# Patent

## Title
Limb prosthesis system and method

## Abstract

A prosthesis system can have an advantageous use over conventional prostheses in certain activities, including, but not limited to certain sports activities: The system includes, elastic member(s) that can store and release energy. The storing and releasing of energy in the elastic members happens during the movements made by the user and with the application of the user's own body weight while performing an activity. Implementations can also include a variety of routing configurations for the elastic member(s), as well as a variety of mounting points to integrate the elastic member(s) into the system, and/or a variety of adjustable anti-hyperextension members, and/or a variety of interchangeable shoes used for applicable activities.

## Background
This application is a Continuation-In-Part and claims priority benefit of copending prior nonprovisional parent U.S. patent application Ser. No. 11/241,831 filed in the name of Brian Bartlett on Sep. 30, 2005, now U.S. Pat. No. 7,828,856 issued Nov. 9, 2010, the complete disclosure of which is incorporated herein by reference.


FIELD OF THE INVENTION
The present invention relates generally to prosthesis systems.
BACKGROUND OF THE INVENTION
Conventional prosthesis systems can be difficult to use for various activities including some involving certain sports.
SUMMARY OF THE INVENTION
The present invention is a prosthesis system for a human limb that allows for energy to be stored and released via one or more elastic member(s) for many activities, including, but not limited to sports activities such as bicycling, surfing, wakeboarding, snowboarding, downhill skiing, cross country skiing, and waterskiing.
According to one aspect of the prosthesis system, the prosthesis system includes a proximate or upper portion configured for coupling with the human limb; a distal or lower portion configured for coupling with an appendage; a joint portion with the proximate or upper portion hingedly coupled to the distal or lower portion via the joint portion such that the distal portion and the proximate portion are pivotally movable with respect to one another between an extended state and a bent state; and an elongated elastic cord member comprising a relatively elastic portion between relatively rigid first and second end portions and substantially continuous therewith, wherein the first end portion is coupled to a first retainer positioned on the proximate or upper portion, and the second end portion is coupled to a second retainer positioned on the distal or lower portion.
A method of making and operating the prosthesis system is detailed herein.
Other aspects of the invention are detailed herein.



