Abstract: A prosthetic for a limb that extends distally to a limb end includes a main body and plural struts. The main body has an opening for receiving the limb end. The main body defines a first zone of coverage of the limb. The struts are coupled to the main body and distributed along the circumference of the main body. Each strut has a main longitudinal extent that is essentially orthogonal to the circumference of the main body and that extends away from the main body to define a second zone of coverage of the limb that is adjacent to the first zone of coverage. Each strut includes a plurality of transverse through-openings configured to receive a lace. The transverse through-openings extend tangentially to the second zone of coverage.

Abstract: A prosthetic foot comprises an attachment member and two or more flexible members. The attachment member can include a connector configured to connect the attachment member to a user or another prosthetic device. The two or more flexible members can be rotatably attached to the attachment member by rotatable joints such that the flexible members can both rotate and flex relative to the attachment member when the prosthetic foot contacts the ground.

Abstract: A transtibial prosthetic device comprises a pylon configured as a unitary truss structure formed of a plurality of elongated supports interconnected at nodes and having open spaces between supports of the plurality of elongated supports. The unitary truss structure comprises a polymer. A foot-ankle complex extends from a base of the pylon. The foot-ankle complex comprises an s-shaped posterior portion, an s-shaped anterior portion, and a sole portion. The s-shaped posterior portion and the s-shaped anterior portion both extend from the sole portion, have upper portions with curvatures that are concentric with each other, and are separated from each other by a gap.

Abstract: Various aspects of this disclosure relate to a prosthetic cover comprising an array of sensors, which transmit signals to an array of electrodes in a liner that fits over a residual limb of an amputee. Different interactions with the prosthetic cover cause different activation of the electrodes to transmit electrical current through different areas of the residual limb and modulate neurons differently within the residual limb. Various aspects of this disclosure also relate to a prosthetic liner with a substrate that includes electrodes for transcutaneous electrical nerve stimulation and/or electronic muscle stimulation for a residual limb.

Abstract: A prosthetic socket, comprising a base for distal connection means for attaching a prosthesis component to the prosthetic socket and comprising at least one side wall, which extends from the base in the proximal direction and at least partially extends around a stump to be held in the prosthetic socket, and at least one support for fastening the side wall to the base being arranged on the base.

Abstract: A prosthetic device includes a socket, fasteners, and a pylon. The socket defines a cavity configured to receive a residual limb of a user. The socket includes a base defining multiple blind-holes. Each of the fasteners are configured to be received within a corresponding one of the blind-holes. The fasteners each include internal threads. The pylon includes through-holes that are aligned with a corresponding one of the blind-holes. The pylon is configured to be directly coupled with the base of the socket through externally threaded fasteners that extend through the through-holes and threadingly couple with the internal threads of the plurality of fasteners.

Abstract: A physiological feature of a subject is monitored by implanting a plurality of targets, such as magnets, and detecting at least one change in a physical property of the targets, followed by modifying a physiological feature of the subject in response to a change of state detected by the change in physical property detected in the targets. Cutaneous sensory feedback and proprioceptive feedback in a subject, as well as selective stimulation of axons or nerve fascicles of a neuron of a subject are provided.

Abstract: A variety of flexible body harnesses are provided to distribute loads comfortably and evenly across one or more segments of the human body. The trajectories of load-bearing straps of the provided body harnesses apply shear to underlying portions of skin of a body segment evenly across the length of the load-bearing straps. Such trajectories can approximate catenary curves as the straps encircle the body segment. The trajectories of such straps around a body segment are maintained by attaching the straps to an underlayer, by incorporating the straps into a flexible material, and/or by weaving further straps around the load-bearing straps to maintain their relative location and/or curvature. Such body harnesses can be provided as part of assistive, rehabilitative, prosthetic, or strength-enhancing systems configured to apply forces to the body via the body harnesses.

Abstract: The present invention provides a prosthetic socket (10) having a longitudinal axis X for attachment to a limb of a patient having first and second sides (A, B) which comprises a first portion (20) having a first edge (22), a second edge (24) a first end (26) and a second end (28) and second portion (30) having a first edge (32) a second edge (34) a first end (36) and a second edge (38). A hinge (40) is connecting the first edge (22) of the first portion (20) to the first edge (32) of the second portion (30) and a clasp (50) is provided between the second edge (24) of the first portion (20) and the second edge (34) of the second portion (30). Such an arrangement allows for a prosthetic socket (10) to be more easily attached and removed to a patients limb.

