The present invention relates to an artificial joint for a limb, and, more specifically, a joint provided with a braking mechanism for preventing sudden flexion of the joint.
The “instant centre”, or more properly the “instantaneous centre of zero relative velocity”, is a point where, for a very small change in the angle of knee flexion, the thigh section rotates about a point on an extension of the shank which appears to be temporarily fixed. For small angles of relative rotation one could imagine a temporary hinge connecting the shank and thigh sections at the instant centre. For larger angles of rotation the instant centre will change its location and a new temporary hinge must be imagined.
For a four-bar linkage knee, the instant centre (in any position of knee flexion) can always be located at the intersection of the centre lines of the anterior and posterior links which connect the socket section to the shank section of the prosthesis. As the knee flexion angle is increased the instant centre takes a series of positions which typically trace a path on an extension of the shank which progresses forward and downward toward the cosmetic or anatomical knee centre.
An elevated and posterior location of the instant centre will increase knee stability. With a single axis knee, the location of the knee joint is also dictated by placing it at an approximate anatomical location with good cosmetic appearance while seated with the knee at 90 degrees of flexion. A properly designed four-bar linkage knee also allows the possibility of locating the instant centre in full extension in a position within the desired stable region of the stability diagram, yet which maintains acceptable cosmetic appearance at 90 degrees of flexion.
U.S. Pat. No. 4,064,569 discloses an artificial polycentric knee-joint mechanism comprising a four-bar linkage arranged to provide a motion similar to a normal knee having positive stability during ambulation. The four bars include a knee-mounting block mounted to the stump-receiving socket member and a lower linkage support-carriage member affixed to the lower limb component, the mounting block and linkage support being operably interconnected by side bar links, one of which is tension controlled. Also, included is a braking control to insure normal swing phase movement of the artificial leg and a shock absorbing device to prevent excess terminal impact when the lower limb returns to the extended position of the leg prosthesis.
U.S. Pat. No. 4,090,264 ('264) discloses an artificial leg device including a double-jointed knee connection having a pair of tie arms pivotably connected to upper and lower support members and a pair of inner linkage arms pivotably connected to the upper and lower support members intermediate the tie arms. A gear drive assembly is connected between the upper and lower support members providing synchronous rotation therebetween. A ratchet coupling is connected to the gear drive assembly having a pivotable pawl member cooperating with a ratchet wheel to form a lock therebetween for locking the knee joint in a weight-supporting configuration. An operator assembly is carried by the lower support member for operating the pawl and includes an operator rod responsive to pressure on the foot, a resilient biasing means carried by the operator rod, and a quick-release mechanism carried adjacent the upper portion of the operator rod for releasing the resilient biasing means to provide quick and positive disengagement of the pawl from the ratchet.
It should be emphasized that the artificial leg device taught in '264 is stance-controlled in a vertical position only because the pawl-and-ratchet mechanism is activated when an amputated person steps on the artificial leg. However, in non-vertical positions, the artificial leg is not stance-controlled. In other words, the artificial leg can be suddenly flexed during amputated person's ambulation when the artificial leg is in the non-vertical position. Thus, there is a long-felt and unmet need to provide a safe artificial limb in which the possibility of sudden flexing of the artificial limb is precluded.
It is hence one object of the invention to disclose a joint for preventing a sudden flexing of an artificial limb. The joint includes a first support pivotally connected to a second support and a braking mechanism for limiting angular displacement between the first support and the second support actuatable when a time derivative of the angular displacement exceeds a predetermined value.
Another object of the invention is to disclose the time derivative which is an angular velocity.
A further object of the invention is to disclose the predetermined value of the angular velocity ranging between about 1 and about 100 rad/sec.
A further object of the invention is to disclose the predetermined value of the angular velocity ranging between about 1 and about 10 rad/sec.
A further object of the invention is to disclose the time derivative which is an angular acceleration.
A further object of the invention is to disclose the predetermined value of the angular acceleration ranging between about 1 and about 2,000 rad/sec2.
A further object of the invention is to disclose the predetermined value of the angular acceleration ranging between about 1 and about 100 rad/sec2.
A further object of the invention is to disclose the first support pivotally connected to the second support via a linkage assembly.