BRIEF DESCRIPTION OF THE DRAWINGS
The foregoing aspects and many of the attendant advantages of this invention will become more readily appreciated as the same becomes better understood by reference to the following detailed description, when taken in conjunction with the accompanying drawings, wherein:
FIG. 1 is a front elevational view of an implementation of a prosthesis system shown in the resting position, having two elastic members routed through the knee frame, and shown with an adjustable strap acting as an anti-hyperextension member.
FIG. 2 is a side elevational view of an elastic member.
FIG. 3 is a front elevational view of the elastic member depicted in FIG. 2.
FIG. 4 is a left elevational view of an implementation of the prosthesis system depicted in FIG. 1.
FIG. 5 is a rear elevational view of an implementation of the prosthesis system depicted in FIG. 1.
FIG. 6 is a right elevational view of an implementation of the prosthesis system depicted in FIG. 1.
FIG. 7 is a right elevational view of an implementation of the same prosthesis system depicted in FIG. 1, but alternately shown in a forty-five degree bent position.
FIG. 8 is a right elevational view of an implementation of the same prosthesis system depicted in FIG. 1, but alternately shown in a ninety degree bent position.
FIG. 9 is a front elevational view of an alternative implementation of a prosthesis system shown in the resting position, having one elastic member routed through the knee frame, and shown with an adjustable strap acting as an anti-hyperextension member.
FIG. 10 is a right elevational view of an implementation of the prosthesis system depicted in FIG. 9.
FIG. 11 is a front elevational view of an alternative implementation of a prosthesis system shown in the resting position, having one elastic member frontally routed, and shown with an adjustable strap acting as an anti-hyperextension member.
FIG. 12 is a right elevational view of an implementation of the prosthesis system depicted in FIG. 11.
FIG. 13 a right elevational view of an implementation of the same prosthesis system depicted in FIG. 11, but alternately shown in a forty-five degree bent position.
FIG. 14 is a right elevational view of an implementation the same prosthesis system depicted in FIG. 11, but alternately shown in a ninety degree bent position.
FIG. 15 is a front elevational view of an alternative implementation of a prosthesis system shown in the resting position, having two elastic members frontally routed.
FIG. 16 is a right elevational view of an implementation of the prosthesis system depicted in FIG. 15, and shown with an adjustable strap acting as an anti-hyperextension member.
FIG. 17 is a right elevational view of an implementation of the same prosthesis system depicted in FIG. 15, but alternately shown in a forty-five degree bent position.
FIG. 18 is a right elevational view of an implementation of the same prosthesis system depicted in FIG. 15, but alternately shown in a ninety degree bent position.
FIG. 19 is a front elevational view of an implementation of the same prosthesis system depicted in FIG. 15, but alternately shown with a hook style elastic member retainer.
FIG. 20 is a right elevational view of an implementation of the same prosthesis system depicted in FIG. 20.
FIG. 21 is a right elevation view of a prosthesis system in a hyper extended state, and lacking an anti-hyperextension member.
FIG. 22 is a right elevational view of an alternative implementation of the prosthesis system depicted in FIG. 15, but alternately shown with an adjustable tension spring acting as an anti-hyperextension member.
FIG. 23 is a right elevational view of an alternative implementation of the prosthesis system depicted in FIG. 15, but alternately shown with an adjustable stop acting as an anti-hyperextension member.
FIG. 24 is a right elevational view of an alternative implementation of the prosthesis system depicted in FIG. 15, but alternately shown with a fluidic shock absorber acting as an anti-hyperextension member.
FIG. 25 is a right elevational view of an implementation of the foot portion having a standard shoe.
FIG. 26 is a right elevational view of an alternative implementation of the foot portion having a clip-in style snowboard and/or wakeboard shoe.
FIG. 27 is a right elevational view of an alternative implementation of the foot portion having a cross-country and/or telemarking shoe.
FIG. 28 is a right elevational view of an alternative implementation of the foot portion having a downhill snow ski shoe.
FIG. 29 is a right elevational view of an alternative implementation of the foot portion having a bicycle clipless type shoe.
FIG. 30 is a right elevational view of an alternative implementation of the foot portion having a full upper shoe, for use in snowboard bindings, bicycle toe cages, snowshoes, crampons, water ski bindings, and/or other slip-in type bindings.
FIG. 31A and FIG. 31B are different views that illustrate one embodiment of upper ball retainers which are formed independently of an upper portion of the prosthesis system and coupled thereto in a desired position.
FIG. 32 illustrates an alternative part-spherical upper retaining ball on an alternative progressive elastic member or tendon having a plurality of upper and lower elastic cord portions extended in a spider Y-shape, X-shape or H-shape from a common hub portion.
FIG. 33 illustrates one embodiment wherein an artificial patella is provided adjacent to a knee joint of the prosthesis system and anterior thereof for protecting the hub portion of the alternative elastic member illustrated in FIG. 32.
FIG. 34 is a pictorial anterior view of one alternative embodiment of the prosthesis system alternately shown with an adjustable pneumatic shock absorber.
FIG. 35 illustrates one adjustable anti-hyperextension member that is optionally integrated into the prosthesis system for preventing hyperextensions of the joint portion of the prosthesis system.



