Abstract: Apparatus for effecting comfortable fitting of a prosthetic appliance over an amputee's limb stump which has an irregular surface. The apparatus includes a liner surrounding the stump. The liner is, in turn, at least indirectly, connected to the artificial limb. A vacuum pump is provided, the pump serving to draw vacuum at an interface of the stump and an inner wall of the liner, and a plurality of pressure-sensitive transducers are disposed about the stump at locations spaced from each other.

Abstract: A shuttle lock for a below-knee prosthesis comprising a body portion having a vertically extending hole for receipt of a pin from a roll-on suction suspension sleeve located within a socket, and a cup-shaped flange positioned on a upper surface of the body portion for receipt of the socket to provide on-axis alignment of the pin to the shuttle lock. The shuttle lock further includes a sprag clutch for engagement and disengagement of the pin.

Abstract: The sensor and alarm system for monitoring a relative position of a prosthetic device with respect to the residual portion of an amputee's limb includes a battery power supply; a proximity sensor for generating a position signal indicative of the relative position of the prosthetic device and the residual portion in the prosthetic device near the residual portion, and an alarm device for signaling when the prosthetic device is located in an injurious position or positions.

Abstract: A hypobarically-controlled artificial limb for amputees includes an outer socket, a flexible, compressible inner socket within the outer socket with a cavity for receiving the residual limb, a space between the inner socket and the outer socket, a vacuum source connected to the cavity, a positive pressure source connected to the space, a regulator for controlling the vacuum source and positive pressure source, and a seal for making an airtight seal between the residual limb and the socket. Another embodiment includes a semi-compressible molding material in the space to mold to the contours of the residual limb under the influence of vacuum and/or positive pressure.

Abstract: A prosthetic limb comprises a socket for receiving a patient's residual limb, and an upright assembly. The socket includes a base provided in its distal end. The base includes a chamber therewithin and an channel for providing fluid communication between the chamber and the interior of the socket. A duct extends through the socket and engages the base such that it is in fluid communication with the chamber. A valve is coupled to the duct to allow controlled or forced gas transfer to and from the interior of the socket. A seal is provided between the base and the socket to facilitate suction between the patient's residual limb and the socket.

Abstract: A method for donning or doffing a suction suspension prosthesis is disclosed. The air pressure between a residual limb and the distal end of a suction socket is electromechanically influenced to assist the donning or doffing of the suction socket. The air pressure is decreased to draw the residual limb into the suction socket and is increased to expel the residual limb from the suction socket. The method includes the use of a modified suction socket valve body, a low pressure vacuum pump, flexible tubing, and a non-greasy hypoallergenic lubricant.

Abstract: A visco-elastic polymer liner and sleeve for prosthetic devices utilize the liner for donning over a residual limb and fitting within the socket of an artificial limb. The sleeve is rolled on over the top of the artificial limb and onto the amputee's remaining stump. The liner is shaped to have its cavity formed with a volume and shape less than a volume and shape of the residual limb for both tension and tissue configuration relief while the liner has an outer surface formed with a volume and shape greater than the volume and shape of the artificial limb socket for relief of certain tissue configurations and to create weight bearing, relief and compression areas on and in the liner to absorb and dissipate shock, shear and mechanical forces through the liner otherwise transmitted to the residual limb. The sleeve is shaped like a tube.

Abstract: A hypobarically-controlled artificial limb for amputees comprises an outer socket, a flexible, compressible inner socket within the outer socket with a cavity for receiving the residual limb, a space between the inner socket and the outer socket, a vacuum source connected to the cavity, a positive pressure source connected to the space, a regulator for controlling the vacuum source and positive pressure source, and a seal for making an airtight seal between the residual limb and the socket. Another embodiment includes a semi-compressible molding material in the space to mold to the contours of the residual limb under the influence of vacuum and/or positive pressure.

Abstract: A visco-elastic polymer liner and sleeve for prosthetic devices utilize the liner for donning over a residual limb and fitting within the socket of an artificial limb. The sleeve is rolled on over the top of the artificial limb and onto the amputee's remaining stump. The liner is shaped to have its cavity formed with a volume and shape less than a volume and shape of the residual limb for both tension and tissue configuration relief while the liner has an outer surface formed with a volume and shape greater than the volume and shape of the artificial limb socket for relief of certain tissue configurations and to create weight bearing, relief and compression areas on and in the liner to absorb and dissipate shock, shear and mechanical forces through the liner otherwise transmitted to the residual limb. The sleeve is shaped like a tube.

Abstract: A clear liquid silicone rubber is modified by the addition of an elongation enhancer. The resulting silicone compound is molded into a form that overlies the residual limb of an amputee and provides an interface member between the residual limb and a prosthesis. A nonsilicone substrate is partially embedded in the bottom of the interface member and a nonembedded part of the substrate provides a connection to the prosthesis. Electrons are stripped from the surface of the substrate, an adhesion promoter is applied, and the clear silicone polymer is vulcanized onto the substrate so that it bonds to the silicone portion of the adhesion promoter.

Abstract: A liner that covers an amputation stump and which cushions the stump when it is placed into a prosthesis socket includes selectively inflatable bladders foe customizing the liner to fit individual patients. The liner is made of two liner parts, one being an inner liner and the other being an outer liner. The inner liner is placed onto the amputation stump and a prosthetist determines the region or regions where bladders are needed to provide a comfortable fit. The region or regions are outlined with an adhesive and the outer liner is then brought into overlying relation to the inner liner so that the two liner parts adhere to one another along the outlined regions. Upon inflation, the inner liner conforms to the shape of the amputation stump to provide enhanced cushioning and the outer liner conforms to the shape of the interior wall of the socket and the patient receives a custom fit from a simple appliance.

