U.S. patent number 3,811,133 [Application Number 05/285,157] was granted by the patent office on 1974-05-21 for weighted prosthetic breast.
Invention is credited to Eugene Harris.
United States Patent |
3,811,133 |
Harris |
May 21, 1974 |
WEIGHTED PROSTHETIC BREAST
Abstract
Prosthesis making results in a superior product when a hollow
plastic form is filled with a resilient wadding and a discrete
weight. The attributes of external appearance and feel on one hand
and the feel associated with wearing the prosthesis on the other
hand are dealt with separately. No attempt is made to provide
homogeneity or uniform density. Skin is represented by a plastic
outer shell or form, inner flesh by wadded fibers compressed to
provide feel, and weight is represented by one or more discrete,
flexible weights placed to facilitate holding the prosthesis in
position. Flesh color is simulated by including cosmetic powder of
selected color in the translucent plastic shell. The process and
the product of the process are described and a breast restoration
is described in particular.
Inventors: |
Harris; Eugene (Orange,
CA) |
Family
ID: |
23092996 |
Appl.
No.: |
05/285,157 |
Filed: |
August 31, 1972 |
Current U.S.
Class: |
623/7; 264/222;
156/245; 450/39 |
Current CPC
Class: |
A61F
2/52 (20130101) |
Current International
Class: |
A61F
2/52 (20060101); A61F 2/50 (20060101); A61f
001/00 (); A41c 003/10 () |
Field of
Search: |
;3/36
;128/478-481,462,463 |
References Cited
[Referenced By]
U.S. Patent Documents
Other References
facial Prosthesis by Arthur H. Bulbulian, W. B. Saunders Company,
Philadelphia . London . 1945, page 152. .
"Camp Tru Life Breast Prosthesis", advertisement page 45, Surgery,
Gynecology & Obstetrics, October 1964, Vol. 119, No.
4..
|
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Frinks; Ronald L.
Attorney, Agent or Firm: Frater; Grover A.
Claims
I claim:
1. A prosthetic breast comprising:
a hollow form of soft plastic defining a shell having a rear wall
shaped to complement the shape of the user's chest and having a
forward wall shaped like a breast;
a resilient wad of fibrous material filling said hollow form;
and
a weight contained in the form and separated from said forward wall
by said fibrous material;
said weight comprising a body of resilient material in which
weights are imbedded and which is bonded to the interior side of
the rear wall of said shell in the central region of its area.
2. The invention defined in claim 1 in which the forward wall of
said form has a thickness between one-sixteenth and
three-sixteenths of an inch throughout the region surrounding its
nipple and is made of transluscent plastic containing a quantity of
pearl coloring.
3. The invention defined in claim 2 in which said forward wall has
imbedded within it a layer of cosmetic powder.
4. The invention defined in claim 1 in which the whole exterior of
the rear surface of said form is grooved to form parallel
serrations.
5. The invention defined in claim 4 in which said form is made of a
vinyl plastic, the front and rear parts of said form being bonded
into a completely sealed shell, and said fibrous material
comprising a wad of synthetic fibers.
Description
This invention relates to cosmetic prostheses or
"restorations."
Prosthetic restorations are worn by persons, portions of whose
bodies are missing. Some restorations, and portions of others, are
worn primarily for cosmetic purposes and their value is enhanced if
they look and feel natural rather than artificial.
No material has been found which has the color, the resilience, the
feel, and the density of human skin and flesh. A number of plastic
materials are now available that can be made to have a resilience
that approximates the resilience of skin. However, some of those
materials have an unpleasant feel and some are difficult to color
properly or present other problems. Only a very limited number of
materials survive even approximate screening for suitability.