DETAILED DESCRIPTION OF PREFERRED EMBODIMENT
As required, a detailed illustrative embodiment of the present prosthesis system and method is disclosed herein. However, techniques, systems and operating structures in accordance with the present prosthesis system and method may be embodied in a wide variety of forms and modes, some of which may be quite different from those in the disclosed embodiment. Consequently, the specific structural and functional details disclosed herein are merely representative, yet in that regard, they are deemed to afford the best embodiment for purposes of disclosure and to provide a basis for the claims herein which define the scope of the present prosthesis system and method. The following presents a detailed description of an illustrative embodiment (as well as some alternative embodiments) of the present prosthesis system and method.
In the Figures, like numerals indicate like elements.
A prosthesis system described herein allows for energy to be stored and released via one or more elastic member(s). Based upon this approach potential exists for performance advantages over a conventional prosthesis, such as when used in activities requiring the use muscles such as extensor muscles, for instance, the quadriceps. Present implementations can have an advantageous use over conventional prostheses in many activities, including, but not limited to sports activities such as bicycling, surfing, wakeboarding, snowboarding, downhill skiing, cross country skiing, and waterskiing. The system includes, elastic member(s) that can store and release energy. The storing and releasing of energy in the elastic members happens during the movements made by the user and with the application of the user's own body weight while performing an activity. Implementations can also include a variety routing configurations for the elastic member(s), as well as a variety of mounting points to integrate the elastic member(s) into the system, and/or a variety of adjustable anti-hyperextension members, and/or a variety of interchangeable shoes used for applicable activities.
Represented herein is a prosthesis system 100 comprised of an upper portion 102, a joint portion 104, and a lower portion 106. Further included in the system is one or more elastic member(s) 18 for storing and releasing energy, an adjustable anti-hyperextension member 38 that prevents the elastic members 18 from hyper extending the system, a resilient ankle joint 44 in the ankle segment 47 that allows for three-dimensional movement of a foot or other appendage 48 relative to the lower portion 106, and/or foot 48 in which a shoe 50 may be changed accordingly to accommodate any various activities the user may wish to engage in.
The implementations shown herein are representing a right leg. A left leg would simply be a mirror image of the right leg, and would incorporate all of the same components, forces, and workings of the right leg. Alternately, all of these same components, forces, and/or workings could also be applied to an elbow, a wrist, a shoulder, and/or an ankle.
The upper portion 102, used for coupling of the system 100 to the user's leg, may be comprised of an outer socket 12, an inner socket 14, and/or a shuttle lock 16, such as shown in FIG. 6. Further included in the upper portion 102 may be one or more elastic member retainer(s) 25, such as shown in FIG. 1.
The joint portion 104 of the system 100 may be comprised of one or more pyramid adapter(s) 46, a knee joint 37, a knee frame 34, a knee fulcrum 36, an adjustable anti-hyperextension member 38, an upper attachment point 40, and/or a lower attachment point 42, such as shown in FIG. 6.
The lower portion 106 of the system 100 may be comprised of a coupler 45 for coupling the middle portion 104 to the lower portion 106, a coupler clamp 41, one or more elastic member retainer(s) 25 and 28, a pylon 32, an ankle segment 47, and/or a foot 48. The ankle segment 47 may further encompass a pyramid adapter 46 and/or a resilient ankle joint 44. The resilient ankle joint, allowing a three-dimensional movement of the foot 48 relative to the lower portion 106, will deter any torsional and/or lateral forces being transferred from the foot to the user. This can help alleviate stress on the user's body, and may reduce the potential for injury to the user. The foot 48 may be comprised of a shoe 50 and/or any number of shoe fastener(s) 52. Additionally, the shoe 50 may be removed from the foot 48 via the fastener(s) 52, providing the ability to change the shoe in order to suit any number of various activities such as bicycling, skiing, surfing, snowboarding, and so forth.
Additionally, incorporated into the system 100 is one or more elastic members 18. The elastic member(s) are composed of a resilient material having a middle portion 17 with a decided level of elasticity for storing and releasing energy. The user chooses an elastic member 18 based on it's level of elasticity, the activity for which it will be used in, and according to his or her body weight. It should be noted that a higher level of elasticity would store and release more energy than a lower level of elasticity. The overall length and level of elasticity of the elastic member 18 determines the preloaded tension on the system. Further adjusting of the preload tension of the elastic member(s) 18 can be derived by positioning the lower ball retainer 28 along the longitudinal axis of the pylon 32, via a retainer adjusting element 29.