Abstract: A unibody transtibial prosthetic device includes a socket personalized for a specific patient's residual limb. A pylon extends from the socket, the pylon being a unitary polymer structure of interconnected elongated supports having open spaces therebetween. The device also includes a foot-ankle complex, the foot-ankle complex being a unitary polymer extending from the pylon, the foot and ankle unitary structure being shaped to provide multi-axial dynamic flex to enable dorsiflexion, plantar flexion, inversion and eversion motion for smooth symmetric gait performance and energy capture and return. The socket, pylon and foot-ankle complex are portions of a unibody.

Abstract: An example robot includes a first actuator and a second actuator connecting a first portion of a first member of the robot to a second member of the robot. Extension of the first actuator accompanied by retraction of the second actuator causes the first member to roll in a first roll direction. Retraction of the first actuator accompanied by extension of the second actuator causes the first member to roll in a second roll direction. A third actuator connects a second portion of the first member to the second member. Extension of the third actuator accompanied by retraction of both the first and second actuators causes the first member to pitch in a first pitch direction. Retraction of the third actuator accompanied by extension of both the first and second actuators causes the first member to pitch in a second pitch direction.

Abstract: Disclosed herein are prosthesis simulator devices comprising a first restraint configured to restrain one or more fingers of a wearer of the simulator, a second restraint configured to restrain a thumb of the wearer, and a plurality of artificial digits configured to move in a manner to simulate one or more prosthetic fingers and a prosthetic thumb of a prosthesis. The first restraint can be attached to a roof plate connected to a base plate and defining a dorsal side of the prosthesis simulator. The second restraint can be attached to a holster connected to the base plate on a palmar side of the prosthesis simulator. Also disclosed herein are methods of using the same.

Abstract: An adjustable socket system includes first and second shell components and first and second longitudinal supports connected to a base. The socket system is movable between an open configuration to loosen the fit of the socket system, and a closed configuration to secure the fit of the socket system on residual limb received therein. A tightening system includes a tensioning unit having a handle defining a moment arm rotatable about a rotation axis, and a tensioning element operatively coupled to the handle via a movable connection point located and protected between the first shell component and the first support and to the shell components via a control point. Rotation of the handle displaces the movable connection point and the tensioning element relative to the control point to move the socket system to the closed configuration.

Abstract: A wearable device is disclosed. The wearable device may process a state variable defined based on motion information of a user, determine an interactive mode of the wearable device based on a gain associated with a magnitude of a torque of the wearable device, select a motion type from among motion types of the determined interactive mode based on a gait parameter of the user, determine a control factor for the torque based on the selected motion type, and generate the torque based on the processed state variable, the gain, and the determined control factor.

Abstract: A socket for engaging a residual limb includes a plurality of hard counters, each configured to engage the residual limb at defined “go points”. The go points can bear pressure without discomfort or impeding range of motion. The counters are further configured to avoid contact with identified “no go” points where excess tissue may inhibit motion or experience irritation upon movement and which include one or more contoured pads to more effectively engage the bony prominences of the limb without inhibiting motion. A chassis from which each of the counters may flexibly depend connects the residual limb mechanically to a limb extension. A lacing system alternately intersects the counters and terminates in a tensioning reel. Rotation of the tensioning reel in a first direction will draw the laces over each of the counters such that the tensioned laces will draw counters together to engage the residual limb.

Abstract: An implant assembly for a long bone having a longitudinal axis. The implant assembly has a stem that is received in a surgically prepared medullary canal of the long bone. The stem defines at least one transverse through-opening that extends through the stem from a first portion of the outer surface of the stem to an opposed second portion of the outer surface of the stem. Each transverse through-opening has a central axis that is substantially perpendicular to the longitudinal axis of the stem. Each transverse through-opening receives a fastener and has a longitudinal dimension, measured relative to the longitudinal axis of the stem, that is sufficient to permit axial movement, relative to the longitudinal axis of the stem, of the stem relative to each fastener.

