Knee joint mechanism for knee disarticulation prosthesis

• US 5,746,774 A
• Filed: 01/16/1996
• Issued: 05/05/1998
• Est. Priority Date: 09/09/1994
• Status: Expired due to Fees

• Current Assignee: University of Toledo
• Original Assignee: University of Toledo
• Inventors: Kramer, Steven, Srinivasan, Sujatha, Swanson, Verner
• Primary Examiner(s): Weiss, John G.
• Assistant Examiner(s): SNOW, BRUCE EDWARD
• Application Number:
  US08/587,129
• Time in Patent Office: 840 Days
• Field of Search: 623/39-44, 623/45, 623/46
• US Class Current: 623/39
• CPC Class Codes: A61F 2/644 of the single-bar or multi-bar linkage type
• CPC Class Codes: A61F 2/74 fluid , i.e. hydraulic or pneumatic
• 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 2/80 Sockets, e.g. of suction type
• CPC Class Codes: A61F 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/5016 adjustable for implantable prostheses A61F2002/30537
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements

Abstract

An improved four-bar knee joint mechanism for use in knee disarticulation prosthesis is shown, including a coupler link forming a negative angle with the horizontal when said knee joint mechanism is in its stance position, an anterior link, a fixed link in a horizontal position when said knee joint is in the extended or stance position, and a posterior link, the dimensions of the links and the angle the coupler link makes with the horizontal being chosen to optimize the instant center of the mechanism.

Claims

1. In a knee joint for knee disarticulation prosthesis rotatable between flexed and extended positions, and comprising a four bar linkage consisting of a thigh link and a shin link pivotally connected to an anterior link and a posterior link to define a four bar linkage, the improvement comprising:

(a) the thigh link forming a negative angle with respect to a horizontal plane when the knee joint is in an extended position;

(b) the shin link being positioned substantially along the horizontal plane when the knee joint is in the extended position,

the length of said shin link and said anterior link and posterior link, as well as the angle which the thigh link forms with respect to the horizontal plane, are selected to maximize a height, Y_IC, of an instant center of the knee joint for knee disarticulation prosthesis above the shin link at 90°

flexion according to the equation;

##EQU4## where L₁ is the length of the shin link, θ

₂ is the angle made between the posterior link and the shin link, and θ

₄ is the angle made between the anterior link and the shin link.

2. The device defined in claim 1, wherein mechanical friction means are imposed between the shin link and the posterior link.

3. The device defined in claim 1, wherein said anterior link comprises a pair of anterior links, each such anterior link having, (a) straight portion, (b) an angled portion, (c) a first bearing in the angled portion and (d) a second bearing in the straight portion, the center to center distances between the first bearing and second bearing substantially optimized.

4. The device defined in claim 3, wherein said posterior link comprises a pair of posterior links having (a) a first bearing at one extremity thereof and (b) a second bearing at the opposite end thereof, the center to center distances between the first bearing and the second bearing being substantially optimized.

5. The device defined in claim 4, wherein said shin link includes (a) a posterior base bearing, (b) an anterior base bearing, (c) a lug portion including a recessed portion, and (d) an axially extending void.

6. A four-bar knee joint mechanism including:

(a) a coupler link forming a negative angle of about 25°

with the horizontal when said knee joint mechanism is in its stance position, said coupler link being no less than substantially one inch in length;

(b) an anterior link of approximately 3.75 inches in length between centers;

(c) a fixed link of approximately 2.50 inches in length between centers and in a horizontal position when said knee joint mechanism is in the stance position; and

(d) a posterior link of approximately 3.575 inches in length between centers.

7. The device defined in claim 6, wherein mechanical friction means are imposed between the posterior link and the fixed link.

8. The device defined in claim 6, wherein said anterior link comprises a pair of anterior links, each such anterior link having, (a) straight portion, (b) an angled portion, (c) a first bearing in the angled portion and (d) a second bearing in the extremity of the straight portion, the center to center distances between the first bearing and second bearing being substantially optimized.

9. The device defined in claim 8, wherein said posterior link comprises a pair of posterior links having (a) a first bearing at one extremity thereof and (b) a second bearing at the opposite end thereof, the center to center distances between the first bearing and the second surface being substantially optimized.

10. The device defined in claim 9, wherein said fixed link includes (a) a posterior base bearing, (b) an anterior base bearing, (c) a lug portion including a recessed portion, and (d) an axially extending void.

11. The device defined in claim 6, wherein said posterior link includes a pair of curved posterior links, each having a tongue portion, each of said posterior links including a first bearing at one extremity of said link, a second bearing at the other extremity of said link, and a cylinder shaft bearing formed in said tongue portion of said curved posterior link.

12. The device defined in claim 11, wherein said fixed link includes a hollow frame member having a pair of opposed side walls, a front wall, a bottom wall, a pair of posterior base bearings and a pair of anterior base bearings.

13. The device defined in claim 12, and further including a connecting pin bearing formed in each of said side walls in a 180°

opposed relationship.

14. The device defined in claim 13, and including a connecting pin mounted in said connecting pin bearings.

15. The device defined in claim 14, wherein a hydraulic cylinder is connected to said connecting pin bearings by said connecting pin, said hydraulic cylinder including a shaft and a shaft bearing, said shaft bearing rotatably connected to a cylinder mounting pin, said cylinder mounting pin rotatably connected to a cylinder shaft mounting pin rotatably connected to said cylinder shaft bearing formed in said tongue portion of said posterior links.

16. The device defined in claim 15, wherein the top portion of said hollow frame member is widened.

17. The device defined in claim 16, wherein a stump is mounted to said coupler link, said stump having recesses therein to accepted a portion of said hollow frame member and provide for 145°

flexion.

18. A four-bar knee joint mechanism for knee disarticulation prosthesis, comprising:

a pair of anterior links;

a pair of posterior links;

a coupler link being pivotally connected to each pair of said anterior links and said posterior links;

a fixed link being pivotally connected to each pair of said anterior links and said posterior links;

a ratio of a length of said coupler link, a length of said fixed link, a length of each of said pair of anterior links, and a length of each of said pair of posterior links is 1;

2.5;

3.75;

3.575.

19. The mechanism according to claim 18, further comprising a friction means interposed between said pair of posterior links and said fixed link.

20. The mechanism according to claim 18, further comprising a hydraulic means interposed between said pair of posterior links and said fixed link.

21. The mechanism according to claim 18, wherein each anterior link comprises an angled portion including a first bearing and a straight portion including a second bearing.

22. The mechanism according to claim 18, wherein each posterior link includes a first bearing at one end thereof and a second bearing at an opposite end thereof.

23. The mechanism according to claim 18, wherein said fixed link comprises a posterior base bearing, an anterior base bearing, a lug portion including a recessed portion and an axially extending void.

24. The mechanism according to claim 18, wherein the length of said coupler link is not less than one inch.