Method for aligning a prosthesis

• US 8,784,502 B2
• Filed: 03/16/2011
• Issued: 07/22/2014
• Est. Priority Date: 09/11/2006
• Status: Expired due to Fees

• Current Assignee: Orthocare Innovations, LLC
• Original Assignee: Orthocare Innovations, LLC
• Inventors: Macomber, Ben Gilbert, Boone, David Alan
• Primary Examiner(s): Isabella, David
• Assistant Examiner(s): Woznicki, Jacqueline
• Application Number:
  US13/049,593
• Publication Number:
  US 20110313545A1
• Time in Patent Office: 1,224 Days
• Field of Search: 623/27
• US Class Current: 623/39
• 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 2/70 electrical
• 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 2002/5021 for adjusting a position by translation along an axis
• CPC Class Codes: A61F 2002/5023 along two perpendicular axes
• CPC Class Codes: A61F 2002/704 computer-controlled, e.g. robotic control
• CPC Class Codes: A61F 2002/705 Electromagnetic data transfer
• CPC Class Codes: A61F 2002/7635 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61F 2002/7645 for measuring torque, e.g. hinge or turning moment, moment of force
• CPC Class Codes: A61F 2002/7695 Means for testing non-implantable prostheses
• CPC Class Codes: G01B 21/24 for testing alignment of axes
• CPC Class Codes: G01L 1/2218 the supports being of the column type, e.g. cylindric, adapted for measuring a force along a single direction
• CPC Class Codes: G01L 1/2231 the supports being disc- or ring-shaped, adapted for measuring a force along a single direction
• CPC Class Codes: G01L 5/162 of piezoresistors
• CPC Class Codes: G06F 30/17 Mechanical parametric or variational design

Abstract

A computerized prosthesis alignment system includes a transducer that can measure socket reactions in the anterior/posterior plane and the right/left planes, while canceling or reducing the transverse forces on the measurements of these socket reactions. In addition, the transducer is also capable of determining the axial load or weight experienced by the prosthesis. The computerized prosthesis alignment system is in communication with a host computer. The moment data from the transducer is interpreted by the user via a computer interface. The host computer includes memory for storing one or more applications. These applications receive data from the transducer, interpret the data with discrete algebraic or fuzzy logic algorithms, and display the output numerically and graphically. Applications may also interpret the data to provide analysis to the user for aligning the prosthesis.

Claims

1. A method for determining whether a prosthesis is misaligned, wherein the prosthesis comprises a socket for receiving a limb, comprising:

obtaining signals representative of moments in an anterior/posterior plane and right/left plane experienced at a base of a prosthesis socket when a patient walks with the prosthesis for a time period;

obtaining corrected signals by applying a correction factor to the signals;

computing gait variables from the corrected signals; and

applying the gait variables to a model of alignment.

2. The method of claim 1, further comprising providing instructions to correct the alignment of the prosthesis.

3. The method of claim 1, wherein the correction factor accounts for an angular deviation from a line being followed by the patient.

4. The method of claim 1, further comprising obtaining signals representative of axial forces experienced at the prosthesis base.

5. The method of claim 1, further comprising obtaining signals representative of moments experienced at the prosthesis base for more than one step taken by the patient.

6. The method of claim 1, further comprising obtaining signals representative of moments experienced at the prosthesis base for two or more steps taken by the patient, and the two or more steps are continuous.

7. The method of claim 1, further comprising determining phases of a step and obtaining weight information of the patient at midstance of the step.

8. The method of claim 1, further comprising providing a user interface for obtaining input.

9. The method of claim 1, further comprising plotting the moments for one or more steps taken by the patient.

10. The method of claim 1, further comprising plotting the moments and the model of alignment on the same graph.

11. The method of claim 1, further comprising plotting a load being supported by the prosthesis and an opposite foot.

12. The method of claim 1, further comprising plotting a locus representing the moments onto a graph having a target.

13. The method of claim 12, further comprising providing instructions to align the prosthesis to move the locus to the target.

14. The method of claim 1, wherein gait variables include one or more of anterior/posterior moment at a percent of a stance phase, right/left moment at a percent of a stance phase, maxima of anterior/posterior moment, maxima of right/left moment, minima of anterior/posterior moment, minima of right/left moment, a slope of a change in anterior/posterior moment during stance phase, a slope of a change in right/left moment during stance phase, integrated anterior/posterior moment during stance phase, or integrated right/left moment during stance phase.

15. The method of claim 1, wherein the model of alignment describes relationships of combinations of gait variables to possible prosthesis misalignments.