PROSTHETIC FOOT, AND PROSTHESIS FOR A LOWER EXTREMITY
20190231561 ยท 2019-08-01
Inventors
Cpc classification
A61F2002/5038
HUMAN NECESSITIES
International classification
Abstract
A prosthesis foot is provided with a structural component with proximal connecting device for fixing the prosthesis foot to a lower leg tube, lower leg shaft or a prosthesis knee joint, wherein the proximal connecting device is designed as a joint or comprises as at least one joint.
Claims
1. A prosthetic foot with a structural component having proximal connecting devices for fastening the prosthetic foot to a lower leg tube, lower leg shaft or prosthetic knee joint, wherein the proximal connecting device is designed as joint or comprises at least one joint, wherein the prosthetic foot comprises at least one elastic element or is connected thereto, wherein the elastic element is, in a first area thereof, connected to the structural component, in particular releasably, and wherein the elastic element comprises a second area for contacting the lower leg tube, lower leg shaft or prosthetic knee joint, in particular at a side, front side or rear side of the lower leg tube, lower leg shaft or prosthetic knee joint.
2. The prosthetic foot according to claim 1, wherein the structural component is, comprises or is connected to a foot sole.
3. The prosthetic foot according to claim 1, wherein the elastic element is, comprises or is connected to a leaf spring or bending spring.
4. The prosthetic foot according to claim 1, wherein the elastic element dorsally or ventrally rests on or abuts the lower leg tube, lower leg shaft or prosthetic knee joint.
5. The prosthetic foot according to claim 1, wherein an adjustable element is provided for releasably fastening a section of the elastic element to the lower leg tube, lower leg shaft or prosthetic knee joint.
6. The prosthetic foot according to claim 1, wherein the elastic element does not contact or touch the lower leg tube, lower leg shaft or prosthetic knee joint between the first area and the second area.
7. The prosthetic foot according to claim 1, with an adjusting device for varying or amending the height of the second area above the foot sole or for varying the distance between the first area and the second area.
8. The prosthetic foot according to claim 1, wherein the joint of the connecting device is connected to the structural component via a shifting device.
9. The prosthetic foot according to claim 1, wherein the first area is connected to the structural component via a shifting device.
10. The prosthetic foot according to claim 1, wherein the prosthesis or the prosthetic foot comprises a connector which, with at least an intermediate element thereof, is arranged between the lower leg shaft and the second area.
11. The prosthetic foot according to claim 10, wherein the connector is connected, in a further section lying distally to the intermediate element, to the structural component, in particular to the foot sole of said structural component.
12. The prosthetic foot according to claim 10, wherein the connector extends from the ventral side of the lower leg shaft in the area of the second section to the dorsal side of the lower leg shaft, where it is connected, in the section, to the foot sole.
13. A prothesis with a prosthetic foot according to claim 1, connected to a lower leg tube, lower leg shaft or prosthesis knee joint of the prosthesis.
14. The prosthetic foot according to claim 4, wherein the elastic element does not rest on or abut medially or laterally the lower leg tube, lower leg shaft or prosthetic knee joint.
Description
[0108] The present invention will be hereinafter exemplarily explained with reference to the accompanying drawings. The following applies in the partly highly simplified figures:
[0109]
[0110]
[0111]
[0112]
[0113]
[0114]
[0115]
[0116]
[0117] The prosthetic foot 100 comprises a structural component 10 with a proximal connecting device 1 for fastening the prosthetic foot 100 to the lower leg shaft 200.
[0118] The structural component 10 defines or forms a forefoot section 9.
[0119] The proximal connecting device 1 is herein exemplarily designed as at least one joint. Alternatively, it optionally comprises at least one joint. The optional joint is herein exemplarily monoaxial or monocentric having one rotation axis which protrudes or projects into the drawing plane. Alternatively, the joint may be polycentric or polyaxial.
[0120] The structural component 10 exemplarily comprises a foot sole 2 or consists thereof.
[0121] The structural component 10 comprises an elastic element, herein exemplarily in the form of a ventrally arranged spring, herein exemplarily a leaf spring or bending spring.
[0122] The structural component 10 comprises a further elastic element, herein exemplarily in the form of a dorsally arranged bending spring 4.
