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 lower extremity residual limb of a patient, the device comprising:
a distal attachment member;
four longitudinal struts, each of the struts having a distal end and a proximal end, and each of the struts connected at its distal end to the distal attachment member;
a cross-link member fixed to and connected between two of the four longitudinal struts;
a proximal brim member comprising an adjustable encircling band fitted over the proximal ends of the four longitudinal struts; and
an ischial seat extension coupled with the proximal end of one of the four longitudinal struts, wherein the ischial seat extension is configured to bear weight by fitting under an ischial tuberosity of the patient.
2. A device as in claim 1 , further comprising multiple adjustable hinges, wherein each hinge is attached between a different one of the distal ends of the four longitudinal struts and the distal attachment member.
3. A device as in claim 1 , wherein the ischial seat extension is fastened to the one of the four struts with adjustable screws.
4. A device as in claim 1 , wherein each of the proximal ends of the four longitudinal struts comprises a joining mechanism for receiving the encircling band.
5. A device as in claim 1 , further comprising a flexible liner arranged on an interior aspect of the socket.
6. A device as in claim 1 , wherein the four struts are removably attached to the distal attachment member.
7. A device as in claim 1 , wherein at least one of the struts comprises a reformed strut that was reformed from an initial shape to a reformed shape to better fit the residual limb of the patient.
8. A device as in claim 7 , wherein the at least one reformed strut comprises a strut that was reformed by applying heat to the strut.
9. A device as in claim 8 , wherein the at least one reformed strut comprises a strut that was reformed by directly molding the strut in its initial shape against the residual limb of the patient to reform the strut into the reformed shape.
10. A device as in claim 1 , wherein the ischial seat extension comprises a shock absorbing silicone pad.