Prosthetic ankle joint for pivotally connecting a residual limb to a prosthetic foot

• US 5,571,212 A
• Filed: 01/10/1995
• Issued: 11/05/1996
• Est. Priority Date: 01/10/1995
• Status: Expired due to Fees

• Current Assignee: Seattle Orthopedic Group Inc.
• Original Assignee: M+Ind (Model & Instrument Development Corporation
• Inventors: Cornelius, Craig J.
• Primary Examiner(s): Weiss, John G.
• Assistant Examiner(s): SNOW, BRUCE EDWARD
• Application Number:
  US08/371,024
• Time in Patent Office: 665 Days
• Field of Search: 623/52, 623/47, 623/48, 623/49, 623/50, 623/51
• US Class Current: 623/48
• CPC Class Codes: A61F 2/6607 Ankle joints
• CPC Class Codes: A61F 2/76 Means for assembling, fitting or testing prostheses, e.g. for measuring or balancing, e.g. alignment means
• CPC Class Codes: A61F 2002/30405 made by screwing complementary threads machined on the parts themselves
• CPC Class Codes: A61F 2002/5007 having elastic means different from springs, e.g. including an elastomeric insert
• CPC Class Codes: A61F 2002/5038 Hinged joint, e.g. with transverse axle restricting the movement
• CPC Class Codes: A61F 2002/5043 with rotation-limiting stops, e.g. projections or recesses
• CPC Class Codes: A61F 2002/6614 Feet
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2250/0018 differing in elasticity, stiffness or compressibility
• CPC Class Codes: A61F 2310/00047 Aluminium or Al-based alloys

Abstract

A prosthetic ankle joint includes a first joint structure having a foot attachment plate connecting a pair of spaced apart parallel fins lying in a sagital plane. A second joint structure having a pylon attachment plate is connected to a support block positioned between the fins of the first joint structure. The first and second joint structures are connected to each other by a spherical bearing that allows the joint structures to pivot with respect to each other about three orthogonal axes. The spherical bearing is connected to the first joint structure through an axle that extends through an aperture in the bearing. A rod extending from the bearing is threaded into a bore formed in the support block of the second joint structure. Dorsiflexion and plantar flexion cushions are positioned between the support block and respective surfaces of the first joint structure to resist pivotal dorsiflexal and plantar flexal pivotal movement of the ankle joint. Lateral cushions are positioned on opposite surfaces of the support block between the support block and respective fins to resist coronal and transverse pivotal movements of the ankle joint.

Claims

1. A prosthetic ankle joint, comprising:

a first joint structure having a first attachment member attachable to one of either a pylon or a prosthetic foot to receive a force therefrom acting at a first location on the first attachment member, the first joint structure having first and second spaced apart fins each of which substantially lie in a sagital plane;

a second joint structure having a second attachment member attachable to the other of either a pylon or a prosthetic foot to receive a force therefrom acting at a second location on the second attachment member, the second joint structure having a lateral restraining member positioned between the first and second fins;

a spherical bearing interconnecting the first joint structure and the second joint structure so that the first and second joint structures pivot with respect to each other in dorsiflexion, plantar flexion, coronal rotation, and transverse rotation;

the pivot point of the spherical bearing being offset from the first and second locations in a direction lying in transverse and sagital planes so that a compressive ;

force applied between the first and second locations imparts a dorsiflexal or plantar flexal torque about the pivot axis;

a dorsiflexion cushion positioned between the first and second joint structures at a location causing the dorsiflexion cushion to be compressed during dorsiflexal pivotal movement of the ankle joint;

a plantar flexion cushion positioned between the first and second joint structures at a location causing the plantar flexion cushion to be compressed during plantar flexal pivotal movement of the ankle joint; and

a lateral cushion positioned between the lateral restraining member and each of the first and second fins so that the lateral cushions are compressed during coronal rotation and transverse rotation pivotal movement of the ankle joint in opposite directions.

2. The prosthetic ankle joint of claim 1 wherein the spherical bearing is connected to the lateral restraining member between the fins of the first joint structure, and wherein the dorsiflexion, plantar flexion, and lateral cushions are positioned adjacent respective surfaces of the lateral restraining member whereby the lateral restraining member serves the functions of both connecting the second joint structure to the spherical bearing and restraining dorsiflexal, plantar flexal, coronal rotational, and transverse rotational pivotal movement of the second joint structure relative to the first joint structure.

