Prostheses (or prosthetics) are artificial devices that replace body parts (e.g., fingers, hands, arms, legs). Generally, prostheses may be used to replace body parts lost by injury or missing from birth. The quality of prostheses has greatly improved in recent years. For example, a prosthetic limb may be molded to have the same shape and density as the person's remaining limb. In addition, elastomeric polymer skins may be used to form the prosthetic limb and give the prosthetic limb a life-like appearance. As another example, improvements in prosthetic limbs may allow for increased feedback and movement.
However, prosthetic limbs still present numerous challenges, particularly in the area of looking and performing as the actual human limbs being replaced. An intact human foot, connected to its ankle, travels through stance and swing phases of a gait cycle during each stride of motion, whether the motion involves walking, jogging, or running. In order to provide higher performance prosthetics, prosthetic feet made of composite materials are often used to provide the energy return characteristics desired by an amputee. For example, leaf spring composite prosthetic feet may provide desirable characteristics for a foot amputee.
In order to improve the appearance of prosthetic feet, the prosthetic feet are often covered with a cosmetic foot shell that forms an open cavity around the functional prosthetic foot structure. Existing foot shells may be thin-wall hollow shells that do not enhance the prosthetic foot function and often diminish prosthetic foot response. For example, these existing foot shells may be made of polyurethane, PVC (polyvinyl chloride), silicone or other plastics and rubber substitutes. One common problem with foot shells is the internal cavity of the foot shell does not securely hold the prosthetic foot, composite leaf spring foot or other prosthetic foot elements in place which causes the foot to be loosely connected to the foot shell and amputee's shoe. This lack of a secure connection may impede feedback to the user and decrease overall performance of the prosthetic foot.
Reference will now be made to the examples illustrated in the drawings, and specific language will be used herein to describe the same. It will nevertheless be understood that no limitation of the scope of the technology is thereby intended. Alterations and further modifications of the features illustrated herein, and additional applications of the examples as illustrated herein, which would occur to one skilled in the relevant art and having possession of this disclosure are to be considered within the scope of the description.
The present technology provides a prosthetic foot cover with an integrated framework, lattice framework(s) or lattice networks. The integrated frameworks and lattices can be made using an additive manufacturing process or a 3D (three-dimensional) printing process. The integrated lattice frameworks may be made of an elastic polymer, another flexible material, or a semi-rigid polymer material that can used in a 3D printing process.
Additive manufacturing (AM) may be used to create intricate lattice structures to meet a wide variety of design requirements in a prosthetic limb. AM offers the opportunity to create generative lattice structures for a variety of prosthetic foot designs. Intricate lattice features that were once difficult to produce using injection molding can now be integrated into prosthetic limbs to optimize performance. The benefits of lattice structures can be further exploited to enable mass customization of prosthetic limbs and more specifically prosthetic feet.
Most prosthetic feet have been covered with a cosmetic foot shell that creates an open cavity around the foot structure. In the past, foot shells have been thin-wall hollow shells that do not enhance the prosthetic foot function and often diminish prosthetic foot response. A common problem with foot shells is that the internal cavity does not securely hold the prosthetic foot elements (e.g., composite leaf spring) of a prosthetic foot in place which may cause the foot to only be loosely connected to the cosmetic foot shell and may impede feedback to the user. Therefore, a secondary foam filler may be used to fix the prosthetic foot in place within the foot shell in order to remedy this limitation, but this foam filler tends to inhibit the movement of the prosthetic foot inside the shell.
An outer membrane layer 108 may be disposed over the lattice framework 106 to cover and support the lattice framework 106. The prosthetic foot cover may have a thin-wall lattice membrane to cover the lattice framework for a prosthetic foot. The outer membrane layer 108 may also be removable. In another configuration, the outer membrane layer 108 may be fixed to or additively formed with the lattice framework 106. The lattice structure of the lattice framework 106 may be a uniform lattice where the lattice sub-shapes are uniform in size. Alternatively, the lattice framework 106 may include lattices of varying sizes 120, as will be discussed in more detail later.
In the past, passive prosthetic foot systems have had limited potential to adjust the functional characteristics of the prosthetic system since the systems have often relied on elastomeric inserts in a foot cover to achieve a desired response. In the present technology, the foot cover can be used to adjust the prosthetic foot and may be utilized as a functional member of the foot system to provide enhanced performance to an amputee. The foot cover can also offer a means to regulate and control the foot system by controlling the density of the lattice that is used. The design of lattice foot structure may be tailored to provide a specific compliance (or stiffness) so that the entire gait cycle is optimized to the user's needs.
