CA2584954C - Prosthesis internal shaft system - Google Patents

Prosthesis internal shaft system Download PDF

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Publication number
CA2584954C
CA2584954C CA2584954A CA2584954A CA2584954C CA 2584954 C CA2584954 C CA 2584954C CA 2584954 A CA2584954 A CA 2584954A CA 2584954 A CA2584954 A CA 2584954A CA 2584954 C CA2584954 C CA 2584954C
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CA
Canada
Prior art keywords
socket
fitting
aperture
wall
internal
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
CA2584954A
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French (fr)
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CA2584954A1 (en
Inventor
Christian Klein
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Otto Bock Healthcare Products GmbH
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Otto Bock Healthcare Products GmbH
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Otto Bock Healthcare Products GmbH filed Critical Otto Bock Healthcare Products GmbH
Publication of CA2584954A1 publication Critical patent/CA2584954A1/en
Application granted granted Critical
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Active legal-status Critical Current
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50Prostheses not implantable in the body
    • A61F2/78Means for protecting prostheses or for attaching them to the body, e.g. bandages, harnesses, straps, or stockings for the limb stump
    • A61F2/7812Interface cushioning members placed between the limb stump and the socket, e.g. bandages or stockings for the limb stump
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50Prostheses not implantable in the body
    • A61F2/68Operating or control means
    • A61F2/70Operating or control means electrical
    • A61F2/72Bioelectric control, e.g. myoelectric
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50Prostheses not implantable in the body
    • A61F2002/5081Additional features
    • A61F2002/5083Additional features modular
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50Prostheses not implantable in the body
    • A61F2/78Means for protecting prostheses or for attaching them to the body, e.g. bandages, harnesses, straps, or stockings for the limb stump
    • A61F2/80Sockets, e.g. of suction type
    • A61F2002/802Suction sockets, i.e. utilizing differential air pressure to retain the prosthesis on the stump
    • A61F2002/805Suction sockets, i.e. utilizing differential air pressure to retain the prosthesis on the stump having an air valve

Abstract

The invention refers to a prosthetic internal shaft system with an internal shaft which is configured within a prosthetic external shaft with accommodation features for additional prosthesis components and has at least one recess for conduction of myoelectrical signals to an electrode located on the internal shaft, whereby the electrode is attached to the recess by a sealing fitting.