On opposing longitudinal ends of the elastic member 18 are an upper retaining ball 22 and a lower retaining ball 24, both of which may be comprised of a harder material than the middle portion 17, thereby hindering deformation of the retaining balls 22 and 24 while being retained in the ball retainers 25. Mounting of the elastic member(s) 18 to the system is accomplished via an upper ball retainer 26 and a lower ball retainer 28 located on the upper portion 102 and lower portion 106, respectively, which accept the retaining balls 22 and 24, respectively. Furthermore, alternative mounting locations of the retaining balls 22 and 24 can be derived by determining the locations of the ball retainers 25. The retaining balls 22 and 24 stay secured in the ball retainers 25 through the existing preload tension of the elastic member 18.
Routing of the elastic member(s) 18 can take the form of various configurations described herein.
Two or more elastic members 18 may be mounted to the lower portion 106 via lower ball retainers 28, having the middle portions 17 routed through the knee frame 34 of the joint portion 104, and mounted to the upper portion 102 via upper ball retainers 26, such as shown in FIG. 1.
One elastic member 18 may be mounted to the lower portion 106 via a lower ball retainer 28, having the middle portion 17 routed through the knee frame 34 of the joint portion 104, and mounted to the upper portion 102 via an upper ball retainer 26, such as shown in FIG. 9.
One elastic member 18 may be mounted to the lower portion 106 via a lower ball retainer 28, having the middle portion 17 routed frontally across the knee frame 34 of the joint portion 104, and mounted to the upper portion 102 via an upper ball retainer 26, such as shown in FIG. 11.
Two or more elastic members 18 may be mounted to the lower portion 106 via lower ball retainers 28, having the middle portions 17 routed frontally across the knee frame 34 of the joint portion 104, and mounted to the upper portion 102 via upper ball retainers 26, such as shown in FIG. 15. In this implementation it may be necessary to incorporate an elastic member retaining element 35 for supporting the middle portion 17 of the elastic member 18. The retaining element 35a may be configured as a simple seat, such as shown in FIGS. 15, 16, 17, and 18, or alternately configured as a hook type element 35b for a more secure retention of the middle portion 17, such as shown in FIGS. 19 and 20.
By allowing the user to apply the force F1 of his or her own body weight, the system seeks a bent position. In other words, the upper portion 102 rotates around the knee fulcrum 36 and down towards the lower portion 106, as shown if FIGS. 7 and 8. This may in some respects mimic the bending of a knee. While in a bent position the elastic member(s) 18 are further stressed and applying a tensional force between the upper portion 102 and lower portion 106, such as shown in FIGS. 7 and 8. The tensional force applied by the elastic member(s) 18 will return the system to a resting position when the force F1 of the user's body weight is diminished or removed, such as shown in FIG. 6. In some respects this may mimic the function of the quadriceps muscles of the leg, acting as an extensor.
The tensional force applied by the elastic member(s) 18 can cause the system 100 to hyperextend beyond the resting position, such as shown in FIG. 21. To prevent hyperextension, an adjustable anti-hyperextension member 38 may be integrated into the system 100. This can be mounted between an upper attachment point 40 and a lower attachment point 42 within the joint portion 104. The anti-hyperextension member 38 can also be adjusted so as to define the resting position of the system 100. A simple strap 38a made of a resilient or non-resilient material could be used as the acting anti-extension member 38, such as shown in FIGS. 16, 17, and 18, and could further include examples such as: an adjustable tension spring 38b such as shown in FIG. 22, an adjustable stop 38c such as shown in FIG. 23, and/or an adjustable fluidic shock absorber 38d such as shown in FIG. 24.
The ankle segment 47 may encompass a pyramid adapter 46 and/or a resilient ankle joint 44. The resilient ankle joint, allowing a three-dimensional movement of the foot 48 relative to the lower portion 106, will deter any torsional and/or lateral forces being transferred from the foot to the user. This can help alleviate stress on the user's body, and may reduce the potential for injury to the user.
The foot 48 may be comprised of a shoe 50 and/or any number of shoe fastener(s) 52. Additionally, the shoe 50 may be removed from the foot 48 via the fastener(s) 52, providing the ability to change the shoe in order to suit any number of various activities. The shoe 50 can vary in form and function, examples include: a standard shoe sole such as shown in FIG. 25, a snowboarding or wakeboarding clip-in shoe with lateral clip bars 54 such as shown in FIG. 26, a cross country ski shoe with a toe clip 56 such as shown in FIG. 27, a downhill snow ski shoe with a toe clip 56 and heel clip 58 such as shown in FIG. 28, a bicycling shoe with a clipless system 60 such as shown in FIG. 29, and/or a shoe having a full upper portion 62 for use in various strap-in bindings such, as shown in FIG. 30.
Additional Embodiments
FIG. 24 illustrates, for example, adjustable fluidic shock absorber 38d embodied as an adjustable pneumatic shock absorber.