In one configuration of the technology, the foot cover may be additively manufactured by selective laser sintering (SLS) which fuses a polymer powder or plastic powder (e.g., nylon or polyamide) laid down in powder layers into a foot cover structure using a computer guided laser that activates layers of the powder. The present technology allows the lattice foot framework to be created using SLS but since the outer membrane layer is separate, this allows the outer membrane layer to be removed and the polymer powder can be easily emptied from the lattice. Otherwise, if the outer membrane layer and lattice are manufactured together using SLS, the powder and its added weight are quite difficult to remove from the foot cover. The outer membrane layer can be removed after the outer membrane is manufactured in the same powder volume or powder stack, or the outer membrane layer can be manufactured separately so that the powder can be removed from lattice framework.
Alternatively, the outer membrane layer can be exchanged for any outer membrane layer that is made by any manufacturing process (e.g., additive, injection, or otherwise). This may provide any cosmetic appearance that an amputee desires. For example, a foot cover can be provided that is larger than the lattice framework. Then the foot cover can be placed over the lattice framework and the foot cover can be heated (e.g., boiled in water or using heated air) to shrink the foot cover to fit over the lattice framework.
The lattice framework 108a, 108b and the prosthetic foot 104 may be inserted into or covered by the outer membrane layer 106. The lattice framework 108a, 108b and the outer membrane layer 106 may be a single unit, as illustrated, in order to cover the prosthetic foot 104. For example, the lattice framework 108a, 108b and the outer membrane layer 106 may work with the prosthetic foot 104 as a system to tune the total response of the prosthetic foot.
The foot cover may be composed of lattice structures with mechanical properties that can be used to enhance the functional characteristics and responsiveness of the prosthetic foot. For example, the foot cover may have a lattice structure that become an integral part of the prosthetic foot. There are a wide variety of design possibilities when utilizing lattice structures, and the lattice structures may enable a specific desired response to be integrated into the foot cover. One configuration of this technology incorporates a uniform lattice structure which provides a predictable response due to the homogeneous density. Another variation uses a combination of different density lattices of various densities to generate a variable dynamic response for optimizing the functional characteristics for the user.
The open cavity design may be lighter than the lattice framework depending on the internal support used. The open cavity design may accommodate a variety of internal structures. The internal structures may be a variety of configurations, such as leaf springs, which can be altered to meet design parameters for a specific amputee. In the case of using resilient leaf springs for the support structure, the resilient leaf springs may offer better cyclic performance (i.e., long-term durability) over time.
The use of a lattice framework with the foot cover may enable the integration of additional design features and/or devices that enable the regulation and control of the prosthesis. One example of a device that can be integrated into the foot cover is a vacuum pump which creates a negative pressure or pulls vacuum on the residual limb to maintain the amputee's intimate contact with a socket for supporting the amputee's remnant limb. A vacuum pump device can be integrated into the foot cover so that during the stance phase when the foot is loaded, a chamber is compressed to expel air, and then when unloading occurs, vacuum or negative pressure is drawn on the limb when the chamber expands.
Using the vacuum device with the foot cover may be beneficial for several reasons. Integration of a vacuum pump into the foot cover may allow the spring element of a prosthetic foot to activate the pump when the amputee walks, runs or moves on the prosthetic foot. In one arrangement, the deformation of the spring element compresses the vacuum chamber or pressure chamber which expels air through a one-way check valve. Once the chamber is fully compressed, pressure is then released from the spring element of the prosthetic foot. Next, the deformed vacuum chamber may pull vacuum when the vacuum chamber or pressure chamber expands back toward the less compressed state thru another one-way check valve connected to the socket via appropriately routed hosing.
A pressure chamber 912 may also be disposed in the lattice framework 908. The pressure chamber 912 may be used to generate a negative pressure as an amputee walks using the prosthetic foot and the lattice framework. A first one-way check valve 914 may be associated with the pressure chamber 912 to allow air to be expelled from the pressure chamber to the outside or outside atmosphere, when an amputee walks, runs or moves on the prosthetic foot. A second one-way check valve 916 may be associated with the pressure chamber 912 to allow air to be drawn into the pressure chamber.
