Systems, methods and apparatuses including an insert having a body with a plurality of bladders therein, a proximal surface and a distal surface. Two or more of the plurality of bladders are in fluid communication with one another. The plurality of bladders are expandable and contractible in volume. The proximal surface shapable by a change in the volume of one or more of the plurality of bladders. The proximal surface is configured to interface with a first arthroplasty implant of the patient. The distal surface is spaced from the proximal surface by the body and is configured to interface with a second arthroplasty implant of the patient.

Embodiments include a cooling device for a medical device. The cooling device including a controller configured to receive data from one or more temperature sensors and a pump, configured to be operated by the controller, to circulate a cooling fluid through a cooling system and through fluid channels in the medical device. The cooling device is configured to be worn by a user and to be selectively coupled to the medical device by the user.

A prosthetic joint and a method of controlling dorsiflexion and plantarflexion of the hydraulic prosthetic ankle joint. The method includes generating ground reaction forces with a hydraulic prosthetic ankle, wherein the prosthetic hydraulic ankle comprises a first chamber and a second chamber, and the ankle is connected to a prosthetic foot; rotating the prosthetic foot in response to the ground reaction force; transferring fluid between the forward and rear chambers in response to rotation of the foot; providing a feature to occlude or partially occlude the fluid transfer between chambers; providing a non-electronic mechanism for controlling the flow responsive to both a position of the joint and a rate of change of position of the joint, and wherein the mechanism is arranged such that a dwell at a particular joint location or locations will occlude the flow path.

An orthopedic knee joint having an upper part with upper connecting features, a lower part which is mounted pivotably on the upper part and has connecting features for prosthetic components, and a stop for limiting an extension movement. The stop is coupled to an adjusting device, which is coupled to a control device that actuates the adjusting device as a function of sensor data and changes the position of the stop. If the knee joint is provided with an adjustable extension stop position, the extension stop can be shifted forward for walking which results in a greater inclination at heel strike in order to flex the knee joint and, therefore, increased damping upon initiation of the stance phase. For standing, the adjusting device can be activated so that the extension stop is reversed, such that a statically more secure orthosis or prosthesis set-up can be obtained.

A valve with an inlet, an outlet that is connected to the inlet via a fluid connection, and a valve body which can be brought by displacing it along a displacement direction into a first position, in which the fluid connection is blocked, and a second position, in which the fluid connection is open, wherein the inlet is designed and arranged in such a way that a fluid entering through the inlet exerts a total force on the valve body that at least also acts in a force direction which is perpendicular to the displacement direction when the valve body is in the first position.

A self-aligning prosthetic foot and ankle assembly has an ankle unit pivotally mounting a foot component. The ankle unit contains a hydraulic piston and cylinder assembly having a piston which is linearly movable within a cylinder. The axis of the cylinder is coincident with a shin axis defined by a shin connection interface on the ankle unit. Bypass passages containing damping resistance control valves provide continuous hydraulic damping of dorsi and plantar ankle flexion, the unit being such that, over the major part of the range of damped movement, there is no resilient biasing in either the dorsi or the plantar direction. This confers a number of advantages, including stabilisation of standing, balance control, and improved stair-walking and ramp-walking.

A prosthetic system includes a prosthetic foot with a foot member defining a first end portion, a second end portion, and an intermediate portion defining a curvature and extending between the first and second end portions. A pump mechanism is coupled to the foot member. The pump mechanism includes a housing defining a cavity, and a membrane situated in the cavity. The pump mechanism is movable between an original configuration and an expanded configuration. A movable member includes a first portion coupled to the membrane and a second portion arranged to slidably engage the foot member. Relative movement between the first and second end portions moves the first portion of the movable member relative to the housing and slides the second portion along a length of the foot member to shift the pump mechanism between the original and expanded configurations.

A prosthetic foot assembly is disclosed. The assembly includes a pivoting ankle joint with a hydraulic system, a prosthetic foot connected to the distal side of the ankle joint, and, at the proximal side, the ankle joint includes a transducer with pyramid adaptor for attaching to a pylon. The ankle joint sensor provides data collection during the stance and optionally, the swing, phases of walking using, for example, strain gages and accelerometers. Also disclosed are methods for real-time feature extraction. Key parameters are captured to which are applied linear, fuzzy logic, neural net, or generic algorithms to determine current state (walking flat, uphill, downhill etc.) in real time and execute changes to the angle between the ankle and foot almost instantaneously based on those parameters.

A vacuum suspension system includes a rigid socket defining a socket wall having exterior and interior surfaces. The socket defines an aperture extending between the exterior and interior surfaces, and has a closed distal end and an open proximal end with an interior cavity defined by the interior surface. A fluid regulator is provided at the aperture and operatively engages the fluid regulator. A pump system includes a pump and a covering for securing over the exterior surface of the socket and carrying the pump. The pump is configured for placement proximate to the fluid regulator and arranged for drawing air from the socket through the aperture. A chamber having a variable volume is formed by a space defined between the exterior surface and an inner surface of the covering proximate to the pump.

A prosthetic joint and a method of controlling dorsiflexion and plantarflexion of the hydraulic prosthetic ankle joint. The method includes generating ground reaction forces with a hydraulic prosthetic ankle, wherein the prosthetic hydraulic ankle comprises a first chamber and a second chamber, and the ankle is connected to a prosthetic foot; rotating the prosthetic foot in response to the ground reaction force; transferring fluid between the forward and rear chambers in response to rotation of the foot; providing a feature to occlude or partially occlude the fluid transfer between chambers; providing a non-electronic mechanism for controlling the flow responsive to both a position of the joint and a rate of change of position of the joint, and wherein the mechanism is arranged such that a dwell at a particular joint location or locations will occlude the flow path.