Prosthetic foot with tunable performance

Abstract

A prosthetic foot (190) incorporates a foot keel (192) and a resilient calf shank (193) with its lower end connected to the foot keel to form an ankle joint of the prosthetic foot. The calf shank extends upward from the foot keel by way of an anterior facing convexly curved portion (195) of the shank, and is secured to the foot keel by way of a coupling element (194). The lower end of the shank is reversely curved (196) and housed by a reversely curved portion of the coupling element. A posterior calf device (191) has a cable (204) which is untensioned in a normal gait cycle but tensioned by a force loading on the prosthesis greater than 120% of body weight of the user to limit, e.g. stop, further anterior motion of the upper end of the shank.

Description

RELATED APPLICATIONS [0001] This application claims priority of International Applications Nos. PCT / US05 / 011304 and PCT / US05 / 11291, each filed Apr. 1, 2005 and designating the U.S. [0002] This application is a continuation in part application of each of the following applications: [0003] (1) International Application No. PCT / US02 / 09589 filed Mar. 29, 2002 and designating the U.S. and the related U.S. national stage application Ser. No. 10 / 473,682 filed Sep. 30, 2003, which is a continuation in part of U.S. application Ser. No. 09 / 820,895 filed Mar. 30, 2001, now U.S. Pat. No. 6,562,075 issued May 13, 2003. [0004] (2) International Application No. PCT / US05 / 011902 filed Apr. 1, 2005 and claiming priority of U.S. Application No. 60 / 558,119 filed Apr. 1, 2004. [0005] (3) U.S. application Ser. No. 10 / 814,260 filed Apr. 1, 2004 which is a continuation in part of U.S. application Ser. No. 10 / 263,795 filed Oct. 2, 2002, which is a continuation of U.S. application Ser. No. 09 / 820,895 filed M...

AI Technical Summary

Benefits of technology

[0010] In order to allow the amputee to attain a higher level of performance and function, there is a need for a high performance prosthetic foot having improved applied mechanics, which foot can out perform the human foot and also out perform the prior art prosthetic feet. It is of interest to the amputee to have a high performance prosthetic foot having improved applied mechanics, high low dynamic response, and alignment adjustability that can be fine tuned to improve the horizontal and vertical components of activities which can be task specific in nature.

[0011] The prosthetic foot of the present invention addresses these needs. According to an example embodiment disclosed herein, the prosthetic foot of the invention comprises a longitudinally extending foot keel having a forefoot portion at one end, a hindfoot portion at an opposite end and a relatively long midfoot portion extending between and upwardly arched from the forefoot and hindfoot portions. A calf shank including a downward convexly curved lower end is also provided. An adjustable fastening arrangement attaches the curved lower end of the calf shank to the upwardly arched midfoot portion of the foot keel to form an ankle joint area of the prosthetic foot. The calf shank is a resilient member which forms an ankle and a shank of the prosthesis, the resilient member extending upward from the foot keel by way of an anterior facing convexly curved portion of the member. Advantageously, with this mechanical form orientation, the mechanical form's angular velocity increases in response to compressing force in late mid-stance loading. As a consequence, ankle joint sagittal plane kinetic power of the prosthesis in gait is improved.

[0012] The adjustable fastening arrangement permits adjustment of the alignment of the calf shank and the foot keel with respect to one another in the longitudinal direction of the foot keel for tuning the performance of the prosthetic foot. By adjusting the alignment of the opposed upwardly arched midfoot portion of the foot keel and the downward convexly curved lower end of the calf shank with respect to one another in the longitudinal direction of the foot keel, the dynamic response characteristics and motion outcomes of the foot are changed to be task specific in relation to the needed / desired horizontal and vertical linear velocities. A multi-use prosthetic foot is disclosed having high and low dynamic response capabilities, as well as biplanar motion characteristics, which improve the functional outcomes of amputees participating in activities of daily living, sporting and / or recreational activities. A prosthetic foot especially for sprinting is also disclosed.

[0013] The calf shank in several embodiments has its lower end reversely curved in the form of a spiral with the calf shank extending upward anteriorly from the spiral to an upstanding upper end thereof. This creates a calf shank with an integrated ankle at the lower end thereof, when the calf shank is secured to the foot keel, with a variable radii response outcome similar to a parabola-shaped calf shank of the invention. The calf shank with spiral lower end is secured to the foot keel by way of a coupling element. The coupling element can include a stop to limit dorsiflexion of the calf shank in gait. In several embodiments the coupling element is monolithically formed with the forefoot portion of the foot keel. According to another feature of the invention the coupling element extends posteriorly as a cantilever over the midfoot portion and part of the hindfoot portion of the foot keel. The coupling element can be reversely curved upwardly to form an anterior facing concavity in which the lower end of the calf shank is housed, the reversely curved lower end of the calf shank being supported at its end from the coupling element. The resulting prosthesis has improved efficiency.

Problems solved by technology

However, the dynamic response characteristics of this known artificial foot are limited and do not mimic the human biomechanical function of the human foot, ankle and shank and soft supporting tissue.

The artificial foot of Martin et al. and other prior art prosthetic feet that utilize this ankle design and a rigid pylon as a shank cannot store enough elastic energy to create normal ankle joint sagittal plane kinetic power in gait.

Tests have shown that prior art prosthetic feet with such designs produce only about 25% of normal ankle joint sagittal plane kinetic power in gait.

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