A remnant limb socket 920 may be connected to the second one-way valve 916 using a conduit 918 or tubing, and a negative pressure or vacuum maybe developed in the pressure chamber 912 and remnant limb socket 920 as air is pulled from the remnant limb socket 920 through the pressure chamber 912. The tubing 918 may be plastic tubing, metal tubing or series of chambers to route air between the remnant limb socket 920 and the second one-way check valve 916. An outer membrane layer 906 may be disposed over the lattice framework 908 to cover and support the lattice framework, and the outer membrane layer 906 may be removable. A second pressure chamber 930 may also operate to provide additional or alternative negative pressure using a similar configuration as the configuration described in
Additional configurations of the technology may include assistive mechanical devices (e.g., mechanical pumps) to facilitate higher levels of vacuum. For example, the prosthetic foot device may further include an assistive negative pressure pump that is mechanically powered by movement of a vertical compression device in the leg or a mechanical knee or a battery powered assistive negative pressure pump to withdraw air from the pressure chamber 912 as an amputee walks on the foot. The use of the pump can create a negative pressure or vacuum in the chamber which can be used to create negative pressure in the remnant limb socket 920, as described earlier. The negative pressure in the socket for the remnant limb assists with keeping the socket in place while the prosthetic foot and/or leg system is used.
Benefit may be gained by the ability to conceal the pumping device or negative pressure device inside the foot cover, so that no external device is needed. External devices may be undesirable since they can protrude and stick out from the prosthetic system in unnatural ways, as is the case with most prosthetic foot products with pumping systems that existed prior to the present technology. The vacuum device and pressure chamber(s) of this technology can be contained in a cavity and/or regions of the foot cover and concealed from view to create a more natural looking prosthesis.
The foot cover may also house structures, features and/or devices that may regulate and control shock absorption. In the past, prosthetic feet have utilized external apparatuses for shock absorption but these external devices have added significant weight and complexity to the foot systems. The present technology may use sealed chambers (e.g., sealed hollow chambers at atmospheric pressure or sealed pressurized chambers) placed strategically under a heel and toe which are designed to compress and absorb shock. These shock absorbing chambers can have valves and pressure regulators which can be adjusted and tuned to meet the user needs.
An amount of activity performed by the amputee may also be obtained. For example, the amount of activity may be high, medium, low. Alternatively, the amount of activity may be defined using medical definitions for amputees. In addition, the weight of the amputee, the height of the amputee, or the measured gait of the amputee may be obtained. The gait of the amputee may include defining a length of a gait, where an amputee's gait and stance causes them to place weight on a prosthetic foot, or other biomechanical aspects of an amputee's gait.
Another operation in the method may be analyzing the input data to define an architecture of lattice framework to be generated and manufactured for use by the amputee, as in block 1420. The analysis may generate an open lattice framework or lattice cover matches the amputee's gait. For example, the open lattice framework may be stronger in areas where the amputee needs more support or corrective structures may be built into the open lattice framework to correct for any missing anatomical structures in an amputee's leg. In another example, the amount of activity of an amputee may be translated to a stiffness, resilience or density of the lattice framework.
The lattice framework to be generated may be a lattice framework to be used underneath the prosthetic foot or at the underside of the prosthetic device of the amputee. For example, the lattice framework may be generated for a sole of the foot, a ball of the foot or a heel of the foot based in part on the amputee metric or input data regarding the user of the prosthetic foot. A further operation may be generating the lattice framework using an additive manufacturing printer, as in block 1430.
The lattice framework may be integrated into the prosthesis to form a customized system specific to the amputee. For example, the lattice framework may be combined into a foot cover, a shoe, or other specialized foot construction. Optionally, an outer membrane layer may be generated using the additive manufacturing printer that is configured to be disposed over the lattice framework to cover and/or support the lattice framework, as in block 1440. This foot cover can provide variable tunable lattice portions, variable stiffness, and customizing of the lattice to fit amputee and/or the model of prosthetic foot being used.
In addition to creating a lattice framework, a lattice framework can also be incorporated in activity specific footwear and soles created using a lattice structure, which may enable better adaption by amputees. Amputees may no longer be restricted to only wearing existing types of shoes over a foot cover. For example, instead of providing a foot cover that looks like a human foot, a foot cover that looks like a shoe and has a sole with a lattice structure may be manufactured. In another example, the foot cover may have the appearance of a foot and a shoe may be worn over the foot cover but both the lattice framework in the foot cover and the shoe sole may be tuned for the individual amputee and the activities in which the amputee participates. Thus, customized sport soles can be designed for activity specific products to optimize user performance.
Prosthetic users can benefit from customization where the clinician may specify the desired compliance of the system for the user based on the results of a clinical evaluation. Therefore, the clinician can digitally select the design features to be incorporated into the prosthetic foot cover to achieve the desired foot response and then use generative design software to optimize the prosthetic foot cover for the user. The clinician can further adjust and fine tune the prosthetic device by creating a customized foot cover for the patient.