Abstract: Disclosed herein are devices, systems, and methods for measuring socket fit in lower limb prostheses and detecting motion of a residual limb relative to a prosthetic socket. Also disclosed herein are methods for developing a socket-fit detection system for sock management that can be applied to adjustable socket systems.

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: In a powered actuator for supplying torque, joint equilibrium, and/or impedance to a joint, a motor is directly coupled to a low-reduction ratio transmission, e.g., a transmission having a gear ratio less than about 80 to 1. The motor has a low dissipation constant, e.g., less than about 50 W/(Nm)2. The transmission is serially connected to an elastic element that is also coupled to the joint, thereby supplying torque, joint equilibrium, and/or impedance to the joint while minimizing the power consumption and/or acoustic noise of the actuator.

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. First and second spines extend upward from the distal base that define at least part of a circumference of the socket about the axis. A proximal support is connected to the second spine and arranged to distribute pressure from the second spine over a portion of the residual limb. A tensioning system is operatively connected to the first and second spines and arranged to selectively adjust the circumference of the socket. The tensioning system includes a dial tensioner connected to the first spine.

Abstract: A prosthetic apparatus and system for a trans-tibial amputee consisting of a post-operative interface socket that can be adjusted to accommodate the size of an amputated limb and changes in size of the limb. The prosthetic apparatus includes a lower socket into which the post-operative socket can be inserted, the lower socket being adjustable for changes in size of the post-operative interface socket. The post-operative socket also has a removable upper back shell that immobilizes movement of the knee during an initial recovery phase but can be removed to allow the knee of the amputee to flex.

Abstract: A method of forming a stump socket is disclosed. The method includes obtaining a stump casting, obtaining a socket adaptor, positioning the socket adaptor on a distal end of the stump casting, and applying a binder material to encapsulate the socket adaptor. A socket adaptor may have a main body and multiple flanges. Each of the flanges may have a proximal end and a distal end. The proximal end may pivotably connect to the main body. Accordingly, pivoting of the flanges with respect to the main body may enable the socket adaptor to better and more easily conform to the stump casting.

Abstract: A prosthetic liner for use with a prosthetic socket that has a thermoplastic elastomeric (TPE) layer that is in contact with the amputee's residual limb. The TPE layer is not uniform in thickness but has ridges to extend circumferentially around the TPE layer. A fabric exterior layer covers the outer surface of the TPE layer conforming to the ridges and is used as a substrate to form a mechanical bond to an elastomeric material. Impregnating the elastomeric material within the fabric exterior occurs by applying an uncured material to the fabric exterior layer and onto at least the apex surfaces located within the sealing regions thereby creating an air tight boundary layer when inserted into a socket. When a vacuum is applied the air is evacuated from the volume below the seal layer.

Abstract: A fixation assembly for attaching a prosthetic leg and foot combination directly to an external ring fixation assembly via a protective socket, and yet allow full adjustment of length and offset, protection of the residual stump when in use, and quick-disconnect of the socket when not in use. The device is meant for use with any existing external fixation ring assembly for fixation to a femur or tibia, and any prosthetic leg/foot combination. The fixation assembly generally includes a molded concave socket having a mounting base at its apex for mounting the prosthetic leg/foot, an articulating ring adjustably attached to the socket, and a plurality of struts there between. Each strut has a first locking pivot joint at one end pivotally attached to the articulating ring and a second locking pivot joint at an opposing end pivotally attached to the rim of the socket. The articulating ring is removably attached to the external ring fixation assembly by a plurality of detent pins for releasable attachment.

Abstract: A prosthetic liner for use with a prosthetic socket that has a thermoplastic elastomeric (TPE) layer that is in contact with the amputee's residual limb. The TPE layer is not uniform in thickness but has ridges to extend circumferentially around the TPE layer. A fabric layer covers the outer surface of the TPE layer conforming to the ridges and is used as a substrate to form a mechanical bond to an outer seal layer. The outer seal layer is formed by applying an uncured material to the fabric around the ridges thereby creating an air tight boundary layer when inserted into a socket. When vacuum is applied the air is evacuated from the volume below the seal layer.

