WO2024025740A1 - Doublure prothétique avec joint élastomère externe - Google Patents

Doublure prothétique avec joint élastomère externe Download PDF

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Publication number
WO2024025740A1
WO2024025740A1 PCT/US2023/027592 US2023027592W WO2024025740A1 WO 2024025740 A1 WO2024025740 A1 WO 2024025740A1 US 2023027592 W US2023027592 W US 2023027592W WO 2024025740 A1 WO2024025740 A1 WO 2024025740A1
Authority
WO
WIPO (PCT)
Prior art keywords
sealing element
suspension liner
bonded
liner sleeve
distal end
Prior art date
Application number
PCT/US2023/027592
Other languages
English (en)
Inventor
Aldo Laghi
Nathaniel Vint
Original Assignee
Alps South Europe, S.R.O.
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
Priority claimed from US17/876,764 external-priority patent/US20220387197A1/en
Application filed by Alps South Europe, S.R.O. filed Critical Alps South Europe, S.R.O.
Publication of WO2024025740A1 publication Critical patent/WO2024025740A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/50—Prostheses not implantable in the body
    • A61F2/78—Means for protecting prostheses or for attaching them to the body, e.g. bandages, harnesses, straps, or stockings for the limb stump
    • A61F2/80—Sockets, e.g. of suction type
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/50—Prostheses not implantable in the body
    • A61F2/78—Means for protecting prostheses or for attaching them to the body, e.g. bandages, harnesses, straps, or stockings for the limb stump
    • A61F2/7812—Interface cushioning members placed between the limb stump and the socket, e.g. bandages or stockings for the limb stump
    • A61F2002/7818—Stockings or socks for the limb stump
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/50—Prostheses not implantable in the body
    • A61F2/78—Means for protecting prostheses or for attaching them to the body, e.g. bandages, harnesses, straps, or stockings for the limb stump
    • A61F2/80—Sockets, e.g. of suction type
    • A61F2002/802—Suction sockets, i.e. utilizing differential air pressure to retain the prosthesis on the stump
    • A61F2002/805—Suction sockets, i.e. utilizing differential air pressure to retain the prosthesis on the stump having an air valve