The lattice frameworks can also be used for creating mid-soles and outer soles which are designed for specific uses and for the shoes which are used with the prosthetic foot systems. With the advent of mass customization in shoes, the midsole of shoes may be generated and integrate into the overall prosthetic foot system. For example, sport specific soles may incorporate a lattice structure tuned for participating in sporting events and such soles can be fabricated via additive manufacturing (AM).
The ability to create custom foot lattice structure enables the selective integration of complex lattice structures into a foot cover to regulate and control foot performance. For example, the lattice structure can be discretely positioned throughout the prosthetic foot cover to achieve a desired response according to the user's needs and to produce a controlled response.
An Infinitely Variable Lattice Structure (IVLS) also provides the ability to selectively modify and alter the density/geometry of regions of the lattice framework to achieve the desired functional characteristics of the prosthetic foot.
The rollover characteristics of the foot system can be regulated and tuned by strategically positioning the lattice structure throughout the foot cover. For example, the tuning of the prosthetic foot may be considered a Lattice Tuned Design (LTD). Hollow chambers or highly compliant lattice structures can be used on the plantar surface of the cover to function as shock absorbers.
Another aspect of passive prosthetic foot systems is that there is limited potential to adjust the functional characteristics of prior prosthetic foot covers since they often rely on elastomeric inserts to achieve a desired response. Accordingly, the present foot cover can be used to adjust system characteristics in light the prosthetic foot used, and the foot cover can be used as a functional member of the foot system which provides enhanced performance.
The present technology consolidates many individual parts in a single assembly and this in turn may reduce the part count of the prosthetic foot and result in better reliability. For example, a prosthetic foot cover, a lattice, a negative pressure pump and a customizable heel dampener may be contained within one prosthetic foot cover or within a monolithic device created using a single additive manufacturing or printing process.
An analysis module 1530 on a computing device (e.g., a laptop or workstation) may analyze the digitized data about the amputee and determine a lattice framework to be made as a foot cover to a prosthetic foot. For example, a larger person may have a lattice framework with thicker walls for the cells of the lattice. In another example, an amputee who plays sports (e.g., tennis) may have the ball of the foot reinforced with a denser lattice, etc. The lattice framework may then be printed using an additive printing device 1540. The lattice framework may then be integrated 1550 by an assembly machine with other elements of a foot cover such as an external shell or off the shelf midsoles or uppers. The customized foot cover with the lattice framework can then be shipped 1560 to the amputee.
Furthermore, the described features, structures, or characteristics may be combined in any suitable manner in one or more examples. In the preceding description, numerous specific details were provided, such as examples of various configurations to provide a thorough understanding of examples of the described technology. One skilled in the relevant art will recognize, however, that the technology can be practiced without one or more of the specific details, or with other methods, components, devices, etc. In other instances, well-known structures or operations are not shown or described in detail to avoid obscuring aspects of the technology.
Reference was made to the examples illustrated in the drawings, and specific language was used herein to describe the same. It will nevertheless be understood that no limitation of the scope of the technology is thereby intended. Alterations and further modifications of the features illustrated herein, and additional applications of the examples as illustrated herein, which would occur to one skilled in the relevant art and having possession of this disclosure, are to be considered within the scope of the description.
Furthermore, the described features, structures, or characteristics may be combined in any suitable manner in one or more examples. In the preceding description, numerous specific details were provided, such as examples of various configurations to provide a thorough understanding of examples of the described technology. One skilled in the relevant art will recognize, however, that the technology can be practiced without one or more of the specific details, or with other methods, components, devices, etc. In other instances, well-known structures or operations are not shown or described in detail to avoid obscuring aspects of the technology.
Although the subject matter has been described in language specific to structural features and/or operations, it is to be understood that the subject matter defined in the appended claims is not necessarily limited to the specific features and operations described above. Rather, the specific features and acts described above are disclosed as example forms of implementing the claims. Numerous modifications and alternative arrangements can be devised without departing from the spirit and scope of the described technology.
This application claims benefit of U.S. Provisional Patent Application Ser. No. 62/948,611, filed Dec. 16, 2019 and U.S. Provisional Patent Application Ser. No. 62/948,621, filed Dec. 16, 2019, both of which are incorporated herein by reference.
Number | Date | Country | |
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62948621 | Dec 2019 | US | |
62948611 | Dec 2019 | US |