3. The prosthetic ankle joint of claim 2 wherein the second attachment member comprises an attachment flange mounted on the lateral restraining member for attaching the second joint structure to a prosthetic pylon.

4. The prosthetic ankle joint of claim 1 wherein the first attachment member comprises a prosthetic foot attachment plate for attaching the first joint structure to a prosthetic foot, and wherein the second attachment member comprises a prosthetic pylon attachment plate for attaching the second joint structure to a prosthetic pylon.

5. The prosthetic ankle joint of claim 1 wherein one of the joint structures includes a plate lying in a transverse plane, the plate having a v-shaped notch extending inwardly from a transverse edge of the plate, and wherein the other of the joint structures includes a restraining member projecting into the notch so that plantar flexal pivotal movement causes the restraining member to move into a narrower portion of the notch whereby the ankle joint is progressively stabilized in the coronal plane as the ankle joint progressively pivots in the plantar flexal direction.

6. The prosthetic ankle joint of claim 1 wherein the spherical bearing includes a spherical bearing member having an aperture extending therethrough and a rod projecting from the spherical bearing member generally perpendicular to the axis of the aperture, wherein the spherical bearing is attached to the first joint structure by an axle attached to the first joint structure and extending through the aperture of the spherical bearing, and wherein the rod of the spherical bearing is attached to the second joint structure.

7. A prosthetic ankle joint, comprising:

a first joint structure attachable to one of either a pylon or a prosthetic foot;

a second joint structure attachable to the other of either a pylon or a prosthetic foot;

a bearing pivotally interconnecting the first joint structure and the second joint structure so that the first and second joint structures can pivot about a pivot axis in dorsiflexion and plantar flexion;

a dorsiflexion cushion positioned between the first and second joint structures at a first location causing the dorsiflexion cushion to be compressed during dorsiflexal pivotal movement of the ankle joint, the first location being spaced from the pivot axis by a first distance; and

a plantar flexion cushion positioned between the first and second joint structures at a second location causing the plantar flexion cushion to be compressed during plantar flexal pivotal movement of the ankle joint, the second location being spaced from the pivot axis by a second distance that is different from the first distance so that the torsional spring constant of the prosthetic ankle in dorsiflexion may be different from the torsional spring constant of the prosthetic ankle in plantar flexion using the same material for the dorsiflexion and plantar flexion cushions, the first and second locations both being offset in either a forward or a rearward direction past the pivot point of the bearing so that a compressive force applied between the first and second locations imparts a dorsiflexal torque about the pivot axis whereby the dorsiflexion cushion is compressed by both dorsiflexal pivotal movement between the first and second joint structures and by linear movement between the first and second joint structures toward each other.

8. The prosthetic ankle joint of claim 7 wherein the bearing is a spherical bearing allowing coronal rotational and transverse rotational pivotal movement of the ankle joint as well as dorsiflexal and plantar flexal pivotal movement of the ankle joint.

9. The prosthetic ankle joint of claim 7 wherein the first joint structure includes a prosthetic foot attachment plate for attaching the first joint structure to a prosthetic foot, and wherein the second joint structure includes a prosthetic pylon attachment plate for attaching the second joint structure to a prosthetic pylon.

10. The prosthetic ankle joint of claim 7 wherein one of the joint structures includes a plate lying in a transverse plane, the plate having a v-shaped notch extending inwardly from a transverse edge of the plate, and wherein the other of the joint structures includes a restraining member projecting into the notch so that plantar flexal pivotal movement causes the restraining member to move into a narrower portion of the notch whereby the ankle joint is progressively stabilized in the coronal plane as the ankle joint progressively pivots in the plantar flexal direction.

