U.S. patent number 3,911,503 [Application Number 05/435,229] was granted by the patent office on 1975-10-14 for breast prosthesis.
Invention is credited to George Hankin.
United States Patent |
3,911,503 |
Hankin |
October 14, 1975 |
Breast prosthesis
Abstract
A gel filled silicone rubber breast prosthesis adapted to be
worn inside of a brassiere by a woman who has had her own breast
removed. The breast is of variable volume in that it is provided
with a specially arranged tucking or pocketing means which allows
the breast to be reduced to a proper size and then to be fitted
tightly against the chest and beneath a brassiere so as to give a
natural looking appearance. The prosthetic device allows
assimilation of several characteristics of a natural breast which
is exceedingly comfortable to wear and is adaptable to the physical
requirements of a wide range of female human subjects.
Inventors: |
Hankin; George (Southwick,
MA) |
Family
ID: |
23727565 |
Appl.
No.: |
05/435,229 |
Filed: |
January 21, 1974 |
Current U.S.
Class: |
623/7;
450/38 |
Current CPC
Class: |
A41C
3/10 (20130101); A41C 3/0092 (20130101); A41C
3/0028 (20130101); A61F 2/52 (20130101); A41C
3/148 (20130101) |
Current International
Class: |
A41C
3/00 (20060101); A41C 3/10 (20060101); A61F
2/52 (20060101); A61F 2/50 (20060101); A61f
001/24 (); A41c 003/10 () |
Field of
Search: |
;3/36
;128/462,478-481 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Frinks; Ronald L.
Claims
I claim:
1. A surgical breast prosthesis adapted to be worn inside a
brassiere by a woman who has had a breast removed surgically
comprising: a distended hermetically-sealed casing of substantially
impervious material containing an elastic filling of gel, the
casing including a substantially conical substitute breast body
portion adapted to fit into and to be worn inside the breast cup of
the brassiere and including a laterally projecting tongue formed as
an integral extension of the substitute breast body portion, the
tongue being of substantially uniform thickness throughout its
extent and having a front face curved slightly rearwardly from its
inner end to its outer end relative to the body portion and
terminating in a substantially straight rearward marginal edge,
interrupting means in the form of a plurality of projections of
varying lengths disposed within the substitute breast body portion
and a stiffening member within the substitute breast body portion
and tongue, the tongue being adapted for tucking into the
substitute breast body portion for varying the size and shape of
the latter or for fitting the area of the body of the wearer which
is below the underarm and from which tissue has been removed as an
incident to the removal of the breast.
Description
BACKGROUND OF THE INVENTION
This invention relates to a prosthesis which simulates a
surgically-removed breast.
There are two known general types of breast prostheses. The first
type is worn externally in some type of brassiere arrangement and
is generally employed when breasts or portions thereof have been
removed by surgery. A second type involves a prosthesis for
insertion into the breasts in order to change the contour thereof.
This type is generally used for cosmetic purposes.
It is to the former type of prosthesis that the present invention
primarily relates.
In the case of a radical mastectomy, a considerable amount of
auxiliary tissue is removed wherefore a relatively large quantity
of "padding" in the underarm area is needed in order to afford the
patient a reasonable degree of physical comfort. The lobe extension
of the present invention allows compensation for that feeling of
need by allowing a prolongation of the prosthesis which extends
outwardly from the breast area toward the axilla region of the
anatomy. This prolongation, when the prosthesis is worn by the
patient, will overlie the pectoral muscle and offer a feeling of
fullness to the wearer.
Women who have undergone mastectomies not only suffer considerable
physical pain but also undergo severe emotional shock at the
seeming loss of part of their femininity, and a principal object
hereof is to help to offset that feeling of loss by providing a
breast form comprising a main breast or body bulge part with a
lateral underarm extension which is adapted to be fitted to the
interior wall of a cup of a brassiere so as to give the form and
feel of a natural breast and to fill the created void in the
underarm area.
The desideratum obviously is to restore the female figure after
having been subjected to a mastectomy.
It is well known that in accordance with the severity of the
problem, the area of the body involved in a mastectomy will vary.
In some cases, only the main body bulge of the breast may be
removed. In other cases, the area from which body tissue is removed
will extend laterally under the arm or upwardly nearly to the
clavicle and in some cases the body tissue may be removed almost to
the rib cage in all three areas.
THE PRIOR ART
Certain U.S. patents teach the fact that a common way to form a
prosthesis is to insert some type of lightweight filler into a thin
case of cloth or other material. Such prior art devices suffer from
such disadvantages as to limit their use. Some have tended to be
hot and uncomfortable. Others have lacked breathability. Fillers
often tended to harden or mat down, and removal or replacement has
been inconvenient. Others have tended to slip embarrassingly or to
become bulky at the top and to make their artificiality
obvious.
