Abstract: A prosthetic appendage for attachment to an outer extremity of an amputated limb that is composed of modular elements fabricated by three-dimensional printing. In one embodiment the prosthetic appendage is a leg. The prosthetic leg includes a foot portion and a plurality of modular and three-dimensionally printed limb elements. One of the plurality of limb elements is pivotally coupled to the foot portion and another of the limb elements is configured at one end to receive the outer extremity of the amputated leg. In another embodiment of the present invention the prosthetic appendage is a hand. The prosthetic hand includes a wrist element with one end configured to receive the outer extremity of an amputated hand, a base portion attached to the wrist element and a plurality of modular and three-dimensionally printed finger elements selectively coupled to adjacent finger elements or the base to form prosthetic fingers.

Abstract: A passive prosthetic foot enables a below-knee amputee to walk with near able-body walking motions. The prosthetic foot includes a resilient heel that enables the heel to strike a walking surface more softly than in the prior art and more accurately transition the leg from swing phase to stance phase. The prosthetic foot is modeled generally as a wide Bézier curve, and the foot is characterized according to a set of at least 12 variables, including h, C1d, C2x, C2y, C2d, C3x, C3y, C3d, C4x, C4d, C5d and C6d, where C3y is heel size, C4x is heel geometry and C6d is curve intersection location. The variables are optimized to minimize a difference between a normal lower leg trajectory during gait and a modeled trajectory that includes the prosthetic foot.

Abstract: This disclosure provides systems, apparatuses, and devices for a prosthetic digit usable with persons with amputations at or proximal to the metacarpophalangeal joint. The device restores prehension in a person with missing fingers or thumb by providing opposition to forces in the extension direction via a spring-loaded pawl and locking rack ratchet mechanism, thereby allowing an individual to manipulate or stabilize objects. The digit may be spring-loaded in the extension direction by a torsion spring or other biasing member. The pawl may be automatically disengaged from the rack when the digit reaches full flexion, and the full flexion disengage stop may be adjustable. The pawl may be automatically engaged with the rack when the digit reaches full extension, and the extension stop may be adjustable. The pawl may contain a lateral feature that creates interference with the anchoring linkage under load and limits deflection of the structure.

Abstract: Routines and methods disclosed herein can increase a power efficiency of a prosthetic hand without drastically reducing the speed at which it operates. A prosthesis can implement an acceleration profile, which can reduce an energy consumption of a motor, or an amount of electrical and/or mechanical noise produced by a motor, as the motor transitions from an idle state to a non-idle state. A prosthesis can implement a deceleration profile, which can reduce the energy consumption of the motor, or an amount of electrical and/or mechanical noise produced by a motor, as the motor transitions from a non-idle state to an idle state.

Abstract: Systems and methods for controlling an orthopedic joint device of a lower extremity, the orthopedic joint device comprising an upper part, a lower part mounted in articulated fashion to the upper part, and a conversion device arranged between the upper and lower parts. The conversion device provides for, during pivoting of the upper part relative to the lower part, mechanical work from a relative movement between the upper and lower parts to be converted and stored in at least one energy store and supplied back to the joint device with a time offset in order to assist the relative movement. The stored energy is converted back and the supply of mechanical work takes place in a controlled manner during the assistance of the relative movement.

Abstract: Hybrid terrain-adaptive lower-extremity apparatus and methods that perform in a variety of different situations by detecting the terrain that is being traversed, and adapting to the detected terrain. In some embodiments, the ability to control the apparatus for each of these situations builds upon five basic capabilities: (1) determining the activity being performed; (2) dynamically controlling the characteristics of the apparatus based on the activity that is being performed; (3) dynamically driving the apparatus based on the activity that is being performed; (4) determining terrain texture irregularities (e.g., how sticky is the terrain, how slippery is the terrain, is the terrain coarse or smooth, does the terrain have any obstructions, such as rocks) and (5) a mechanical design of the apparatus that can respond to the dynamic control and dynamic drive.

