Prosthetic ankle and walking system

• US 6,350,286 B1
• Filed: 08/05/1999
• Issued: 02/26/2002
• Est. Priority Date: 02/16/1996
• Status: Expired due to Fees

• Current Assignee: Seattle Orthopedic Group Inc.
• Original Assignee: Seattle Orthopedic Group Inc.
• Inventors: Atkinson, Stewart L., Poggi, Donald L.
• Primary Examiner(s): Willse, David H.
• Application Number:
  US09/369,206
• Time in Patent Office: 936 Days
• Field of Search: 623/47-56
• US Class Current: 623/52
• CPC Class Codes: A61F 2/66 Feet; Ankle joints
• 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 2002/30433 using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30462 retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61F 2002/30514 using a locking washer
• CPC Class Codes: A61F 2002/5007 having elastic means different from springs, e.g. including an elastomeric insert elastic coating A61F2002/3007; springs A61F2002/5072; plate-like springs for feet A61F2002/6657
• CPC Class Codes: A61F 2002/5055 Reinforcing prostheses by embedding particles or fibres during moulding or dipping, e.g. carbon fibre composites
• CPC Class Codes: A61F 2002/607 Lower legs
• CPC Class Codes: A61F 2002/6657 having a plate-like or strip-like spring element, e.g. an energy-storing cantilever spring keel
• CPC Class Codes: A61F 2002/6664 Dual structures made of two connected cantilevered leaf springs
• CPC Class Codes: A61F 2002/6671 C-shaped
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0041 using additional screws, bolts, dowels or rivets, e.g. connecting screws
• CPC Class Codes: A61F 2220/0075 sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable

Abstract

An inventive prosthetic ankle for use between a pylon and a prosthetic foot to support a person'"'"'s weight on the ground comprises an integrally formed, generally C-shaped carbon-fiber composite flexure member having upper, lower and curved legs. The upper leg is connected to a lower end of the pylon, and the lower leg is connected to an upper surface of the prosthetic foot. The curved leg interconnects the upper and lower legs, with the curved leg extending from a forward edge of the upper leg to a forward edge of the lower leg in a rearwardly-facing arc about a medial/lateral axis positioned forward of the pylon. The curved leg is dog-boned to facilitate canting of the pylon with respect to the prosthetic foot in the medial/lateral plane. Also, the curved leg is resilient to resiliently bias the upper and lower legs apart from one another so the legs are positioned in a spaced-apart relationship with respect to one another when the person'"'"'s weight is off the prosthetic ankle. The resilient biasing also allows the upper and lower legs to pivot toward one another about the medial/lateral axis when the person'"'"'s weight is on the prosthetic ankle at heel strike. As a result, the prosthetic foot falls flat on the ground soon after heel strike. A limit strap coupled between the upper and lower legs limits rotation of the upper and lower legs away from each other about the medial/lateral axis so the flexure characteristics experienced by an amputee during step-off are substantially determined by the flexure characteristics of the toe portion of the prosthetic foot.

Claims

1. A prosthetic ankle for use between a pylon and a prosthetic foot to support a person'"'"'s weight on the ground, the prosthetic ankle comprising:

an upper leg adapted for connecting to a lower end of the pylon;

a lower leg adapted for connecting to an upper surface of the prosthetic foot; and

an interconnecting member interconnecting the upper and lower legs and integrally formed with one another in a generally C-shaped flexure member, the interconnecting member being formed by a curved resilient leg extending from a forward edge of the upper leg to a forward edge of the lower leg in a rearwardly-facing arc to resiliently bias the upper and lower legs apart from one another as the legs rotate about a medial/lateral axis positioned forward of the pylon, the legs being spaced apart from each other when the person'"'"'s weight is off the prosthetic ankle and the legs rotating toward one another about the medial/lateral axis when the person'"'"'s weight is placed on the prosthetic ankle at heel strike, thereby allowing a toe portion of the prosthetic foot to rotate toward the ground at heel strike, the curved leg narrowing between the forward edges of the upper and lower legs to facilitate medial/lateral canting of the prosthetic foot with respect to the pylon.

