FR2698538A1 - Foot replacement prosthesis with internal energy storage springs - has pair of independently-reacting spring blades enclosed within elastic body of foot prosthesis, secured together below ankle recess - Google Patents
Foot replacement prosthesis with internal energy storage springs - has pair of independently-reacting spring blades enclosed within elastic body of foot prosthesis, secured together below ankle recess Download PDFInfo
- Publication number
- FR2698538A1 FR2698538A1 FR9214292A FR9214292A FR2698538A1 FR 2698538 A1 FR2698538 A1 FR 2698538A1 FR 9214292 A FR9214292 A FR 9214292A FR 9214292 A FR9214292 A FR 9214292A FR 2698538 A1 FR2698538 A1 FR 2698538A1
- Authority
- FR
- France
- Prior art keywords
- blade
- recess
- foot
- prosthetic foot
- prosthesis
- 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.)
- Pending
Links
- 210000002683 foot Anatomy 0.000 title claims description 51
- 210000003423 ankle Anatomy 0.000 title abstract 3
- 238000004146 energy storage Methods 0.000 title 1
- 239000000463 material Substances 0.000 claims abstract description 13
- 239000004033 plastic Substances 0.000 claims description 6
- 229920003023 plastic Polymers 0.000 claims description 6
- 238000005096 rolling process Methods 0.000 claims description 6
- 230000003247 decreasing effect Effects 0.000 claims description 5
- 210000001255 hallux Anatomy 0.000 claims description 4
- 239000004917 carbon fiber Substances 0.000 claims description 3
- 239000000835 fiber Substances 0.000 claims description 3
- 239000003365 glass fiber Substances 0.000 claims description 3
- 229920001169 thermoplastic Polymers 0.000 claims description 3
- 229920001187 thermosetting polymer Polymers 0.000 claims description 3
- 239000004416 thermosoftening plastic Substances 0.000 claims description 3
- 229920000049 Carbon (fiber) Polymers 0.000 claims description 2
- 239000011347 resin Substances 0.000 claims description 2
- 229920005989 resin Polymers 0.000 claims description 2
- 230000002787 reinforcement Effects 0.000 claims 1
- 230000005489 elastic deformation Effects 0.000 abstract 1
- 230000000694 effects Effects 0.000 description 11
- 238000013016 damping Methods 0.000 description 5
- 210000003141 lower extremity Anatomy 0.000 description 3
- 230000007423 decrease Effects 0.000 description 2
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 1
- 229920005830 Polyurethane Foam Polymers 0.000 description 1
- 230000006978 adaptation Effects 0.000 description 1
- 238000004026 adhesive bonding Methods 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 229910052799 carbon Inorganic materials 0.000 description 1
- 239000002131 composite material Substances 0.000 description 1
- 210000004744 fore-foot Anatomy 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 229920002635 polyurethane Polymers 0.000 description 1
- 239000004814 polyurethane Substances 0.000 description 1
- 239000011496 polyurethane foam Substances 0.000 description 1
- 210000003371 toe Anatomy 0.000 description 1
Classifications
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- 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
- A61F2/60—Artificial legs or feet or parts thereof
- A61F2/66—Feet; Ankle joints
-
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30108—Shapes
- A61F2002/3011—Cross-sections or two-dimensional shapes
- A61F2002/30112—Rounded shapes, e.g. with rounded corners
- A61F2002/30131—Rounded shapes, e.g. with rounded corners horseshoe- or crescent- or C-shaped or U-shaped
-
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30433—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
-
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30448—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using adhesives
-
- 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
- A61F2002/5003—Prostheses not implantable in the body having damping means, e.g. shock absorbers
-
- 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
- A61F2/5044—Designing or manufacturing processes
- A61F2002/5055—Reinforcing prostheses by embedding particles or fibres during moulding or dipping, e.g. carbon fibre composites
-
- 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
- A61F2/60—Artificial legs or feet or parts thereof
- A61F2/66—Feet; Ankle joints
- A61F2002/6614—Feet
-
- 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
- A61F2/60—Artificial legs or feet or parts thereof
- A61F2/66—Feet; Ankle joints
- A61F2002/6614—Feet
- A61F2002/6657—Feet having a plate-like or strip-like spring element, e.g. an energy-storing cantilever spring keel
-
- 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
- A61F2/60—Artificial legs or feet or parts thereof
- A61F2/66—Feet; Ankle joints
- A61F2002/6614—Feet
- A61F2002/6657—Feet having a plate-like or strip-like spring element, e.g. an energy-storing cantilever spring keel
- A61F2002/6671—C-shaped
-
- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2220/0041—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using additional screws, bolts, dowels or rivets, e.g. connecting screws
-
- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2220/005—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using adhesives
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0004—Rounded shapes, e.g. with rounded corners
- A61F2230/0013—Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
Landscapes
- Health & Medical Sciences (AREA)
- Transplantation (AREA)
- Biomedical Technology (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Orthopedic Medicine & Surgery (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
Description
NOUVELLE STRUCTURE DE PIED PROTHETIQUE A RESTITUTION
D'ENERGIE.NEW PROSTHETIC FOOT STRUCTURE WITH RESTITUTION
OF ENERGY.