Description

PROSTHESIS INTERNAL SHAFT SYSTEM
Field of the Invention The invention refers to a prosthesis internal shaft system with an internal shaft which is attached within an external prosthesis shaft.
Background of the Invention Prosthetic elements, such as prosthetic knee joints, artificial lower legs or artificial hands are attached to prosthesis shafts, which are situated on the relevant stump of the prosthetic user. According to the desired scope of function, there is a differentiation between purely cosmetic prostheses, mechanically activated prostheses or bioelectrically controlled prostheses. The relevant extremity to be replaced, or function element, or impetus are located on the exterior shaft, which is attached directly to the internal shaft on the stump.
In myoelectrically powered prostheses, the conduction of an electrical action potential from the stump musculature is necessary. These potentials are emitted by the contraction of a muscle and are measurable on the skin surface of the prosthetic wearer.
The potentials collected by the electrode are amplified and sent to the control unit, which activates or deactivates the actuators. The state of the art is to equip the internals shaft with a recess in which the electrode can be inserted. Between the electrode and the recess in the internal shaft there is a particular gap which can lead to a relative movement between the electrode and the internal shaft. Through the gap between the internal shaft and the electrode, sweat can enter the space between the internal shaft and the external shaft, which can affect the electrical and electronic components.
This can also make cleaning the internal shaft difficult.
Summary of the Invention The task of this invention is to provide an improved internal shaft system in which these disadvantages do not arise. According to the invention, this task will be solved by a prosthesis internal shaft system.
The prosthesis internal shaft system in accordance with the inventions with an internal shaft which is constructed within a prosthetic external shaft with accommodation features for further prosthetic components, and has at least one recess provides for the conduction of myoelectrical signals to an electrode located on the internal shaft, whereby the electrode is attached to a fitting enclosed in the recess. It is therefore possible, to construct the internal shaft as a suction shaft, so that there is no gap between the internal shaft and the electrode or electrode fitting. Air or sweat cannot enter or exit the space between the electrode fitting and the internal shaft.
Therefore the rest of the prosthesis components or the accumulator is protected from sweat. For cleaning or when using a skin cream, no material can be retained in the external shaft.
Through airtight assembly of the fitting with the electrode onto the internal shaft, there is a vacuum effect, so that there is better contact between the stump and the electrode as well as a secure hold of the internal shaft system to the stump. In addition, the manufacture of the internal shaft is made easier, because it can be constructed as a laminated or deep drawn intern shaft, into which the recess is cut in accordance with the stump model after the shaft is completed.
The fitting consists, preferably, of an elastic material, in particular silicon or another skin friendly or cutaneous tolerant material. The electrode can be injected into the fitting, for example within the framework of a two component injection method, or adhered, pressed or form-fit and enables a sealed position. The groove is preferably built circumferentially into the fitting, so that the fitting completely covers the internal and external edges of the recess. In this way, the internal shaft is enclosed within two seal lips, which are located close to the internal shaft.
An extension of the invention provides that the internal shaft is attached to the external shaft with a tube onto which additional prosthesis parts are attached. This tube would be required for insertion of the stump into the internal shaft. A
unidirectional valve is attached to the internal shaft which presses air out of the area of the internal shaft with every movement of the stump. The valve can be located within the connection tube between the internal and external shafts and closes this. Through relevant adjustment of the valve to the attachment tube, the entrance of soft tissue into the tube is hindered.
It is preferred that the fitting be spring equipped or pliable, in order to equalize irregularities in the form of the stump, so that the electrode contacts always have good contact to the skin.
The side of the fitting turned toward the stump is flattened, in particular, in the shape of a spherical cap, So that the shape of the injection part with the integrated electrode has no or only slight pressure points, because the fitting hardly comes away from the surface of the side of the internal shaft.
For better insertion of the fitting into the internal shaft by pressing or snapping into place, a sealant can be used in the groove or in the contact area between the internal shaft and the fitting, for example, silicon, which can provide a better seal.
Brief Description of the Drawings The following elucidates more closely a design example using the included figures. It shows:
Figure 1: A fitting with inserted electrode in a top view and side view;
Figure 2: a perspectivist representation of the electrode in a top view from above and below.
Figure 3: A fitting without electrode from the internal side of the shaft;
Figure 4: the back side of the fitting pursuant to figure 3;
Figure 5: An internal shaft with inserted electrode, as well as Figure 6: a partially cut away external shaft with inserted internal shaft.
Detailed Description of the Drawings In figure 1, fitting 1 is shown with electrode 2 inserted, the electrical connections 3 for conduction of the action potentials of the muscle groups via the skin contacts 4, 5, and 6. In the left side view, the spherical cap construction of the stump side surface 13, the fitting 1, the groove 10 and the retention bar are seen. In the groove, 10, the = CA 02584954 2014-03-06 internal shaft is inserted. Through the pressing of the electrode fitting from inside to outside in a recess in the internal shaft that is so large that the contour is assumed within the groove 10, and is covered by the internal side of the fitting 1 and the retention bar 11, an air and watertight seal is created within the internal shaft. A rotary switch 7 on the back side of the electrode enables an adjustment of the mounted electrode 2.
The electrode 2 can be injected, adhered, pressed or form-fit into the fitting. In the perspectivist view in figure 2, one can see the finished mounted electrode 2 in fitting 1.
With a multiple component design of electrode and fitting, the fitting 1, as shown in figures 3 or 4 in various views, is made of a molded part or injection molded part of a skin tolerable material, silicon for example and is equipped with a recess 12 for the insertion of the conduction electrode 2.
In figure five, the internal shaft 30 is represented diagonally from the back, from the insertion direction of the stump, an arm stump, in the example. The internal shaft 30 is constructed as a suction shaft and displays an electrode 2 on the internal side which is attached to the internal shaft 30 via a spherical cap fitting. The contour of the fitting 1 on the internal side of shaft 30 is only slightly convex, in order to provide the most comfortable feeling for the wearer without pressure points while providing a secure connection to electrode 2 on the stump, so that there is a durative electro-myographic signal. As described above, the fitting 1 is equipped with groove 10, which the internal shaft grabs, so that the required recess is sealed against air and moisture.
In figure 6, we have a prosthesis part with an internal shaft 30, and an external shaft 40, whereby the external shaft is shown in a partial cutaway representation. The internal shaft 30 is secured via screws 34 to the stabile exterior shaft 40. In addition, a bore hole 32 is provided in the external shaft, through which the electrode 2, which is attached to internal shaft 30, can be adjusted by rotational switch 7.

=

In the partial cutaway representation we see that the internal shaft 30 is attached to the external shaft via a connection tube 50. The connection tube 50 enables an escape of the air in the internal shaft to an appropriate location in the externals shaft. In order to prevent back flow of the air, there is a unidirectional valve located in the connection 5 tube 50. Through use of a lever 15, an o-ring 16 is activated within the connection tube 50 and thereby seals off the internal shaft 30. Air can then only escape through he unidirectional valve.