[0123] According to the present invention, either the ventral or the dorsal elastic element is sufficient. However, the embodiment shown herein having two elements 3, 4 offers its particular advantages.
[0124] The elastic bending spring 3 is, in a first area 7a, connected to the structural component 10, herein to the foot sole 2. Alternatively, a plug-in solution is provided amongst others. In addition, it is advantageous if an elastic element like e.g. the ventrally arranged bending spring 3 or the dorsally arranged bending spring 4 is provided in a releasable manner thus being easily replaceable by the user. By said replaceability, the user may easily use elastic elements which appear to be optimal to the current requirement of the prosthesis (running, sport, walking, sightseeing, etc. due to their geometry or elasticity, spring effect or the like,).
[0125] According to the present invention, an adjusting device, by which the spring effect and/or the spring strength is adjustable for the prosthesis wearer, may be provided in several embodiments according to the present invention. The wearer may thus adapt the prosthesis according to his needs and activities temporarily or constantly.
[0126] Also the optionally provided elastic bending spring 4 is connected to the structural component 10, herein the foot sole 2, in a first area 7a. The same which herein applies to the bending spring 3 or its connection to the structural component 10 and/or to the lower leg shaft 200 may in several embodiments according to the present invention apply also to the bending spring 4.
[0127] The bending spring 3 ventrally contacts or abuts with a second area 7b of the bending spring 3 the lower leg shaft 200. It primarily serves for influencing the rolling dynamics of the prosthesis.
[0128] The bending spring 4 dorsally contacts with a second area 7b of the bending spring 4 the lower leg shaft 200. It primarily serves for influencing the damping or the dynamics of the prosthesis.
[0129] The second area 7b is optionally arranged to be shiftable relative to the lower leg shaft 200.
[0130] The second area 7b lies optionally in an end area of the elastic element, here the bending spring 3 or 4.
[0131] An optional intermediate element 8 may lie between the second area 7b and the lower leg shaft 200. The intermediate element 8 may be part of the elastic element, here the bending spring 3 or 4, or part of the lower leg shaft 200. The intermediate element 8 may be arranged to be shiftable relative to the second area 7b and/or to the lower leg shaft 200.
[0132] The intermediate element 8 may be designed as an adapter between the geometries of the second area 7b on the one hand and of the lower leg shaft 200 on the other.
[0133] An adjusting device which is not shown may be provided to define or fix the intermediate element 8 to the lower leg shaft 200 or to the elastic element in a predetermined or desired height of the lower leg shaft 200 or of the elastic element, here the bending spring 3 or 4.
[0134] The prosthetic foot 100 comprises an optional support element 5. With the latter, the bending spring 3 and the lower leg shaft 200 may be, e.g. directly or indirectly, connected to each other, for example in a form-fit and/or force-fit manner, preferably releasable adjustable. The supporting element 5 may advantageously render possible or contribute to the dispensability of the dorsal bending spring 3.
[0135] The supporting element 5 may optionally be shifted or adjusted by an optional height adjustment 6 (e.g. in the form of a plug-in opening and at least one plug-in pin) along the longitudinal direction of the lower leg shaft 200. Thus, the spring effect of the bending spring 3 may be advantageously adjusted.
[0136] The supporting element 5 may, in each case purely optionally, be available in each embodiment according to the present invention.
[0137] Optionally, the bending spring 3 and/or the bending spring 4 do not respectively contact (directly or indirectly) the lower leg shaft 200 between their first area 7a and second area 7b.
[0138] As can be seen in
[0139] The structural component 10 is also not designed as a leaf spring by way of example and/or optionally does not comprise the same. This offers advantages in terms of manufacturing, fatigue strength and adjustability.
[0140] The first area 7a may be firmly connected to the structural component 10. It may be releasably connected thereto. In particular, the first area 7a may be connected to the structural component 10 by a latching, snapping, clamping or other kind of connection. The user of the prosthesis may thus deliberately disable or weaken the spring effect of the bending spring 3. This may be desired when sitting at a table; if the spring effect is disabled for sitting, this allows the prosthetic foot to go into a plantar extension, thus the prosthetic foot is on the ground like the healthy foot also. Optically, the prosthetic foot can no longer be distinguished from a healthy foot. The latching connection or another connection makes it possible, through or by a re-latching, which may be done before, during or after getting up from the chair, that the bending spring 3 is brought in position as a spring element with the a.m. effect.