La présente invention concerne une nouvelle structure de pied prothétique à restitution d'énergie, destinée à limiter la fatigue à la marche d'un amputé d'un membre inférieur équipé d'un tel pied. The present invention relates to a new prosthetic foot structure with energy restitution, intended to limit fatigue in walking of an amputee of a lower limb equipped with such a foot.
On connaît déjà, dans la technique, diverses structures de pied prothétique dans lesquelles une lame ressort, convenablement conformée, fléchit sous le poids du patient, lorsque celui-ci fait porter son poids sur la lame, pour restituer ensuite l'énergie emmagasinée, lorsque le marcheur soulève le pied. We already know in the art, various prosthetic foot structures in which a spring blade, suitably shaped, flexes under the weight of the patient, when the latter puts his weight on the blade, to then restore the stored energy, when the walker lifts the foot.
La présente invention concerne une structure de ce type dans laquelle deux lames-ressorts, d'une forme particulière, sont combinées de manière à assurer un double effet de restitution d'énergie, aussi bien lorsque le pied prothétique est en contact avec le sol par sa partie postérieure que par sa partie antérieure, et à permettre ainsi une marche sans à-coups du patient équipé de ce pied. The present invention relates to a structure of this type in which two leaf springs, of a particular shape, are combined so as to ensure a double effect of energy restitution, both when the prosthetic foot is in contact with the ground by its posterior part than by its anterior part, and thus allowing a smooth movement of the patient equipped with this foot.
L'invention a par conséquent pour objet une structure de pied prothétique comprenant un corps en un matériau souple, dont la forme et l'esthétique reproduisent celles d'un pied humain, ce corps présentant à sa partie supérieure, à l'aplomb de la position usuelle du talon, un évidement malléolaire, destiné à recevoir une embotture équipant le moignon de jambe de l'utilisateur ou un composant d'une prothèse de jambe, tandis qu'à l'intérieur de ce corps est logée au moins une lame formant ressort, déformable élastiquement au cours de la marche de la personne équipée de ce pied prothétique, cette structure étant caractérisée en ce qu'elle comprend deux lames ressorts distinctes, déformables indépendamment l'une de l'autre, la première lame s'étendant sensiblement depuis le dessous de l'évidement malléolaire jusqu'à l'extrémité avant du corps et étant inclinée de l'arrière vers 11 avant du corps, tandis que la seconde lame est disposée à l'arrière arrière de ce corps, sensiblement au-dessous de l'évidement malléolaire, et présente, en coupe par un plan vertical longitudinal, une section en U couché dont les deux branches sont dirigées vers l'arrière, la branche supérieure étant en contact avec la face inférieure ou supérieure de la partie arrière de la première lame et étant rigidement solidaire de celle-ci. The subject of the invention is therefore a prosthetic foot structure comprising a body made of a flexible material, the shape and aesthetics of which reproduce those of a human foot, this body having at its upper part, in line with the usual position of the heel, a malleolar recess, intended to receive a socket fitted to the leg stump of the user or a component of a leg prosthesis, while inside this body is housed at least one blade forming spring, elastically deformable during the walking of the person equipped with this prosthetic foot, this structure being characterized in that it comprises two separate spring blades, deformable independently of one another, the first blade extending substantially from the bottom of the malleolar recess to the front end of the body and being inclined from the rear towards the front of the body, while the second blade is arranged at the rear rier of this body, substantially below the malleolar recess, and has, in section through a longitudinal vertical plane, a lying U-shaped section, the two branches of which are directed towards the rear, the upper branch being in contact with the lower or upper face of the rear part of the first blade and being rigidly integral with the latter.