2. The prosthetic ankle of claim 1 wherein the interconnecting member interconnects the upper and lower legs so the legs also rotate about an anterior/posterior axis through the interconnecting member so the pylon may cant in the medial/lateral plane with respect to the prosthetic foot, the interconnecting member being such that the canting of the pylon in one of the medial and lateral directions is more compliant than the canting in the other of the medial and lateral directions.

3. The prosthetic ankle of claim 1 wherein the flexure member is made with a carbon-fiber composite material.

4. The prosthetic ankle of claim 3 wherein the carbon-fiber composite material is formed to allow the curved leg to limit rotation of the upper and lower legs away from each other about the medial/lateral axis so the flexure characteristics experienced by the person during step-off are substantially determined by the flexure characteristics of the toe portion of the prosthetic foot.

5. The prosthetic ankle of claim 1 wherein the curved leg narrows asymmetrically between the forward edges of the upper and lower legs so canting of the prosthetic foot with respect to the pylon in one of the medial and lateral directions is easier for the person than canting in the other of the medial and lateral directions.

6. The prosthetic ankle of claim 1 wherein the curved leg narrows between the forward edges of the upper and lower legs to facilitate axial torsion of the pylon with respect to the prosthetic foot about the pylon'"'"'s longitudinal axis.

7. The prosthetic ankle of claim 1, wherein the upper and lower legs each have an anterior/posterior axis, wherein the upper, lower and curved legs are integrally formed with one another in a curved beam so a canting of the pylon with respect to the prosthetic foot in the medial/lateral plane twists the upper and lower legs about their anterior/posterior axes, the twisting of the lower leg forcing a lateral anterior portion of the lower leg downward and thereby forcing a lateral anterior portion of the prosthetic foot downward when the pylon cants with respect to the prosthetic foot in a medial direction, the twisting of the lower leg forcing a medial anterior portion of the lower leg downward and thereby forcing a medial anterior portion of the prosthetic foot downward when the pylon cants with respect to the prosthetic foot in a lateral direction.

8. The prosthetic ankle of claim 1, further comprising a limit device coupled between the upper and lower legs, the limit device limiting rotation of the upper and lower legs away from each other about the medial/lateral axis so the flexure characteristics experienced by the person during step-off are substantially determined by the flexure characteristics of the toe portion of the prosthetic foot.

9. The prosthetic ankle of claim 8 wherein the limit device is a limit strap coupling the upper and lower legs to each other, thereby limiting rotation of the upper and lower legs away from each other about the medial/lateral axis.

10. The prosthetic ankle of claim 1 wherein the interconnecting member is a cushion.

11. The prosthetic ankle of claim 1 wherein the upper and lower legs are adapted to connect to the lower end of the pylon and the upper surface of the prosthetic foot, respectively, at a variable torque arm distance from the medial/lateral axis so the flexure characteristics experienced by the person are adjustable.

12. A prosthetic ankle for use between a pylon and a prosthetic foot to support a person'"'"'s weight on the ground, the prosthetic ankle comprising:

an upper leg adapted for connecting to a lower end of the pylon;

a lower leg adapted for connecting to an upper surface of the prosthetic foot;

an interconnecting member interconnecting the upper and lower legs so the legs rotate about a medial/lateral axis positioned forward of the pylon, the interconnecting member resiliently biasing the legs apart from one another so the legs are positioned in a spaced-apart relationship with respect to one another when the person'"'"'s weight is off the prosthetic ankle and so the legs rotate toward one another about the medial/lateral axis when the person'"'"'s weight is placed on the prosthetic ankle at heel strike, thereby allowing a toe portion of the prosthetic foot to rotate toward the ground at heel strike; and

a limit device coupled between the upper and lower legs, the limit device limiting rotation of the upper and lower legs away from each other about the medial/lateral axis so the flexure characteristics experienced by the person during step-off are substantially determined by the flexure characteristics of the toe portion of the prosthetic foot.