11. A prosthetic ankle joint comprising:

a first joint structure attachable to one of either a pylon or a prosthetic foot;

a second joint structure attachable to the other of either a pylon or a prosthetic foot, one of the joint structures including a plate lying in a transverse plane, the plate having a v-shaped notch extending inwardly from a transverse edge of the plate, and wherein the other of the joint structures includes a restraining member projecting into the notch so that plantar flexal pivotal movement causes the restraining member to move into a narrower portion of the notch whereby the ankle joint is progressively stabilized in the coronal plane as the ankle joint progressively pivots in the plantar flexal direction;

a bearing pivotally interconnecting the first joint structure and the second joint structure so that the first and second joint structures can pivot about a pivot axis in dorsiflexion and plantar flexion;

a dorsiflexion cushion positioned between the first and second joint structures at a first location causing the dorsiflexion cushion to be compressed during dorsiflexal pivotal movement of the ankle joint, the dorsiflexion cushion having a dorsiflexion cushion thickness in the direction it is compressed;

a plantar flexion cushion positioned between the first and second joint structures at a second location causing the plantar flexion cushion to be compressed during plantar flexal pivotal movement of the ankle joint, the plantar flexion cushion having a plantar flexion cushion thickness in the direction it is compressed; and

a stop cushion positioned between the first and second joint structures at a location causing the stop cushion to be compressed during one of either dorsiflexal pivotal movement or plantar flexal pivotal movement and having a stop cushion thickness in the direction the stop cushion is compressed which is less than one of either the dorsiflexion cushion thickness or the plantar flexion cushion thickness, respectively, so that the torsional spring constant of the prosthetic ankle in one of either dorsiflexion or plantar flexion, respectively, is greater when the stop cushion is compressed than when the stop cushion is not compressed.

12. A prosthetic walking system, comprising:

a prosthetic pylon;

a prosthetic foot;

a prosthetic ankle joint connecting the prosthetic pylon to the prosthetic foot, the ankle joint, comprising;

a first joint structure having a first attachment member attachable to one of either the prosthetic pylon or the prosthetic foot to receive a force therefrom acting at a first location on the first attachment member, the first joint structure having first and second spaced apart fins each of which substantially lie in a sagital plane;

a second joint structure having a second attachment member attachable to the other of either the prosthetic pylon or the prosthetic foot to receive a force therefrom acting at a second location on the second attachment member, the second joint structure having a lateral restraining member positioned between the first and second fins;

a spherical bearing interconnecting the first joint structure and the second joint structure so that the first and second joint structures pivot with respect to each other in dorsiflexion, plantar flexion, coronal rotation, and transverse rotation;

the pivot point of the spherical bearing being offset in a rearward direction so that a compressive force applied between the first and second locations imparts a dorsiflexal torque about the pivot axis;

a dorsiflexion cushion positioned between the first and second joint structures at a location causing the dorsiflexion cushion to be compressed during dorsiflexal pivotal movement of the ankle joint;

a plantar flexion cushion positioned between the first and second joint structures at a location causing the plantar flexion cushion to be compressed during plantar flexal pivotal movement of the ankle joint; and

a lateral cushion positioned between the lateral restraining member and each of the first and second fins so that the lateral cushions are compressed during coronal rotational and transverse rotational pivotal movement of the ankle joint in opposite directions.

13. The prosthetic walking system of claim 12 wherein the spherical bearing is connected to the lateral restraining member between the fins of the first joint structure, and wherein the dorsiflexion, plantar flexion, and lateral cushions are positioned adjacent respective surfaces of the lateral restraining member whereby the lateral restraining member serves the functions of both connecting the second joint structure to the spherical bearing and restraining dorsiflexal, plantar flexal, coronal rotational, and transverse rotational pivotal movement of the second joint structure relative to the first joint structure.

14. The prosthetic walking system of claim 13 wherein the second attachment member comprises an attachment flange mounted on the lateral restraining member for attaching the second joint structure to the prosthetic pylon.

15. The prosthetic walking system of claim 12 wherein the first attachment member comprises a prosthetic foot attachment plate for attaching the first joint structure to the prosthetic foot, and wherein the second attachment member comprises a prosthetic pylon attachment plate for attaching the second joint structure to the prosthetic pylon.