[0141] The first area 7a may be connected to the structural component 10 in a predetermined angle. The angle may be changeable by a provided device or by a tool. The angle may be constant or unchangeable.
[0142]
[0143] The proximal connecting device 1 is herein exemplarily designed as at least one joint, which is connected to an extension 11, e.g. being a tube or lower leg tube, thus ensuring the connection between the structural component 10 on the one hand and the lower leg shaft 200 on the other hand.
[0144] As indicated with double arrow in
[0145] As indicated with further double arrow in
[0146] The shifting devices may be arranged to influence the spring effect of the bending spring 3, e.g. to increase it. The shifting devices may, therefore, serve as adjusting devices for the bending spring 3.
[0147]
[0148]
[0149] The intermediate element 8 may be part of the connector 13, which may be designed as a rod or tube. The connector 13 may extend preferably from the structural component 10 to the lower leg shaft 200.
[0150] The intermediate element 8 may be understood as an intermediary or interlink between the lower leg shaft 200 and the bending spring 3. It may effect a, in particular geometrical, balance between the lower leg shaft 200 and the bending spring 3 in a lateral-medial direction. It may effect a balance between the curved surface of the lower leg shaft 200 and the optional straight surface of the bending spring 3. It may effect a protection of the lower leg shaft 200 against the mechanical load caused by the bending spring 3 being made, for example, of Carbon.
[0151] The intermediate element 8 may be understood as a guiding device for guiding the bending spring 3 at or along the lower leg shaft 200.
[0152] The optional connector 13 may be connected to the structural component 10, e.g. to its foot sole 2, in a further section 17 lying distally to the intermediate element 8.
[0153] As indicated in
[0154] The further section 17 may be mounted free of any spring or return effect, thus allowing a rotation or twisting of the connector 13 and/or of the second section 17 without having to overcome a spring effect needed thereto.
[0155] The connections between some components of the prosthesis according to the present invention which includes or consists of the prosthetic foot 100 and the lower leg shaft 200, may be such that the connections 1, 7a and/or 17 are mutually displaceable. In this, the respective distance between them, or preferably between some of them, is adjustable which may serve for the fitting or customization of the prosthesis to the user or to his/her activities.
[0156]
[0157]
[0158] As can be seen in
[0159] An advantage associated with the particular shape of the connector 13 may be that when walking, there is an increasing spring effect with the increasing dorsal extension of the foot. The increasing spring effect results from the fact that the section 17, which may be configured or understood as a fulcrum, is arranged far dorsally in
[0160] The intermediate element 8 may thus be designed as a height-shiftable or height-adjustable section with respect to the height of the bending spring 3.
[0161] It should be noted that also the bending spring 3 may have the course and shape of the connector 13. The advantages achieved with the connector 13 may thus be also achieved without the connector 13, but with a correspondingly designed and arranged bending spring 13.
[0162] In addition to (or instead of) the connector 13 shown in
[0163]
[0164] The illustration of
[0165] The intermediate element 8 is designed aswith regard to the height (in y-direction) of the bending spring 3height-shiftable or height-adjustable section. The bending spring 3 may move within the intermediate element 8 and relative thereto, at least in the y-direction.
[0166] In the exemplary illustration of
[0167] With a movement of the lower leg shaft 200, the bending spring 3 may contact the curved surfaces or sections (herein in short: surfaces) or move relative thereto, and thus move relative to the intermediate element 8.
[0168] The curved surfaces or sections of
[0169] In case of a relative movement, the movement depends in particular on the surface conditions of the curved surfaces and the bending spring 3 due to frictional movement and/or is limited thereby.
[0170] The direction of the movement of the lower leg shaft 200 is indicted by the double-sided arrow next to the illustrated x, y axes coordination system (above the bending spring, with regard to
[0171] With the curved surfaces of the intermediate element 8, an exact and reliable guiding of the leaf spring 3 in the intermediate element 8 may be advantageously ensured. This may lead to a reliable and more stable guiding of the lower leg shaft 200, in particular relative to the prosthetic foot 100.