13. The prosthetic ankle of claim 12 wherein the interconnecting member interconnects the upper and lower legs so the legs also rotate about an anterior/posterior axis through the interconnecting member so the pylon may cant in the medial/lateral plane with respect to the prosthetic foot, the interconnecting member being such that the canting of the pylon in one of the medial and lateral directions is more compliant than the canting in the other of the medial and lateral directions.

14. The prosthetic ankle of claim 12 wherein the upper and lower legs and the interconnecting member are integrally formed with one another in a generally C-shaped flexure member, wherein the interconnecting member comprises a curved leg extending from a forward edge of the upper leg to a forward edge of the lower leg in a rearwardly-facing arc, the curved leg being resilient to resiliently bias the upper and lower legs apart from one another.

15. The prosthetic ankle of claim 14 wherein the flexure member is made with a carbon-fiber composite material.

16. The prosthetic ankle of claim 15 wherein the carbon-fiber composite material is formed to allow the curved leg to limit rotation of the upper and lower legs away from each other about the medial/lateral axis so the flexure characteristics experienced by the person during step-off are substantially determined by the flexure characteristics of the toe portion of the prosthetic foot.

17. The prosthetic ankle of claim 14 wherein the curved leg narrows between the forward edges of the upper and lower legs to facilitate medial/lateral canting of the prosthetic foot with respect to the pylon, the curved leg narrowing asymmetrically between the forward edges of the upper and lower legs so the prosthetic foot more easily cants with respect to the pylon in one of the medial and lateral directions than in the other of the medial and lateral directions.

18. The prosthetic ankle of claim 12 wherein the upper and lower legs and the interconnecting member are integrally formed with one another in a generally C-shaped flexure member, wherein the interconnecting member comprises a curved leg extending from a forward edge of the upper leg to a forward edge of the lower leg in a rearwardly-facing arc, the curved leg being resilient to resiliently bias the upper and lower legs apart from one another, and wherein the curved leg narrows between the forward edges of the upper and lower legs to facilitate axial torsion of the pylon with respect to the prosthetic foot about the pylon'"'"'s longitudinal axis.

19. The prosthetic ankle of claim 12 wherein the interconnecting member comprises a curved leg extending from a forward edge of the upper leg to a forward edge of the lower leg in a rearwardly-facing arc, wherein the upper and lower legs each have an anterior/posterior axis, wherein the upper, lower and curved legs are integrally formed with one another in a curved beam so a canting of the pylon with respect to the prosthetic foot in the medial/lateral plane twists the upper and lower legs about their anterior/posterior axes, the twisting of the lower leg forcing a lateral anterior portion of the lower leg downward and thereby forcing a lateral anterior portion of the prosthetic foot downward when the pylon cants with respect to the prosthetic foot in a medial direction, the twisting of a lower leg forcing the medial anterior portion of the lower leg downward and thereby forcing a medial anterior portion of the prosthetic foot downward when the pylon cants with respect to the prosthetic foot in a lateral direction.

20. The prosthetic ankle of claim 12 wherein the limit device is a limit strap coupling the upper and lower legs to each other, thereby limiting rotation of the upper and lower legs away from each other about the medial/lateral axis.

21. The prosthetic ankle of claim 12 wherein the interconnecting member is a cushion.

22. The prosthetic ankle of claim 12 wherein the upper and lower legs are adapted to connect to the lower end of the pylon and the upper surface of the prosthetic foot, respectively, at a variable torque arm distance from the medial/lateral axis so the flexure characteristics experienced by the person are adjustable.