16. The prosthetic walking system of claim 12 wherein one of the joint structures includes a plate lying in a transverse plane, the plate having a v-shaped notch extending forwardly from a rear transverse edge of the plate, and wherein the other of the joint structures includes a restraining member projecting into the notch so that plantar flexal pivotal movement causes the restraining member to move into a narrower portion of the notch whereby the ankle joint is progressively stabilized in the coronal plane as the ankle joint progressively pivots in the plantar flexal direction.

17. A prosthetic walking system, comprising:

a prosthetic pylon;

a prosthetic foot;

a prosthetic ankle joint connecting the prosthetic pylon to the prosthetic foot, the ankle joint, comprising;

a first joint structure attachable to one of either the prosthetic pylon or the prosthetic foot;

a second joint structure attachable to the other of either the pylon or the prosthetic foot;

a bearing interconnecting the first joint structure and the second joint structure so that the first and second joint structures can pivot about a pivot axis in dorsiflexion and plantar flexion;

a dorsiflexion cushion positioned between the first and second joint structures at a first location causing the dorsiflexion cushion to be compressed during dorsiflexal pivotal movement of the ankle joint, the first location being spaced from the pivot axis by a first distance; and

a plantar flexion cushion positioned between the first and second joint structures at a second location causing the plantar flexion cushion to be compressed during plantar flexal pivotal movement of the ankle joint, the second location being spaced from the pivot axis by a second distance that is different from the first distance so that the torsional spring constant of the prosthetic ankle in dorsiflexion may be different from the torsional spring constant of the prosthetic ankle in plantar flexion using the same material for the dorsiflexion and plantar flexion cushions;

the pivot point of the spherical bearing being offset in either a forward or a rearward direction past the first and second locations so that a compressive force applied between the first and second locations imparts a dorsiflexal torque about the pivot axis whereby the dorsiflexion cushion is compressed by both dorsiflexal pivotal movement between the first and second joint structures and by linear movement between the first and second joint structures toward each other.

18. The prosthetic walking system of claim 17 wherein the bearing is a spherical bearing allowing coronal rotational and transverse rotational pivotal movement of the ankle joint as well as dorsiflexal and plantar flexal pivotal movement of the ankle joint.

19. The prosthetic walking system of claim 17 wherein the first attachment member comprises a prosthetic foot attachment plate for attaching the first joint structure to the prosthetic foot, and wherein the second attachment member comprises a prosthetic pylon attachment plate for attaching the second joint structure to the prosthetic pylon.

20. The prosthetic walking system of claim 17 wherein one of the joint structures includes a plate lying in a transverse plane, the plate having a v-shaped notch extending forwardly from a rear transverse edge of the plate, and wherein the other of the joint structures includes a restraining member projecting into the notch so that plantar flexal pivotal movement causes the restraining member to move into a narrower portion of the notch whereby the ankle joint is progressively stabilized in the coronal plane as the ankle joint progressively pivots in the plantar flexal direction.

21. A prosthetic walking system comprising:

a prosthetic pylon;

a prosthetic foot;

a prosthetic ankle joint connecting the prosthetic pylon to the prosthetic foot, the ankle joint, comprising;

a first joint structure attachable to one of either a pylon or a prosthetic foot;

a second joint structure attachable to the other of either a pylon or a prosthetic foot;

a dorsiflexion cushion positioned between the first and second joint structures at a first location causing the dorsiflexion cushion to be compressed during dorsiflexal pivotal movement of the ankle joint, the dorsiflexion cushion having a dorsiflexion cushion thickness in the direction it is compressed;

a plantar flexion cushion positioned between the first and second joint structures at a second location causing the plantar flexion cushion to be compressed during plantar flexal pivotal movement of the ankle joint, the plantar flexion cushion having a plantar flexion cushion thickness in the direction it is compressed;

a bearing pivotally interconnecting the first joint structure and the second joint structure so that the first and second joint structures can pivot about a pivot axis in dorsiflexion and plantar flexion, the pivot point of the bearing being offset in a rearward direction so that a compressive force applied between the first and second locations imparts a dorsiflexal torque about the pivot axis whereby the dorsiflexion cushion is compressed by both dorsiflexal pivotal movement between the first and second joint structures and by linear movement between the first and second joint structures toward each other; and

a stop cushion positioned between the first and second joint structures at a location causing the stop cushion to be compressed during one of either dorsiflexal pivotal movement or plantar flexal pivotal movement and having a stop cushion thickness in the direction the stop cushion is compressed which is less than one of either the dorsiflexion cushion thickness or the plantar flexion cushion thickness, respectively, so that the torsional spring constant of the prosthetic ankle in one of either dorsiflexion or plantar flexion, respectively, is greater when the stop cushion is compressed than when the stop cushion is not compressed.