A further object of the invention is to disclose the joint which is a knee joint having a thigh support and a shin support.
A further object of the invention is to disclose the linkage assembly selected from the group consisting of a single axis linkage, a polycentric linkage, a four-bar linkage, a hydraulic linkage, computer controlled linkage and any combination thereof.
A further object of the invention is to disclose the braking mechanism including (a) a pawl-and-ratchet mechanism; and (b) a triggering mechanism adapted for activating the pawl-and-ratchet mechanism.
A further object of the invention is to disclose the triggering mechanism including the pawl supported on a frame movable between a locking position in engagement with a tooth of the ratchet wheel so that the angular displacement of the bar means is prevented and a non-locking position allowing the ratchet wheel coupled to the bar means to be angularly displaced.
A further object of the invention is to disclose the triggering mechanism including an inertia mechanism responsive to the predetermined value of the time derivative.
A further object of the invention is to disclose the pawl movable between locked and unlocked positions against a bias of a spring.
A further object of the invention is to disclose the pawl angularly displaceable between the locked and unlocked positions.
A further object of the invention is to disclose the pawl linearly displaceable between the locked and unlocked positions.
A further object of the invention is to disclose the inertial mechanism including an off-axis member connected to a bar and fulcrum and a rotatable locking actuator adapted for placing the pawl into engagement with the ratchet; the off-axis member is designed for off-axis deviation and meshing with the locking actuator when the predetermined value of the time derivative of the angular displacement exceeds the predetermined value thereby.
A further object of the invention is to disclose the inertial mechanism including a disc member centrally disposed on a bar and fulcrum and a sprung lever pivotable at an off-axis point of the disc; the sprung lever is designed for centrifugal deviation and linear displacement of the pawl into the locked position when the time derivative of the angular displacement exceeds the predetermined value.
A further object of the invention is to disclose the braking mechanism including an electromechanical converter adapted for transmitting an electrical signal corresponding to the derivative and a triggering circuit adapted to activate the braking mechanism in response to the electrical signal corresponding to a predetermined value of the time derivative of the angular displacement.
A further object of the invention is to disclose the joint configured for assisting ambulation of an individual suffering from joint instability.
A further object of the invention is to disclose the first support and the second support configured for attachment to the limb of the individual.
A further object of the invention is to disclose the joint instability caused by a disorder selected from the group consisting of broken bones, arthritic joints, bowleg, knock-knee, knee hyperextension, muscular weakness, paralysis the any combination thereof.
A further object of the invention is to disclose the joint further comprising a derivative sensor and a micro-controller, said sensor is adapted for transmitting a signal corresponding to instantaneous values of derivatives to said micro-controller which triggers the braking mechanism when the derivatives exceeds the predetermined value of the time derivative of the angular displacement.
A further object of the invention is to disclose the joint further comprising a retarding mechanism adapted for providing a requisite torque for bending the joint.
A further object of the invention is to disclose the retarding mechanism including: (a) a casing accommodating a fluid; (b) a wiper mechanically connected to the limb, the wiper arranged to be angularly displaced within the casing; and (c) a valve openable in response to a predetermined value of fluid pressure.
A further object of the invention is to disclose the braking mechanism adapted to limit angular displacement of between said first support and said second support in response to a predetermined value of said fluid pressure.
A further object of the invention is to disclose the joint further comprising a transmission.
A further object of the invention is to disclose the transmission which is an epicyclical train transmission.
A further object of the invention is to disclose the braking mechanism including (a) an outer annular member provided at an inner surface thereof with a plurality of cogs circumferentially distributed over the surface; and (b) a inner rotatable member placed into said outer member provided with a plurality of pawls centrifugally engageable with the cogs of the outer member.
A further object of the invention is to disclose the joint further comprising an angular shock-absorbing mechanism.
A further object of the invention is to disclose the angular shock-absorbing mechanism including a first disc and a second disc rotatably interconnected to each other; the first disc is provided with a plurality of pins circumferentially distributed over the first disc; the second disc is provided with a plurality of circumferentially oriented slots configured for receiving the pins; inner walls of the slots are fringed with a rubber absorbing layer.
A further object of the invention is to disclose the epicyclical train transmission having two inputs.
A further object of the invention is to disclose one input provided with an additional pawl-ratchet mechanism.