Dans cette structure, on a donc un double effet de restitution d'énergie
- d'une part, par la première lame, lorsque l'extrémité avant du pied prothétique se soulève, et que, simultanément, la seconde lame est comprimée à l'arrière
- d'autre part, par la seconde lame, lorsque l'extrémité arrière du pied prothétique se soulève et que, simultanément, la première lame est comprimée.In this structure, there is therefore a double effect of energy restitution
- on the one hand, by the first blade, when the front end of the prosthetic foot is raised, and that, simultaneously, the second blade is compressed at the back
- on the other hand, by the second blade, when the rear end of the prosthetic foot is raised and that, simultaneously, the first blade is compressed.
Avantageusement, la branche inférieure de la lame à section en U sera légèrement incurvée vers l'autre branche, en faisant par exemple un angle d'environ 70 avec l'horizontale, de manière à définir un profil de roulement. Advantageously, the lower branch of the U-shaped section blade will be slightly curved towards the other branch, for example by making an angle of about 70 with the horizontal, so as to define a rolling profile.
La combinaison des deux lames déformables élastiquement, dont l'une, la seconde lame à section en U, est disposée à l'arrière du pied prothétique et tournée vers l'arrière, a pour effet que la partie médiane du pied présente une raideur relativement importante. The combination of the two elastically deformable blades, one of which, the second U-shaped blade, is arranged at the rear of the prosthetic foot and turned towards the rear, has the effect that the middle part of the foot has a relatively stiffness important.
En revanche, à l'attaque du talon, c'est l'extrémité arrière de la branche inférieure de la seconde lame la plus éloignée du pseudo-centre de roulement ou de pivotement de cette lame, qui est comprimée en premier lieu et l'on obtient donc une attaque très douce au contact de la structure prothétique et du sol. A mesure que le pas de l'utilisateur progresse, le point de contact du pied prothétique avec le sol se rapproche du centre de pivotement de cette seconde lame et il en résulte un accroissement sensible de l'amortissement. On the other hand, at the heel attack, it is the rear end of the lower branch of the second blade farthest from the pseudo-rolling or pivoting center of this blade, which is compressed in the first place and the a very soft attack is thus obtained on contact with the prosthetic structure and the ground. As the step of the user progresses, the point of contact of the prosthetic foot with the ground approaches the pivot center of this second blade and this results in a significant increase in damping.
Cet effet d'amortissement pourra avantageusement être renforcé en utilisant un corps constituée d'une matière plastique expansée, par exemple d'une mousse de polyuréthane, dans laquelle sont noyées les lames élastiquement déformables. Cette matière expansée, comprimée entre les deux branches de la lame à section en
U et entre la lame dirigée vers l'avant et le sol, contribuera ainsi à amortir le mouvement du pied prothétique.This damping effect can advantageously be reinforced by using a body made of an expanded plastic material, for example a polyurethane foam, in which the elastically deformable blades are embedded. This expanded material, compressed between the two branches of the sectional blade
U and between the blade directed forwards and the ground, will thus help to dampen the movement of the prosthetic foot.
Entre les deux branches de la lame à section en U, un évidement pourra avantageusement être ménagé dans la matière plastique expansée, de manière à permettre à celle-ci de se déformer aisément. Cet évidement pourra, par exemple, être cylindrique et être disposé au droit de l'évidement malléolaire, par exemple coaxialement à cet évidement. Between the two branches of the U-shaped section blade, a recess can advantageously be made in the expanded plastic material, so as to allow the latter to deform easily. This recess may, for example, be cylindrical and be arranged in line with the malleolar recess, for example coaxially with this recess.
Comme il a été indiqué, la partie centrale du pied est suffisamment rigide et elle se prête ainsi à une utilisation aisée du pied au repos. As indicated, the central part of the foot is sufficiently rigid and thus lends itself to easy use of the foot at rest.