Elastic middle portion 17 of elastic member(s) 18 represented herein is composed of a resilient material having a decided level of elasticity for storing and releasing energy. As discussed herein, the user chooses elastic member 18 based on it's level of elasticity, the activity for which it will be used in, and according to his or her body weight, wherein a stiffer level of elasticity stores and releases more energy than a softer level of elasticity. The overall length and level of elasticity of the elastic member 18 determines the preloaded tension on the system.
Upper retaining ball 22 and lower retaining ball 24 on opposing longitudinal ends of elastic member 18 are optionally composed of a stiffer or more rigid material than elastic middle portion 17, which hinders deformation of retaining balls 22 and 24 for promoting retention in ball retainers 25, while elastic middle portion 17 is composed of a different softer or less rigid material which provides elastic deformation for promoting storing and releasing of energy. End upper and lower retaining balls 22 and 24 composed of the stiffer or more rigid material are substantially continuous with elastic middle portion 17 composed of different softer or less rigid material. For example, different more and less rigid materials are injected into different portions of the die during injection molding of elastic member 18.
Alternatively, retaining balls 22 and 24 and elastic middle portion 17 of elastic member 18 are optionally composed of the same material but having different hardness or durometer, wherein retaining balls 22 and 24 are relatively harder with a higher durometer, while elastic middle portion 17 is relatively softer with a lower durometer. End upper and lower retaining balls 22 and 24 composed of the relatively harder with a higher durometer material are substantially continuous with elastic middle portion 17 composed of different relatively softer with a lower durometer material. For example, different compositions of the same material having different higher and lower durometers are injected into different portions of the die during injection molding of elastic member 18.
Additionally, upper ball retainers 26 located on upper portion 102, which accept upper retaining ball 22 on end of elastic member 18, such as shown by example and without limitation in FIG. 1, are optionally formed independently of upper portion 102. Upper ball retainers 26 are, for example, injection molded of an injection moldable material such as an epoxy graphite material that forms a substantially rigid structure for receiving upper retaining ball 22. Independent molded upper ball retainers 26 are glued, adhesively adhered, mechanically fastened, or otherwise rigidly bonded in an appropriate position on upper portion 102. Accordingly, upper ball retainers 26 are easily moveable to different positions on upper portion 102 to suit the current needs of the user.
Retaining balls 22 and 24 stay secured in ball retainers 25 through the existing preload tension of elastic member 18.
FIG. 31A and FIG. 31B are different views that illustrate one embodiment of upper ball retainers 26 which are formed independently of upper portion 102 and coupled thereto in a desired position. Therefore, upper ball retainers 26 is a socket that is removable and replaceable on upper portion 102. Upper ball retainers 26 located on upper portion 102 have mounting surfaces 126 shaped to conform to the surface of upper portion 102. Accordingly, upper ball retainer sockets 26 can be coupled by adhesive bonding to the surface of upper portion 102, else upper ball retainer sockets 26 can be coupled to the surface of upper portion 102 by fasteners.
Upper ball retainer sockets 26 are formed with receiver sockets 128 shaped to accept upper retaining ball 22 on end of elastic member 18. For example, as illustrated in FIG. 2 and FIG. 3, upper retaining ball 22 and lower retaining ball 24 on opposing longitudinal ends of elastic member 18 are substantially spherical in shape, and upper ball retainers 26 are substantially hemispherical in shape for receiving thereinto substantially spherical upper retaining ball 22, as illustrated in FIG. 1.
Alternatively, receiver sockets 128 of upper ball retainers 26 are part-hemispherical shaped for receiving an alternative part-spherical upper retaining ball 122 on end of elastic member 18, as disclosed herein.
FIG. 32 illustrates alternative part-spherical upper retaining ball 122 on an alternative progressive elastic member or tendon 118 having a plurality of upper and lower elastic cord portions 120 and 121 extended in a spider Y-shape, X-shape or H-shape from a hub portion 123. Here, alternative elastic member 118 is illustrated by example and without limitation as having a plurality of upper elastic cord portions 120 and a plurality of lower elastic cord portions 121 extended in a spider H-shape from hub portion 123. However, spider shape of alternative elastic member 118 is optionally any of a X-shape or H-shape or Y-shape with more or fewer of either upper or lower elastic cord portions 120 and 121, without deviating from the scope and intent of the present invention. Upper elastic cord portions 120 of alternative elastic member 118 are illustrated as being formed with alternative part-spherical upper retaining ball 122, which cooperate with part-hemispherical upper ball retainers or upper ball retainer sockets 26 for providing a low profile alternative to substantially spherical upper retaining ball 22 for substantially undetectable use under conventional clothing.
Lower elastic cord portions 121 alternative elastic member 118 are illustrated as having substantially spherical lower retaining ball 24. However, an alternative part-spherical lower retaining ball similar to alternative part-spherical upper retaining ball 122 is optionally substituted therefor without deviating from the scope and intent of the present invention.