Abstract: The present disclosure is relates to an orthosis device. The orthosis device, in one embodiment, includes an actuator housing, and an electric motor coupled to the actuator housing, the electric motor including a motor stator and a motor rotor, and the electric motor further having high output torque. The orthosis device, in this embodiment, further includes a low-ratio transmission coupled to the actuator housing, the transmission including a gear system coupled to the actuator housing, and a drive system coupling the electric motor and the gear system, wherein a combination of the electric motor and transmission provide a user backdrivable orthosis device.

Abstract: An actuator-damper unit for use in orthotic or prosthetic devices. The actuator-damper unit includes a housing which may be fastened on the orthotic or prosthetic device and in which a cylinder is formed. A first piston is displaceably mounted in the cylinder and is coupled to a piston rod. The piston rod is disposed, via a first end, on the first piston and may be coupled, via a second end, to the orthotic or prosthetic device. The first piston separates two fluid chambers in the cylinder from each other and forms a piston-cylinder unit, wherein at least one further piston is coupled to the first piston in order to form at least one further, variable-volume fluid chamber.

Abstract: A variable stiffness spring assembly includes first and second members made of a first material and separated by a gap along at least a portion of their lengths, and one or more layers made of a second material disposed in the gap. The variable stiffness spring assembly can be incorporated into or take the form of a limb support assembly, such as a prosthetic foot. The second material disposed between the first and second members is rate-sensitive or speed-dependent, such that the material exhibits different properties when the user of the prosthetic foot is walking at high or fast walking speeds compared to low or slow walking speeds. The prosthetic foot can exhibit high damping and energy absorption, and therefore stability, at slow speeds, and high energy return at faster speeds.

Abstract: A prosthetic foot can include an attachment member, at least one first brace, at least one first flexible member, an unpowered actuator, at least one second brace, and at least one second flexible member. The attachment member can include a connector configured to connect the attachment member to a user or another prosthetic device. The at least one first brace can mount to the attachment member and the at least one first flexible member can connect to the attachment member by the at least one first brace such that a force between the ground and the attachment member can be supported by the at least one first flexible member. The unpowered actuator can mount to the attachment member and the at least one second brace can mounted to the actuator. The at least one second flexible member can connect to the attachment member by the at least one second brace such that a force between the ground and the attachment member can be supported by the at least one second flexible member.

Abstract: A nephroureteral catheter is provided that comprises a detachable portion such that when the detachable portion is removed, the catheter converts into an internal stent. The catheter includes a tube with two retention features, a detachable portion, and an inner tube. The inner tube is removably insertable into both the tube and the detachable portion, and a wire extends through at least a portion of a lumen of the inner tube and through the tube, to keep the pieces attached. The wire may be removed to remove the inner tube and then the detachable portion from the tube. When the detachable portion is attached to the tube, the catheter is a nephroureteral catheter. When the detachable portion is removed from the tube, the catheter becomes a stent.

Abstract: A prosthesis device has a rotary damper and a displacing device with a magnetorheological fluid in a damper volume of a housing. Two partition units divide the damper volume into two or more variable chambers. The partition units include a partition wall connected with the housing and a partition wall connected with a damper shaft. Radial gaps are formed in the radial direction between the partition wall on the housing and the damper shaft, and between the partition wall on the damper shaft and the housing. An axial gap is formed in the axial direction between the partition unit, the damper shaft and the housing. The magnetic field of the magnetic field source passes through at least two of the gaps.

Abstract: A surgical implant having a plastic (e.g., PEEK) component having an exposed surface, wherein at least a portion of the exposed surface has a plurality of parallel microgrooves that (i) enhance bone growth and osseointegration with adjacent bone and, after the osseointegration, (ii) increase pull-out force of the surgical implant from the adjacent bone. In certain embodiments, the microgrooves have widths of less than or equal to 12 micrometers, depths of less than or equal to 12 micrometers, crests of less than or equal to 12 micrometers, and a periodicity of less than or equal to 24 micrometers.