23. A prosthetic ankle for use between a pylon and a prosthetic foot to support a person'"'"'s weight on the ground, the prosthetic ankle comprising:

an upper leg adapted for connecting to a lower end of the pylon at a variable torque arm distance from a medial/lateral axis so the flexure characteristics experienced by the person are adjustable;

a lower leg adapted for connecting to an upper surface of the prosthetic foot at a variable torque arm distance from the medial/lateral axis so the flexure characteristics experienced by the person are adjustable; and

an interconnecting member interconnecting the upper and lower legs so the legs rotate about the medial/lateral axis positioned forward of the pylon, the interconnecting member resiliently biasing the legs apart from one another so the legs are positioned in a spaced-apart relationship with respect to one another when the person'"'"'s weight is off the prosthetic ankle and so the legs rotate toward one another about the medial/lateral axis when the person'"'"'s weight is placed on the prosthetic ankle at heel strike, thereby allowing a toe portion of the prosthetic foot to rotate toward the ground at heel strike.

24. The prosthetic ankle of claim 23 wherein the interconnecting member interconnects the upper and lower legs so the legs also rotate about an anterior/posterior axis through the interconnecting member so the pylon may cant in the medial/lateral plane with respect to the prosthetic foot, the interconnecting member being such that the canting of the pylon in one of the medial and lateral directions is more compliant than the canting in the other of the medial and lateral directions.

25. The prosthetic ankle of claim 23 wherein the upper and lower legs and the interconnecting member are integrally formed with one another in a generally C-shaped flexure member, wherein the interconnecting member comprises a curved leg extending from a forward edge of the upper leg to a forward edge of the lower leg in a rearwardly-facing arc, the curved leg being resilient to resiliently bias the upper and lower legs apart from one another.

26. The prosthetic ankle of claim 25 wherein the flexure member is made with a carbon-fiber composite material.

27. The prosthetic ankle of claim 26 wherein the carbon-fiber composite material is formed to allow the curved leg to limit rotation of the upper and lower legs away from each other about the medial/lateral axis so the flexure characteristics experienced by the person during step-off are substantially determined by the flexure characteristics of the toe portion of the prosthetic foot.

28. The prosthetic ankle of claim 25 wherein the curved leg narrows between the forward edges of the upper and lower legs to facilitate medial/lateral canting of the prosthetic foot with respect to the pylon, the curved leg narrowing asymmetrically between the forward edges of the upper and lower legs so canting of the prosthetic foot with respect to the pylon in one of the medial and lateral directions is easier for the person than canting in the other of the medial and lateral directions.

29. The prosthetic ankle of claim 25 wherein the curved leg narrows between the forward edges of the upper and lower legs to facilitate axial torsion of the pylon with respect to the prosthetic foot about the pylon'"'"'s longitudinal axis.

30. The prosthetic ankle of claim 23 wherein the interconnecting member comprises a curved leg extending from a forward edge of the upper leg to a forward edge of the lower leg in a rearwardly-facing arc, wherein the upper and lower legs each have an anterior/posterior axis, wherein the upper, lower and curved legs are integrally formed with one another in a curved beam so a canting of the pylon with respect to the prosthetic foot in the medial/lateral plane twists the upper and lower legs about their anterior/posterior axes, the twisting of the lower leg forcing a lateral anterior portion of the lower leg downward and thereby forcing a lateral anterior portion of the prosthetic foot downward when the pylon cants with respect to the prosthetic foot in a medial direction, the twisting of the lower leg forcing a medial anterior portion of the lower leg downward and thereby forcing a medial anterior portion of the prosthetic foot downward when the pylon cants with respect to the prosthetic foot in a lateral direction.

31. The prosthetic ankle of claim 23, further comprising a limit strap coupling the upper and lower legs to each other, the limit device limiting rotation of the upper and lower legs away from each other about the medial/lateral axis so the flexure characteristics experienced by the person during step-off are substantially determined by the flexure characteristics of the toe portion of the prosthetic foot.

32. The prosthetic ankle of claim 23 wherein the interconnecting member is a cushion.