Artificial breasts prepared heretofore have had certain defects
which have prevented their acceptance by the public. In many cases,
the breast pads have not fit properly and have moved and shifted
around during use and have caused considerable embarrassment. In
other cases, the artificial breast has not maintained the proper
shape and has appeared out of line or in a different shape than the
other natural breast. In still other cases, the artificial breast
has been hot and uncomfortable to wear over long periods of time.
In addition, the breasts prepared heretofore have in most cases
been difficult to launder and clean it has been necessary to
purchase new pads at frequent intervals.
It is an object of the invention, therefore, to provide a new
artificial breast which corrects all of the above-noted
difficulties. It is a further object to provide a new artificial
breast which fits snugly against the chest and does not shift
about. It is a further object to provide a new artificial breast
which maintains proper shape and holds to the line of the other
breast. It is a further object to provide an artificial breast
which is the same weight as a human breast, takes on body
temperature, and is comfortable to wear.
Various challenges have been involved in the work of development.
One of them has been to retain the prosthesis on position in the
body. One type of prosthesis used for this purpose consists of a
hollow container made of a rubberlike synthetic plastic material
which is molded to the desired size and shape. It is then filled
with a liquid plastic material which can be cured; and after
curing, becomes a fluid gel.
This provides the desired degree of softness and resiliency.
However, because the fluid gel inside the prosthesis does not have
enough rigidity to retain a particular shape, it shifts when the
wearer changes position, as between lying down and standing up. The
membrane or wall of the container is sufficiently flexible that it
permits a certain change in shape under the shifting weight of the
gel.
A prosthesis of this character sometimes produces wrinkles in the
upper portion and tends to bulge excessively in the lower portion
when the wearer stands or leans forward even though it is properly
shaped when the wearer is lying down. When held in position against
the chest, these wrinkles become visible from the outside and,
along with the bulge towards the bottom of the prosthesis, are
undesirable from a cosmetic viewpoint. Furthermore, the shifting of
the contents makes the prosthesis uncomfortable to wear.
SUMMARY
The present invention provides a prosthesis for use by mastectomy
patients which has the advantages of the best previously available
prostheses without their disadvantages.
The device is light in weight, resilient, compressible, moisture
vapor-transmitting, soft, nonirritating and convenient. It remains
in place and does not move within the enclosing brassiere cup,
performing its desired function in an effective yet inconspicuous
manner.
Constant-volume pads for assimilating the contour of a natural
female breast are known and have been used both for cosmetic
purposes and also prosthetically by breast amputees. However,
constant-volume breast pads have one serious limitation in the
sense that they should be custom-made to complement the physical
endowments of the prospective wearer in order to provide the
desired cosmetic effects. Obviously, a custom-made breast pad is
apt to be expensive.
A variable-volume breast pad might readily lend itself for wearing
by variously endowed feminine forms. However, the volumetric
variability of many prior art pads requires an uncomfortable
fluid-impervious bag-like structure that is inflated to the desired
degree with pressurized air or liquids which is uncomfortable to
wear, difficult to maintain in a sanitary and cleansed condition,
and apt to leak and deflate and thus provide embarrassment to the
wearer.
Accordingly, one general object of the present invention is to
provide a variable volume breast pad that overcomes the several
objections and disadvantages of the prior art.
It is another object to provide a variable volume breast pad that
will provide for a wide range of female human subjects a contour
closely assimilating that of a natural well-developed breast.
It is another object to provide a variable volume breast pad that
is readily launderable in aqueous soap or detergent solutions and
thereafter quickly driable, both without impairing the shape of the
breast pad.
It is a further object to provide a light weight variable volume
breast pad that can be worn comfortably and unobtrusively both by
those with under-developed breasts for cosmetic purposes, and by
single or double breast amputees as an orthopedic appliance.
It is another object to provide a prosthesis which overcomes the
shift in position of the contents and the consequent change in
shape when a highly mobile gel is used as a filler.
Another important feature of the invention is the provision of
means to insure that the prosthesis will remain consistently in the
same location on the body of the wearer. Thus, means must be
provided for the brassiere to snugly grip the prosthesis by way of
being supported upwardly from beneath by a band of the brassiere
which encircles the patient's body and by a properly dimensioned
brassiere cup against the interior of which the prosthesis may be
complementarily positioned so as to insure that the top of the
artificial breast will remain firmly pressed against the body of
the wearer and that it will also be properly encapsulated at least
on its forward face by the breast cup of the brassiere.