Abstract: A device and method for measuring prosthetic or orthotic slip is presented. An optical sensor device is attached to the prosthesis or orthosis and measures the amount of relative motion between the prosthetic socket and the residual limb surface or between the orthosis and the affected body part. The sensor device is comprised of an optical sensor, a light source, a processing unit and a power source contained within a housing. A system for measuring multidirectional prosthetic or orthotic slip using the sensor device and automatically adjusting the fit of the prosthetic based on a determined threshold is also presented.

Abstract: Embodiments herein relate to socket liners for prosthetic systems and prosthetic systems including the same. In an embodiment, a socket liner for a prosthetic system is included having a polymeric wall member defining an interior volume. The polymeric wall member having an inner surface bordering the interior volume and an outer surface. The polymeric wall member can include an anterior side, a posterior side, a first lateral side and a second lateral side the second lateral side opposite the first lateral side. A plurality of horizontal ridges can be disposed on the inner surface of the polymeric wall member on the first lateral side and the second lateral side. A plurality of vertical channels can be disposed on the inner surface of the polymeric wall member on the anterior side and the posterior side. Other embodiments are also included herein.

Abstract: A prosthetic socket, comprising a base for distal connection means for attaching a prosthesis component to the prosthetic socket and comprising at least one side wall, which extends from the base in the proximal direction and at least partially extends around a stump to be held in the prosthetic socket, and at least one support for fastening the side wall to the base being arranged on the base.

Abstract: A connector apparatus for securing a liner disposed around a residual limb of a user to a distal prosthetic member is provided. The apparatus includes a body member having a roller rotatably mounted to a side wall in a slot in the body member, a socket disposed around the body member and having an opening aligned with the slot of the body member, and a strap having a first end coupled to the liner. The socket facilitates attachment of the distal prosthetic member to the body member. The strap extends through the slot in the body member against the first roller and through the opening in the socket. The strap continues to extend along an exterior surface of the socket and is attached to itself, thereby securing the liner to the distal prosthetic member.

Abstract: Apparatus is provided to cushion between a prosthetic socket and an amputee's residual limb. A plurality of putty-filled packets are assembled into a liner that, when assembled, provides a generally smooth contact surface toward the residual limb. At least one of the packets has a fluid bladder positioned between the putty material and the socket, and the fluid volume in the bladder can be adjusted to affect the fit of the assembly on the residual limb. Methods of fabrication, fitting, and use of such prosthetic devices are disclosed.

Abstract: Prosthesis devices can include sockets having adjustable features. In one example, a socket includes one or more panels that can move outwardly or inwardly relative to a receptacle portion of the socket. The panels can be moved by tightening a tensioning line.

Abstract: Disclosed is a prosthesis for a person with an amputation below the elbow to provide a replacement for at least a lower arm of the person. The prosthesis includes a receiving sleeve adapted to be attached to a stump of the person such that the stump can move the receiving sleeve. An electromechanical hand is attached to the receiving sleeve, the electromechanical hand having a rotary mechanism, a control unit, at least one finger and at least one motor. The rotary mechanism includes a potentiometer having a shaft in communication with the receiving sleeve such that a displacement of the receiving sleeve causes a corresponding rotation of the shaft of the potentiometer. The control unit is configured to measure the corresponding rotation of the shaft of the potentiometer and send a signal to the at least one motor to actuate the at least one finger.

Abstract: A method of implanting a joint prosthesis assembly for joint arthroplasty using a coupling mechanism is disclosed. The method includes exposing a joint of a patient, resecting a portion of the joint, inserting a second prosthesis of the joint prosthesis assembly into a medullary canal, and inserting a first prosthesis of the joint prosthesis assembly from a lateral side of the joint. The joint prosthesis assembly includes a magnet. The magnet is configured to lock the first prosthesis of the joint prosthesis assembly to the second prosthesis of the joint prosthesis assembly. The first prosthesis of the joint prosthesis assembly includes a recess. The second prosthesis of the joint prosthesis assembly includes a protrusion. The recess is configured to house the protrusion. Alternatively, the first prosthesis and the second prosthesis may be assembled in a direct line using the magnet for secure coupling of the components.