Afin de favoriser son utilisation pour la marche, la partie antérieure du pied devra avoir une rigidité décroissant rapidement depuis la partie centrale jusqu'à l'extrémité avant. Dans ce but, la première lame inclinée vers l'avant, aura de préférence une épaisseur qui décroîtra de façon sensiblement régulière depuis ltévidement malléolaire jusqu a son extrémité avant. La seconde lame pourra elle aussi avoir une épaisseur décroissante depuis sa partie en contact avec la première lame jusqu'à l'extrémité libre de sa branche inférieure, de manière à pouvoir moduler sa souplesse. In order to favor its use for walking, the front part of the foot should have a rapidly decreasing stiffness from the central part to the front end. For this purpose, the first blade inclined towards the front, will preferably have a thickness which will decrease in a substantially regular manner from the malleolar recess to its front end. The second blade may also have a decreasing thickness from its part in contact with the first blade to the free end of its lower branch, so as to be able to modulate its flexibility.
Les lames utilisées pourront être en tout matériau déformable élastiquement, présentant les caractéristiques de souplesse requises. La Demanderesse a utilisé avantageusement dans ce but un matériau composite constitué de fibres de verre et/ou de fibres de carbone tissées, éventuellement noyées dans une résine thermoplastique ou thermodurcissable, qui permettent de conférer aux lames, en jouant sur l'orientation des fibres, une structure rigide dans le sens longitudinal et relativement souple dans le sens transversal. Tout autre matériau offrant un effet de ressort peut être utilisé. The blades used may be made of any elastically deformable material, having the required flexibility characteristics. The Applicant has advantageously used for this purpose a composite material consisting of glass fibers and / or woven carbon fibers, possibly embedded in a thermoplastic or thermosetting resin, which make it possible to give the blades, by varying the orientation of the fibers, a rigid structure in the longitudinal direction and relatively flexible in the transverse direction. Any other material offering a spring effect can be used.
Le pied prothétique conforme à 11 invention apporte donc aux amputés du membre inférieur un confort d'utilisation inégalé, du fait de son effet de restitution d'énergie, de l'amortissement des mouvement effectués longitudinalement et transversalement, et de son adaptation aux inégalités du sol. Il assure un déroulement sans à-coups du pas de l'utilisateur et se comporte vis-àvis de celui-ci comme s'il était équipé d'une articulation malléolaire. The prosthetic foot according to the invention therefore provides amputees of the lower limb with unequaled comfort of use, due to its energy restoring effect, the damping of movements carried out longitudinally and transversely, and its adaptation to the inequalities of ground. It ensures a smooth running of the user's step and behaves towards him as if he were equipped with a malleolar joint.
On notera, à ce propos, que le fait de recourber légèrement vers le haut l'extrémité libre de la branche inférieure de la lame arrière à section en U a pour effet, au cours de la marche, d'exercer une action de roulement et de propulser le pied dans le sens de la marche, sans entraîner de contrainte sensible au niveau du moignon de l'utilisateur logé dans l'évidement malléolaire. It will be noted, in this regard, that the fact of bending slightly upwards the free end of the lower branch of the rear blade of U-section has the effect, during walking, of exerting a rolling action and to propel the foot in the direction of travel, without causing any significant constraint at the level of the stump of the user housed in the malleolar recess.
L'enveloppe du pied prothétique aura de préférence une forme s'approchant au mieux de celle d'un pied. En particulier, on pourra y prévoir, dans ce but, une partie simulant un gros orteil séparé de la masse des autres orteils et l'on ménagera à cet effet un évidement longitudinal à l'extrémité avant de la lame inclinée vers l'avant, afin de séparer du corps de celle-ci une partie qui viendra renforcer la masse du gros orteil. The envelope of the prosthetic foot will preferably have a shape that best approximates that of a foot. In particular, there may be provided, for this purpose, a part simulating a big toe separated from the mass of the other toes and a longitudinal recess will be provided for this purpose at the front end of the blade inclined forward, in order to separate from the body thereof a part which will strengthen the mass of the big toe.
Les dessins schématiques annexés, qui ntont pas de caractère limitatif, illustrent une forme de mise en oeuvre de l'invention. Sur ces dessins
- La figure i est une coupe longitudinale de la structure de pied prothétique
- La figure 2 est une vue de dessus de la première lame longitudinale inclinée vers l'avant
- La figure 3 est une vue en perspective de dessous de la seconde lame à section en U.The appended schematic drawings, which are not limiting, illustrate one form of implementation of the invention. On these drawings
- Figure i is a longitudinal section of the prosthetic foot structure
- Figure 2 is a top view of the first longitudinal blade inclined forward
- Figure 3 is a perspective view from below of the second U-section blade.