Definitions

  • This invention relates to liners for use in a prosthetic assembly. More particularly, this invention relates to vacuum sealing liners having a thermoplastic elastomeric layer comprising at least one sealing element such that an air right seal is formed when a vacuum is applied within the area between a prosthetic socket and the sealing liner.
  • suspension liners can be confirmed to provide a sealing means between a residual limb and a prosthetic socket as seen in U.S. Patent No. 8,097,043 to Egilsson, the disclosure of which is hereby incorporated by reference herein.
  • liner sleeves are typically made of an air impermeable elastomer material such as silicone and may include a reinforcement layer intermediate the inner and outer surfaces of the liner sleeve body portion or externally thereof to provide resistance against axial elongation of the elastomer constituting the liner sleeve body.
  • Such reinforcement typically does not restrict radial distension or stretching of the liner sleeve body.
  • hypobaric pressure may be maintained at the distal end of the hard socket and the interior of the socket at its distal end will be isolated from atmosphere during normal retention of the sleeve liner within the socket. Opening the distal end of the socket to atmosphere releases the vacuum or hypobaric pressure within the socket to enable simple withdrawal of a residual limb with a liner sleeve thereon from the socket.
  • a pump or other device may be utilized to evacuate the distal end of the socket between the distal end of a liner sleeve and the distal end of a socket
  • a valve or other appropriate device typically is used to open and close the distal end of a socket to surrounding atmosphere.
  • Another objective of the invention is to create a convenient, improved sealing arrangement between an elastomeric liner sleeve and the interior of a prosthetic socket.
  • the present invention relates generally to a layered liner with ridges for use in a prosthetic assembly.
  • the present invention relates to a liner having an elastomeric layer, a fabric exterior, and at least one sealing element comprising a single radially extending, straight or arcuate silicone or a thermoplastic gel engaging member wherein the sealing element is glued to the fabric exterior.
  • the fabric exterior is bonded to the outer surface of the elastomer layer.
  • the sealing element may be glued onto liners comprising a distal lock.
  • Fig. l is a cross-sectional view of the thermoplastic layer
  • Fig. 2 is a cross-section view of the preferred embodiment of the suspension sleeve liner
  • Figs. 3-11 are cross-sectional views of suspension sleeve liners corresponding to Fig. 2 wherein alternate embodiment of the raised and recessed portions are shown;
  • Figs 12-13 are cross-sectional views of suspension sleeve liners wherein alternate embodiments of the raised portions are shown;
  • Figs. 14-15 are cross-sectional views of suspension sleeve liners wherein alternate embodiments of the raised portions are shown, specifically liners having an elastomeric material impregnated within a fabric exterior layer;
  • Fig. 16 is a perspective view of an alternative embodiment of the thermoplastic elastomeric liner wherein the sealing element is glued to the fabric exterior;
  • Fig. 17 is a cross-sectional view of Fig. 16 along line A-A;
  • Fig. 17-1 is a magnified view of the cross-sectioned portion showing Detail B of the sealing element area of Fig. 16;
  • Fig. 18 is a perspective view of the thermoplastic elastomeric liner wherein multiple sealing elements are glued onto the fabric exterior;
  • Figs. 19-21 are perspective views of the thermoplastic elastomeric liner showing the sealing element in various locations on the liner;
  • Figs. 22 and 23 are perspective views of the thermoplastic elastomeric liner prior to the sealing element being glued to the fabric exterior;
  • Fig. 24 is a perspective view of another alternative embodiment wherein the thermoplastic elastomeric liner includes a lock at the distal end as well as the sealing element; and [0031] Fig. 25 is a cross-sectional view of Fig. 24 along line C-C.
  • Fig. 1 illustrates a thermoplastic elastomeric layer 400 of the seal liner 100 in which the thermoplastic elastomer layer 400 (also known as TPE) having an inner elastomer surface 410 and outer elastomer surface 420 is formed within a mold having wall thicknesses between 2 and 9 mm.
  • the liner 100 preferable has an open proximal end 120 with larger circumference and volume than of the closes distal end 400.
  • Fig. 2 illustrates a preferred embodiment of the seal liner 100 in which the thermoplastic elastomer layer 400 further comprises at least one sealing region 430 that extends preferably between 3 and 20 mm outward from the interior surface 410 of the thermoplastic elastomeric layer 400 and includes at least one raised portion 440. If more than one raised portion 440 is included within the sealing region 430, the plurality of raised portions 440 will be accompanied by at least one recessed portion 450. Thus, if there are two raised portions 440 then three recessed portions 450 will be distributed as shown in Fig. 1. Alternatively, the sealing region 430 may begin with a raised portion 440 instead of a recessed portion 450. In this instance, the distribution would be as follows: raised portion 440, recessed portion 450, raised portion 440. Thus, the recessed portions 450 do not always have to surround distal and proximal ends of the sealing region 430.
  • a fabric exterior 300 is synonymous with “reinforcement layer” and is bonded to the outer elastomer surface 420 of the thermoplastic elastomer layer 400 and conforms to the at least one sealing region 430.
  • the fabric exterior 300 advantageously forms a suitable substrate for bonding a seal layer 200.
  • the seal layer 200 conforms to the shape of the fabric exterior 300 and thermoplastic elastomer layer 400.
  • the seal layer 200 is applied in an incurred state to the fabric and with a viscosity such that it is able to “wet out” the fabric in that area so that once cured it forms an air tight seal thus isolating the fabric above the seal layer (not shown) from the fabric exterior 300 below the seal layer 200.
