Abstract: Over the last decades, biomedical engineering prosthetics become one of the most essential grounds. Prosthetic hands are rapidly evolving. Therefore, for designing prosthetic components, it is essential to improve quality such as make it affordable and improve patient comfort and mobility by making them lightweight and easy to wear. In this paper, we proposed a myoelectric controlled prosthesis hand. We can fabricate and manufacture customized cost-effective, small volumes of 3D printed hand which is interesting. The total weight of an adult hand is about 1000 gm including a battery. The prosthetic hand is built up with low-cost materials and techniques, the cost of manufacturing will be approximately US$145. The hand can grip objects of different shapes and sizes. The 3D printed hand can rotate its wrist like a human hand. The prosthetic hand is capable of showing some types of human gestures.
Abstract: There are currently many people living with limb loss in the USA. The main causes for amputation can range from vascular disease, to trauma, or cancer. This number is expected increase over the next decade. Many patients have a single prosthetic for the first year but end up getting a second one to accommodate their changing physique. Afterwards, the prosthesis gets replaced every three to five years depending on how often it is used. This could cost the patient up to $500,000 throughout their lifetime. Complications do not end there, however. Due to the absence of nerves, it becomes more difficult to traverse terrain with a prosthetic. Moving on an incline or decline becomes difficult, thus curbs and stairs can be a challenge. Certain physical activities, such as cycling, could be even more strenuous. It will need to be relearned to accommodate for the change in weight, center of gravity, and transfer of energy from the leg to the pedal. The purpose of this research project is to develop a new, alternate below-knee cycling prosthetic using Dieter & Schmidt’s design process approach. It will be subjected to fatigue analysis under dynamic loading to observe the limitations as well as the strengths and weaknesses of the prosthetic. Benchmark comparisons will be made between existing prosthetics and the proposed one, examining the benefits and disadvantages. The resulting prosthetic will be 3D printed using acrylonitrile butadiene styrene (ABS) or polycarbonate (PC) plastic.
Abstract: Biologically inspired design inspires inventions and new technologies in the field of engineering by mimicking functions, principles, and structures in the biological domain. To deal with the obstacles of cross-domain knowledge acquisition in the existing biologically inspired design process, functional semantic clustering based on functional feature semantic correlation and environmental constraint clustering composition based on environmental characteristic constraining adaptability are proposed. A knowledge cell clustering algorithm and the corresponding prototype system is developed. Finally, the effectiveness of the method is verified by the visual prosthetic device design.
Abstract: In this paper, a methodology is presented to obtain the Static Alignment Model for any transtibial amputee person. The proposed methodology starts from experimental data collected on the Hospital Militar Central, Bogotá, Colombia. The effects of transtibial prosthesis malalignment on amputees were measured in terms of joint angles, center of pressure (COP) and weight distribution. Some statistical tools are used to obtain the model parameters. Mathematical predictive models of prosthetic alignment were created. The proposed models are validated in amputees and finding promising results for the prosthesis Static Alignment. Static alignment process is unique to each subject; nevertheless the proposed methodology can be used in each transtibial amputee.
Abstract: The study has developed the previous design of an artificial anthropomorphic humanoid hand and accustomed it as a prosthetic hand. The main specifications of this design are determined. The development of our previous design involves the main artificial hand’s parts and subassemblies, palm, fingers, and thumb. In addition, the study presents an adaptable socket design for a transradial amputee. This hand has 3 fingers and thumb. It is more reliable, cosmetics, modularity, and ease of assembly. Its size and weight are almost as a natural hand. The socket cavity has the capability for different sizes of a transradial amputee. The study implements the developed design by using rapid prototype and specifies its main specifications by using a data glove and finite element method.