Abstract: An improved modular rotational device includes a first and second threaded coupler for affixation along the stem of an endoprosthetic device, for example, a humeral prosthesis or a femoral prosthesis. The rotational device axis of rotation is coaxial with the stem, and its axis of rotation is located in close proximity to the intramedullary stem of the prosthesis or in close proximity to the distal articulation of the prosthesis. A housing has a proximal and distal end with an axial bore therethrough for receiving an elongated stem of the device. A lobe ring may be utilized to limit the axis of rotation of the device. Additional endoprosthetic devices may be attached to male or female threaded couplers, or to Morse tapers. A plurality of suture attachments facilitates attachment of soft tissue thereto.

Abstract: A prosthetic connector system for use with a prosthetic socket having a distal end includes a plate defining a plurality of holes and attachable to the distal end of the prosthetic socket. A component is removably attachable to the plate via the plurality of holes and arranged to connect a prosthesis to the prosthetic socket. The plate defines an outer periphery having an asymmetrical configuration contoured to substantially correspond to at least a portion of the component when the component is attached to the plate via at least some of the holes.

Abstract: A system and method for a prosthetic assembly that includes a first prosthetic component, comprising a prosthetic hand base; a set of second prosthetic components, comprising a set of prosthetic fingers, and a set of actuating systems, wherein one actuating system connects a pair of distinct prosthetic components, enabling actuation of one prosthetic component with respect to the other. Each actuating system, from the set of actuating systems, includes a linkage and a sensored brushless motor; wherein the sensored brushless motor comprises a brushless motor, a field oriented control system, a rotary encoder, and a gearbox.

Abstract: An adjustable prosthesis system for a residual limb includes: an adjustable outer shell surrounding the residual limb having a plurality of overlapping flaps, a top opening along a top edge extending around the outer shell, a bottom having a bottom edge opposite the top edge and extending around the bottom, a first side, and a second side having an adjustable width, and a plurality of adjustable overlapping side ends, some of which overlap and some do not, extending from the top edge to the bottom edge; a base adjacent the bottom of the outer shell and connected to it; and a closure component attached to the outer shell to compress the residual limb. Tightening the closure component applies a pulling force to at least one of the first side and the second side, thereby causing a reduction in width of a discontinuity and increased overlap of the side ends.

Abstract: Systems, methods, and apparatus provide artificial knees. Artificial knees include a thigh link configured to move in unison with a thigh of the person, a shank link configured to be rotatably coupled to the thigh link, and a compression spring rotatably coupled to the thigh link and coupled to a second end of shank link with a second end of the compression spring. During a first range of motion, the compression spring is configured to provide an extension torque between the thigh link and the shank link causing the artificial knee to resist flexion. After the first range of motion, the compression spring is configured to provide a flexion torque between the thigh link and the shank link encouraging the artificial knee to flex resulting in toe clearance during the swing phase. During the swing phase, the compression spring provides no torque between the thigh link and the shank link.

Abstract: A prosthetic system includes a prosthetic foot having an upper foot element with a concave-forward facing portion and foot portion extending forwardly therefrom. An intermediate foot element is disposed below the upper foot element and has a front portion coupled to the foot portion of the upper foot element. A lower foot element is disposed below the intermediate foot element. A pump system is coupled to the prosthetic foot and comprises a pump mechanism including a housing defining a cavity, and a membrane situated in the cavity. The pump mechanism is movable between an original configuration and an expanded configuration. An arm member is connected to the pump mechanism and operatively coupled to the intermediate foot element. The arm member is arranged to move the pump mechanism toward at least the expanded configuration upon movement of the intermediate foot element relative to the upper foot element.

Abstract: The invention relates to an automated hand, such as a prosthetic hand. In one form, the automated hand may be fluid compatible. In one form, the automated hand may comprise features to reduce the risk of harm to motors and/or other sensitive components of the hand when subject to an impact. In one form, the hand may comprise a wrist joint configured to allow the hand to curl and flex and/or to rotate. In one form, one or more digits of the hand may be individually controlled. In one form the hand may include a thumb rotation locking mechanism. In one form the hand may be provided with removable grip plates. In one form, the hand may be configured for use as a training hand.