BRIEF DESCRIPTION OF THE DRAWING
Understanding of the invention will be aided by reference to the
accompanying drawing, in which like numbers refer to like parts in
the several views, and in which:
FIG. 1 is a front elevational view showing the artificial breast of
the invention as applied to the breast of a wearer;
FIG. 2 is a top plan view of the artificial breast;
FIG. 3 is a side elevational view of the FIG. 2 breast;
FIG. 4 is a top plan view showing a tuck taken in the FIG. 2
breast;
FIG. 5 is a side elevational view of the FIG. 4 breast;
FIG. 6 is a side elevational view of a modified form of the FIG. 1
breast.
FIGS. 7 and 8 are side elevational views of the FIG. 4 breast
showing the tucking arrangement in two other different positions of
adjustment; and
FIGS. 9 and 10 are side elevational views of a second modified form
of the FIG. 1 breast showing two different adjustments made
possible by the use of external padding for accommodating to
extreme size cases, the external padding compensating for the
inability of the breast form proper to displace beyond a certain
extent.
DESCRIPTION OF PREFERRED EMBODIMENTS
Further understanding of the invention will be facilitated by a
more detailed discussion of the presently preferred embodiments
which are illustrative but are not to be considered limitative.
The prosthesis comprises generally a planoconvex or conoidal bust
portion and a laterally-extending lobe-like portion which, when the
device is placed in position lies at the side of or above the
breast, so as to greatly facilitate the production of a symmetrical
simulated breast.
FIG. 2 shows the one-piece casing of which the breast is partially
formed; the casing representing a hollow closed shell or container
having a wall of a soft flexible material which is impervious to
human tissues and likewise impervious to that secondary material
which fills the casing.
The situation normally obtains that a woman who has had her left or
right breast or both breasts removed -- and she is one of an
estimated 90,000 women each year -- has a need for a proper (left
or right or both) breast form. The solution hereof lies in the fact
that the breast form of the invention can be used for either side;
thus one form replaces the normal two.
As the breasts for both sides of the body are the same, a
description of one will obviously suffice for both. As will appear,
one of the main features of the invention allows for the ready
adjustment of the artificial breast, same being of the variable
volume type, so as to compensate for differences in appearance,
size and other characteristics between a real breast and an
artificial breast or between two artificial breasts.
The casing is made of a rupture-proof plastic and pliable material
that has characteristics that resemble that of the normal human
breast such as softness, resiliency and elasticity. A suitable
material has been found to be silicone rubber, although the
specific material forms no part of the present invention as
such.
The casing preferentially is of a material which can withstand
washing, even boiling as in sterilization.
The casing may be variously colored so as to more closely simulate
the flesh of a particular wearer and it may be otherwise treated to
lend thereto a realistic appearance.
The casing must look realistic, conform to the body, react to
various movements of the body, and be compatible with the filler
material therewithin. It must be a membranous material of highest
clinical value which, when in contact with the post mastectomy
tissues, is non-reactive and will contain no harmful plasticizers
or softening agents.
Such casing preferentially has a wall thickness in the order of 2-4
millimeters and is seamless.
The casing is formed with a central generally rounded or circular
enlargement in the form of a front panel 14 which merges smoothly
into a generally flattened lobe extension 16 and a rear panel 18 on
the side opposite to the front panel 14 and lobe extension 16.
The circular front panel is generally plano convex or conoidal in
configuration having a continuous and smooth annular periphery
interrupted only at one side by the lobe-like extension.
Desirably, the form of prosthesis should achieve a peak above the
outboard portion of the breast and should achieve a maximum lateral
extension for disposition toward or under and below the adjacent
armpit with the intervening portion having a curvature which
conforms to that of the armpit. By having a side flange which
extends toward or under the armpit and around the side of the body,
it is possible to provide a breast which will closely conform
itself to the body and which will more readily retain itself upon
the body.
Stress is laid upon the lobe-like extension 16 which is adapted to
lie along the side of the bust and give to the same the rounded and
symmetrical appearance which would naturally result from an
increased bust.
The lobe-like extension 16 is of such configuration that it may be
tucked or pocketed inwardly upon itself so as to be extended
inwardly into the casing interior between the rear panel 18 and the
circular front panel 14, as best shown in FIGS. 4 and 5 so that the
wearer is enabled to position the prosthesis behind a brassiere B
of the under-the-breast-supporting-type as in FIG. 1. Such type
eliminates the need for the usual pockets, straps and special
attachments. The wearer first tightens the lower band L of the
brassiere tightly around her person and below the breasts so as to
cause the fullness of the breasts, both the natural one and the
artificial one, to bulge outwardly to the precise desired extent.
The cup C of the brassiere is properly adjusted so as to
accommodate a simulated breast of the desired configuration with
the lobe-like extension of the artificial breast then being tucked
in only to that extent or degree necessary to give the desired
fullness to the simulated breast. This having been determined, the
brassiere is then further tightened around the body so as to
enclose and hold in situ the tucked in lobe-like extension.