Abstract: A stump-receiving socket for an artificial limb has an elastic diaphragm that sealingly engages a patient's stump when the stump is fully received in the socket.

Abstract: A jersey sheath drawing device for fitting contact prostheses, whereby an upper or lower limb amputee can easily put on his own prosthesis. The workload of hospital staff assigned to assisting amputees in specialized rehabilitation centres can also be reduced. The device comprises a bearing (10) designed to rest on the rim of the opening (2) at the end of the nest (1) of the prosthesis, a self-locking catch (12) for tightly gripping the jersey sheath (1B) across the whole or only a part of its cross-section, a pulling runner (11) sliding on a sliding frame (6) and controlling the locking catch (12). The pulling runner (11) can be moved manually by means of the handles (6A, 8) or electrically by means of an endless screw driven by a motor. The device allows both the prosthesis (1) to be guided towards the stump (1A) for fitting thereto and the sheath (1B) to be pulled tight while using only one hand, the device staying in place throughout the process.

Abstract: A liner that covers an amputation stump and which cushions the stump when it is placed into a prosthesis socket includes selectively inflatable bladders for customizing the liner to fit individual patients. In a first embodiment, the liner is made of two liner parts, one being an inner liner and the other being an outer liner. The inner liner is placed onto the amputation stump and a prosthetist determines the region or regions where bladders are needed to provide a comfortable fit. The region or regions are outlined with an adhesive and the outer liner is then brought into overlying relation to the inner liner so that the two liner parts adhere to one another along the outlined regions. Upon inflation, the inner liner conforms to the shape of the amputation stump to provide enhanced cushioning and the outer liner conforms to the shape of the interior wall of the socket and the patient receives a custom fit from a simple appliance.

Abstract: A thermoplastic composite reinforcing sheet material useful for reinforcing orthotic devices and other articles, such as a prosthetic socket or a ski boot. The composite sheet material consists of a plurality of layers. Two layers form outer opposed sides of the sheet and are made from a thermoplastic material. The core of the sheet consists of a plurality of fiber-containing layers. Each layer is impregnated with a thermoplastic resin which will bond with the outer thermoplastic layers when the final shape is vacuum thermoformed. The orientation of the fibers in the core may be varied to change the strength and rigidity of the composite thermoplastic reinforcing sheet. An orthotic device can be built using a thermoplastic host material and the disclosed thermoplastic composite reinforcing sheet material. The host material defines the overall shape of the orthotic device and is any thermoformable thermoplastic. The reinforcing sheet is used to reinforce desired sections of the final orthotic device.

Abstract: A device for attaching a prosthesis to an above-the-knee amputee. The device includes a frame which is vertically adjustable for different working heights. A motor is mounted on the frame, and is controlled by a switch. One end of a shaft is connected to the motor, which turns the shaft. The other end of the shaft is disposed in a bearing supported by the frame. A clip holds one end of a tubular stocking in contact with the shaft. As the shaft turns, the stocking is wrapped around the shaft, drawing the stocking toward the shaft.

Abstract: A valve housing for a prosthetic socket has a secure leak-free mechanical interlock formed between the valve housing and the socket. A valve housing has an opening for receiving a removable relief valve. A plug separate from the relief valve is first removably secured in the opening in the valve housing, followed by fastening the valve housing and the plug to a model defining the shape of the finished socket. The fastened plug closes off the opening through the valve housing. The exterior wall of the valve housing has a mechanical interlock, preferably a pair of O-rings extending circumferentially around the body of the valve housing. A thermoplastic material is drawn down over the plugged valve housing and around the interlock device to cover the valve housing and the model. In one embodiment, a releasable pressure clamp is applied to the softened plastic that extends circumferentially around the exterior of the valve housing.

Abstract: An air impermeable sealing band of rubberized material is introduced between the patient's stump and the interior of a stump-receiving socket of an artificial limb, in one of two ways, depending on whether or not the patient wears a stump sock. If the patient wears a stump sock, the band of sealant material is impregnated into the stump sock. If the patient does not wear a stump sock, an impregnated sock is incorporated into the interior structure of the socket of the patient's prosthesis. The impregnated sock itself is fabricated by placing a conventional stump sock on a somewhat oversized form. An appropriate annular region on the sock is then masked off by means of tightly fitting plastic bags, and one of the plastic bags provides an enclosing outer sheath which encompasses the annular region and extends upwardly above the form.

Abstract: A device for attaching an artificial limb to the stump of an amputated limb. The device comprises a sleeve (1, 2) intended for receiving the stump, the sleeve being in load-transferring connection with the artificial limb. The sleeve is made of a flexible material which is non-stretchable when subjected to the loads in question. The shape and volume of the sleeve are arranged to be adapted to the stump so as to obtain substantially total contact between the surface of the stump and the inner surface of the sleeve for distribution of the forces acting on the stump over the inner surface of the sleeve. For the purpose of transferring the load between the sleeve and the artificial limb a load-transferring construction (7, 8, 10) connected with the artificial limb is attached to the proximal end of the sleeve. Means (17) are also included for fixing the position of the distal end of the sleeve (1, 2) relative to the artificial limb.