CA2325607A1 - One-piece socketless mounting platform for a below-the-elbow prosthetic device - Google Patents

One-piece socketless mounting platform for a below-the-elbow prosthetic device Download PDF

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Publication number
CA2325607A1
CA2325607A1 CA 2325607 CA2325607A CA2325607A1 CA 2325607 A1 CA2325607 A1 CA 2325607A1 CA 2325607 CA2325607 CA 2325607 CA 2325607 A CA2325607 A CA 2325607A CA 2325607 A1 CA2325607 A1 CA 2325607A1
Authority
CA
Canada
Prior art keywords
mounting platform
segment
piece
pad
socketless
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.)
Abandoned
Application number
CA 2325607
Other languages
French (fr)
Inventor
Chaz M. Holder
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.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Priority to CA 2325607 priority Critical patent/CA2325607A1/en
Publication of CA2325607A1 publication Critical patent/CA2325607A1/en
Abandoned 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
    • A61F2/54Artificial arms or hands or parts thereof
    • 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
    • A61F2/5044Designing or manufacturing processes
    • A61F2002/5055Reinforcing prostheses by embedding particles or fibres during moulding or dipping, e.g. carbon fibre composites
    • 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
    • A61F2002/5093Tendon- or ligament-replacing cables
    • 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
    • A61F2002/7862Harnesses, straps
    • 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
    • A61F2002/7881Means for protecting prostheses or for attaching them to the body, e.g. bandages, harnesses, straps, or stockings for the limb stump using hook and loop-type fasteners

Abstract

A one-piece mounting platform (1) of the type having a canted distal segment (2), a medial segment (3) having a integral concave proximal counterforce pad (6), and a lateral segment (4) having an integral concave distal load lifting pad (5). A compression strap (8) that provides intimate fit is affixed to the load lifting pad (5), and a strap toggle (7) is affixed to the medial segment (3).

Description

Patent application of Chaz M. Holder for TITLE: ONE-PIECE SOCKETLESS MOUNTING
PLATFORM FOR A BELOW-THE-ELBOW
PROSTHETIC DEVICE
CROSS-REFERENCE TO RELATED APPLICATIONS
This invention employs the socketless prosthetic principles of my co-pending patent application filed April 10, 2000" application number 2,304,743 for "Socketless Mounting Platform for an Upper Extremity Terminal Device and Prosthetic Limb Suspension System".
BACKGROUND-FIELD OF INVENTION
This invention relates to the field of human limb prosthetic devices;
specifically, upper extremity, below-the-elbow.

