Prosthetic limb attachment

• US 8,268,011 B2
• Filed: 03/09/2005
• Issued: 09/18/2012
• Est. Priority Date: 03/12/2004
• Status: Active Grant

• Current Assignee: University College London (University of London)
• Original Assignee: University College London (University of London)
• Inventors: Newcombe, Lindsay K., Dewar, Michael E.
• Primary Examiner(s): SNOW, BRUCE EDWARD
• Application Number:
  US10/590,581
• Publication Number:
  US 20080058957A1
• Time in Patent Office: 2,750 Days
• Field of Search: 623/32, 623/38
• US Class Current: 623/32
• CPC Class Codes: A61F 2/2814 Bone stump caps
• CPC Class Codes: A61F 2/30749 Fixation appliances for connecting prostheses to the body
• CPC Class Codes: A61F 2/78 Means for protecting prostheses or for attaching them to the body, e.g. bandages, harnesses, straps, or stockings for the limb stump
• CPC Class Codes: A61F 2002/30364 Rotation about the common longitudinal axis
• CPC Class Codes: A61F 2002/30477 using sharp protrusions, e.g. spikes, for anchoring into connecting prosthetic part
• CPC Class Codes: A61F 2002/30494 Cooperating protrusions and recesses, e.g. radial serrations, located on abutting end surfaces of a longitudinal connection
• CPC Class Codes: A61F 2002/30563 having elastic means or damping means, different from springs, e.g. including an elastomeric core or shock absorbers
• CPC Class Codes: A61F 2002/7887 for connecting limb exoprostheses to the stump bone
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0033 made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit

Abstract

The present invention provides an apparatus (1) for attaching a prosthetic limb to the bone of a patient, the apparatus comprising a proximal component (2) to mount to a bone implant, a distal component (3) to mount to a prosthetic limb, and a coupling body (4, 5) coupling together the proximal and distal components (2,3) with freedom to articulate when, in use, a bending and/or torsional force is applied to the prosthetic limb, only when the force exceeds a threshold level, whereby the force may be accommodated by articulation within the attachment apparatus (1). The attachment apparatus (1) thus functions as a fail-safe articulation mechanism protecting the bone of the patient.

Claims

1. A failsafe apparatus for attaching a prosthetic limb to a transcutaneous bone implant attached through the skin directly to the bone of a patient, wherein forces of various levels may be applied to the limb, including a bending force urging the limb toward tilting, the failsafe apparatus comprising:

a proximal component to mount to a bone implant;

a distal component to mount to a prosthetic limb; and

a disengageable connector for coupling the proximal and distal components and for preventing said bending force at a level greater than a predetermined threshold safe level from being transmitted by the limb to the bone implant, including

resilient means for (a) coupling and holding the components in a fixed angle relationship to each other for normal use of the prosthetic limb when the limb is subject to an applied bending force less than said predetermined threshold safe level, the effect of the resilient means in holding the components in fixed relationship to each other being opposed by any said applied bending force, and (b) disengaging the disengageable connector automatically only when the bending force is greater than said predetermined threshold safe level, thereby being sufficient to overcome the maximum effect of the resilient means, and by disengagement for permitting tilting of the components away from said fixed angel relationship for a level of bending force greater than said predetermined threshold safe level,

thereby providing failsafe protection of the bone implant from the effect of said bending force at a level greater that said predetermined threshold safe level.

2. An apparatus as claimed in claim 1, wherein the disengageable connector couples together the proximal and distal components so that one is in a fixed angle relation to the other in said normal use, but with freedom to articulate away from the fixed angle relation when, in use, a bending force is applied to the prosthetic limb only when the force exceeds said threshold level.

3. An apparatus as claimed in claim 2, wherein the apparatus with disengageable connector has a resilient biasing means whereby the disengageable connector is resiliently biased to the coupled state and whereof the biasing force applied to the disengageable connector by the resilient biasing means in use determines the threshold level of bending force on the prosthetic limb that will cause disengagement of the disengageable connector.

4. An apparatus as claimed in claim 3, wherein the disengageable connector comprises a pin mounted to one of the proximal and distal components and co-operating with a socket in the other of the proximal and distal components.

5. An apparatus as claimed in claim 4, wherein the pin is mounted to be movable back and forth axially of the component to which it is mounted and is biased forwardly.