Comme on le voit sur la figure 1, la structure de pied prothétique conforme à l'invention comporte un corps 1 en une matière plastique expansée, par exemple en polyuréthane, dont la forme reproduit celle d'un pied humain. Le corps i pourra être gainé d'une pellicule, non représentée, formant peau. As can be seen in FIG. 1, the prosthetic foot structure according to the invention comprises a body 1 made of an expanded plastic material, for example made of polyurethane, the shape of which reproduces that of a human foot. The body i may be covered with a film, not shown, forming the skin.
A la partie supérieure de ce pied est ménagé un évidement malléolaire 2, de forme sensiblement cylindrique, à axe vertical, destiné à recevoir une emboîture équipant le moignon de l'utilisateur ou un organe d'une prothèse de jambe. At the upper part of this foot is a malleolar recess 2, of substantially cylindrical shape, with a vertical axis, intended to receive a socket fitted to the stump of the user or a member of a leg prosthesis.
A l'intérieur de la masse du corps i sont noyées deux lames-ressort, 3 et 4, en un matériau élastiquement déformable. Inside the mass of the body i are embedded two leaf springs, 3 and 4, made of an elastically deformable material.
La lame 3 s'étend sensiblement suivant toute la longueur du pied et elle part de la base de l'évidement 2, dont elle est sensiblement contiguë pour s'étendre jusqu'à l'extrémité avant du pied. Comme on le voit sur la figure 2, un évidement 5 est ménagé à l'extrémité avant de la lame 3, pour y définir une partie 6, destinée à venir renforcer une partie du corps 1 simulant un gros orteil. The blade 3 extends substantially along the entire length of the foot and it leaves the base of the recess 2, of which it is substantially contiguous to extend to the front end of the foot. As seen in Figure 2, a recess 5 is provided at the front end of the blade 3, to define a part 6 there, intended to reinforce a part of the body 1 simulating a big toe.
Cette lame 3 a une épaisseur qui décroît de façon régulière depuis la base de l'évidement 2 jusqu a son extrémité avant, de manière à présenter une souplesse accrue depuis la partie médiane du pied jusqu a son extrémité. This blade 3 has a thickness which decreases regularly from the base of the recess 2 to its front end, so as to have increased flexibility from the middle part of the foot to its end.
La lame 4, disposée à l'arrière du pied, au dessous de l'évidement malléolaire 2, a, dans un plan longitudinal vertical, une section en U couché, dont les deux branches sont dirigées vers l'arrière du pied. La branche supérieure de la lame 4 est appliquée contre la face inférieure de la lame 3 et est rendue solidaire de celleci par collage et/ou par une vis (non représentée), qui est engagée dans des lumières 7, 8, des deux lames disposées en regard de l'évidement 2 et qui coopère avec un écrou. On notera que pour pouvoir engager la vis ou l'écrou, un évidement 9 sensiblement cylindrique est ménagé dans le corps i, au droit des lumières 7 et 8, depuis l'évidement 2 jusqu a la base du corps 1. Cet évidement 9 peut être coaxial à l'évidement 2.De même, pour laisser le passage à la vis ou l'écrou, une lumière 10 est ménagée dans la branche inférieure de la lame 4, à l'aplomb des lumières 7 et 8. The blade 4, arranged at the rear of the foot, below the malleolar recess 2, has, in a vertical longitudinal plane, a section in a reclining U, the two branches of which are directed towards the rear of the foot. The upper branch of the blade 4 is applied against the underside of the blade 3 and is made integral with this by gluing and / or by a screw (not shown), which is engaged in slots 7, 8, of the two blades arranged opposite recess 2 and which cooperates with a nut. It will be noted that in order to be able to engage the screw or the nut, a substantially cylindrical recess 9 is formed in the body i, in line with the openings 7 and 8, from the recess 2 to the base of the body 1. This recess 9 can be coaxial with the recess 2. Similarly, to allow passage to the screw or the nut, a light 10 is provided in the lower branch of the blade 4, directly above the lights 7 and 8.
L'extrémité libre de la branche inférieure de la lame 4 à section en U est très légèrement recourbée vers le haut, par exemple d'un angle de 70, afin, comme expliqué ci-dessus, de pouvoir produire un effet de roulement lorsque la partie postérieure du pied appuie sur le sol. The free end of the lower arm of the U-shaped blade 4 is very slightly curved upwards, for example by an angle of 70, in order, as explained above, to be able to produce a rolling effect when the rear part of the foot presses on the ground.