BACKGROUND-DESCRIPTION OF PRIOR ART
With the exception of my above noted invention, human upper extremity below-the-elbow prosthetic systems typically employ either a laminated resin or molded thermoplastic socket which act as a mounting platform for a prosthetic terminal device and a limb suspension system.
These socket based mounting platforms suffer from a number of disadvantages:
(a) These sockets are constructed in a multi-step process which requires that a cast first be made of the residual limb of the amputee.
(b) The socket type mounting platform thus created is a unique device which will only fit an individual amputee, and any significant change in the body of the amputee, as in weight gain or growth, will render the socket thus created useless.
(c) A very limited amount of adjustment can be made to this system by adding or removing prosthetic socks to the residual limb.
(d) Once the socket is fabricated it is nearly impossible to modify.
(e) This socket type design results in a heavy prosthesis.
(f) Such a prosthesis cannot breathe and can trap moisture and bacterial organisms leading to skin breakdown and infection.
(g) Because a socket is heavy and intimate fit of the limb in the socket is difficult to maintain, significant loss of pronation and supination often results.
(h) Decreased range of motion often results from socket bulk, specifically elbow flexion or extension, which can cause loss of function in such important tasks as eating and personal hygiene.
SUMMARY
In accordance with this invention a socketless mounting platform for a prosthetic terminal device and suspension system comprises a one-piece carbon fiber mounting platform incorporating a concave lifting pad, concave counterforce pad; and a compression strap.
Objects and Advantages Accordingly, several objects and advantages of the present invention are:
(a) to provide a single step fitting process, eliminating hours of casting, construction, and fitting; because no socket is used (b) to provide a mounting platform which may accommodate the residual limb of almost any below-the-elbow amputee;
(c) to provide a mounting platform which can be adjusted for any body changes in the amputee, as in weight gain or loss, or growth;
(d) to provide a mounting platform which may be easily adjusted without adding or removing prosthetic socks;
(e) to provide a mounting platform that is extremely light;
(f) to provide an open mounting platform which will allow the skin to breathe, and will not trap moisture or bacteria;
(g) to provide a mounting platform which will allow for natural range of pronation and supination;
(h) to provide a mounting platform which will allow a full range of motion when the elbow is in flexion or extension.
Further objects and advantages are to provide a mounting platform which is inexpensive to manufacture, and can be supplied as an immediate post-operative prosthesis. Further, the canted distal segment of the mounting platform enhances the range of function of the prosthesis by simulating the position of a slightly flexed human wrist. Still further objects and advantages will be apparent from a consideration of the description and drawings.
DRAWING FIGURES
In the drawings each figure has different numeric references.
Figure 1 shows the one-piece socketless the mounting platform in 3/4 view, left limb configuration.
Figure 2 shows the one-piece socketless mounting platform in left limb configuration as incorporated in an upper extremity prosthetic system, and its orientation to the residual limb.
Reference Numerals in Drawings 1 one-piece mounting platform 2 canted distal segment 3 medial segment 4 lateral segment 5 load lifting pad 6 counterforce pad 7 strap toggle 8 compression strap 9 suspension system 10 bowdin cable anchor 11 terminal device 12 residual limb DESCRIPTION - Figs. 1 and 2 - Preferred Embodiment A preferred embodiment of the improved socketless mounting platform for a below-the-elbow prosthetic device of the present invention is illustrated in Figure 1 (3/4 view, left limb configuration) and Figure 2 (in situ, left limb configuration). The invention consists of a one-piece carbon fiber mounting platform fabricated with a canted distal segment (2), a medial segment (3), and a lateral segment (4). A concave load lifting pad (5) is integrally incorporated into the distal aspect of the lateral segment (4), and a concave counterforce pad (6) is integrally incorporated into the proximal aspect of the medial segment (3). A strap toggle (7) is affixed to the medial segment (3) and a compression strap (8) of double-sided hook and loop material is affixed to the dorsal aspect of the concave load lifting pad (5).
Alternative Embodiments-Figures 1 and 2 There are various possibilities with regards to the materials used in the fabrication of the mounting platform and load lifting pad. The one-piece mounting platform (1) may be constructed from plastic resin or thermoplastic as well as carbon fiber. The compression strap (8) may be synthetic belt or leather. The mounting platform may be fabricated in both right and left limb configuration, as well as in various sizes.
Advantages From the description above, a number of advantages of the one-piece socketless mounting platform become evident:
(a) An amputee can be fitted with a below-the-elbow prosthetic device in a matter of minutes at one session, because the multiple step casting, and fabrication process involved in socket making has been eliminated.
(b) Almost any below-the-elbow amputee can be accommodated because the mounting platform is fully adjustable for girth of the residual limb.
(c) The strap which provides mechanical compression of the medial and lateral arms can be adjusted to accommodate any changes in the residual limb while maintaining intimate contact between the mounting platform and the residual limb.
(d) The fit of the mounting platform is determined by the compression strap, therefore no prosthetic socks are required to maintain an intimate platform to residual limb interface.

g (e) The carbon fiber construction of the one-piece mounting platform is lighter than a socket which uses much more material to completely surround and enclose the residual limb.
(f) The open construction of the mounting platform allows air to come in contact with the skin of the residual limb, and in so doing helps to eliminate trapped moisture and bacterial growth.
(g) Pronation and supination are retained because of the positioning of the mounting platform intimately against the residual limb in the natural blade form created anatomically by the ulna and radius.
(h) Full range of flexion and extension of the elbow is preserved since there is no sock or prosthetic bulk to impinge upon the elbow joint.
Operation-Figures 1 and 2 There are two sets of operations involved in using the one-piece mounting platform (1). The first set of operations are those involved in the assembly of the below-the-elbow prosthetic system. The terminal device (11) which replaces the hand lost to amputation can be attached to the distal canted segment (2) by means of a drilled hole or by means of a prosthetic wrist which can be molded into the distal canted segment (2). A suspension system can be affixed to the proximal ends of the medial and lateral segments (3,4). A bowdin cable anchor (10) may be affixed to the one-piece mounting platform (1) for the purposes of operating an actively controlled terminal device (11) should one be employed. These operations need only be performed one time and assembly of the below-the-elbow prosthetic device utilizing the one-piece socketless mounting platform is complete.
These operations are performed by a prosthetist or prosthetic technician.
The second set of operations is the intimate fitting of the one-piece mounting platform to the residual limb of the amputee, accomplished by means of compression of the medial and lateral segrrlents (3,4) against the natural anatomical blade shape of the ulna and radius in the human forearm. The compression is accomplished by means of the compression strap (8) and band toggle (7). This set of operations may be repeated as often as necessary to keep the medial and lateral segments (3,4) and thus the one-piece mounting platform in intimate contact with the residual limb. They can be performed by either the prosthetist or the amputee.