Abstract: Growth and remodeling of biological structures have
gained lots of attention over the past decades. Determining the
response of living tissues to mechanical loads is necessary for a wide
range of developing fields such as prosthetics design or computerassisted
surgical interventions. It is a well-known fact that biological
structures are never stress-free, even when externally unloaded. The
exact origin of these residual stresses is not clear, but theoretically,
growth is one of the main sources. Extracting body organ’s shapes
from medical imaging does not produce any information regarding
the existing residual stresses in that organ. The simplest cause of such
stresses is gravity since an organ grows under its influence from
birth. Ignoring such residual stresses might cause erroneous results in
numerical simulations. Accounting for residual stresses due to tissue
growth can improve the accuracy of mechanical analysis results. This
paper presents an original computational framework based on gradual
growth to determine the residual stresses due to growth. To illustrate
the method, we apply it to a finite element model of a healthy human
face reconstructed from medical images. The distribution of residual
stress in facial tissues is computed, which can overcome the effect of
gravity and maintain tissues firmness. Our assumption is that tissue
wrinkles caused by aging could be a consequence of decreasing
residual stress and thus not counteracting gravity. Taking into
account these stresses seems therefore extremely important in
maxillofacial surgery. It would indeed help surgeons to estimate
tissues changes after surgery.
Abstract: Below-knee amputees commonly experience
asymmetrical gait patterns. It is generally believed that ischemia is
related to the formation of pressure sores due to uneven distribution
of forces. Micro-vascular responses can reveal local malnutrition.
Changes in local skin blood supply under various external loading
conditions have been studied for a number of years. Radionuclide
clearance, photo-plethysmography, trans-cutaneous oxygen tension
along with other studies showed that the blood supply would be
influenced by the epidermal forces, and the rate and the amount of
blood supply would decrease with increased epidermal loads being
shear forces or normal forces. Several cases of socket designs were
investigated using Finite Element Model (FEM) and Design of
Experiment (DOE) to increase flexibility and minimize the pressure
at the limb/socket interface using ultra high molecular weight
polyethylene (UHMWPE) and polyamide 6 (PA6) or Duraform. The
pressure reliefs at designated areas where reducing thickness is
involved are seen to be critical in determination of amputees’ comfort
and are very important to clinical applications. Implementing a hole
between the Patellar Tendon (PT) and Distal Tibia (DT) would
decrease stiffness and increase prosthesis range of motion where
flexibility is needed. In addition, displacement and prosthetic energy
storage increased without compromising mechanical efficiency and
prosthetic design integrity.
Abstract: This study, for its research subjects, uses patients who
had undergone total knee replacement surgery from the database of the
National Health Insurance Administration. Through the review of
literatures and the interviews with physicians, important factors are
selected after careful screening. Then using Cross Entropy Method,
Genetic Algorithm Logistic Regression, and Particle Swarm
Optimization, the weight of each factor is calculated and obtained. In
the meantime, Excel VBA and Case Based Reasoning are combined
and adopted to evaluate the system. Results show no significant
difference found through Genetic Algorithm Logistic Regression and
Particle Swarm Optimization with over 97% accuracy in both
methods. Both ROC areas are above 0.87. This study can provide
critical reference to medical personnel as clinical assessment to
effectively enhance medical care quality and efficiency, prevent
unnecessary waste, and provide practical advantages to resource
allocation to medical institutes.
Abstract: This study models the use of transcutaneous electrical
nerve stimulation on skin with a disk electrode in order to simulate
tissue damage. The current density distribution above a disk electrode
is known to be a dynamic and non-uniform quantity that is intensified
at the edges of the disk. The non-uniformity is subject to change
through using various electrode geometries or stimulation methods.
One of these methods known as edge-retarded stimulation has shown
to reduce this edge enhancement. Though progress has been made in
modeling the behavior of a disk electrode, little has been done to test
the validity of these models in simulating the actual heat transfer
from the electrode. This simulation uses finite element software to
couple the injection of current from a disk electrode to heat transfer
described by the Pennesbioheat transfer equation. An example
application of this model is studying an experimental form of
stimulation, known as edge-retarded stimulation. The edge-retarded
stimulation method will reduce the current density at the edges of the
electrode. It is hypothesized that reducing the current density edge
enhancement effect will, in turn, reduce temperature change and
tissue damage at the edges of these electrodes. This study tests this
hypothesis as a demonstration of the capabilities of this model. The
edge-retarded stimulation proved to be safer after this simulation. It is
shown that temperature change and the fraction of tissue necrosis is
much greater in the square wave stimulation. These results bring
implications for changes of procedures in transcutaneous electrical
nerve stimulation and transcutaneous spinal cord stimulation as well.
