Prosthetic foot with tunable performance

• US 7,507,259 B2
• Filed: 03/29/2002
• Issued: 03/24/2009
• Est. Priority Date: 03/30/2001
• Status: Expired due to Fees

• Current Assignee: BioQuest Prosthetics LLC
• Original Assignee: BioQuest Prosthetics LLC
• Inventors: Townsend, Barry W., Claudino, Byron Kent
• Primary Examiner(s): Willse; Dave
• Assistant Examiner(s): Blanco; Javier G
• Application Number:
  US10/473,682
• Publication Number:
  US 20040117036A1
• Time in Patent Office: 2,552 Days
• Field of Search: 623 47- 55
• US Class Current: 623/52
• CPC Class Codes: A61F 2/60 Artificial legs or feet or parts thereof
• CPC Class Codes: A61F 2/66 Feet; Ankle joints
• CPC Class Codes: A61F 2/6607 Ankle joints
• 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 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 2002/5001 Cosmetic coverings
• CPC Class Codes: A61F 2002/5003 having damping means, e.g. shock absorbers for implantable joints A61F2002/30563
• CPC Class Codes: A61F 2002/5006 Dampers, e.g. hydraulic damper
• 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 2002/5009 having two or more elastomeric blocks
• CPC Class Codes: A61F 2002/503 for adjusting elasticity, flexibility, spring rate or mechanical tension
• CPC Class Codes: A61F 2002/5032 for adjusting fluid pressure
• CPC Class Codes: A61F 2002/5033 for adjusting damping damping means A61F2002/5003
• CPC Class Codes: A61F 2002/5075 Multiple spring systems including two or more helical springs
• CPC Class Codes: A61F 2002/5079 Leaf springs A61F2002/6657 takes precedence
• CPC Class Codes: A61F 2002/5083 modular
• CPC Class Codes: A61F 2002/607 Lower legs
• CPC Class Codes: A61F 2002/6614 Feet
• CPC Class Codes: A61F 2002/6621 : Toes
• CPC Class Codes: A61F 2002/6628 : Big toes
• CPC Class Codes: A61F 2002/6635 : Metatarsals
• CPC Class Codes: A61F 2002/6642 : Heels
• CPC Class Codes: A61F 2002/665 : Soles
• 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 2002/6678 : L-shaped
• CPC Class Codes: A61F 2002/6685 : S-shaped
• 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 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
• CPC Class Codes: A61K 9/4816 : Wall or shell material

Abstract

A prosthetic foot (70) incorporates a foot keel (77) and a calf shank (72) connected to the foot keel to form an ankle joint area of the prosthetic foot. The foot keel has forefoot and hindfoot portions and an upwardly arched midfoot portion extending between the forefoot and midfoot portions. The calf shank includes a downward convexly curved lower end which is adjustably attached at a portion thereof to the foot keel by way of a releasable fastener arrangement. The upper end of the calf shank is movable longitudinally of the foot keel in response to force loading and unloading the calf shank during use of the prosthetic foot. A device (71) connected between the ends of the calf shank limits the extent of the motion of the upper end of the calf shank relative to the lower end and foot keel. The upper end of the calf shank can include an alignment coupler device (92) thereon having adjustable slide mechanisms to adjust the medial/lateral and anterior/posterior position of the calf shank relative to a supporting structure on the leg of the person using the prosthetic foot.

Claims

1. A prosthetic foot comprising:

a longitudinally extending foot keel having forefoot, midfoot and hindfoot portions;

a resilient, upstanding, monolithically formed shank having a lower end connected to the midfoot portion of the foot keel and posteriorly terminating in a free end, the shank extending upwardly from the foot keel to a middle portion of the shank by way of an initially downward and anterior facing continuous convexly curved surface to form an ankle joint area of the prosthetic foot and extending upwardly in a substantially anterior facing convexly curvilinear manner above the ankle joint area to a substantially vertically oriented upper end to form a lower, prosthetic part of a leg for connection with a supporting structure on a person'"'"'s leg stump, wherein the width of the resilient shank in the frontal plane of the prosthetic foot is greater than the thickness of the shank in the sagittal plane throughout the entire length of the shank such that both the ankle joint area and the prosthetic part of a leg formed by the shank are compressible and expandable in the longitudinal direction in response to the ground reaction force thereon during gait with the upper end of the shank moving posteriorly in plantarfiexion and anteriorly in dorsiflexion for storing and releasing energy to improve dynamic response of the prosthetic foot in gait; and

a device extending between and connected to the upper and lower ends of the shank to dampen the motion and limit the extent of the upper end of the shank in at least one of compression and expansion.