Conclusion, Ramifications, and Scope Accordingly, it can be seen that the socketless mounting platform for an upper extremity terminal device and prosthetic limb suspension system is easy to assemble and fit, and provides for economy of manufacture.
The canted segment of the one-piece mounting platform enhances the range of function where the prosthesis is to be employed in tasks close to the body because it simulates the position of a slightly flexed wrist.
- it permits a single step assembly and fitting process, saving hours of fabrication time and multiple production steps;
- it provides a means of fitting almost any below-the-elbow amputee;
- it provides for growth or changes in the size of the residual limb by means of compressible segments;
- it provides a means of preserving intimate fit between the mounting platform and the residual limb without the use of prosthetic socks;
- it provides a mounting platform that is extremely light weight, because it does not employ a bulky socket;

ll - it provides and open design that will not trap moisture or bacteria and allows the skin to breathe - it permits a natural range of pronation and supination by fitting intimately against the blade shape created by the anatomical position of the ulna and radius on the residual limb;
- it permits a full range of motion because there is no socket or prosthetic sock bulk to reduce flexion or extension of the elbow joint.
Although the description embodied above contains a number of specificities, these should not be taken to limit the scope of the invention herein described, but merely to provide illustrations of some of the present preferred embodiments.
Therefore, the scope of the invention herein described should be determined by the appended claims and their legal equivalents, rather than by the examples herein given.

Claims (12)

1. In a socketless mounting platform of the type comprising a one-piece platform with a canted distal segment, a medial segment with an integral counterforce pad, a lateral segment with an integral load lifting pad, with a compression strap and strap toggle; the improvement being one-piece fabrication.
2. The mounting platform of claim 1 wherein said mounting platform is composed of carbon fiber material.
3. The mounting platform of claim 1 wherein said platform has said canted distal segment.
4. The mounting platform of claim 1 wherein said mounting platform has said medial segment.
5. The mounting platform of claim 4 wherein said medial segment has said integral counterforce pad.
6. The mounting platform of claim 5 wherein said counterforce pad is proximal and concave.
7. The mounting platform of claim 1 wherein said mounting platform has said lateral segment.
8. The mounting platform of claim 7 wherein said lateral segment has said integral load lifting pad.
9. The mounting platform of claim 8 wherein said load lifting pad is distal and concave.
10. The mounting platform of claim 1 wherein said compression strap is affixed to said load lifting pad.
11. The mounting platform of claim 10 wherein said compression strap is composed of hook-and-loop material.
12. The mounting platform of claim 1 wherein said strap toggle is affixed to said medial segment.
CA 2325607 2000-11-20 2000-11-20 One-piece socketless mounting platform for a below-the-elbow prosthetic device Abandoned CA2325607A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CA 2325607 CA2325607A1 (en) 2000-11-20 2000-11-20 One-piece socketless mounting platform for a below-the-elbow prosthetic device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CA 2325607 CA2325607A1 (en) 2000-11-20 2000-11-20 One-piece socketless mounting platform for a below-the-elbow prosthetic device

Publications (1)

Publication Number Publication Date
CA2325607A1 true CA2325607A1 (en) 2002-05-20

Family

ID=4167600

Family Applications (1)

Application Number Title Priority Date Filing Date
CA 2325607 Abandoned CA2325607A1 (en) 2000-11-20 2000-11-20 One-piece socketless mounting platform for a below-the-elbow prosthetic device

Country Status (1)

Country Link
CA (1) CA2325607A1 (en)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100082116A1 (en) * 2008-10-01 2010-04-01 Johnson Alwyn P Anatomically-configured adjustable upper extremity prosthetic device
US11672678B2 (en) 2019-10-05 2023-06-13 Stumpworx Llc Variable compliance prosthetic socket with breathable matrix
US11950685B2 (en) 2020-10-05 2024-04-09 Stumpworx Llc Pressure-relieving flexural load bearing strap and method for manufacturing same

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100082116A1 (en) * 2008-10-01 2010-04-01 Johnson Alwyn P Anatomically-configured adjustable upper extremity prosthetic device
US8414658B2 (en) * 2008-10-01 2013-04-09 Invisible Hand Enterprises, Llc Anatomically-configured adjustable upper extremity prosthetic device
US11672678B2 (en) 2019-10-05 2023-06-13 Stumpworx Llc Variable compliance prosthetic socket with breathable matrix
US11950685B2 (en) 2020-10-05 2024-04-09 Stumpworx Llc Pressure-relieving flexural load bearing strap and method for manufacturing same

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