This invention relates to prosthetic socks having an interface for use in a prosthetic assembly. More particularly, this invention relates to knit or woven suspension socks having at least one sealing band internal or external in addition to an externally fabricated sealing ring.
It has long been appreciated that differential air pressure may be utilized to retain a prosthetic limb on a patient's limb or stump. Gravitational and other forces tend to cause separation between the prosthetic limb and the patient's residual extremity during use. This happens, for example, during the swing phase of gait, when a prosthetic leg is additionally subjected to centrifugal forces. Patients have routinely worn a variety of belts, straps, cuffs and harnesses to retain their prosthetic limbs against separation from the residual limb. In addition, a variety of socket configurations have been utilized for the same purpose. However, none of these can provide the reliable, strong retentive force which is provided by differential air pressure in accordance with the present invention.
Most amputees wear woven “stump socks” as an interface between their skin and the prosthetic socket for increased comfort, perspiration absorption, and reduced friction. These socks vary from thin sheaths (about 0.010-0.015 inches thick) to rather thick socks (about 0.125 inches thick) which are used to accommodate substantial discrepancies between stump shapes and volumes in relation to the prosthetic socket. All of these socks, regardless of the material from which they are fabricated (nylon, orlon, cotton, wool, etc.) are porous. As such, air flows freely past the proximal borders of the socket, making it impossible to maintain a vacuum within. The same problem of uncontrolled air leakage can exist when no stump sock is worn.
The primary issue with most prosthetic devices is breathability because of heat retention. When a gel (thermoplastic, silicone, urethane) is in contact with the skin, the body's normal heat generation can causes sweating which can then cause skin irritation or other skin issues. Skin health drastically improves when it is allowed to breathe. In addition, most prosthetic devices are not machine-washable.
Therefore, it is an object of this invention to provide an improvement which overcomes the aforementioned inadequacies of the prior art devices and provides an improvement which is a significant contribution to the advancement of the prosthetic interface art.
Another object of the invention is to provide a suspension interface that is comfortable for a user while still providing suspension.
Another object of the invention is to prevent bleed-through of the material used for the internal or external sealing band through the fabric layer.
Another object of the invention is to provide a suspension interface that includes a sealing band in addition to an external sealing ring for additional support and suspension.
Another object of the invention is to provide a suspension interface that allows for introduction of a pin locking system to provide additional support and suspension.
Another object of the invention is to create a convenient, improved sealing arrangement between an elastomeric liner sleeve and the interior of a prosthetic socket.
Another object of the invention is to provide a suspension interface that is lightweight, breathable, and machine washable.
The foregoing has outlined some of the pertinent objects of the invention. These objects should be construed to be merely illustrative of some of the more prominent features and applications of the intended invention. Many other beneficial results can be attained by applying the disclosed invention in a different manner or modifying the invention within the scope of the disclosure. Accordingly, other objects and a fuller understanding of the invention may be had by referring to the summary of the invention and the detailed description of the preferred embodiment in addition to the scope of the invention defined by the claims taken in conjunction with the accompanying drawings.
The present invention relates generally to a suspension interface having a fabric layer with an open proximal end and a closed distal end. The fabric layer can be knit or woven and is preferably made from a stretchable, breathable material such as polyester or other synthetic fiber. At a pre-determined point along the length of the fabric layer, an external sealing element is affixed using conventional gluing means creating a bond layer as described above in the related embodiments and having the same configuration. The suspension interface has an internal grip layer or external grip layer that is preferably silicone but may also be a thermoplastic material such as a thermoplastic elastomer, urethane, or similar material. The internal or external grip layer can be as thick as one inch in thickness but is preferably about ⅛ of an inch.
The foregoing has outlined rather broadly the more pertinent and important features of the present invention in order that the detailed description of the invention that follows may be better understood so that the present contribution to the art can be more fully appreciated. Additional features of the invention will be described hereinafter which form the subject of the claims of the invention. It should be appreciated by those skilled in the art that the conception and the specific embodiment disclosed may be readily utilized as a basis for modifying or designing other structures for carrying out the same purposes of the present invention. It should also be realized by those skilled in the art that such equivalent constructions do not depart from the spirit and scope of the invention as set forth in the appended claims.
For a more complete understanding of the present disclosure and its advantages, reference is now made to the following descriptions, taken in conjunction with the accompanying drawings, in which:
Similar reference numerals refer to similar parts throughout the several views of the drawings.