2. The prosthetic foot according to claim 1, wherein the device limits the anterior motion of the upper end of the shank.

3. The prosthetic foot according to claim 2, wherein the device also limits the posterior motion of the upper end of the shank.

4. The prosthetic foot according to claim 1, wherein the device includes a piston-cylinder containing at least one pressurized fluid.

5. The prosthetic foot according to claim 1, wherein the device includes a microprocessor controlled hydraulic unit.

6. The prosthetic foot according to claim 1, wherein the device includes a flexible strap allowing limited elastic extension, the strap extending between and connected to respective ends of the shank.

7. The prosthetic foot according to claim 1, wherein the shank includes a longitudinally extending expansion slot intermediate the ends of the calf shank.

8. The prosthetic foot according to claim 7, wherein the shank further includes an expansion joint hole located at each end of the expansion slot.

9. The prosthetic foot according to claim 1, wherein at least one of the foot keel and the shank is formed of a laminated composite material including reinforcing fiber laminated with polymer matrix material.

10. The prosthetic foot according to claim 9, wherein the polymer matrix material is a thermoplastic material.

11. The prosthetic foot according to claim 9, wherein the laminated composite material is thermo-formed.

12. The prosthetic foot according to claim 9, wherein the polymer matrix material is a thermosetting material.

13. The prosthetic foot according to claim 1, wherein the lower end of the shank is downward convexly curved.

14. The prosthetic foot according to claim 13, wherein the convexly curved lower end of the shank has a radius of curvature which increases as the shank extends upwardly from its curved lower end.

15. The prosthetic foot according to claim 1, further comprising an alignment coupler device connected to the upper end of the shank, the device having a fitting to connect with a supporting structure on a person'"'"'s leg stump and adjustable slide mechanisms to adjust the foot medial/lateral and anterior/posterior position with respect to the fitting and a supporting structure to which it is connected.

16. The prosthetic foot according to claim 15, further comprising an adapter connecting the alignment coupler device and the upper end of the shank.

17. The prosthetic foot according to claim 1, wherein the hindfoot of the foot keel has a dorsal concavity with a longitudinal axis skewed with respect to the frontal plane such that the lateral side of the concavity is further anterior than the medial side.

18. The prosthetic foot according to claim 1, wherein the plantar surface of the midfoot portion of the foot keel has a longitudinal arch concavity with a medial aspect larger in radius than a lateral aspect.

19. The prosthetic foot according to claim 1, further comprising an adjustable fastening arrangement connecting the lower end of the shank to the foot keel to form the ankle joint area, the fastening arrangement permitting adjustment of the alignment of the shank and the foot keel to one another in the longitudinal direction of the foot for tuning the performance of the prosthetic foot.

20. The prosthetic foot according to claim 19, wherein the adjustable fastening arrangement includes at least one releasable fastener and a coupling element located between the shank and the foot keel.

21. The prosthetic foot according to claim 1, wherein the lower end of the shank is connected to the foot keel by way of a coupling element.

22. The prosthetic foot according to claim 1, wherein the lower end of the shank is downward convexly curved and is generally parabola shaped with the smallest radius of curvature thereof located at the lower end and extending therefrom.

23. The prosthetic foot according to claim 22, wherein the lower end of the shank includes means for adjustably positioning the lower end with respect to the longitudinal direction of the foot keel.

24. The prosthetic foot according to claim 1, wherein the lower end of the shank is connected to the foot keel by way of an ankle coupler which is connected to respective ones of the shank and foot keel at longitudinally spaced connections.

