Abstract: An adjustable prosthetic socket includes proximal and distal ends and an axis extending between the proximal and distal ends. A distal base is adapted to support a distal portion of a residual limb and is located at the distal end of the socket. At least one spine extends upwardly from the distal base toward the proximal end. The at least one spine defines at least part of a circumference of the socket about the axis. A proximal support is located at or near the proximal end of the socket and extends from the at least one spine. The proximal support is arranged to distribute pressure from the at least one spine over a portion of the residual limb. A tensioning system is operatively connected to the at least one spine and arranged to selectively adjust the circumference of the socket.

Abstract: An orthopedic device includes a posterior shell with ankle and foot receiving portions. The foot receiving portion defines a plantar shell portion and side shell portions extending along first and second sides of the plantar shell portion and forming an open-ended toe portion. A toe protector portion is removably attached to the posterior shell at the open-ended toe portion and arranged to protect the toes of the user. The toe protector portion extends between the side shell portions and longitudinally along a length of the side shell portions. At least one inflatable bladder is disposed in at least the ankle receiving portions and at least one pump assembly is in fluid communication with the at least one inflatable bladder.

Abstract: An outsole for an orthopedic device includes a heel part, a forefoot part, and a mid-foot part separating the heel part from the forefoot part. A longitudinal axis extends in a longitudinal direction between an anterior end of the forefoot part and a posterior end of the heel part. A transverse axis intersects the longitudinal axis and extends in a transverse direction between a lateral edge of the outsole and a medial edge of the outsole. A bottom surface extends along the longitudinal axis and between the medial and lateral edges. The bottom surface defines an apex at the intersection of the longitudinal and transverse axes and at least one apical line passing through the apex and subtending an oblique angle to the longitudinal axis. The bottom surface curves through the apex and along the at least one apical line in both the longitudinal and transverse directions.

Abstract: A strap attachment system includes a frame member having an opening, a strap, and a tab having a body and an attachment element defined by the body. The tab connects to the strap. A fastener element connects to the tab and is detachably and slidably mountable to the frame member by the opening.

Abstract: Prosthetic feet that provide for variable and adjustable stiffness are provided. A foot element can include a tongue portion defined or formed by a slot in the foot element that at least partially separates the tongue portion from a remainder of the foot element. The tongue portion can be operably connected to the remainder of the foot member to increase the stiffness of the foot member or operably disconnected from the remainder of the foot member to increase the flexibility of the foot member. The prosthetic foot further includes a mechanism for adjusting whether the tongue portion is operably connected or disconnected from the remainder of the foot member. The mechanism can be selectively actuated to adjust the stiffness of the foot element in dorsiflexion and/or plantarflexion and/or to adjust the degree to which the tongue portion is allowed to flex relative to the remainder of the foot member.

Abstract: A vertical suspension system for a prosthetic foot includes a first member operatively coupleable to an amputee's residual leg. The suspension system can also include a second member coupleable to a prosthetic foot. One or more upper leaf springs and one or more lower leaf springs extend between and are attached to the first and second members such that at least one of the ends of each leaf spring is rotationally fixed to the first or second members, where the upper an lower leaf springs are spaced apart from each other.

Abstract: Prosthetic feet and foot covers that provide a more natural appearance and improved performance are provided. A foot element for a prosthetic foot can extend from a heel end to a toe end and include a heel, arch, forefoot, and toe regions. The forefoot region can be wider than the arch and heel regions. The toe region can include a U-shaped cut out to define a big toe. Various features of the foot element can guide rollover of the foot through the big toe during use. A foot cover can be designed to receive a prosthetic foot including such a foot element. The foot cover can have a region of increased flexibility at a transition between the forefoot region and toe region. The foot cover can also have a padded area extending from the heel region across a lateral part of the arch region and forefoot region.

Abstract: A prosthetic socket system includes a socket having an inner surface defining a socket cavity. A liner is adapted to receive a residual limb and be removably positioned within the socket cavity. A substantially sealed volume is defined between at least a portion of an outer surface of the liner and a corresponding portion of the inner surface of the socket. A wicking material is positionable in the substantially sealed volume and at least one cooling fluid can be carried by the wicking material. The at least one cooling fluid is adapted to selectively boil within the substantially sealed volume such that heat from the residual limb is converted into latent heat of vaporization by the at least one cooling fluid for a cooling effect.

Abstract: An orthopedic device is provided for treating complications of the hip and has means for trochanter compression, pelvis support, lumbar compression, variously directed straps, and thigh support. The trochanter compression and an internal/external rotation strap provide pain relief through compression and skin protection, unloading of joints through compression and sealing, and unloading by load transfer. Means for adjustably dosing of straps enables pain management and ease of use.