[0172] At the same time, the curved form of the surfaces of the intermediate element 8 which possibly contact the bending spring 3, allow a relatively large freedom of movement. Thus, the intermediate element 8 as designed in
[0173] To the left of the intermediate element 8 (with respect to
[0174] Optionally, the first area 7a is designed to be shiftable or adjustable in x-direction. This movement direction is illustrated by the double-sided arrow below the first area 7a. Thus, the position of the spanning of the leaf spring 3 in or at the prosthetic foot 100 may be changed, for example, to achieve an individual adjustment for the prosthesis wearer. Such a shiftability, which possibly requires tools and/or may be releasably limited by a clamping mechanism, spanning mechanism, etc. may be made possible, for example, by the shifting or adjusting device 12, which is shown in
[0175] The first area 7a is optionally designed with a further degree of freedom of movement as compared with the embodiment from
[0176] The first area 7a may be designed as a joint. The joint may be a polyaxial and/or polycentric joint. The first area 7a may be a hinge, a saddle joint, a ball joint, etc.
[0177] The first area 7a may optionally have a joint effect, for instance for tilting, about the x-axis or with the x-axis as a rotation axis (or in a left-right direction in
[0178]
[0179] In this view of
[0180] A possible movement direction of the prosthesis according to the present invention with the lower leg shaft 200 is illustrated by the double-sided arrow above the leaf spring and above the intermediate element 8. With this movement, the leaf spring 3 is guided again in the intermediate element 8 along (herein optionally two) optionally curved surfaces. This movement of the bending spring 3 in the y, z-plane may be referred to as tilting movement of the leaf spring 3.
[0181] The lower leg shaft 200, the tube 11, the intermediate element 8 and the leaf spring 3 may thus be rotated or tilted relative to the foot sole 2 about the first area 7a and the connecting device 1. With this movement possibility, which may be referred to as degrees of freedom of movement, the walking or running movement of the prosthesis wearer may be improved, in particular by improved weight shifting of the prosthesis wearer relative to the footprint or base plane of the foot sole 2 on a ground or floor.
[0182] The curved surfaces illustrated in
[0183] The leaf spring 3 may be removable from the intermediate element 8 and/or from the first area 7a. This may be advantageously used, depending on the prosthesis wearer (size, weight) and possible movement behavior, in order to use different materials for the leaf spring 3 and/or different leaf spring strengths. Possible materials for the leaf spring 3 are plastics, glass-fiber reinforced plastics, carbon-fiber reinforced plastic, composite materials, metallic materials or combinations of these materials.
[0184] Depending on the prosthesis wearer, predetermined parameters of the position of the intermediate element 8 at the lower leg shaft 200, of the size and/or of the materials of the leaf spring 3 and/or other parameters may be selected.
[0185] The curved surfaces of the intermediate element 8, illustrated in
[0186] The curved surfaces or sections of
[0187] The curved surfaces or sections of
[0188] The curved surfaces or sections may likewise be differently arranged. For example, the curved surfaces or sections within the intermediate element 8 may each be convex towards the bending spring 3, wherein the curves may be designed three-dimensionally in the x, y, z-space. Thus, the bending spring 3 may in particular no longer flatly contact or abut against the curved surfaces or sections of the intermediate element 8, rather only in a punctiform manner. This contacting may be referred to as saddle-shaped abutment to the three-dimensional surface. The bending spring 3 may abut against the three-dimensional surface at a plurality of saddle-shaped points, which may be referred to as point-shaped regions.
[0189] The design and configuration of the three-dimensional surface with surfaces convexly curved towards the bending spring 3 may be designed differently and individually. This advantageously makes it possible to configure respectively different three-dimensional surfaces for individual prosthesis wearers and/or specific embodiments of a lower leg shaft 200 according to the present invention and/or specific embodiments of a prosthetic foot 100 according to the present invention.
[0190] Furthermore, different three-dimensional surfaces having different, in particular interchangeable, bending springs 3 may be combined and adjusted or adapted individually.
[0191] The frontal, although optional, limitation of the second area 7b in the intermediate element 8 is not shown in
[0192]
[0193] The movement of the leaf spring 3 with respect to the intermediate element 8 which is described above in
[0194] The further connecting device 14 may be a joint, for example a polyaxial and/or a polycentric joint, and/or a hinge.