25. The prosthetic foot according to claim 1, wherein the posterior terminal end extends upwardly.

26. A shank for a prosthetic foot comprising:

an elongated, semi-rigid, monolithically formed, resilient member having a lower end to connect with a longitudinally extending foot keel of the prosthetic foot with the lower end posteriorly terminating in a free end with the member extending upwardly from the foot keel by way of an initially downward and anterior facing continuous convexly curved surface to form an ankle joint area of the prosthetic foot and extending upwardly in a substantially anterior facing convexly curvilinear manner above the ankle joint area to a substantially vertically oriented upper end to form a lower prosthetic part of a leg for connection with a supporting structure on a person'"'"'s leg stump, wherein the member has a width in the frontal plane of the prosthetic foot which is greater than the thickness of the member in the sagittal plane throughout the entire length of the member such that when the one lower end is connected to the foot keel, the member can be flexed in compression and expansion in response to force loading and unloading of the shank during use of the prosthetic foot such that the upper end of the member moves longitudinally with respect to the foot keel; and

a device extending between and connected to the upper and lower ends of the member for dampening the motion and limiting the extent of the motion of the upper end of the member in at least one of compression and expansion during use thereof in a prosthetic foot.

27. The shank according to claim 26, wherein the device limits the anterior motion of the upper end of the member.

28. The shank according to claim 27, wherein the device also limits the posterior motion of the upper end of the shank.

29. The shank according to claim 26, wherein the device includes a piston-cylinder containing at least one pressurized fluid.

30. The shank according to claim 26, further comprising an alignment coupler device connected to the upper end of the shank, the device having a fitting to connect with a supporting structure on a person'"'"'s leg stump and adjustable slide mechanisms to adjust the foot medial/lateral and anterior/posterior position with respect to the fitting and a supporting structure to which it is connected.

31. The shank according to claim 30, further comprising an adapter connecting the alignment coupler device and the upper end of the shank.

32. The shank according to claim 30, wherein said fitting to connect with a supporting structure on a person'"'"'s leg stump allows for angular change flexion/extension and abduction/adduction between the supporting structure and the prosthetic foot.

33. The shank according to claim 26, wherein the device includes a flexible strap which allows limited, elastic extension, the strap extending between and connected to respective ends of the member.

34. The shank according to claim 26, wherein the member includes a longitudinally extending expansion slot intermediate the ends thereof.

35. The shank according to claim 34, wherein the member further includes an expansion joint hole located at each end of the expansion slot.

36. The shank according to claim 26, wherein the resilient member is formed of a laminated composite material including reinforcing fiber laminated with polymer matrix material.

37. The shank according to claim 36, wherein the polymer matrix material is a thermoplastic material.

38. The shank according to claim 36, wherein the polymer matrix material is a thermosetting material.

39. The shank according to claim 36, wherein the laminated composite material is thermo-formed.

40. The shank according to claim 26, wherein the one end of the member is outward convexly curved.

41. The shank according to claim 40, wherein the outward convexly curved one end of the resilient member is generally parabola shaped with the smallest radius of curvature thereof located at the one end and extending therefrom.

42. The shank according to claim 26, wherein the one end of the member includes means for adjustably positioning the one end with respect to the longitudinal direction of a foot keel to which the shank is to be attached.

43. The shank according to claim 26, wherein the device includes a flexible strap which allows tensioned flexion, the strap extending between and connected to respective ends of the member.

44. A prosthetic foot comprising:

a longitudinally extending foot keel having forefoot, midfoot and hindfoot portions;

a resilient, upstanding, monolithically formed shank having a lower end connected to the midfoot portion of the foot keel and posteriorly terminating in a free end, the shank extending upwardly from the foot keel to a middle portion of the shank by way of an initially downward and anterior facing continuous convexly curved surface to form an ankle joint area of the prosthetic foot and extending upwardly in a substantially anterior facing convexly curvilinear manner above the ankle joint area to a substantially vertically oriented upper end to form a lower, prosthetic part of a leg for connection with a supporting structure on a person'"'"'s leg stump, wherein the width of the resilient shank in the frontal plane of the prosthetic foot is greater than the thickness of the shank in the sagittal plane throughout the entire length of the shank such that both the ankle joint area and the prosthetic part of leg formed by the shank are compressible and expandable in the longitudinal direction in response to the ground reaction force thereon during gait with the upper end of the shank moving posteriorly in plantarfiexion and anteriorly in dorsiflexion for storing and releasing energy to improve dynamic response of the prosthetic foot in gait; and

a device extending between and connected to the upper and lower ends of the shank which elastically resists anterior movement of the upper end of the calf shank with respect to the foot keel

45. The prosthetic foot according to claim 44, wherein the device limits the extent of anterior movement of the upper end of the shank relative to the foot keel.