Emphasis is also placed upon the fact that a single prosthesis may
be readily adapted to suit any situation from one where only a
breast proper may have been removed, in which case a rounded form
of prosthesis may be required such as shown in FIGS. 4 and 5, or to
one where not only a breast proper but also the adjacent lymph
glands may have been removed, in which case a form of prosthesis
having a foreshortened portion of a lobe extension is available for
placement in situ such as shown in FIG. 8. Or the situation may be
one where more of a portion of a lobe extension is needed for
placement in situ such as shown in FIG. 7. Or the situation may be
one where the full length of the lateral extension may be needed to
more properly fill in the underarm area in which case the form as
shown in FIGS. 2 and 3 may best serve. The salient point is that
the form is enabled to accommodate to any given situation, the
basic shape being adapted to be varied by the inversion of a
lateral lobe extension into the form base so as to change the
external shape from a greatly elongated form to a foreshortened
elongated form or to a round form as necessity may dictate.
The breast form has the further advantage that it may be disposed
horizontally (wherefore the lobe extension may be extended into the
armpit) or vertically (wherefor the lobe extension may be extended
toward the clavicle.
The casing is filled with a suitable material to give the
prosthesis the proper shape and resiliency. Silicone gel has been
found to be suitable for the purpose although the specific material
forms no part of the present invention as such.
The casing is charged through a provided opening (not shown) with a
sufficiency of filling so as to give the prosthesis a desired
shape, following which the casing is hermetically sealed.
It should be understood that in some cases a harder or softer
material can be advantageously employed. However, regardless of the
precise penetrometer readings of the gel, the material should be
sufficiently soft and flexible to approximate the consistence of
the natural breast. In addition, the gel material should be one
which is inert toward the casing.
It is to be understood that the filling is of such a nature as to
hold the walls of the casing distended, but yet capable of yielding
and responding to pressure, thus making the breast comfortable for
a wearer and facilitating its realistic action.
The prosthesis is desirably of such a configuration that, when the
device is applied to the body, it will readily adapt itself so as
to simulate the contour of a real bust.
Another situation of adapting prosthesis to wearer relates to the
problem of different bra sizes, there being some 160 thereof, which
break down to 11 rib cage measurements and 27 cup sizes (which
include considerations not only of diameter but of depth).
The problem is thus two fold: both diameter and depth must be taken
into full account.
By the construction hereof, with a very soft skinlike silicone
rubber being used, the lobe extension or a part thereof is readily
inverted and pocketed within the confines of the base of the
article so as to change the external configuration to any desired
shape.
The solution as to varying the depth of the form also lies in the
capability of the inversion of one part of the form into the other,
it being as possible to invert a portion of the conoidal bust
portion 14 into the lobe-like portion 16 as it is to invert a part
or all of the lobe-like portion into the bust portion all whereby
almost the entire bra size range may be accommodated by a single
breast form. Extreme situations must be accommodated by a breast
form of extra large dimensions.
The interior area of the casing may be divided or interrupted by
interrupting means in the form of a plurality of projections 30
projecting outwardly from a base or support 32 which preferentially
is fixedly secured to the rear wall panel 18.
The projections 30 may be arranged in a T formation and spaced as
to each other. They may be made of a material similar to the casing
wall so that they have the characteristics of flexibility and
resiliency.
The projections function to interrupt the flow of the soft fluid
gel so as to allow the prosthesis to change shape readily and yet
to minimize any visible change in shape due to normal movements of
the wearer.
In the FIG. 6 modification, a generally planar stiffening member
122 is disposed within the hollow of the casing and may be
adhesively secured to the rear wall portion 118 for purposes of
adding a desired stiffness or rigidity to the entirety of the
dimensions (length and width) of the rear chest-embracing wall of
the prosthesis.
Another situation relates to the extreme depths required in a
breast form by some women. This would normally require the addition
of more silicone gel which would unreasonably increase the cost
thereof.
By the modification of FIGS. 9 and 10, the problem of extending the
depth of the form without changing the diameter thereof and/or
without the need for an entirely new form (it being possible to
displace only a certain amount of material) is readily solved by
way of a domeshaped circular pad 40 of a silicone rubber foam of a
closed cell construction which may be externally applied to the
rear wall portion 18 of a breast form. The pad serves the function
of projecting the form outwardly so as to offer the allusion of
greater depth.
A plurality of such pads may be provided, pad 42 in FIG. 10 having
a dome of greater height than the dome of pad 40 in FIG. 9 so as to
give the appearance of a FIG. 10 form having a greater depth than
the FIG. 9 form.
* * * * *