As discussed herein regarding elastic members 18, upper and lower retaining balls 122 and 24 are optionally composed of a stiffer or more rigid material than upper and lower elastic cord portions 120, 121, which hinders deformation of retaining balls 122 and 24 for promoting retention in ball retainers 25, while elastic cord portions 120, 121 are composed of a different softer or less rigid material which provides greater elastic deformation for promoting alternately storing and releasing of energy.
Alternatively, also as discussed herein regarding elastic members 18, retaining balls 122 and 24 of elastic member 18 are optionally composed of the same material as upper and lower elastic cord portions 120, 121 but having different hardness or durometer, wherein retaining balls 122 and 24 are relatively harder with a higher durometer, while elastic cord portions 120, 121 are relatively softer with a lower durometer. Similarly to the stiffer or more rigid material composition, the higher durometer hinders deformation of retaining balls 122 and 24 for promoting retention in ball retainers 25, while similarly to the softer or less rigid material composition, the lower durometer provides greater elastic deformation for promoting alternately storing and releasing of energy.
Here, hub portion 123 is formed with an increased cross-section relative to elastic cord portions 120, 121. This increased cross-section results in hub portion 123 being stiffer than elastic cord portions 120, 121 such that hub portion 123 has a higher spring rate than elastic cord portions 120, 121, which hinders deformation of hub portion 123 and results in a different higher spring rate relative to softer elastic cord portions 120, 121.
Optionally, as discussed herein regarding progressive elastic members 18, increased cross-section hub portion 123 is optionally composed of a relatively stiffer or more rigid material than upper and lower elastic cord portions 120, 121. Alternatively, also as discussed herein regarding elastic members 18, hub portion 123 is optionally composed of the same material as upper and lower elastic cord portions 120, 121 but having different hardness or durometer, wherein hub portion 123 is relatively harder with a relatively higher durometer, while elastic cord portions 120, 121 are relatively softer with a relatively lower durometer. When composed of either relatively more rigid or relatively higher durometer material hub portion 123 is of relatively higher spring rate than lower spring rate, stretchier upper and lower elastic cord portions 120, 121 which are composed of relatively less rigid or relatively lower durometer material. Accordingly, alternative elastic member or tendon 118 provides progressive increase in resistance to bending knee joint 37, wherein stretchier upper and lower elastic cord portions 120, 121 are initially active for providing a slower or gentler increase in bending resistance, until stiffer hub portion 123 latterly becomes active for providing a faster or stiffer increase in bending resistance. Latter introduction of the faster or stiffer increase in bending resistance provided by stiffer hub portion 123 effectively gently slows and finally substantially stops bending before hyper-rotation of knee joint 37 where hard stops are encountered.
During bending of knee joint 37, alternative progressive elastic member or tendon 118 stores energy progressively in both stiffer hub portion 123 and stretchier upper and lower elastic cord portions 120, 121. In extension, alternative progressive elastic member or tendon 118 releases energy progressively from both stiffer hub portion 123 and stretchier upper and lower elastic cord portions 120, 121.
Alternative progressive elastic member or tendon 118 thus provides an initial high rate of energy release followed by progressive decrease in energy release during unbending and extension of knee joint 37, wherein relatively stiffer hub portion 123 is initially active for providing a relatively faster release of energy, until relatively stretchier upper and lower elastic cord portions 120, 121 latterly become active for providing a relatively slower or gentler energy release. Initial introduction of the relatively faster release of energy provided by stiffer hub portion 123 thus effectively provides an initial jolt of power on straightening, while latter introduction of the relatively slower or gentler release of energy provided by relatively stretchier upper and lower elastic cord portions 120, 121 effectively gently slows and finally substantially stops unbending before hyperextension of knee joint 37 where hard anti-hyperextension member 38 are encountered.
Hub portion 123 is optionally positioned substantially at the middle of alternative elastic member 118 such that lower elastic cord portions 121 are of substantially identical length as upper elastic cord portions 120. Alternatively, hub portion 123 is offset alternative elastic member 118 such that upper and lower elastic cord portions 120, 121 are of different lengths, whereby hub portion 123 is positionable substantially directly over knee fulcrum 36.
Routing of alternative elastic member(s) 118 can take the form of various configurations described herein.