It has been discovered that soft vinyl plastic can be made to have
the proper resilience and feel to represent skin. However, it is
not satisfactory for representing flesh and attempts to make
prosthetic restoration of solid pieces of vinyl plastic have not
produced an adequate realism in the finished product. Some attempts
have been made to make prostheses in the form of air or
liquid-filled, properly shaped balloons. Making the ballons of
vinyl has improved them but they have been difficult to keep from
leaking and both the air-filled and liquid-filled variety lack
realism. They feel and behave like what they are -- air balloons
and water bags.
The difficulty is solved in the invention by creating a relatively
thin walled form of soft plastic material, advantageously vinyl,
and stuffing the cavity of that form with a resilient fibrous
material such, for example, as a wad of synthetic fibrous material.
"Nylon", "Orlon" and "Dacron" are names of suitable materials. The
quantity of fibrous material is varied so that the requisite
under-surface, or under-skin, resiliency is achieved. Neither the
plastic form nor the wad of fibers has a density approximating that
of skin and flesh but that difficulty is overcome in the invention
by adding a weight inside the form. The weight is placed at a point
where it aids in keeping the restoration in place and making it
feel natural, but where it does not have an adverse effect on the
resilience. The invention takes advantage of the fact that the
density of a prosthetic restoration does not affect its appearance.
Weight is of importance only to the wearer of the restoration. The
weight should closely approximate the weight of the body part being
restored and the weight should be distributed enough to feel right.
But density need not be uniform and the use of specific weights in
an otherwise light-weight restoration makes it easier to keep the
restoration in place.
The difficulty in achieving realism is increased as the volume, and
in particular, as the bulk of the restoration is increased. Making
a breast restoration is particularly difficult because of its size.
The problem is simplified somewhat because it is normally held in
place with a bra and is not exposed to view. Nonetheless, natural
appearance and feel is demanded by the wearers of artificial
breasts and contributes greatly to an improved attitude in the
patient about her plight. The invention, while applicable to
production of cosmetic prosthetic restorations in general, is
particularly well suited to the making of breasts. Its object is to
produce better, more realistic, prosthetic restorations and in
particular to produce better and more realistic breasts.
Another object is to provide a method for making restorations in a
color that matches the color of the wearer, that are realistic in
other respects as well, that will last indefinitely, and that are
relatively inexpensive to manufacture. By their very nature, most
cosmetic prosthetic restorations are custom made. They must fit a
particular individual, have an outward appearance consistent with
the wearer's size and shape, and they must be colored to match the
wearer's color. If it meets those requirements, a restoration can
contribute greatly to the appearance, the feeling, and the mental
attitude of the wearer and an object of the invention is to make
those benefits more easily available to more people.
In the drawings:
FIG. 1 is a pictorial view of a prosthesis embodying the
invention;
FIG. 2 is a cross-sectional view taken on line 2--2 of FIG. 1;
FIG. 3 is a cross-sectional view taken on line 3--3 of FIG. 2;
FIG. 4 is a view in rear elevation of the prosthesis of FIG. 1;
FIG. 5 is a cross-sectional view of a fragment of the rear wall of
the prosthesis taken on line 5--5 of FIG. 4; and
FIG. 6 is a view in elevation of an alternative form of weight, a
portion of its cover having been removed to show its interior.
The prosthesis shown in FIG. 1 is a representation of a breast and
parts of those muscles that are removed from a patient in a radical
mastectomy. The prosthesis itself is designated by the reference
numeral 10. The breast portion 12 includes a representation of a
nipple 14 and a surrounding areola 16. The rear surface 18 is best
shown in FIG. 4. It is shaped as the complement of the scar surface
over which the prosthesis is to be applied. The other side 20 is
called the forward or outer side. The rear and forward surface
walls are joined or are integrally cast to create a hollow breast
form. The walls are made of a soft resilient material having the
approximate resilience of human skin. In a preferred embodiment of
the invention that form is made of a soft vinyl plastic
sufficiently pliant so that it would collapse under its own weight
if unfilled. It is filled, however, with a wadding 22 of fibrous
material. The material is wadded so that it is resilient. It is not
essential that the entire filling or stuffing comprise a single wad
prior to being disposed within the form. Smaller wads can be
inserted and together they form the equivalent of a single wad in
the finished product.