  • this application of the outer sealing layer 200 to the fabric exterior 300 provides an air-impermeable interface between the thermoplastic elastomeric layer 400 and the surrounding exterior area of the liner 100.
  • the outer sealing layer 200 is preferably applied such that it impregnates the reinforcement layer 300 so as to form a composite.
  • This outer sealing layer 200 may be comprised of natural rubber, silicone, polyurethane, latex, polysulfide, vinyl, polyisoprene, or a styrene block copolymer gel, although the preferred material is rubber due to their high abrasion resistance and high force to stretch. The force to stretch this layer is determined by the modulus of elasticity of the sealing material multiplied by the cross-sectional area of the sealing material.
  • the thermoplastic elastomer layer 400 is preferably of a type compatible with long periods of dynamic wearer contact.
  • Such materials are known in the art and may include the following polymers, as well as gels, general non-limiting examples of which may include SEBS-, SEPS-, SEEPS-, SEEBS-, and other type styrene block copolymer gels.
  • Further non-limiting examples of styrene block copolymer gels may be useful in the liner of the present invention include so called “controlled distribution polymers,” such as, for example, those disclosed in U.S. Patent No 7,226,484; United States Patent Application Publication No. 20070238835; and United States Patent Application Publication No.
  • polymers may include so-called “crystalline” polymers, such as, for example, polymers disclosed in U.S. Pat. Nos. 5,952,396; 6,420,475 and 6, 148,830, the disclosures of which are hereby incorporated by reference herein.
  • crystalline polymers such as, for example, polymers disclosed in U.S. Pat. Nos. 5,952,396; 6,420,475 and 6, 148,830, the disclosures of which are hereby incorporated by reference herein.
  • gel is defined to be a polymer mixed with a plasticizer.
  • An example of current liner using such gel is the “EZ Gel”TM liner, available from Alps South, LLC.
  • the term “sealing region” 430 may include only one raised portion 440 or may include a plurality. If it includes a plurality of raised portions 440, the sealing region 430 will have each raised portion 440 contiguously adjacent to any other raised portion 440. However, if there are a plurality of raised portions 440 collectively near the distal end of the tubular body portion as well as a plurality of raised portions 440 collectively near the proximal end of the tubular body portion, there will be two sealing regions 430 with only continuous lengths among their group. That is, the sealing region 430 in the distal end will have one continuous length of material while the sealing region 430 in the proximal end will have its own continuous length of material. The continuous length of material refers to the elastomeric material used to create the durable and flexible sealing region 430.
  • Figs. 2-11 show that the raised portions 440 within the elastomeric material can have a multitude of different geometries relative to the vertical axis of the invention.
  • the raised portions 440 can have a square/rectangular (Figs. 2-4, 6), parabolic (Fig. 11), triangular, oval, spear-like, parallelogram-like (Fig. 5), dome-like (Fig. 1 1 ), ripples (Figs. 7 and 9), or protrusions that resemble “gripping” mechanisms or shapes that one skilled in the art would use to “grip” an object to another object.
  • a finger-like projection (Figs. 8 and 10) that resembles a hook similar to the “hook” portion of a “hook and loop” configured as used in Velcro®-
  • Each raised portion 440 preferably is not co-linear with the fabric exterior layer 300, as can be seen in the relevant figures.
  • Figs. 12 and 13 show the seal liner 100 without recessed portions 450 in the elastomer layer 400.
  • the raised portions 440 protrude from the elastomeric layer 400 without recessed portions 450 located between, among, or near the raised portions 440.
  • This embodiment of the seal liner 100 is useful because of its ease of manufacturing and slimmer profile. Only the reinforcement layer 200 and fabric exterior layer 300 have recessed portions 450 which correspond to the recesses 450 between each raised portion 440.
  • Fig. 14 shows an additional embodiment of the seal liner 100 which includes having elastomeric material impregnated within the fabric exterior 300 along the entire length of the sealing region 430.
  • the elastomeric material penetrates at least partially within the fabric exterior 300 and, preferably, is completed impregnated within the fabric exterior 300.
  • having the elastomeric material impregnated within the fabric exterior 300 allows the resulting composite to have more durable properties as compared to having the elastomeric material attached as its own layer apart from the fabric exterior 300 (Figs. 2-13). That is, the fabric exterior 300 in conjunction with the impregnated elastomeric material has similar characteristics as having reinforcing bars (“rebar”) positioned within concrete structures.
  • rebar reinforcing bars
  • Fig. 15 shows the uses of having an apex surface 470 of the raised portions 440.
  • the elastomeric material is fully impregnated within the fabric exterior 300 only on the apex surface 470 of the raised portions 440, as opposed to Fig. 14, which shows the elastomeric material impregnated into the fabric exterior 300 along the entire length of the sealing region 430.
  • the apex surface 470 is just that, the highest or furthest point from the recessed portion 450. In the case of the embodiment shown in Figs. 7, for example, the apex surface 470 would be relatively at the “tip” of the triangular-like raised portion 440 and extend down towards the recessed portion 450. In Fig. 8, the apex surface 470 would be the end of the fingerlike projection. The apex surface 470 may also be viewed as the surface area of the raised portion 440 that comes into contact with the socket wall.