[0195] The further connecting device 14 may be releasably or non-releasably connected to the lower leg shaft 200 and/or to the intermediate element 8.
[0196] The connecting device 14 may be designed to be shiftable relative to the lower leg shaft 200 and/or to the intermediate element 8.
[0197] Moreover, the description of
[0198]
[0199] The proximal connecting device 1 is shiftably connected by a slide to a shifting or adjusting device 12, herein optionally to guiding elements 21 of the shifting or adjusting device 12. The connection shown in the example of
[0200] The shifting or adjusting device 12 exemplarily comprises two guiding elements 21 (e.g. guiding rails), one or more guiding elements 21 are likewise provided by the present invention.
[0201] The proximal connecting device 1 comprises optionally the slide 23 shown in
[0202] The shifting or adjusting device 12 is itself connected to the structural component or, as here, to the foot sole 2 via screws 25. It could be connected to the structural component or to the foot sole 2 with a different way, like e.g. welded, glued, etc.
[0203] In the particular design of
[0204] The arrangement of the first area 7a and/or the proximal connecting device 1 on the shifting or adjusting device 12 allows not only to adjust the distance between the proximal connecting device 1 and the first area 7a which in turn allows an adaptation of the prosthetic foot 100 to the activity of the prosthesis wearer, the selected shoe form, the desired spring effect, etc. Such an arrangement allows the cost-effective manufacturing of the prosthetic foot 100 with only one shifting or adjusting device.
[0205] As can be seen in
[0206] The receptacle 27 for the first area 7a of the bending spring 3 may optionally be two-piece and may touch the first area 7a from the front and from the back. In this, the front section 27a and the rear section 27b are closer to each other in a bottom area than in an upper area. This may be achieved by e.g. a rounding or chamfering of the upper area of the front section 27a and the rear section 27b. The bigger distance provided on top may grant or concede the bending spring 3 a tension-free bending movement and may help that the clamping length of the first area 7a in the receptacle 27 may be kept small and/or the durability of the bending spring 3 is advantageously increased.
[0207] The receptacle 27, or optionally the first area 7a directly, may be connected to the slide 29 by a rotating joint 31 as shown in
[0208] The rotating joint 31 advantageously allows a rotation or tilting movement of the bending spring 3 in a left-right direction of the foot sole 2.
[0209] The rotation axis of the rotating joint 31 may optionally be perpendicular to the rotation axis of the proximal connecting device 1 and/or parallel to a longitudinal direction of the foot sole 2.
[0210] The foot sole 2, as shown in
[0211] As shown in
[0212] In the present invention, neither the proximal connecting device 1 nor the first area 7a must be shiftable and/or be connected via the shifting or adjusting device 12 to the structural component and/or the foot sole 2. Likewise, the proximal connecting device 1 on the one hand and the first area 7a on the other hand may, unlike in
[0213] The shifting or adjusting device 12 or the guiding elements 21 may be the elements mentioned supra, on which the bending spring 3 is already shiftably arranged. In this, the distance between the proximal connecting device 1 and the bending spring 3, in particular its first area 7a, may be varied simply. Alternatively, not only one but several shifting or adjusting devices 12 are provided, e.g. one shifting or adjusting device 12 for the bending spring 3, another one for the proximal connecting device 1.
LIST OF REFERENCE NUMERALS
[0214] 100 prosthetic foot [0215] 10 structural component [0216] 1 connecting device [0217] 2 foot sole [0218] 3 bending spring [0219] 3a rear side [0220] 4 bending spring [0221] 5 supporting element [0222] 6 height adjustment [0223] 7a first area [0224] 7b second area [0225] 8 intermediate element [0226] 9 forefoot section [0227] 11 tube, extension [0228] 12 shifting or adjusting device [0229] 13 connector [0230] 14 further connecting device [0231] 17 section [0232] 19 screws [0233] 21 guiding elements [0234] 23 slide [0235] 25 screws [0236] 27 receptacle [0237] 29 slide [0238] 31 pivoting or rotating joint [0239] 33 shoe sole [0240] 200 lower leg shaft [0241] x x-direction, x-axis [0242] y y-direction, y-axis [0243] z z-direction, z-axis