System for controlling artificial knee joint action in an above knee prosthesis

• US 5,383,939 A
• Filed: 12/05/1991
• Issued: 01/24/1995
• Est. Priority Date: 12/05/1991
• Status: Expired due to Term

• Current Assignee: Otto Bock HealthCare GmbH (OTTO BOCK Holding GmbH & Company KG)
• Original Assignee: Biomech Designs, Ltd.
• Inventors: James, Kelvin B.
• Primary Examiner(s): Willse, David H.
• Application Number:
  US07/804,264
• Time in Patent Office: 1,146 Days
• Field of Search: 623/45, 623/24, 623/25, 623/26, 623/44, 92/110, 92/112, 92/143, 92/181 P, 188/299, 188/317, 188/322.15
• US Class Current: 623/24
• CPC Class Codes: A61F 2/64 Knee joints
• CPC Class Codes: A61F 2/70 electrical
• CPC Class Codes: A61F 2/74 fluid , i.e. hydraulic or pneumatic
• CPC Class Codes: A61F 2/748 Valve systems
• CPC Class Codes: A61F 2002/5003 having damping means, e.g. shock absorbers for implantable joints A61F2002/30563
• CPC Class Codes: A61F 2002/704 computer-controlled, e.g. robotic control
• CPC Class Codes: A61F 2002/7615 Measuring means for implanting artificial joints A61F2/4657
• CPC Class Codes: A61F 2002/7635 for measuring force, pressure or mechanical tension
• CPC Class Codes: B62D 57/00 Vehicles characterised by having other propulsion or other ground- engaging means than wheels or endless track, alone or in addition to wheels or endless track sledges B62B; motor sledges B62M

Abstract

This invention relates to an above knee prosthesis which employs a hydraulic damper to passively regulate the angular velocity or rotation of the artificial knee joint. A programmed microprocessor recognizes common gait patterns from information received from bending moment strain and knee angle sensors on the prosthesis. The microprocessor, under the control of a rule-based program, reacts at various transition points in the gait by activating a motor which in turn adjusts a valve assembly in the damper. The valve assembly is capable of variably and separately damping the knee joint motion in each of flexion and extension at the same time. Gait is improved because of the improved extent of control of knee action. In addition, distinct routines such as stair descending and sitting down can also be practiced.

Claims

1. In an above knee prosthesis (AKP) for use by a human user, said AKP having upper and lower leg segments, a knee joint connecting the segments and a foot attached to the lower segment, the improvement comprising:

a hydraulic damper means, pivotally connected with the leg segments for separately and variably damping each of flexion and extension rotational movements of the knee joint throughout the stance and swing phases of gait utilizing restriction of hydraulic fluid flow;

said damper means comprising a cylinder, forming an internal chamber, and a piston adapted to slide therein, said piston engaging the cylinder in sealed relationship and dividing the chamber into first and second end chambers filled with hydraulic fluid when in use, said piston being operative to reciprocate within the cylinder chamber as the leg segments move together in flexion or separate in extension,

said damper means having first and second passageways, each connecting the end chambers,

said damper means having first variable valve means associated with the first passageway for regulating fluid flow therethrough and second variable valve means associated with the second passageway for regulating fluid flow therethrough,

said damper means having first one way check valve means for enabling fluid to flow between end chambers through the first passageway when the leg segments endeavor to separate in extension and second one way check valve means for enabling fluid to flow between end chambers through the second passageway when the leg segments endeavor to move together in flexion;

actuating means for adjusting each of the first and second variable valve means so the flow capacity of each of the first and second passageways may be separately varied;

electronic sensing means for continuously monitoring AKP knee angle and emitting signals representative thereof,

electronic sensing means for continuously monitoring position of the center of gravity of the user'"'"'s body relative to the AKP foot and emitting signals representative thereof; and

programmed computer means for receiving the emitted signals, continuously establishing from said signals the state of the AKP throughout the course of gait and activating the actuating means to separately vary the flow capacity of one or both passageways at appropriate transition points between AKP states throughout the stance and swing phases of gait.

2. The improvement as set forth in claim 1 wherein the means for monitoring position of the center of gravity of the user'"'"'s body comprises means for sensing lower leg bending moment strain.

3. The improvement as set forth in claim 2 comprising:

a third passageway connecting the first and second passageways between the check valve means and variable valve means of each passageway.

4. The improvement as set forth in claim 2 wherein:

the cylinder has side and end walls;

the piston is cylindrical and hollow, having end walls and a side wall forming a piston chamber, said piston side wall carrying an exterior circumferential seal ring for sealing against the cylinder side wall;

the piston forms a first aperture on one side of the seal ring, which aperture connects the piston chamber with the first cylinder end chamber;

the piston forms a second aperture on the other side of the seal ring, which second aperture connects the piston chamber with the second cylinder end chamber;

the first one way check valve means is connected with the first aperture and is operative to allow fluid to flow between the cylinder first end chamber and the piston chamber in extension;

the second one way check valve means is connected with the second aperture and is operative to allow fluid to flow between the cylinder second end chamber and the piston chamber in flexion;

the piston second passageway including a first pair of diametrically opposed ports connecting the piston chamber with the cylinder first end chamber;

the first passageway including a second pair of diametrically opposed ports connecting the piston chamber with the cylinder second end chamber;

the piston is associated with first valve means for progressively reducing or increasing the area of the first pair of ports which is available for fluid flow and with second valve means for separately progressively reducing or increasing the area of the second pair of ports which is available for fluid flow;

so that the first aperture, first check valve means, piston chamber and second pair of ports form the first passageway, said first check valve means being operative to route flow therethrough in extension, said second valve means and second pair of ports combining to provide the first variable valve means for regulating fluid flow therethrough;

so that the second aperture, second check valve means, piston chamber and first pair of ports form the second passageway, said second check valve means being operative to route flow therethrough in flexion, said first valve means and first pair of ports combining to provide the second variable valve means for regulating fluid flow therethrough; and

so that the piston chamber connects the first and second passageways between the check valve means and the ports of each of the first and second passageways.

5. The improvement as set forth in claim 4 wherein:

each of the ports is a slit extending circumferentially of the piston and the second pair of ports is offset circumferentially relative to the first pair of ports; and

the valve means is a rotatable plug adapted to progressively cover or uncover the first and second slit ports.

6. The improvement as set forth in claims 1, 2, 3, 4 or 5 wherein:

the programmed computer means is adapted to compare the emitted signals against stored threshold values indicative of transition points between states of a repetitive movement of the AKP and, when the signals substantially correlate with the threshold values, to vary flow capacity of one or both of the passageways.