Abstract: A prosthetic device includes first and second regions divided by a longitudinal line extending between the first and second ends of the device. The device has a continuously knit elasticized fabric layer including a first set of yarns located about a circumference of the device through the first and second regions. The fabric layer has different knit structures in the first and second regions to obtain different elasticity while sharing the first set of yarns so that the first region has a first elasticity, and the second region has a second elasticity greater than the elasticity of the first region. An elastomeric layer secures an interior surface of the fabric layer.

Abstract: An orthopedic device as in a dorsal splint for treating plantar fasciitis includes a substantially rigid splint member having an overmolded flexible edge and living hinges, or substantially rigid component pieces received in a flexible member, to provide improved and more comfortable fitting to a user and reduced storage requirements. The splint member is shaped and configured to engage the dorsal aspects of a user's lower leg, ankle, and foot. A soft-good strap system is provided to maintain the dorsal splint in position and has suitable padding to treat various foot conditions.

Abstract: Prosthetic and/or orthotic devices (PODS), control systems for PODS and methods for controlling PODS are provided. As part of the control system, an inference layer collects data regarding a vertical and horizontal displacement of the POD, as well as an angle of the POD with respect to gravity during a gait cycle of a user of the POD. A processor analyzes the data collected to determine a locomotion activity of the user and selects one or more control parameters based on the locomotion activity. The inference layer may be situated between a reactive layer control module and a learning layer control module of the control system architecture.

Abstract: An orthopedic device has first and second elongate struts each having a strap coupling member, and a flexible strap securing to the first and second struts by the strap coupling members. The orthopedic device includes various embodiments of hinge assemblies including flexion and extension stops and locks for maintaining the hinge assembly in a fixed configuration. The orthopedic device has various embodiments of strap assemblies for securing components to cuff assemblies.

Abstract: A pad assembly comprises a padding defining first and second surfaces, and includes a first layer being resilient and accessible from the first surface and a second layer being resilient and underlying and secured to the first layer. The first and second removable sections are formed from at least one of the first and second layers and are arranged in a pattern and separated by edge clearances. Each of the first and second removable sections is tearable from the padding such that a residual portion of the removable section remains when at least one of the first and second removable sections is removed from the padding. The pad assembly may include a strap, and a substantially rigid or rigid shell connecting to the padding and strap.

Abstract: The ankle brace includes a calf body defining lateral and medial frontal sides spaced by a frontal opening, and first and second straps depending from the first and second frontal sides of the calf body, respectively. The first and second straps are arranged to extend juxtaposed across the opening and secure to the second and first frontal sides, respectively. The brace also includes opposed lateral and medial ankle struts pivotally attached to the calf body, and a footplate connected to the ankle struts. The medial ankle strut has greater rigidity than the lateral ankle strut. The calf body medial section has greater rigidity than the calf body lateral section.

Abstract: A prosthetic foot has a plate-like foot member with a core section substantially defined by one or more layers comprising a first material fiber, an upper section disposed above the core section, the upper section substantially defined by one or more layers comprising a second material fiber, and a lower section disposed below the core section, the lower section substantially defined by one or more layers comprising a third material fiber, where the upper, lower and core sections together define a total thickness of the plate-like elongate foot member. An idealized ratio of the cross sectional area of each section can be determined such that under an applied load provided to the hybrid layup, the ratio of maximum stress of a given section over the flexural strength of that given section is approximately equal for all sections of the hybrid layup. The hybrid layup arrangement can be configured to have a greater strength, but generally the same stiffness, as a similar foot member made of carbon fiber.

Abstract: An orthopedic device has various frame elements concealed by a sleeve defining pockets into which such frame elements are located. The orthopedic device includes a strap tightening assembly adapted to secure a plurality of straps simultaneously. The frame may include flexible edge features located along a periphery thereof.

Abstract: An Achilles heel wedge can include a single member having an anterior portion and a plurality of layers integrally connected at the anterior portion. A plurality of slits can differentiate the layers. Each slit can include a terminal end in the anterior portion having a perforation with a dimension greater than a width of the slit. The layers of the heel wedge can be selectively cut, ripped, or torn from the anterior portion of the heel wedge along the perforations to achieve incremental height adjustment of the heel wedge and stretching of the Achilles tendon.

Abstract: A vacuum assisted suspension system includes an elongate compression transfer element and a pump housing. The pump housing defines an enclosed space to receive a fluid. At least one wall of the housing and at least one movable wall define a fluid compartment and a non-fluid chamber. The at least one movable wall is connected to the compression transfer element. The compression transfer element causes the at least one movable wall of the fluid compartment to reciprocate in the fluid compartment to increase the volume of the fluid compartment in response to a compressive force on the compression transfer element and enables the at least one movable wall to decrease the volume of the fluid compartment in the absence of a compressive force.