Modular prosthetic sockets and methods for making same
The invention relates to a prosthetic socket for a residual limb of the lower extremity or upper extremity of an individual person. The residual limb has particular dimensions and anatomical contours; the prosthetic socket has dimensions and contours that fit the dimensions and contours of the residual limb. The prosthetic socket may also fit in a manner that is biomechanically particularly appropriate for the individual. The prosthetic socket is an assembly of components from groups of components that include (a) struts arranged longitudinally with respect to the residual limb, (b) proximal brim members arranged proximally to the struts and connected thereto; and (c) distal socket members disposed at the distal base of the prosthetic socket. The socket components within these groups may be modular in that they can vary with respect to dimensions and/or contours, and yet have common connecting features that permit assembly of the components together to form the prosthetic socket.
1. A modular prosthetic socket device for a residual limb of a lower extremity, the device comprising:
only four longitudinal struts selected from a strut inventory, each strut having a distal end, and a proximal end;
an ischial brim member fitted over and surrounding the proximal end of a first strut of the four struts and having a curved inner surface formed to match an ischial aspect of the residual limb;
an anterior-medial brim member fitted over and surrounding the proximal end of a second strut of the four struts and having a shape formed to match an anterior-medial aspect of the residual limb; and
a lateral brim member, fitted over and surrounding the proximal end of a third strut of the four struts and having a curved inner surface formed to match a lateral aspect of the residual limb;
a distal base selected from a distal base inventory, wherein the distal base is attached to the four struts at their distal ends;
a distal cup positioned on the distal base and on an interior aspect of the four struts, wherein the distal cup is selected from a distal cup inventory; and
an encircling band disposed around at least two of the brim members and configured for tightening or loosening the socket device relative to the residual limb without removing any parts from the encircling band.
2. A device as in claim 1 , wherein the distal base is configured to couple with the struts at multiple different angles.
3. A device as in claim 1 , wherein the strut inventory comprises struts having at least one different characteristic selected from the group consisting of cross-sectional shapes, lengths and widths.
4. A device as in claim 1 , wherein the distal base includes four connection features disposed at spaced apart locations around a circumference of the base, wherein each connection feature is configured for coupling one strut with the base, such that, when the socket is assembled, the socket does not have a continuous surface around the circumference of the base.
5. A device as in claim 1 , further comprising a flexible liner arranged on an interior aspect of the socket, wherein the flexible liner is selected from a flexible liner inventory.
6. A device as in claim 1 , wherein the four struts are removably attached to the distal base.
7. A device as in claim 1 , wherein the brim members are removably fitted over the four struts.
8. A device as in claim 1 , wherein the struts are moldable via application of heat to the struts.
9. A device as in claim 1 , wherein the distal cup is moldable to fit the contour of the residual limb.
10. A device as in claim 1 , further comprising:
at least one additional encircling band attached to the struts around at least one of an outer surface or an inner surface of the struts; and
at least one adjustment member coupled with the at least one additional encircling band, to allow a user to adjust spacing between the struts and thus adjust an overall circumference of the socket device.
11. A device as in claim 1 , wherein each of the four struts comprises a telescoping mechanism for adjusting the strut to a desired height.
12. A kit for assembling a modular prosthetic socket for a residual limb of a lower extremity, the kit comprising:
at least four longitudinal struts, each strut having a distal end and a proximal end;
an ischial brim member configured to fit over and surround the proximal end of a first strut of the four struts and having a curved inner surface formed to match an ischial aspect of the residual limb;
an anterior-medial brim member configured to fit over and surround the proximal end of a second strut of the four struts and having a shape formed to match an anterior-medial aspect of the residual limb; and
a lateral brim member, configured to fit over and surround the proximal end of a third strut of the four struts and having a curved inner surface formed to match a lateral aspect of the residual limb;
at least one distal base, configured to be coupled with only four of the at least four struts at or near their distal ends;
at least one distal cup, configured for positioning on the at least one distal base and on an interior aspect of the struts when the socket is assembled; and
an encircling band for attaching to at least two of the brim members and configured for tightening or loosening the socket device relative to the residual limb without removing any parts from the encircling band,
wherein the brim members and the at least one distal base are configured to couple with at least one of differently sized struts or differently shaped struts.
13. A kit as in claim 12 , wherein the at least four struts include struts having at least one different characteristic selected from the group consisting of cross-sectional shapes, lengths and widths.
14. A kit as in claim 12 , wherein the struts are removably couplable with the brim members.
15. A kit as in claim 12 , further comprising at least one additional encircling band for attaching to the struts around at least one of an outer surface or an inner surface of the struts.
16. A kit as in claim 15 , further comprising an adjustment member coupled with the at least one additional encircling band, to allow a user to adjust spacing between the struts and thus adjust an overall circumference of the socket.
17. A kit as in claim 12 , wherein the at least one distal base includes four connection features, wherein each connection feature is configured to connect one of the struts with the distal base, and wherein each connection feature is configured to couple with at least one of differently sized struts or differently shaped struts.
18. A kit as in claim 17 , wherein the connection features are configured to couple with the struts at multiple different angles.
19. A kit as in claim 12 , wherein the struts are moldable via application of heat to the struts.
20. A kit as in claim 12 , wherein the at least one distal cup is moldable to fit the contour of the residual limb.
21. A kit as in claim 12 , wherein each of the at least four struts comprises a telescoping mechanism for adjusting the strut to a desired height.