Abstract: A method of placing a prosthetic system over a residual limb, said method comprising the steps of: providing the prosthetic system; and placing an outer shell of the prosthetic system on the residual limb having an above-knee amputation, the outer shell at least partially surrounds the residual limb, an outer side and an inner side of the outer shell on opposite sides of the residual limb, an upper edge of the outer side above a greater trochanter, the inner side below a lowest edge of an ischium without being directly below the lowest edge of the ischium.

Abstract: An adjustable socket system includes a base, longitudinal supports connected to the base and extending along a longitudinal axis, and shell components operatively connected to the longitudinal supports and defining a receiving volume adapted to receive a residual limb. The adjustable socket system is radially expandable between open and closed configurations. The shell components include a first shell component having distal and proximal parts that are longitudinally displaceable with respect to one another such that a length of the first shell component is adjustable between a first length and a second length different than the first length.

Abstract: The present disclosure illustrates a prosthetic foot that may reduce snagging on external obstacles. In some embodiments, a prosthetic foot includes a symmetric wear member that is rotatable to allow a user to alter an orientation of the symmetric wear member for even wear. A cuff may couple to the symmetric wear member, and include the proximal end comprising a receptacle with an opening having an adjustable diameter. The receptacle may be sized and shaped to receive and selectively retain the prosthesis pylon by adjusting the diameter of the opening. The prosthetic foot may further include a vertical adjustment mechanism that selectively alters a depth of the receptacle of the cuff to vertically displace the prosthesis pylon.

Abstract: A system for joining a limb liner to a prosthesis. The prosthesis has a socket that is joined to the remainder of the prosthesis using a hub assembly. The hub assembly includes a first hub and a second hub. The first hub is disposed within the interior of the socket. The second hub is disposed outside the interior of the socket. An air conduit extends through the hub assembly that enables air to be drawn into the socket and/or vented from the socket. An inflatable interface is disposed within the socket. The inflatable interface receives air through the air conduit in the hub assembly. The inflatable interface is capable of filling any gaps that may exist between a limb liner being worn by an amputee and the socket.

Abstract: A fixation assembly for attaching a prosthetic leg and foot combination directly to an external ring fixation assembly via a protective socket, and yet allow full adjustment of length and offset, protection of the residual stump when in use, and quick-disconnect of the socket when not in use. The device is meant for use with any existing external fixation ring assembly for fixation to a femur or tibia, and any prosthetic leg/foot combination. The fixation assembly generally includes a molded concave socket having a mounting base at its apex for mounting the prosthetic leg/foot, an articulating ring adjustably attached to the socket, and a plurality of struts there between. Each strut has a first locking pivot joint at one end pivotally attached to the articulating ring and a second locking pivot joint at an opposing end pivotally attached to the rim of the socket. The articulating ring is removably attached to the external ring fixation assembly by a plurality of detent pins for releasable attachment.

Abstract: A socket to interface a lower limb which has undergone amputation and a modular element, includes a proximal portion allowing the lower limb that has undergone amputation to be inserted; a distal portion allowing the modular element to be fastened; an internal deformable layer made of silicone rubber, designed to be in contact with the lower limb that has undergone amputation; an external deformable layer made of silicone rubber; a structure made of rigid material arranged between the internal layer and the external layer, comprising at least two posts, each post extending substantially axially from a base on the distal side towards an end on the proximal side, the ends of the various posts being not linked, so as to separate from or approach each other due to the effect of deformation of the internal layer and of the external layer.

Abstract: An intra-frame positioning sling may be disposed internally within a prosthetic socket frame. The sling may include one or more proximal suspension portions adapted to suspend from a proximal aspect of the frame and a tensioning system. The sling may include a first longitudinal side with one or more proximal suspension portions and an opposite longitudinal side that includes the residual limb interfacing or force application portion of the sling. When the tensioning system is tensioned, the sling is pulled toward the first longitudinal side of the prosthetic socket frame. A set of two positioning slings may be rigged in a transfemoral prosthetic socket frame; one sling applies force on a medial side of a hosted residual limb, and the other sling applies force on the lateral side.