Claims (18)

Claims:
1. A prosthetic apparatus comprising:
a socket for receiving a stump of a limb, the socket including an aperture in a wall of the socket;
a fitting positioned within the aperture and supported by the socket, the fitting including a flange and a retention rim forming a groove that is sized to attach and seal the fitting within the aperture in the socket wall, the flange and the retention rim covering an internal edge and an external edge, respectively, of the aperture in the socket wall; and an electrode assembly for the conveyance of myoelectrical signals from the stump received within the socket, the electrode assembly positioned within and sealed to the fitting, such that air and moisture are prevented from passing into or out of the socket through the aperture or fitting.
2. The apparatus of claim 1 wherein the fitting is formed of an elastic material.
3. The apparatus of claim 2 wherein the material is silicone.
4. The apparatus of claim 1 wherein the electrode assembly is attached to the fitting by one or more of the methods of injection, adhesion, mechanical compression or an interference fit.
5. The apparatus of claim 1 wherein the fitting and electrode assembly together further comprise a convex cross section.
6. The apparatus of claim 5 wherein the convex cross section further comprises a flattened spherical cap that is positioned to engage the stump received within the socket.
7. The apparatus of claim 1 further comprising a connection passageway fluidly coupled to the socket.
8. The apparatus of claim 7 further comprising a unidirectional valve fluidly coupled to the connection passageway to allow air to escape from the socket.
9. The apparatus of claim 8 further comprising a vent situated within the connection passageway.
10. The apparatus of claim 8 further comprising a lever to open the valve to allow air flow into the socket.
11. The apparatus of claim 1 further comprising an external socket and wherein the socket comprises an internal socket received within and attached to the external socket.
12. The apparatus of claim 11 wherein the aperture in the internal socket wall provides an opening between an interior of the internal socket and a space between the internal socket and the external socket.
13. The apparatus of claim 12 wherein the electrode assembly comprises skin contacts on a side facing into the internal socket and electrical components on the opposite side facing into the space between the internal and external sockets.
14. The apparatus of claim 13 wherein the electrical components are accessible through a wall of the external socket.
15. A myoelectrical assembly for use with a prosthetic socket, the assembly comprising:
a fitting configured to be positioned within an aperture in a wall of the socket and to be supported by the socket, the fitting including a flange and a retention rim forming a groove that is sized to attach and seal the fitting within the aperture in the socket wall, the flange and the retention rim covering an internal edge and an external edge, respectively, of the aperture in the socket wall; and an electrode assembly for the conveyance of myoelectrical signals from a stump received within the socket, the electrode assembly positioned within and sealed to the fitting, such that air and moisture are prevented from passing into or out of the socket through the aperture or fitting.
16. The myoelectrical assembly of claim 15 wherein the fitting is formed of an elastic material.
17. The myoelectrical assembly of claim 15 wherein the electrode assembly is attached to the fitting by one or more of the methods of injection, adhesion, mechanical compression or an interference fit.
18. A prosthetic apparatus comprising:
a socket for receiving a stump of a limb, the socket including an aperture in a wall of the socket, the socket wall surrounding the aperture including inner and outer surfaces;
a fitting positioned within the aperture and supported by the socket, the fitting including two seal lips that abut the inner and outer surfaces of the socket wall so as to seal the fitting to the socket wall; and an electrode assembly for the conveyance of myoelectrical signals from the stump received within the socket, the electrode assembly positioned within and sealed to the fitting, such that air and moisture are prevented from passing into or out of the socket through the aperture or fitting.
CA2584954A 2006-05-09 2007-04-16 Prosthesis internal shaft system Active CA2584954C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE202006007460U DE202006007460U1 (en) 2006-05-09 2006-05-09 Prosthesis inner shaft system
DE202006007460.0 2006-05-09

Publications (2)

Publication Number Publication Date
CA2584954A1 CA2584954A1 (en) 2007-11-09
CA2584954C true CA2584954C (en) 2015-02-24

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Family Applications (1)

Application Number Title Priority Date Filing Date
CA2584954A Active CA2584954C (en) 2006-05-09 2007-04-16 Prosthesis internal shaft system

Country Status (8)

Country Link
US (1) US7670385B2 (en)
EP (1) EP1857081B1 (en)
JP (1) JP4851384B2 (en)
CN (1) CN101069659B (en)
CA (1) CA2584954C (en)
DE (1) DE202006007460U1 (en)
ES (1) ES2592715T3 (en)
RU (1) RU2428147C2 (en)

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CA2584954A1 (en) 2007-11-09
EP1857081B1 (en) 2016-06-29
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RU2428147C2 (en) 2011-09-10
CN101069659A (en) 2007-11-14
US7670385B2 (en) 2010-03-02
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JP2007301354A (en) 2007-11-22
US20070265711A1 (en) 2007-11-15

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