FIG. 33 illustrates one embodiment wherein an artificial patella 135 is provided adjacent to knee joint 37 and anterior thereof for protecting hub portion 123 of alternative elastic member 118. For example, artificial patella 135 is formed of a non-stick and wear-resistant material such as nylon, Teflon® or Delrin® that permits hub portion 123 to slide over knee joint 37 during bending and extension of upper and lower portions 102 and 106 about joint portion 104. Artificial patella 135 also permits fabrics to slide over knee joint 37 during bending and extension for protecting user's clothing when elastic members 18 are substituted for alternative elastic member 118 having hub portion 123.
FIG. 34 is a pictorial anterior view of one alternative embodiment of prosthesis system 100 alternately shown with an adjustable pneumatic shock absorber 140. Hydraulic shock absorbers have been known in prior art prosthesis systems. However, such hydraulic shock absorbers fail to provide either a smooth stroke or a progressive compression and/or rebound. Pneumatic operation of alternative adjustable pneumatic shock absorber 140 provides both a relatively smoother stroke as compared with the typical sticky and uneven stroke of known prior art hydraulic shock absorbers, and also provides a relatively progressive compression and/or rebound as compared with the typical constant compression and abrupt stop of known prior art hydraulic shock absorbers.
Furthermore, hydraulic shock absorbers of known prior art prosthesis systems fail to provide ease of response adjustment. Response of such hydraulic shock absorbers is typically adjustable only by changing the fluid pressure in the hydraulic cylinder, else changing out a hydraulic cylinder of one pressure for a hydraulic cylinder of a different pressure. As compared with the limited ability of hydraulic shock absorbers for adjusting response, alternative adjustable pneumatic shock absorber 140 provides easy response adjustment by simple opening and closing (arrow) of an air restriction valve 141 between internal chambers, wherein restricting the air flow between internal chambers stiffens response, while opening air flow between internal chambers softens response.
Alternative adjustable pneumatic shock absorber 140 is similarly useful with either one or more elastic member(s) 18 or alternative progressive elastic member or tendon 118.
FIG. 34 also illustrates joint portion 104 including a pair of alternative rotational retaining elements 35c each configured as a wheel or pulley rotatable about an axis 135 substantially parallel to or aligned with knee fulcrum 36. Alternative rotational retaining elements 35c secure retention of middle portion 17 and guide elastic member 18 during bending and extension of upper and lower portions 102 and 106 about joint portion 104. Alternative rotational retaining elements 35c are similarly useful for securing retention of either upper elastic cord portions 120 or lower elastic cord portions 121 and guiding alternative spider-shaped progressive elastic member or tendon 118 during bending and extension of upper and lower portions 102 and 106 about joint portion 104.
FIG. 35 illustrates one adjustable anti-hyperextension member 138 that is optionally integrated into prosthesis system 100 for prevent hyperextensions of joint portion 104. Here, adjustable anti-hyperextension member 138 is illustrated by example and without limitation as one or more rigid stops mounted on knee frame 34 in a position within joint portion 104 for interfering with hyperextensions of knee joint 37. For example, a pair of anti-hyperextension stops 138 are removably mounted by one or more fasteners 139 on knee frame 34 adjacent to knee fulcrum 36 in positions for being encountered by knee joint 37 at the end of its extension. Anti-hyperextension member 138 is adjustable by removing and replacing the rigid stops mounted on knee frame 34 by fasteners 139. Anti-hyperextension member(s) 138 is adjustable for varying a pre-bend of joint portion 104 for different activities, for example, for normal walking, or for extreme sports. For example, anti-hyperextension stops 138 are changed between different sizes of rigid stops for pre-bending of joint portion 104 in a substantially upright orientation at about four and one-half (41⁄2) degrees for normal walking, or about eight and one-half (81⁄2) degrees to ten (10) degrees for extreme sports. Other structures for anti-hyperextension member(s) 138 and means for mounting may take the form of various configurations and are also contemplated and may be substituted without deviating from the scope and intent of the present invention.
Anti-hyperextension stops 138 are optionally made of a non-marring slightly resilient sacrificial material, such as nylon, Teflon® or Delrin® that permits some shock absorption, or a non-resilient material, such as anodized or coated aluminum that provided long and durable life without significant shock absorption.
Prosthesis system 100 is represented herein by example and without limitation as a prosthetic leg. However, prosthesis system 100 is optionally an arm having upper portion 102 being an upper arm in a position proximate to the user's body, lower portion 106 being a forearm in a position distal from the user's body, and joint portion 104 being an elbow joint. When prosthesis system 100 is optionally an arm, ankle segment 47 is a wrist segment, and appendage 48 is a hand or other useful appurtenance or accessory.
From the foregoing it will be appreciated that, although specific embodiments of the invention have been described herein for purposes of illustration, various modifications may be made without deviating from the spirit and scope of the invention. Accordingly, the invention is not limited except as by the appended claims.