22. A prosthetic walking system comprising:

a prosthetic pylon;

a prosthetic foot;

a prosthetic ankle joint connecting the prosthetic pylon to the prosthetic foot, the ankle joint, comprising;

a first joint structure attachable to one of either a pylon or a prosthetic foot;

a second joint structure attachable to the other of either a pylon or a prosthetic foot, one of the joint structures including a plate lying in a transverse plane, the plate having a v-shaped notch extending forwardly from a rear transverse edge of the plate, and wherein the other of the joint structures includes a restraining member projecting into the notch so that plantar flexal pivotal movement causes the restraining member to move into a narrower portion of the notch whereby the ankle joint is progressively stabilized in the coronal plane as the ankle joint progressively pivots in the plantar flexal direction;

a bearing pivotally interconnecting the first joint structure and the second joint structure so that the first and second joint structures can pivot about a pivot axis in dorsiflexion and plantar flexion;

a dorsiflexion cushion positioned between the first and second joint structures at a first location causing the dorsiflexion cushion to be compressed during dorsiflexal pivotal movement of the ankle joint, the dorsiflexion cushion having a dorsiflexion cushion thickness in the direction it is compressed;

a plantar flexion cushion positioned between the first and second joint structures at a second location causing the plantar flexion cushion to be compressed during plantar flexal pivotal movement of the ankle joint, the plantar flexion cushion having a plantar flexion cushion thickness in the direction it is compressed; and

a stop cushion positioned between the first and second joint structures at a location causing the stop cushion to be compressed during one of either dorsiflexal pivotal movement or plantar flexal pivotal movement and having a stop cushion thickness in the direction the stop cushion is compressed which is less than one of either the dorsiflexion cushion thickness or the plantar flexion cushion thickness, respectively, so that the torsional spring constant of the prosthetic ankle in one of either dorsiflexion or plantar flexion, respectively, is greater when the stop cushion is compressed than when the stop cushion is not compressed.

23. A prosthetic walking system comprising:

a prosthetic pylon;

a prosthetic foot;

a prosthetic ankle joint connecting the prosthetic pylon to the prosthetic foot, the ankle joint, comprising;

a first joint structure attachable to one of either a pylon or a prosthetic foot;

a second joint structure attachable to the other of either a pylon or a prosthetic foot;

a dorsiflexion cushion positioned between the first and second joint structures at a first location causing the dorsiflexion cushion to be compressed during dorsiflexal pivotal movement of the ankle joint, the dorsiflexion cushion having a dorsiflexion cushion thickness in the direction it is compressed;

a plantar flexion cushion positioned between the first and second joint structures at a second location causing the plantar flexion cushion to be compressed during plantar flexal pivotal movement of the ankle joint, the plantar flexion cushion having a plantar flexion cushion thickness in the direction it is compressed;

a stop cushion positioned between the first and second joint structures at a location causing the stop cushion to be compressed during one of either dorsiflexal pivotal movement or plantar flexal pivotal movement and having a stop cushion thickness in the direction the stop cushion is compressed which is less than one of either the dorsiflexion cushion thickness or the plantar flexion cushion thickness, respectively, so that the torsional spring constant of the prosthetic ankle in one of either dorsiflexion or plantar flexion, respectively, is greater when the stop cushion is compressed than when the stop cushion is not compressed; and

a bearing pivotally interconnecting the first joint structure and the second joint structure so that the first and second joint structures can pivot about a pivot axis in dorsiflexion and plantar flexion, the pivot point of the bearing being offset in a rearward direction past the first and second locations so that a compressive force applied between the first and second locations imparts a dorsiflexal torque about the pivot axis where by the dorsiflexion cushion is compressed by both dorsiflexal pivotal movement between the first and second joint structures and by linear movement between the first and second joint structures toward each other.