Enough wadding is inserted so that its resilience gives the product
a realistic feel. The walls 18 and 20 need not be of the same
thickness or even the same resiliency or even of the same material.
However, it is found that best results are achieved when they are
made of the same material and of approximately the same thickness.
That provides the functional advantage that the outer wall 20 looks
and behaves like skin when viewed from the outside and that the
rear wall 18 feels and behaves like skin to the wearer. The
thickness is variable with the hardness of the material but is
advantageously between one-sixteenth and one-quarter of an inch
thick. Advantageously, the forward wall is between one-sixteenth
and three-sixteenths of an inch thick. The thickness will be
increased somewhat at the margins where the rear wall and forward
wall are joined as illustrated in FIGS. 2 and 3. The dimensions
given are appropriate for the intermediate parts of the wall.
It is important from the wearer's standpoint that the breast be
weighted to similate a natural breast. In the invention a weight is
disposed within the form in proximity to the rear wall 18. It is
not necessary that the weight be fastened to the rear wall or even
to touch it. It is enough if it is imbedded in the wadding 22 so
that it is relatively close to the rear wall and is separated from
the forward wall by a substantial amount of the wadding. In the
embodiment shown in FIGS. 1 through 5 of the drawing, the weight 24
is bonded to the rear wall 18. It is located centrally on the rear
wall at a position opposite the fullest or nipple portion of the
breast.
Both the form and the wadding are lightweight. Accordingly, the
weight must be quite heavy. Its actual value depends upon the
volume of the prosthesis and will vary from less than a pound to
several pounds so its density must be substantial. It is a feature
of the invention that the weight is made flexible. In preferred
form, bits of metal are imbedded in a very flexible casing. Bits of
metal such as lead shot housed in a bag of plastic felt or imbedded
in a body of soft, pliant plastic has been found to be particularly
well suited to the task. The weight 24 is formed by stirring lead
pellets in melted vinyl plastic so that all of the pellets are
coated with the plastic. An additional quantity of melted plastic
is added and the plastic-coated pellets are stirred into that. The
mixture is allowed to harden to form a heavy but very flexible
weight. Some of the pellets are visible in FIGS. 2 and 3 where a
few of them are designated by the reference numeral 28 for
identification. Making the weight of vinyl plastic is convenient
because it is necessary only to apply sufficient heat to melt their
surfaces to permit bonding of the weight and the rear wall 18.
Examination of FIGS. 2 and 3 will show that the weight 24 is placed
so that the center of gravity of the finished prosthesis lies
substantially on that horizontal line where it would lie in a
natural breast. However, the center of gravity is located more
rearwardly than would be true in a natural breast. For the wearer,
the feeling is made much more natural if the weight is placed at
the rear adjacent the wearer's chest wall. Some cosmetic prostheses
are attached to the body with adhesives. When the weight is placed
against the rear wall as it is shown to be in FIG. 2, the use of
adhesives is ordinarily unnecessary and the weight of the breast
can ordinarily be supported adequately by the user's bra.
To improve adhesion of the prosthesis to the body without actual
sticking, the rear surface of the prosthesis is made somewhat
irregular. This is done conveniently by corrugating the rearmost
surface as shown in FIG. 4 and in the cross-sectional view of FIG.
5.
An alternate weight construction is shown in FIG. 6. Here, lead or
steel shot 40 is placed between two layers 42 and 44 of felt, such
for example as a "Dacron felt." The felt layers are sewn together
around their margins and along a number of parallel seams so that
the shot is distributed rather uniformly in long parallel pockets.
The result is a very high density and very flexible weight which
may simply be inserted in the form in close proximity to its rear
wall.