  • Preparing the embodiment shown in Figures 14 and 15 involves four steps. First, a tube having an inflatable bladder is inserted into the seal liner 100. The inflatable bladder is positioned to be near the sealing region 430. Vinyl tape is then used to wrap the areas of the raised portions 440 to prevent any unwanted silicone from bonding to any other area apart from the apex surface 470 of the raised portions 440. The borders created form the applied vinyl tape will define the edges of the seal area. Compressed air is then used to inflate the bladder, which will stretch the fabric exterior 300 to allow the silicone to penetrate the fabric exterior 300. The tube is then placed on a rotating arm which will rotate the seal liner 100 to allow uniform coating of the apex surface 470 of the raised portions 440, while preventing the silicone from dripping by using the principle of centrifugal force.
  • a calibrated scale and cleaning mixing container are used to prepare and mix the required silicone to be applied to the apex surface 470 of the raised portions 440.
  • silicone is used as the sealing material, any equivalent material may be used.
  • the seal liner 100 is rotated while a brush or other applier is used to apply the prepared silicone to the apex surface 470 of the raised portions 440.
  • the applied silicone is uniform and only introduced to the areas within the sealing region 430 that do not have the vinyl tape applied. No bubbles are to be present within the applied silicone.
  • the bladder is then deflated and vinyl tape removed.
  • the seal liner 100 is slowly rotated on the rotating arm while an infrared heat lamp is applied approximately 1 inch from the surface of the silicone.
  • the seal liner 100 is left to cure for approximately 10 to 20 minutes or until the silicone is no longer tacky to the touch. If the silicone coating is still liquid or soft, the seal liner 100 is left rotating to cure longer. Once the silicone is cured enough to remain in place without rotating, the seal liner 100 is moved to a clean location to finish curing overnight at room temperature.
  • the impregnating process of the silicone onto the fabric exterior 300 can be accomplished in a variety of ways, including applying pre-made, semi-cured silicone strips onto the apex surface 470 of the raised portions 440.
  • the process of applying may include painting, spraying, coating, spreading, injecting, forming, or dipping the seal liner 100 into the silicone material without inflating the seal liner 100.
  • seal liner 100 would retain a vacuum while in use because of its durable sealing region 430.
  • the seal liner 100 was first subjected to a vacuum test to establish a baseline for the level of vacuum achieved within the seal liner 100 and socket (vacuum achieved 23 inches Hg, vacuum maintained 20 inches Hg, and the duration of test was 24 hours.) After the baseline was established, the elastomeric material impregnated within the fabric exterior layer 300 was gradually removed by abrasive forces to monitor the resulting vacuum level.
  • the first sanding step removed a small layer of the elastomeric material impregnated within the fabric exterior 300 at the apex surface 470 of the raised portions 440 (vacuum achieved 22.5 inches Hg, vacuum maintained 20 inches Hg, and the duration of test was 24 hours.) There was no noticeable loss of vacuum.
  • the second sanding step removed a much thicker layer of elastomeric material impregnated with the fabric exterior 300 and again, no noticeable loss of vacuum was achieved (vacuum achieved 18.5 inches Hg, vacuum maintained 17.5 inches Hg, and the duration of the test was 24 hours.)
  • the sanding steps continued until progressively, each raised portion 440 had a significant loss of impregnated elastomeric material within the fabric exterior 300 (vacuum achieved 23 inches Hg, vacuum maintained 20 inches Hg, and the duration of test was 24 hours.) No noticeable loss of vacuum was achieved. Over the course of the many trials of the sanding steps, the seal liner 100 never lost more than 4.5 inches Hg and on average never lost more than 2 inches Hg.
  • the volume of air within the socket and below the seal layer is evacuated thereby securing the residual limb within the socket.
  • the present invention thereby preferably reduces any potential for a tourniquet effected created by the vacuum process and provides high abrasion resistance.
  • FIG. 16-25 An alternative embodiment is provided for Figures 16-25.
  • the seal liner 100 will have a sealing element 500, which can be made of either silicone or an elastomeric compound such as urethane, which is non-unitary with either the fabric exterior 300 or a cushioning layer 900, which can be made of either silicone or a thermoplastic elastomer such as SEEPS.
  • This sealing element 500 is preferably made from either silicone or some other thermoplastic elastomer and is bonded to the fabric exterior 300 of the seal liner 100 thereby forming a bond layer 510.
  • the bond of the bond layer 510 is a glue.
  • the sealing element 500 further comprises an engaging member 520 which extends radially outwardly from the sealing element base 530.
  • the engaging member 520 can be substantially straight, as shown in Fig. 17-1, or may be arcuate, as seen in Fig. 23.
  • a benefit of this embodiment is that it allows for the thermoplastic elastomer layer 400 to be made from a material that is different from the sealing element 500.
  • the sealing element 500 can be made of silicone while the cushioning layer 900 could be made from a SEEPS gel or vice versa.
  • the seal liner 100 may have one sealing element 500 but may have up to two additional sealing elements 600, 700 which may be bonded in any position on the seal liner 100 but is preferably located near the closed distal end 140 in order to provide the greatest level of support to the user.
  • the sealing element 500 may be placed in different locations on the seal liner 100; at the closed distal end 140 as seen in Fig. 19, about a third of the distance from the closed distal end 140 as seen in Fig. 20, and at a midpoint 650 of the seal liner 100 as see in Fig. 21.
  • the sealing element 500 is initially separate from the seal liner 100 and glue is applied only to the interior surface 540 of the sealing element 500.
  • the sealing element 500 can be used on liners incorporating a distal lock 800 at the closed distal end 140.
  • a distal locking system has been previously disclosed in commonly-owned U.S. Patent 11,224,527 to Laghi. The benefit to this arrangement is further support for the user while a prosthesis is in use.
  • the sealing element 500 is glued to the fabric exterior 300.