## Claims

1. A prosthesis system for a human limb, the prosthesis system comprising:
a proximate portion configured for coupling with the human limb;
a distal portion configured for coupling with an appendage;
a rigid joint portion, the proximate portion hingedly coupled to the distal portion via the joint portion such that the distal portion and the proximate portion are pivotally movable with respect to one another between an extended state and a bent state; and

an elongated elastic cord member comprising a relatively elastic portion between relatively rigid first and second end portions that are continuous therewith, wherein the relatively elastic portion further comprises a relatively lower durometer material, and the relatively rigid first and second end portions each further comprises a relatively higher durometer material and wherein the relatively elastic portion is composed of a same material as the first and second end portions, and the cord member arranged for urging the distal portion and the proximate portion toward the extended state with the first end portion coupled to a first retainer positioned on the proximate portion, and the second end portion coupled to a second retainer positioned on the distal portion.

2. The system of claim 1, wherein the distal portion is further configured for coupling with an artificial appendage.

3. The system of claim 1, wherein the elongated elastic cord member further comprises a plurality of the relatively elastic portions extended from a common hub.

4. The system of claim 1, further comprising an artificial patella positioned adjacent to the joint portion and anterior thereof.

5. The system of claim 1, wherein the joint portion further comprises an adjustable pneumatic shock absorber coupled between a proximate attachment and a distal attachment.

6. The system of claim 1, further comprising an adjustable anti-hyperextension member comprising one or more stops mounted within the joint portion between a proximate portion thereof and a distal portion thereof adjacent to a fulcrum thereof.

7. The system of claim 6, wherein the one or more stops of the adjustable anti-hyperextension member further comprises a plurality of different sized stops, wherein one of the different sized stops is structured for stopping extension of the distal portion at a first pre-bent angle, and a different one of the different sized stops is structured for stopping extension of the distal portion at a second pre-bent angle different from the first pre-bent angle.

8. A prosthesis system for a human limb, the prosthesis system comprising:
an upper portion configured for coupling with the human limb, the upper portion further comprising one or more first retaining elements;
a lower portion configured for coupling with an artificial appendage, the lower portion comprising one or more second retaining elements;
a rigid joint portion hingedly coupling the upper portion to the lower portion such that the lower portion and the upper portion are respectively pivotally movable between an extended state and a bent state; and

one or more elongated elastic members arranged for urging the lower portion toward the extended state relative to the upper portion, wherein at least one of the elongated elastic members is further composed entirely of a single material, wherein each elongated elastic member comprises an elongated relatively elastic portion between first and second end portions of relatively stiffer material and continuous therewith, the first end portion coupled to one of the one or more first retaining elements of the upper portion and a second end portion coupled to one of the one or more second retaining elements of the lower portion, each of the elongated elastic members having a first length between the first portion and the second portion in the extended state and a second length between the first portion and the second portion in the bent state, the first length being shorter than the second length.

9. The system of claim 8, wherein the first and second end portions of the one or more elongated elastic members further comprises a material having a relatively higher durometer, and the relatively elastic portion further comprises a material having a relatively lower durometer.

10. The system of claim 8, wherein the elongated elastic member further comprises a plurality of individual ones of the relatively elastic portions extended from a common hub.

11. The system of claim 10, wherein relatively elastic portion of the elongated elastic member further comprises a material having a lower durometer, and at least one of the first and second end portions further comprises a material having a higher durometer.

12. The system of claim 10, wherein the plurality of the relatively elastic portions extended from a common hub further comprises a plurality of upper elastic cord portions extended from the common hub, and a plurality of lower elastic cord portions extended from the common hub.

13. The system of claim 8, wherein the joint portion further comprises an adjustable pneumatic shock absorber coupled between a proximate attachment and a distal attachment, the adjustable pneumatic shock absorber further comprising an air restriction valve coupled for adjusting response.

14. A prosthesis system for a human limb, the prosthesis system comprising:
an upper proximate portion configured for coupling with the human limb and further comprising a first retainer positioned thereon;
a lower distal portion comprising a second retainer positioned thereon, and further comprising a structure for coupling with an artificial appendage;
a rigid joint portion, the upper proximate portion hingedly coupled to the lower distal portion via the rigid joint portion such that the lower distal portion and the upper proximate portion are pivotally movable with respect to one another between a extended state and a bent state; and
an elongated elastic member arranged for urging the lower portion toward the extended state relative to the upper portion, the elastic member comprising a resiliently stretchable portion between first and second relatively harder portions, wherein the first and second relatively harder portions of the elongated elastic member are further composed of a same material as the resiliently stretchable portion, wherein the first relatively harder portion is releasably coupled to the first retainer of the upper proximate portion, and the second relatively harder portion is releasably coupled to the second retainer of the lower distal portion, the elongated member having a first length between the first portion and the second portion in the extended state and a second length between the first portion and the second portion in the bent state, the second length being longer than the first length due to a stretching of the resiliently stretchable portion between the first relatively harder portion and the second relatively harder portion of the elongated member when the upper portion and the lower portion are pivotally moved between the extended state and the bent state.

15. The system of claim 14, wherein the first and second relatively harder portions of the elongated elastic member further comprises a relatively higher durometer material, and wherein the resiliently stretchable portion further comprises a relatively lower durometer material.

16. The system of claim 14, wherein the joint portion further comprises an adjustable pneumatic shock absorber coupled between a proximate attachment and a distal attachment, the adjustable pneumatic shock absorber further comprising an air restriction valve coupled for adjusting response.