La branche inférieure de la lame 4 pivote ainsi, en exerçant un effet d'amortissement et en opposant une résistance croissante à mesure que le pas progresse, lorsque le pied vient en contact avec le sol.The lower branch of the blade 4 thus pivots, exerting a damping effect and opposing an increasing resistance as the step progresses, when the foot comes into contact with the ground.
La partie centrale du pied est celle qui présente le moins de souplesse et celle-ci va à nouveau en croissant jusqu'à l'extrémité avant de la lame 3, du fait de la diminution d'épaisseur de celle-ci. The central part of the foot is the one which exhibits the least flexibility and this again increases as far as the front end of the blade 3, due to the reduction in thickness of the latter.
La matière plastique expansée dont est constitué le corps 1 permet d'absorber les inégalités su sol. En outre, elle contribue naturellement à l'effet d'amortissement, puisqu'elle est comprimée entre les deux branche du U de la lame 4 et entre la lame 3 et le sol. L'évidement 9 ménagé dans la matière plastique favorise d'ailleurs la déformation de celle-ci entre les branches de la pièce 4. The expanded plastic material from which the body 1 is made can absorb the unevenness on the ground. In addition, it naturally contributes to the damping effect, since it is compressed between the two branches of the U of the blade 4 and between the blade 3 and the ground. The recess 9 made in the plastic material moreover promotes the deformation of the latter between the branches of the part 4.
La lame 4 pourra, elle aussi, avoir une épaisseur décroissante depuis la partie en contact avec la lame 3 jusqu'à l'extrémité libre de la branche inférieure, afin de pouvoir moduler sa souplesse. The blade 4 may also have a decreasing thickness from the part in contact with the blade 3 to the free end of the lower branch, in order to be able to modulate its flexibility.
Comme il a été indiqué ci-dessus, les lames 3 et 4 pourront avantageusement être réalisées en fibres de carbone et/ou de verre tissées, éventuellement noyées dans une matière thermoplastique ou thermodurcissable, de manière à pouvoir jouer sur l'orientation des nappes de fibres pour obtenir une certaine raideur dans le sens longitudinal du pied et une souplesse dans le sens transversal. As indicated above, the blades 3 and 4 may advantageously be made of woven carbon and / or glass fibers, possibly embedded in a thermoplastic or thermosetting material, so as to be able to influence the orientation of the plies of fibers to obtain a certain stiffness in the longitudinal direction of the foot and a flexibility in the transverse direction.
L'évidement 2 permet d'adapter le pied aussi bien au moignon d'une personne amputée d'un membre inférieur qu'à un organe d'une prothèse de la jambe. The recess 2 makes it possible to adapt the foot as well to the stump of a person amputated of a lower limb as to an organ of a prosthesis of the leg.
On notera que l'effet de roulement de la lame 4 et la souplesse croissante du pied, à partir de sa partie médiane, vers l'avant, d'une part, vers l'arrière, d'autre part, confèrent à ce pied des propriétés comparables à celles qui résulteraient de l'utilisation d'une articulation malléolaire, alors que les moyens utilisés conformément à la présente invention sont beaucoup plus simples que ceux de la technique antérieure. It will be noted that the rolling effect of the blade 4 and the increasing flexibility of the foot, from its middle part, towards the front, on the one hand, towards the rear, on the other hand, confer on this foot properties comparable to those which would result from the use of a malleolar joint, while the means used in accordance with the present invention are much simpler than those of the prior art.