Abstract: This paper describes an underactuated robot hand operated by low-power actuators. It can grasp objects of various shapes using easy operations. This hand is suitable for use as a lightweight prosthetic hand that can grasp various objects using few input channels. To realize operations using a low-power actuator, a cross section deformation spring is proposed. The design procedure of the underactuated robot finger is proposed to realize an adaptive grasping movement. The validity of this mechanism and design procedure are confirmed through an object grasping experiment. Results demonstrate the effectiveness of across section deformation spring in reducing the actuator power. Moreover, adaptive grasping movement is realized by an easy operation.
Abstract: Real time non-invasive Brain Computer Interfaces have a significant progressive role in restoring or maintaining a quality life for medically challenged people. This manuscript provides a comprehensive review of emerging research in the field of cognitive/affective computing in context of human neural responses. The perspectives of different emotion assessment modalities like face expressions, speech, text, gestures, and human physiological responses have also been discussed. Focus has been paid to explore the ability of EEG (Electroencephalogram) signals to portray thoughts, feelings, and unspoken words. An automated workflow-based protocol to design an EEG-based real time Brain Computer Interface system for analysis and classification of human emotions elicited by external audio/visual stimuli has been proposed. The front end hardware includes a cost effective and portable Emotiv EEG Neuroheadset unit, a personal computer and a set of external stimulators. Primary signal analysis and processing of real time acquired EEG shall be performed using MATLAB based advanced brain mapping toolbox EEGLab/BCILab. This shall be followed by the development of MATLAB based self-defined algorithm to capture and characterize temporal and spectral variations in EEG under emotional stimulations. The extracted hybrid feature set shall be used to classify emotional states using artificial intelligence tools like Artificial Neural Network. The final system would result in an inexpensive, portable and more intuitive Brain Computer Interface in real time scenario to control prosthetic devices by translating different brain states into operative control signals.
Abstract: Restoration of endodontically treated teeth is a
common problem in dentistry, related to the fractures occurring in
such teeth and to concentration of forces little information regarding
variation of basic preparation guidelines in stress distribution has
been available. To date, there is still no agreement in the literature
about which material or technique can optimally restore
endodontically treated teeth. The aim of the present study was to
evaluate the influence of the core height and restoration materials on
corono-radicular restored upper first premolar. The first step of the
study was to achieve 3D models in order to analyze teeth, dowel and
core restorations and overlying full ceramic crowns. The FEM model
was obtained by importing the solid model into ANSYS finite
element analysis software. An occlusal load of 100 N was conducted,
and stresses occurring in the restorations, and teeth structures were
calculated. Numerical simulations provide a biomechanical
explanation for stress distribution in prosthetic restored teeth. Within
the limitations of the present study, it was found that the core height
has no important influence on the stress generated in coronoradicular
restored premolars. It can be drawn that the cervical regions
of the teeth and restorations were subjected to the highest stress
concentrations.
Abstract: The myoelectric signal (MES) is one of the Biosignals
utilized in helping humans to control equipments. Recent approaches
in MES classification to control prosthetic devices employing pattern
recognition techniques revealed two problems, first, the classification
performance of the system starts degrading when the number of
motion classes to be classified increases, second, in order to solve the
first problem, additional complicated methods were utilized which
increase the computational cost of a multifunction myoelectric
control system. In an effort to solve these problems and to achieve a
feasible design for real time implementation with high overall
accuracy, this paper presents a new method for feature extraction in
MES recognition systems. The method works by extracting features
using Wavelet Packet Transform (WPT) applied on the MES from
multiple channels, and then employs Fuzzy c-means (FCM)
algorithm to generate a measure that judges on features suitability for
classification. Finally, Principle Component Analysis (PCA) is
utilized to reduce the size of the data before computing the
classification accuracy with a multilayer perceptron neural network.
The proposed system produces powerful classification results (99%
accuracy) by using only a small portion of the original feature set.
Abstract: The aim of this retrospective study was to evaluate the
parameters of dental implants such as patient gender, number of
implant, failed implant before prosthetic restorations and failed
implant after implantation and failed implant after prosthetic
restorations. 135 male and 99 female patients, total 234 implant
patients which have been treated with 450 implant between 2005-
2009 years in GATA Haydarpasa Training Hospital Dental Service.
Twelve implants were failed before prosthetic restorations. Four
implant were failed after fixed prosthetic restorations. Cumulative
survival rate after prostheses were 97.56 % during 6 years period.