The following description is of the best mode presently contemplated for carrying out the invention. This description is not to be taken in a limiting sense, but is made merely for the purpose of describing one or more preferred embodiments of the invention. The scope of the invention should be determined with reference to the claims.
A fabric exterior 300 is synonymous with “reinforcement layer” and is bonded to the outer elastomer surface 420 of the thermoplastic elastomer layer 400 and conforms to the at least one sealing region 430. The fabric exterior 300 advantageously forms a suitable substrate for bonding a seal layer 200. The seal layer 200 conforms to the shape of the fabric exterior 300 and thermoplastic elastomer layer 400. The seal layer 200 is applied in an uncured state to the fabric and with a viscosity such that it can “wet out” the fabric in that area so that once cured it forms an air-tight seal thus isolating the fabric above the seal layer (not shown) from the fabric exterior 300 below the seal layer 200. Thus, this application of the outer sealing layer 200 to the fabric exterior 300 provides an air-impermeable interface between the thermoplastic elastomeric layer 400 and the surrounding exterior area of the liner 100. The outer sealing layer 200 is preferably applied such that it impregnates the reinforcement layer 300 to form a composite.
This outer sealing layer 200 may be comprised of natural rubber, silicone, polyurethane, latex, polysulfide, vinyl, polyisoprene, or a styrene block copolymer gel, although the preferred material is rubber due to their high abrasion resistance and high force to stretch. The force to stretch this layer is determined by the modulus of elasticity of the sealing material multiplied by the cross-sectional area of the sealing material.
The thermoplastic elastomer layer 400 is preferably of a type compatible with long periods of dynamic wearer contact. Such materials are known in the art and may include the following polymers, as well as gels which comprise them: silicones polyurethanes; block copolymers such as styrene block copolymer gels, general non-limiting examples of which may include SEBS-, SEPS-, SEEPS-, SEEBS-, and other type styrene block copolymer gels. Further non-limiting examples of styrene block copolymer gels which may be useful in the liner of the present invention include so called “controlled distribution polymers,” such as, for example, those disclosed in U.S. Pat. No. 7,226,484; United States Patent Application Publication No. 20070238835; and United States Patent Application Publication No. 20050008669, the disclosure of which is hereby incorporated by reference herein. Other potentially useful polymers may include certain so-called “crystalline” polymers, such as, for example, polymers disclosed in U.S. Pat. Nos. 5,952,396; 6,420,475 and 6,148,830, the disclosures of which are hereby incorporated by reference herein. The above list is non-limiting, and in general, the list of acceptable polymers and gels includes those known in the art to be useful for the fabrication of prosthetic liners. The term “gel” is defined to be a polymer mixed with a plasticizer. An example of current liner using such gel is the “EZ Gel”™ liner, available from Alps South, LLC.
The term “sealing region” 430 may include only one raised portion 440 or may include a plurality. If it includes a plurality of raised portions 440, the sealing region 430 will have each raised portion 440 contiguously adjacent to any other raised portion 440. However, if there are a plurality of raised portions 440 collectively near the distal end of the tubular body portion as well as a plurality of raised portions 440 collectively near the proximal end of the tubular body portion, there will be two sealing regions 430 with only continuous lengths among their group. That is, the sealing region 430 in the distal end will have one continuous length of material while the sealing region 430 in the proximal end will have its own continuous length of material. The continuous length of material refers to the elastomeric material used to create the durable and flexible sealing region 430.
Furthermore, having the elastomeric material impregnated within the fabric exterior 300 allows the resulting composite to have more durable properties as compared to having the elastomeric material attached as its own layer apart from the fabric exterior 300 (
Furthermore, the apex surface 470 is just that, the highest or furthest point from the recessed portion 450. In the case of the embodiment shown in
Preparing the embodiment shown in
Second, a calibrated scale and clean mixing container are used to prepare and mix the required silicone to be applied to the apex surface 470 of the raised portions 440. Although in this method, silicone is used as the sealing material, any equivalent material may be used.
Third, the seal liner 100 is rotated while a brush or other applier is used to apply the prepared silicone to the apex surface 470 of the raised portions 440. The applied silicone is uniform and only introduced to the areas within the sealing region 430 that do not have the vinyl tape applied. No bubbles should be present within the applied silicone. The bladder is then deflated and vinyl tape removed.