46. A shank for a prosthetic foot comprising:

an elongated, semi-rigid, monolithically formal resilient member having one, lower end to connect with a longitudinally extending foot keel of the prosthetic foot, the lower end posteriorly terminating in a free end with the member extending upwardly from the lower end by way of an initially downward and anterior facing convexly curved surface to form an ankle joint area of the prosthetic foot and extending upwardly in a substantially anterior facing convexly curvilinear manner above the ankle joint area to a substantially vertically oriented upper end to form a lower prosthetic part of a leg for connection with a supporting structure on a person'"'"'s leg stump, wherein the member has a width in the frontal plane of the prosthetic foot which is greater than the thickness of the member in the sagittal plane throughout the entire length of the member, such that when the one, lower end is connected to the foot keel, the member can be flexed in response to force loading and unloading of the shank during use of the prosthetic foot such that the opposite, upper end of the member moves relative to the foot keel; and

a device extending between and connected to the upper and lower ends of the shank for elastically resisting anterior movement of the upper end of the shank with respect to the foot keel in the prosthetic foot.

47. The shank according to claim 46, wherein the device limits the extent of anterior movement of the upper end of the shank relative to the foot keel.

48. A method of generating kinetic power for propulsive force in a lower extremity prosthesis including a foot, an ankle and an elongated, upstanding shank above the ankle, the method comprising:

providing a monolithically formed resilient member which forms the ankle and the shank in the prosthesis with the resilient member having a lower end posteriorly terminating in a free end and extending upwardly from the foot by way of an initially downward and anterior facing continuous convexly curved surface to form the ankle and in the area of the shank extending upwardly in a substantially anterior facing convexly curvilinear manner to a substantially vertically oriented upper end connected with a supporting structure on a person'"'"'s leg stump, the resilient member of the ankle and the shank having a width in the frontal plane of the prosthesis which is greater than the thickness in the sagittal plane throughout the entire length of the member so as to be compressible and expandable in the longitudinal direction in response to the ground reaction force thereon during gait with the upper end moving posteriorly in plantarfiexion and anteriorly in dorsiflexion for storing and releasing energy to improve the dynamic response of the prosthesis in gait; and

controlling the dynamic response capability of the resilient member for movement of the upper end of the member in the longitudinal direction with respect to the foot in force loading and unloading of the prosthesis in gait, posteriorly in plantarfiexion and anteriorly in dorsiflexion, for storing and releasing energy to improve dynamic response of the prosthesis in gait.

49. The method according to claim 48, wherein said controlling includes adjustably selecting the alignment of the shank relative to the foot in the longitudinal direction of the foot.

50. The method according to claim 48, wherein said controlling includes adjustably selecting an active length of the shank in the prosthesis.

51. The method according to claim 48, wherein said controlling includes limiting the extent of the motion of the upper end of the resilient member.

52. The method according to claim 48, wherein said controlling includes limiting the anterior motion of the upper end of the resilient member.

53. The method according to claim 48, wherein said controlling includes limiting the posterior motion of the upper end of the resilient member.

54. The method according to claim 48, wherein said controlling includes storing elastic energy with a device on the prosthesis during force loading of the prosthesis and releasing the stored energy adding to the propulsion of the user during force unloading.

55. The method according to claim 54, wherein said device is a flexible strap which allows limited, elastic extension of the strap with force loading of the prosthesis in gait.

56. The method according to claim 48, further comprising providing the foot in the prosthesis with a high low dynamic response capability.

57. A method of generating kinetic power for propulsive force in a prosthetic foot comprising:

providing a prosthetic foot having a longitudinally extending foot keel attached to a resilient monolithically formed shank which forms an ankle and a lower prosthetic part of a leg for connection with a lower extremity prosthetic socket on a person'"'"'s leg stump, the shank including a lower end posteriorly terminating in a free end and extending upwardly from the foot keel by way of an initially downward and anterior facing convexly curved portion to form the ankle, a substantially anterior facing convexly curvilinear portion extending above the ankle to a substantially vertically oriented upper end forming the lower prosthetic part of a leg, wherein the shank has width in the frontal plane of the prosthetic foot which is greater than the thickness in the sagittal plane throughout the entire length of the shank such that the upper end during use of the prosthetic foot moves longitudinally with respect to the foot keel posteriorly in plantarfiexion and anteriorly in dorsiflexion for storing and releasing energy to improve dynamic response of the prosthetic foot in force loading and unloading of the prosthetic foot; and

using a posterior calf device on the prosthetic foot to store energy during force loading of the prosthetic foot and return the stored energy during force unloading to increase the kinetic power generated for propulsive force by the prosthetic foot in gait.

