Suspension Device for a Limb Prosthesis or Orthosis

• US 20120191218A1
• Filed: 12/21/2011
• Published: 07/26/2012
• Est. Priority Date: 09/29/2010
• Status: Active Grant

• Current Assignee: Blatchford Products Limited (CBPE Capital LLP)
• Original Assignee: CHAS A Blatchford & Sons Limited
• Inventors: McCarthy, Joseph R.
• Granted Patent: US 8,668,744 B2
• Time in Patent Office: Days
• US Class Current: 623/34
• CPC Class Codes: A61F 2/7812 Interface cushioning members placed between the limb stump and the socket, e.g. bandages or stockings for the limb stump
• CPC Class Codes: A61F 2002/805 having an air valve

Abstract

A vacuum-assisted suspension device for a lower limb prosthesis secures the prosthesis to a residual body portion. Sandwiched between the residual body portion and an impermeable socket is a flexible liner made of an impermeable material that is porous to allow the transport of air and fluid directly away from the residual body portion to the outer surface of the liner. A fabric distribution layer is located over the liner and between the liner and the socket to allow transmission of such extracted air and fluid laterally over the liner to an evacuation port in the socket. The evacuation port has an associated one-way valve. During use, loading of the socket compresses the flexible liner and air is expelled via the evacuation port. When the load is removed, a vacuum is created directly between the residual body portion and the socket, the vacuum being maintained by the one-way valve.

Claims

1. A suspension device for a lower limb prosthesis comprising:

an air-impermeable socket shaped to receive a residual limb portion, the socket having an inner surface and an outer surface, a distal end and a proximal end, the proximal end being open and surrounded by a peripheral socket edge,

a flexible liner shaped and dimensioned to be located between the inner surface of the socket and the residual limb portion when the socket is fitted to the residual limb portion, wherein the liner has an inner surface and an outer surface and at least a part of the liner is porous so as to allow transmission of air and moisture between the inner and the outer surface thereof, and

a sealing member at the peripheral socket edge to form a seal between the socket and the residual limb portion when the socket is fitted to the residual limb portion, and wherein the socket has an evacuation port in communication with the porous part of the liner and a non-return valve in communication with the evacuation port, which valve is oriented so as to maintain a vacuum generated inside the socket.

2. A suspension device according to claim 1, wherein the liner is a pad adjacent the distal end of the socket.

3. A suspension device according to claim 1, wherein the liner is formed of an impermeable material with perforations therethrough between the liner inner and outer surfaces to form said porous part.

4. A suspension device according to claim 3, wherein the liner has a distribution layer on its outer surface to allow transmission of air and moisture transversely from the perforations to the evacuation port.

5. A suspension device according to claim 4, wherein the distribution layer is a fabric layer overlying the impermeable material of the liner on the outer surface thereof.

6. A suspension device according to claim 3, wherein the perforations have a diameter of less than 2 mm at the inner surface of the liner.

7. A suspension device according to claim 6, wherein the perforations have a diameter of less than 1 mm at the liner inner surface.

8. A suspension device according to claim 1, wherein the liner is made of a resilient elastomeric material.

9. A suspension device according to claim 3, wherein the liner is made of a silicone material and has a thickness of at least 2 mm.

10. A vacuum-assisted suspension device for a limb prosthesis or orthosis, comprising:

an air-impermeable outer wall member shaped to receive a limb portion, the wall member having a peripheral edge, an evacuation port, and a non-return valve associated with the evacuation port and arranged to maintain a vacuum between the wall member and the limb portion when the latter is received by the wall member;

a resilient cushioning layer shaped and dimensioned to be located between an inner surface of the wall member and the limb portion, the cushioning layer having an inner surface and an outer surface;

a porous distribution layer located between an inner surface of the wall member and the limb portion when the latter is received by the wall member, and adapted to allow transmission of air and moisture transversely through the distribution layer, the distribution layer extending over the outer surface of the cushioning layer and having a part which is in registry with the evacuation port; and

means for forming a seal between the wall member and the limb portion in the region of the said peripheral edge;

wherein the cushioning layer is made of an air-impermeable material at least part of which has perforations which extend through the layer from the inner surface to the outer surface thereof and which have a diameter of less than 2 mm at the inner surface of the cushioning layer.

11. A device according to claim 10, wherein the perforations have a diameter of less than 1 mm at the cushioning layer inner surface.