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

L'invention concerne un manchon de doublure de suspension conçu pour créer un vide entre un membre résiduel et une emboîture prothétique comprenant : une partie corps tubulaire allongée comprenant un matériau d'amortissement ayant une épaisseur tubulaire, un axe vertical, définissant une extrémité proximale ouverte et une extrémité distale fermée ; une couche extérieure en tissu liée à la partie corps tubulaire ; et au moins un élément d'étanchéité lié à ladite couche extérieure en tissu qui est non unitaire avec le matériau élastomère thermoplastique de la partie corps tubulaire, l'élément d'étanchéité comprenant en outre une base d'élément d'étanchéité et un élément de mise en prise unique qui s'étend radialement vers l'extérieur.
PCT/US2023/027592 2022-07-29 2023-07-13 Doublure prothétique avec joint élastomère externe WO2024025740A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US17/876,764 2022-07-29
US17/876,764 US20220387197A1 (en) 2017-09-05 2022-07-29 Prosthetic Liner With External Elastomeric Seal

Publications (1)

Publication Number Publication Date
WO2024025740A1 true WO2024025740A1 (fr) 2024-02-01

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ID=89707171

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2023/027592 WO2024025740A1 (fr) 2022-07-29 2023-07-13 Doublure prothétique avec joint élastomère externe

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20010001837A1 (en) * 1999-07-21 2001-05-24 Ohio Willow Wood Company Prosthetic attachment locking assembly having prosthetic attachment lock
US9066821B2 (en) * 2002-12-20 2015-06-30 Ossur Hf Suspension liner system with seal
US20200060846A1 (en) * 2017-04-26 2020-02-27 Ottobock Se & Co. Kgaa Liner system and method for applying a liner system
US20200276032A1 (en) * 2011-08-22 2020-09-03 Ossur Hf Suspension liner with seal component
US20210137708A1 (en) * 2019-11-12 2021-05-13 Ossur Iceland Ehf Ventilated prosthetic liner
US20220096251A1 (en) * 2018-09-04 2022-03-31 Aldo Laghi Prosthetic Liner With External Fabric Seal

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20010001837A1 (en) * 1999-07-21 2001-05-24 Ohio Willow Wood Company Prosthetic attachment locking assembly having prosthetic attachment lock
US9066821B2 (en) * 2002-12-20 2015-06-30 Ossur Hf Suspension liner system with seal
US20200276032A1 (en) * 2011-08-22 2020-09-03 Ossur Hf Suspension liner with seal component
US20200060846A1 (en) * 2017-04-26 2020-02-27 Ottobock Se & Co. Kgaa Liner system and method for applying a liner system
US20220096251A1 (en) * 2018-09-04 2022-03-31 Aldo Laghi Prosthetic Liner With External Fabric Seal
US20210137708A1 (en) * 2019-11-12 2021-05-13 Ossur Iceland Ehf Ventilated prosthetic liner

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