58. The method according to claim 57, wherein said device is a flexible strap which allows limited elastic extension of the strap with force loading of the prosthetic foot in gait.

59. The method according to claim 57, including forming a midfoot portion of the foot keel with a resilient longitudinal arch for storing and releasing energy during said gait to add to the kinetic power generated for propulsive force by the prosthetic foot in gait.

60. The method according to claim 59, including forming the longitudinal arch with a concavity having a medial aspect which is larger in radius than the lateral aspect.

61. A lower extremity prosthesis comprising:

a longitudinally extending foot keel;

a resilient, monolithically formed shank having a lower end connected to the foot keel and posteriorly terminating in a free end, an initially downward and anterior facing convexly curved portion of the shank extending upwardly from the foot keel to form an ankle joint area of the prosthesis, the shank extending upwardly in a substantially anterior facing convexly curvilinear manner above the ankle joint area to a substantially vertically oriented upper end to form a lower prosthetic part of a leg, to connect with a lower extremity prosthetic socket on a person'"'"'s leg stump, wherein the width of the shank in the frontal plane of the prosthesis is greater than the thickness of the shank in the sagittal throughout the entire length of the shank such that the upper end is moveable longitudinally of the foot keel in response to force loading and unloading of the shank during use of the prosthesis; and

a device connected to an upper portion of the shank and a lower portion of the prosthesis to store energy during force loading of the prosthesis and return the stored energy during force unloading to increase the kinetic power generated for propulsive force by the prosthesis in gait.

62. The prosthesis according to claim 61, wherein the lower portion of the prosthesis to which the device is connected is a lower portion of the shank.

63. A lower extremity prosthesis comprising:

a longitudinally extending foot keel;

a resilient, monolithically formed shank having a lower end connected to the foot keel and posteriorly terminating in a free end, an initially downward and anterior facing convexly curved portion of the shank extending upwardly from the foot keel to form an ankle joint area of the prosthesis, the shank extending upwardly in a substantially anterior facing convexly curvilinear manner above the ankle joint area to a substantially vertical upper end above the ankle joint area to connect with a lower extremity prosthetic socket on a person'"'"'s leg stump, the width of the shank in the frontal plane of the prosthesis being greater than the thickness of the shank in the sagittal plane throughout the entire length of the shank such that the upper end is moveable longitudinally of the foot keel in response to force loading and unloading of the shank during use of the prosthesis; and

a device connected to an upper portion of the shank and a lower portion of the prosthesis to control the extent of longitudinal motion of the upper end of the shank with respect to the foot keel during use of the prosthesis.

64. The prosthesis according to claim 63, wherein the lower portion of the prosthesis to which the device is connected is a lower portion of the shank.

65. A method of generating kinetic power for propulsive force in a resilient lower extremity prosthesis including an upwardly arched foot, and a monolithically formed resilient member having a lower end connected with the foot and posteriorly terminating in a free end, the member extending upwardly from the foot by way of an initially downward and anterior facing continuous convexly curved surface to form an ankle of the prosthesis and extending upwardly in a substantially anterior facing convexly curvilinear manner above the ankle to a substantially vertically oriented upper end forming a shank above the ankle, wherein the width of the resilient member in the frontal plane if the prosthesis is greater than the thickness of the member in the sagittal plane throughout the entire length of the member method comprising:

expanding a plurality of foot and shank concavities of the resilient prosthesis during midstance to late midstance force loading of the prosthesis in the active propulsion phase of a person'"'"'s gait to store energy in the prosthesis;

releasing said stored energy in the later stages of stance-phase of gait to add to the propulsion of a trailing limb and person'"'"'s body;

wherein during said force loading of the prosthesis in the active propulsion phase of gait storing additional energy in a posterior calf device connected between upper and lower portions of the prosthesis, and in said later stages of stance-phase of gait, releasing said additional energy to further add to the propulsion of the person'"'"'s trailing limb and body.

66. The method according to claim 65, wherein said expanding includes expanding a concavity formed by an upwardly arched midfoot of said foot.

67. The method according to claim 65, wherein said expanding includes expanding a posterior facing concavity of said shank.

68. The method according to claim 65, wherein said expanding includes expanding a concavity formed by an anterior facing convexly curved portion of said resilient member.