12. A device according to claim 10, wherein at least some of the perforations are tapered, the diameter of each such perforation being greater at the outer surface of the cushioning layer than at the inner surface thereof.

13. A device according to claim 10, wherein the cross-sectional area of each of at least some of the perforations varies along the length of the perforation.

14. A device according to claim 10, wherein the wall member is an elongate socket shaped to receive a residual limb portion, the socket having a proximal open end defined by the peripheral edge and a distal closed end, and wherein the cushioning layer is located at least at the distal closed end of the socket.

15. A device according to claim 14, wherein cushioning layer comprises first and second perforated cushioning pads, the first pad being located at the distal closed end of the socket and the second pad being located in registry with a side wall portion of the socket, and wherein the distribution layer extends over the outer surfaces of both cushioning pads.

16. A device according to claim 15, wherein the second cushioning pad is located adjacent the peripheral edge of the wall member.

17. A device according to claim 14, wherein the cushioning layer comprises at least two non-overlapping cushioning pads each having a plurality of said perforations, the distribution layer extending over both pads.

18. A device according to claim 15, wherein the second cushioning pad is located so as to abut a medial surface or a lateral surface of the residual limb portion when the device is fitted thereto, whereby lateral movement of the residual limb portion within the device causes compression of the said second cushioning pad.

19. A device according to claim 15, wherein the second cushioning pad is located so as to abut an anterior surface or a posterior surface of the residual limb portion when the device is fitted thereto, whereby movement of the residual limb portion in the anterior-posterior direction causes compression of the said second cushioning pad.

20. A device according to claim 10, wherein the material of the cushioning layer has an effective modulus of rigidity in the region of the perforations such that it is capable of being compressed by the pressures produced between the wall member and the limb portion during the gait cycle.

21. A device according to claim 10, wherein the material of the cushioning layer is a material with a durometer value of between 20 and 55 shore 00.

22. A device according to claim 14, wherein the distribution layer extends over the entire inner surface of the socket.

23. A device according to claim 10, including a porous inner fabric layer at least a part of which extends over the inner surface of the cushioning layer.

24. A device according to claim 23, wherein the porous layer extends over and is in registry with the entire inner surface of the socket.

25. A method of suspending a lower limb prosthesis from a residual limb portion of an amputee comprising:

providing a socket member made of an impermeable material and shaped and dimensioned to receive the lower limb portion, the socket having an evacuation port and a non-return valve which is in communication with the port and is oriented so as to allow air to flow from the inner surface of the socket to the outside but to prevent flow in the opposite direction,

providing a flexible liner shaped and dimensioned to be located between an inner surface of the socket and the residual limb portion, at least part of the liner being porous so as to allow transmission of air and moisture between inner and outer surfaces of the liner,

fitting the socket member, with the lower limb prosthesis attached thereto, to the residual limb portion with the liner sandwiched between the socket member and the residual limb portion,

forming a seal between a peripheral edge of the socket member and the residual limb portion,

applying the amputee'"'"'s weight to the prosthesis via the residual limb portion to load the socket thereby to compress the porous part of the liner and evacuate air through the evacuation port from between the residual limb portion and the socket member inner surface, and

removing the amputee'"'"'s weight so as to unload the socket, the vacuum thereby generated between the residual limb portion and the socket inner wall being maintained by the non-return valve.

26. A suspension device for a lower limb prosthesis comprising:

an air-impermeable socket shaped to receive a residual limb portion, the socket having an inner surface and an outer surface, a distal end and a proximal end, the proximal end being open and surrounded by a peripheral socket edge,

a flexible liner shaped and dimensioned to be located between the inner surface of the socket and the residual limb portion when the socket is fitted to the residual limb portion, wherein the liner has an inner surface and an outer surface and is formed of a resilient air-impermeable material with voids which are open at least at the outer surface of the liner, and

a sealing member at the peripheral socket edge to form a seal between the socket and the residual limb portion when the socket is fitted to the residual limb portion,

and wherein the socket has an evacuation port in communication with said voids in the liner and a non-return valve in communication with the evacuation port, which valve is oriented so as to maintain a vacuum generated inside the socket.

27. A suspension device according to claim 26, wherein at least one of the voids constitutes a perforation of the liner extending through the liner from the inner surface to the outer surface thereof.