Abstract: The present invention is directed to prosthetic device for attaching a mechanical limb to a user. The prosthetic device includes a liner, a prosthetic socket worn over the liner and an attachment mechanism. The attachment mechanism includes a belt that is guided over rollers coupled to the outside of the socket. A portion of the belt passes from the outer surface of the socket to the inner surface of the prosthetic socket to contact and matingly engage the liner, thereby fixing the position of the prosthetic socket with respect to the liner and the users limb.

Abstract: Prosthesis devices can include sockets having adjustable features. In one example, a socket includes one or more panels that can move outwardly or inwardly relative to a receptacle portion of the socket. The panels can be moved by tightening a tensioning line.

Abstract: In a powered actuator for supplying torque, joint equilibrium, and/or impedance to a joint, a motor is directly coupled to a low-reduction ratio transmission, e.g., a transmission having a gear ratio less than about 80 to 1. The motor has a low dissipation constant, e.g., less than about 50 W/(Nm)2. The transmission is serially connected to an elastic element that is also coupled to the joint, thereby supplying torque, joint equilibrium, and/or impedance to the joint while minimizing the power consumption and/or acoustic noise of the actuator.

Abstract: A post-operative residual limb support assembly includes an upper frame configured to extend about at least a portion of a residual limb; and a lower frame coupled to the upper frame and configured to receive an end of the residual limb. The upper frame and the lower frame are adjustable relative to one another in at least one of a linear and rotational manner.

Abstract: A vacuum suspension system includes a pump mechanism operatively connectable to a prosthetic socket. The pump mechanism has a first member and a second member. First and second fluid chambers are located between the first and second members. The second fluid chamber is fluidly separate from the first fluid chamber, and arranged for fluid communication with the socket. An increase in volume of the first fluid chamber mechanically expands the second fluid chamber, which, in turn, creates a vacuum pressure in the second fluid chamber.

Abstract: An orthotic device is disclosed. The orthotic device may be adapted to be attached to a limb to enable the limb to replicate normal motion so that the user regains substantially normal operation of the limb. The orthotic device may have a frame system formed of a lightweight supportive material and configured to receive the user's limb, and an electronically actuated muscle operatively connected to the frame system for expanding and contracting at predetermined levels to mimic movement of the limb, when functioning normally. The orthotic device may also have a controller operatively connected to the muscle for transmitting signals corresponding to the predetermined levels to the muscle, and a sensor controlled by the user for actuating the muscle.

Abstract: A prosthetic component centering block (10) for mounting and adjustably centering a socket to a prosthetic leg, and for establishing and maintaining proper flexion and offset there between. The centering block (I0) comprises a solid member defined by an upper surface, lower surface, and surrounding sides. Both the upper surface and lower surface define an elongated geometric shape extending from a front end to a rear end, and the upper surface is inclined front-to-rear at a pre-determined flexion angle ? relative to said lower surface.

Abstract: Various embodiments of a system and method for sealing a prosthetic socket are disclosed. One example socket sealing system may comprise: a prosthetic socket having a proximal end, an expanded section, and an internal peripheral shoulder; a brim seal having an inner proximal end, an outer proximal end, and a distal end; a removable brim having a distal end; a liner; and a wicking sock; wherein prosthetic socket may be oriented radially outwardly of the outer proximal end of the brim seal, the outer proximal end of the brim seal may be oriented radially outwardly of the removable brim, the removable brim may be oriented radially outwardly of the inner proximal end of the brim seal, the inner proximal end of the brim seal may be oriented radially outwardly of the wicking sock, and the wicking sock may be oriented radially outwardly of the liner; and wherein the brim seal may be reflected about the distal end of the removable brim.

Abstract: A prosthetic liner having a base elastic fabric layer impregnated with cushioning material on an interior surface of the base fabric layer and having one or more additional elastic fabric layers secured to and overlapping the base fabric layer to form pockets for introducing and retaining various types of padding selected by the user.

Abstract: The invention includes an osseointegrated mount and electrical connector, suitable for providing neural control and sensory feedback for an advanced prosthetic limb. The device provides a channel in which a lead wire from the peripheral nerve interface can travel from the electrical connector down the side of the device or within the device to limit potential sites of infection to a single transcutaneous breach. The channel allows for a silicone barrier to be installed between the internal and external components.