A further object of the invention is to disclose a method of securing a limb from sudden flexing. The method includes a step of attaching the joint of the present invention to a limb of a subject in need.
In order to understand the invention and to see how it may be implemented in practice, a plurality of embodiments is adapted to now be described, by way of non-limiting example only, with reference to the accompanying drawings, in which
a and 1b are schematic views of a knee joint;
a and lb are frontal and side schematic views of a four bar knee joint (prior art);
a and 4b are schematic diagrams of a braking mechanism in an open and lock positions, respectively;
a, 5b and 5c are schematic diagrams of a braking mechanism provided with linearly displaceable pawl;
a and 6b are schematic diagrams of a braking mechanism provided with a weighted pendulum;
a to 7e are photographs depicting a metal-made prototype;
a to 8d are photographs depicting a carbon ceramics-made prototype;
The following description is provided, so as to enable any person skilled in the art to make use of the invention and sets forth the best modes contemplated by the inventor of carrying out this invention. Various modifications, however, are adapted to remain apparent to those skilled in the art, since the generic principles of the present invention have been defined specifically to provide a joint for an artificial limb and a method of using the same.
According to one aspect of the invention there is provided a joint for an artificial limb, including a first support pivotally connected to a second support and a braking mechanism for limiting angular displacement between the first support and the second support. The braking mechanism is actuatable when a time derivative of the angular displacement exceeds a predetermined value.
The phrase “time derivative” used herein refers to the change rate of the angular displacement. Accordingly, the time derivative can be either the angular velocity or the angular acceleration of the angular displacement.
In one embodiment, the angular velocity triggering the braking mechanism is between about 1 and about 100 rad/sec. In another embodiment the angular velocity is between about 1 and about 10 rad/sec.
In accordance with another embodiment, the angular acceleration triggering the braking mechanism is between about 1 and about 2,000 rad/sec2. In another embodiment the angular acceleration is between about 1 and about 100 rad/sec2.
As used herein the term “about” refers to ? 10%.
The joint of the present invention can be, but not limited to, a knee joint having a thigh support and a shin support. An advantage of the knee joint of the present invention is that it prevents a sudden flexion of the joint.
Reference is now made to FIGS 1a and 1b, showing a schematic diagram of an artificial knee joint according to the present invention in straightened and bent positions 40 and 40a, respectively. The joint 40/40a comprises thigh support 10, shin support 20 and linkage 30 pivotally interconnecting the aforesaid thigh support 10 and shin support 20 therebetween.
Reference is now made to
According to one embodiment of the present invention the knee joint includes a braking mechanism comprising a pawl and ratchet mechanism and a triggering mechanism adapted for activating the pawl and ratchet mechanism. Optionally, the triggering mechanism includes an inertia locking mechanism responsive to the predetermined value of the time derivative. Suitable inertia-responsive lock mechanisms are well known in the art.
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In another embodiment of the present invention the joint includes a retarding mechanism adapted for providing a requisite torque for bending the joint. Optionally, the retarding mechanism includes: (i) a casing accommodating a fluid, (ii) a wiper mechanically connected to the limb and arranged to be angularly displaced within the casing and (iii) a valve operable in response to a predetermined value of fluid pressure.
Reference is now made to
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The second portion constitutes an angular shock-absorbing mechanism comprising a disc 710 rotatably interconnected with the outer member 720. As seen in
Reference is now made of
The knee joint of the present invention is used as follows: the knee joint is provided with upper and lower portions of the artificial leg so that the amputee can put (attach) the upper portion of the artificial leg on his/her amputated thigh. The lower portion of the artificial leg is adapted for providing a prop of the amputee on the ground. The upper and lower portions are mechanically connected to the knee joint. Then, the amputee puts the upper portion on the thigh stump and ambulates by means of stepping on the artificial leg.
In another aspect of the present invention there is provided a method of securing a limb from sudden flexing. The method includes a step of attaching the joint of the present invention to a limb of a subject in need. Preferably the joint is a knee joint attached to a leg stump of an amputee.
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/IL2011/000358 | 5/4/2011 | WO | 00 | 10/25/2012 |
Number | Date | Country | |
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61330972 | May 2010 | US | |
61371705 | Aug 2010 | US |