, variations, and different combinations thereof may be made without departing from the spirit or scope of the invention.