Claims (8)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR9214292A FR2698538A1 (en) | 1992-11-27 | 1992-11-27 | Foot replacement prosthesis with internal energy storage springs - has pair of independently-reacting spring blades enclosed within elastic body of foot prosthesis, secured together below ankle recess |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR9214292A FR2698538A1 (en) | 1992-11-27 | 1992-11-27 | Foot replacement prosthesis with internal energy storage springs - has pair of independently-reacting spring blades enclosed within elastic body of foot prosthesis, secured together below ankle recess |
Publications (1)
Publication Number | Publication Date |
---|---|
FR2698538A1 true FR2698538A1 (en) | 1994-06-03 |
Family
ID=9435975
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
FR9214292A Pending FR2698538A1 (en) | 1992-11-27 | 1992-11-27 | Foot replacement prosthesis with internal energy storage springs - has pair of independently-reacting spring blades enclosed within elastic body of foot prosthesis, secured together below ankle recess |
Country Status (1)
Country | Link |
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FR (1) | FR2698538A1 (en) |
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EP0648479A1 (en) * | 1993-10-14 | 1995-04-19 | IPOS GMBH & CO. KG. | Ankle spring module for leg prosthesis or artificial foot |
US5509937A (en) * | 1994-01-14 | 1996-04-23 | Universite De Montreal | Prosthetic foot with enhanced heel control |
FR2734151A1 (en) * | 1995-05-15 | 1996-11-22 | Corima | Reactive elastic construction for artificial foot prosthesis |
FR2745488A1 (en) * | 1996-03-04 | 1997-09-05 | Corima | REACTIVE FOOT PROSTHESIS |
US5746773A (en) * | 1996-03-13 | 1998-05-05 | United States Manufacturing Company | C-shaped spring member for prosthetic limbs |
US5800568A (en) * | 1996-02-16 | 1998-09-01 | Model & Instrument Development Corporation | Prosthetic ankle and walking system |
RU2308910C2 (en) * | 2003-03-31 | 2007-10-27 | Барри В. ТАУНСЕНД | Foot prosthesis having adjustable functional characteristics and improved vertical load and shock absorption |
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US2440075A (en) * | 1946-04-24 | 1948-04-20 | Campbell Edwards Pneumatic Art | Ankle joint and reinforcing member for pneumatic feet |
US2556525A (en) * | 1949-10-08 | 1951-06-12 | William M Drennon | Artificial limb joint |
US4547913A (en) * | 1983-07-11 | 1985-10-22 | Flex Foot, Inc. | Composite prosthetic foot and leg |
WO1989009036A1 (en) * | 1988-03-31 | 1989-10-05 | Sabolich, Inc. | Prosthetic foot |
US5037444A (en) * | 1989-01-05 | 1991-08-06 | Phillips L Van | Prosthetic foot |
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US2440075A (en) * | 1946-04-24 | 1948-04-20 | Campbell Edwards Pneumatic Art | Ankle joint and reinforcing member for pneumatic feet |
US2556525A (en) * | 1949-10-08 | 1951-06-12 | William M Drennon | Artificial limb joint |
US4547913A (en) * | 1983-07-11 | 1985-10-22 | Flex Foot, Inc. | Composite prosthetic foot and leg |
WO1989009036A1 (en) * | 1988-03-31 | 1989-10-05 | Sabolich, Inc. | Prosthetic foot |
US5037444A (en) * | 1989-01-05 | 1991-08-06 | Phillips L Van | Prosthetic foot |
Cited By (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0648479A1 (en) * | 1993-10-14 | 1995-04-19 | IPOS GMBH & CO. KG. | Ankle spring module for leg prosthesis or artificial foot |
US5509937A (en) * | 1994-01-14 | 1996-04-23 | Universite De Montreal | Prosthetic foot with enhanced heel control |
FR2734151A1 (en) * | 1995-05-15 | 1996-11-22 | Corima | Reactive elastic construction for artificial foot prosthesis |
US5800568A (en) * | 1996-02-16 | 1998-09-01 | Model & Instrument Development Corporation | Prosthetic ankle and walking system |
US6350286B1 (en) * | 1996-02-16 | 2002-02-26 | Seattle Orthopedic Group, Inc. | Prosthetic ankle and walking system |
FR2745488A1 (en) * | 1996-03-04 | 1997-09-05 | Corima | REACTIVE FOOT PROSTHESIS |
EP0793949A1 (en) * | 1996-03-04 | 1997-09-10 | Otto Bock Orthopädische Industrie Besitz- und Verwaltungs-Kommanditgesellschaft | Jointless artificial foot |
US5897594A (en) * | 1996-03-04 | 1999-04-27 | Otto Bock Orthopaedische Industrie Besitz-Und | Jointless artificial foot |
US5746773A (en) * | 1996-03-13 | 1998-05-05 | United States Manufacturing Company | C-shaped spring member for prosthetic limbs |
RU2308910C2 (en) * | 2003-03-31 | 2007-10-27 | Барри В. ТАУНСЕНД | Foot prosthesis having adjustable functional characteristics and improved vertical load and shock absorption |
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