To achieve proper coloring, the forward wall 20 is made of a
transparent material, or nearly transparent material, which is
coated with, or has imbedded within it, cosmetic powder of a shade
that matches the wearer's skin color. Realism is enhanced if the
material itself is slightly colored with mother-of-pearl. It is not
essential that the rear wall 18 be colored but it is preferred.
To make prostheses of this and other kinds one makes an impression,
in the negative, of the area over which the prosthesis is to be
applied. That mold or impression may be made with plaster-of-paris
bandage placed over the surgery area. In the case of a mastectomy,
a mold is made of the entire chest including the remaining breast
if any. A positive mold is then made of the surgery area of that
impression. That mold is advantageously made of a mixture of
hydrocal and water from which air has been removed. Liquid floor
wax makes a good parting agent. The mold is built up of layers of
that hydrocal and water mixture and fiberglass mesh to produce a
mold substantially in sheet form. The edges are trimmed to desired
finished size.
After the mold has hardened, a model of the forward surface is
made. This can be done by sculpture using clay to produce the shape
that the finished product is to have. That completed, a second
positive mold is made of the forward surface of the restoration.
That second mold is also advantageously made of wetted hydrocal and
fiberglass mesh. The second mold is hardened and the clay is
removed.
The product of the effort to that point is a two-part, positive
mold of the restoration. One part is a mold of the rear surface of
the restoration and the other part is a mold of the forward
surface. This specific arrangement is advantageous because it
facilitates making the forward surface look uniform. It permits
casting the restoration form by painting melted plastic on the
inner mold surface or by introducing a quantity of molten plastic
into one side of the mold and by putting the two parts together to
form a complete hollow mold which is then rotated so that its
interior surface is coated with the hot plastic in a slush casting
process.
A small amount of pearl coloring is added to the plastic melt and
is stirred into the melt so that it is evenly distributed. In the
preferred form of the method, color is added by blowing cosmetic
face powder of selected color on the inner surface of the cast
while it is still hot. That coloring step is accomplished after one
or more thin layers of vinyl plastic have been applied to the inner
surface of the forward mold but before any attempt is made to add
the rear mold. The face powder having been added, additional layers
of vinyl are added. Since subsequently added plastic melt results
in some melting of previous layers, the two parts of the mold need
not be placed together until the forward and rear portions of the
form have substantially the desired thickness. Then a quantity of
melted plastic is placed in one-half of the mold; the two halves
are placed together and the combined mold is rotated to add the
final inner coating and to bond the two sections together.
The form is permitted to harden and the mold removed to expose what
is then a hollow plastic form. That form is then cut open to permit
insertion of a stuffing material. The cut is advantageously made on
the rear side. Stuffing is inserted until the form is filled and
has the desired resilience or substantially so. Thereafter, a
weight is inserted. The method of making a preferred form of weight
was described above. When the weight is made of plastic of the same
kind from which the remainder of the form is made, and particularly
when they are both made of vinyl plastic, a small quantity of
melted plastic inserted through the opening and applied to the rear
surface of the weight permits bonding of the weight to the inner
surface of the rear wall. This is easily done by orienting the
restoration so that the weight presses down on the rear wall as the
melted plastic hardens. A small quantity of molten plastic can be
used to seal the opening. Alternatively, the opening can be sealed
by melting its edges together with a hot iron.
In the preferred method, before the form is closed its inner
surface is painted with a brush to add nipple and areolia color.
The product is realistic enough in appearance to make it feasible
to provide even greater realism by painting representations of
veins on the inner surface.
As a final step the outer rear surface of the prosthesis is
provided with grooves or corrugations of the kind shown in FIGS. 4
and 5 using a metal comb which is sufficiently hot to melt the
plastic surface. The comb is drawn over the surface slowly but
steadily.
Although I have shown and described certain specific embodiments of
my invention, I am fully aware that many modifications thereof are
possible. My invention, therefore, is not to be restricted except
insofar as is necessitated by the prior art.
* * * * *