6. An apparatus as claimed in claim 4, wherein the pin has a pointed or domed tip and the socket is of a corresponding concave shape whereby a bending force applied to the prosthetic limb in use will cause the tip of the pin to ride outwardly up the socket wall.

7. An apparatus as claimed in claim 6, wherein the shape of the tip is domed or substantially conical to facilitate disengagement of the disengageable connector from whichever radial orientation the bending force is applied.

8. An apparatus as claimed in claim 2, wherein the disengageable connector is configured to allow gyrating articulation or universal articulation, substantially in the manner of a ball joint, when it disengages.

9. An apparatus as claimed in claim 2, wherein the disengageable connector comprises a T-shaped formation at the end of one or both of the proximal and distal components that are adjacent each other, the head of the or each T-shaped formation being curved/arcuate to facilitate tilting of one component relative to the other.

10. An apparatus as claimed in claim 9, including a coupling body, wherein the T-shaped formations are accommodated in the coupling body, or a further coupling body, to tilt within the coupling body.

11. An apparatus as claimed in claim 10, wherein the coupling body has slots therethrough, through each of which a respective end of a head of a T-shaped formation extends and whereby the end may protrude to a greater or lesser extent as the component tilts, whereby the coupling body provides a captive articulated joint with a restricted degree of tilting freedom of movement.

12. An apparatus as claimed in claim 10, wherein one T-shaped formation is oriented in the coupling body with its head substantially orthogonal to the head of the other, whereby through tilting of each relative to the other an approximately universal or gyrating articulation may be achieved.

13. A failsafe apparatus for attaching a prosthetic limb to the bone of a patient, wherein a force may be applied to the limb urging the limb toward bending or rotational articulation, the failsafe apparatus comprising:

a proximal component to mount to a bone implant;

a distal component to mount to a prosthetic limb;

a coupling body coupling the proximal and distal components moveably with respect to each other in bending and axial rotational articulation around an axis of the limb, said coupling body including

a resilient biasing means for applying a predetermined biasing force holding the components in a fixed relationship to each other for normal use of the prosthetic limb, the effect of said biasing force being opposed by any said force applied to the limb urging the limb toward said at least one bending or rotational articulation, and only when said force applied to the limb exceeds a predetermined threshold safe level and thereby becomes sufficient to overcome the effect of the biasing force, the resilient biasing means allows the components automatically to move in said at least one bending or axial rotational articulation, thereby providing failsafe protection of the limb from excessive force applied to the limb, said resilient biasing means including

a clutch-like mechanism having opposing sets of co-operating clutch teeth wherein the teeth are substantially symmetrical in profile whereby the clutch-like mechanism may be disengaged in either rotational direction of torque, clock-wise or anti-clockwise, applied to the prosthetic limb and

a pin mounted to one of the proximal and distal components and co-operating with a socket of a corresponding concave shape in the other of the proximal and distal components, whereby a bending force applied to the prosthetic limb in use will cause the tip of the pin to ride outwardly up the socket wall in the direction controlled by the bending force.

14. A failsafe apparatus for attaching a prosthetic limb to a transcutaneous bone implant attached through the skin directly to the bone of a patient, wherein a force may be applied to the limb urging the limb toward tilting and/or rotational articulation, the failsafe apparatus comprising:

a proximal component to mount to a bone implant;

a distal component to mount to a prosthetic limb;

a coupling body coupling the proximal and distal components moveably with respect to each other in a tilting and an axial rotational articulation, said coupling body including

a mechanism for holding said proximal and distal components in relation to each other so that the components can be engaged and can be disengaged, wherein when the components are engaged, one component is in a fixed relation to the other, preventing said tilting and axial rotation, and wherein when the components are disengaged, said tilting and/or axial rotation is allowed, said coupling body including

a resilient biasing means for applying a biasing force holding one of the components engaged with the other component for normal use of the prosthetic limb subject to an applied force less than a predetermined threshold safe level, the effect of said biasing force being opposed by any said force applied to the limb urging the limb toward said tilting and/or rotational articulation, and only when said force applied to the limb exceeds a said threshold safe level and thereby becomes sufficient to overcome the effect of the biasing force, the resilient biasing means allows the components automatically to become disengaged and thereby to move in said tilting and/or axial rotational articulation, thereby providing failsafe protection of the limb from excessive force applied to the limb.