Abstract: The psychological and physical trauma associated with the loss of a human limb can severely impact on the quality of life of an amputee rendering even the most basic of tasks very difficult. A prosthetic device can be of great benefit to the amputee in the performance of everyday human tasks. This paper outlines a proposed mechanical design of a 12 degree-of-freedom SMA actuated artificial hand. It is proposed that the SMA wires be embedded intrinsically within the hand structure which will allow for significant flexibility for use either as a prosthetic hand solution, or as part of a complete lower arm prosthetic solution. A modular approach is taken in the design facilitating ease of manufacture and assembly, and more importantly, also allows the end user to easily replace SMA wires in the event of failure. A biomimetric approach has been taken during the design process meaning that the artificial hand should replicate that of a human hand as far as is possible with due regard to functional requirements. The proposed design has been exposed to appropriate loading through the use of finite element analysis (FEA) to ensure that it is structurally sound. Theoretical analysis of the mechanical framework was also carried out to establish the limits of the angular displacement and velocity of the finger tip as well finger tip force generation. A combination of various polymers and Titanium, which are suitably lightweight, are proposed for the manufacture of the design.
Abstract: One of the approaches enabling people with amputated
limbs to establish some sort of interface with the real world includes
the utilization of the myoelectric signal (MES) from the remaining
muscles of those limbs. The MES can be used as a control input to a
multifunction prosthetic device. In this control scheme, known as the
myoelectric control, a pattern recognition approach is usually utilized
to discriminate between the MES signals that belong to different
classes of the forearm movements. Since the MES is recorded using
multiple channels, the feature vector size can become very large. In
order to reduce the computational cost and enhance the generalization
capability of the classifier, a dimensionality reduction method is
needed to identify an informative yet moderate size feature set. This
paper proposes a new fuzzy version of the well known Fisher-s
Linear Discriminant Analysis (LDA) feature projection technique.
Furthermore, based on the fact that certain muscles might contribute
more to the discrimination process, a novel feature weighting scheme
is also presented by employing Particle Swarm Optimization (PSO)
for estimating the weight of each feature. The new method, called
PSOFLDA, is tested on real MES datasets and compared with other
techniques to prove its superiority.
Abstract: Shape memory alloy (SMA) actuators have found a
wide range of applications due to their unique properties such as high
force, small size, lightweight and silent operation. This paper presents
the development of compact (SMA) actuator and cooling system in
one unit. This actuator is developed for multi-fingered hand. It
consists of nickel-titanium (Nitinol) SMA wires in compact forming.
The new arrangement insulates SMA wires from the human body by
housing it in a heat sink and uses a thermoelectric device for rejecting
heat to improve the actuator performance. The study uses
optimization methods for selecting the SMA wires geometrical
parameters and the material of a heat sink. The experimental work
implements the actuator prototype and measures its response.
Abstract: Above Elbow Prosthesis is one of the most commonly
amputated or missing limbs. The research is done for modelling
techniques of upper limb prosthesis and design of high torque, light
weight and compact in size elbow actuator. The purposed actuator
consists of a DC motor, planetary gear set and a harmonic drive. The
calculations show that the actuator is good enough to be used in real
life powered prosthetic upper limb or rehabilitation exoskeleton.
Abstract: A 2-Degrees of freedom powered prosthetic wrist
actuator has been proposed that can provide the Abduction/Adduction
& Flexion/Extension movements of the human wrist. The basic
structure of the actuator is a Ball and Socket joint and the force is
transmitted from the DC geared servo motors to the joint through the
Bowden cables. The proposed design is capable of providing the
required DOF in both axes i.e. 85° & 90° in flexion extension axis.
The size and weight of the actuator lies within the ranges of an
average human being-s wrist.
Abstract: The motivation of this work was to find a suitable 3D
scanner for human body parts digitalization in the field of prosthetics
and orthotics. The main project objective is to compare the three
hand-held portable scanners (two optical and one laser) and two
optical tripod scanners. The comparison was made with respect of
scanning detail, simplicity of operation and ability to scan directly on
the human body. Testing was carried out on a plaster cast of the
upper limb and directly on a few volunteers. The objective monitored
parameters were time of digitizing and post-processing of 3D data
and resulting visual data quality. Subjectively, it was considered level
of usage and handling of the scanner. The new tripod was developed
to improve the face scanning conditions. The results provide an
overview of the suitability of different types of scanners.