Fourth, the seal liner 100 is slowly rotated on the rotating arm while an infrared heat lamp is applied approximately 1 inch from the surface of the silicone. The seal liner 100 is left to cure for approximately 10 to 20 minutes or until the silicone is no longer tacky to the touch. If the silicone coating is still liquid or soft, the seal liner 100 is left rotating to cure longer. Once the silicone is cured enough to remain in place without rotating, the seal liner 100 is moved to a clean location to finish curing overnight at room temperature.
Moreover, the impregnating process of the silicone onto the fabric exterior 300 can be accomplished in a variety of ways, including applying pre-made, semi-cured silicone strips onto the apex surface 470 of the raised portions 440. The process of applying may include painting, spraying, coating, spreading, injecting, forming, or dipping the seal liner 100 into the silicone material without inflating the seal liner 100.
Many stress and abrasion tests were successfully performed to show that the seal liner 100 would retain a vacuum while in use because of its durable sealing region 430. The seal liner 100 was first subjected to a vacuum test to establish a baseline for the level of vacuum achieved within the seal liner 100 and socket (vacuum achieved 23 inches Hg, vacuum maintained 20 inches Hg, and the duration of test was 24 hours). After the baseline was established, the elastomeric material impregnated within the fabric exterior layer 300 was gradually removed by abrasive forces to monitor the resulting vacuum level. The first sanding step removed a small layer of the elastomeric material impregnated within the fabric exterior 300 at the apex surface 470 of the raised portions 440 (vacuum achieved 22.5 inches Hg, vacuum maintained 20 inches Hg, and the duration of test was 24 hours). There was no noticeable loss of vacuum. The second sanding step removed a much thicker layer of elastomeric material impregnated with the fabric exterior 300 and again, no noticeable loss of vacuum was achieved (vacuum achieved 18.5 inches Hg, vacuum maintained 17.5 inches Hg, and the duration of test was 24 hours). The sanding steps continued until progressively, each raised portion 440 had a significant loss of impregnated elastomeric material within the fabric exterior 300 (vacuum achieved 23 inches Hg, vacuum maintained 20 inches Hg, and the duration of test was 24 hours). No noticeable loss of vacuum was achieved. Over the course of the many trials of the sanding steps, the seal liner 100 never lost more than 4.5 inches Hg and on average never lost more than 2 inches Hg.
When worn by an amputee and inserted into a socket for use with a vacuum system, the volume of air within the socket and below the seal layer is evacuated thereby securing the residual limb within the socket. The present invention thereby preferably reduces any potential for a tourniquet effect created by the vacuum process and provides high abrasion resistance.
An alternative embodiment is provided for in
As shown in
In yet another embodiment, as shown in
As shown in
An alternative embodiment of the suspension interface 1000 is shown in
As shown in
Alternative arrangements of the internal grip layer 1100 and external grip layer 1300 are shown in
The present disclosure includes that contained in the appended claims, as well as that of the foregoing description. Although this invention has been described in its preferred form with a certain degree of particularity, it is understood that the present disclosure of the preferred form has been made only by way of example and that numerous changes in the details of construction and the combination and arrangement of parts may be resorted to without departing from the spirit and scope of the invention.
Now that the invention has been described,
This application is a continuation-in-part of application Ser. No. 17/876,764, filed Jul. 29, 2022, entitled “Prosthetic Liner with External Elastomeric Seal,” which is a continuation-in-part of application Ser. No. 17/546,510, filed Dec. 9, 2021, entitled “Prosthetic Liner with External Fabric Seal” which is a continuation of application Ser. No. 16/258,621, filed Jan. 27, 2019, entitled “Prosthetic Liner with External Fabric Seal,” which is a continuation-in-part Ser. No. 16/120,791, filed Sep. 4, 2018, entitled “Prosthetic Liner with External Fabric Seal,” which claims priority to U.S. Provisional Application No. 62/554,370, filed Sep. 5, 2017, the contents of which are hereby incorporated by reference herein.
Number | Date | Country | |
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62554370 | Sep 2017 | US |
Number | Date | Country | |
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Parent | 16258621 | Jan 2019 | US |
Child | 17546510 | US |
Number | Date | Country | |
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Parent | 17876764 | Jul 2022 | US |
Child | 18221522 | US | |
Parent | 17546510 | Dec 2021 | US |
Child | 17876764 | US | |
Parent | 16120791 | Sep 2018 | US |
Child | 16258621 | US |