Michelangelo Hand

Last updated

The Michelangelo Hand is a fully articulated robotic hand prosthesis developed by the German prosthetics company Ottobock and its American partner Advanced Arm Dynamics. It is the first prosthesis to feature an electronically actuated thumb which mimics natural human hand movements. [1] [2] [3] The Michelangelo Hand can be used for a variety of delicate everyday tasks, was first fitted to an Austrian elective-amputee in July 2010 [4] [5] and has been in use by military and civilian amputees in the United States and United Kingdom since 2011. [2] [3] [6]

Contents

Design and development

The Michelangelo Hand's development was begun by the German prosthetics manufacturer Ottobock. In 2008, the American company Advanced Arm Dynamics became involved with testing and further refinement of the prosthesis. [1]

The prosthesis is battery-powered and can be used for up to 20 hours between charges. [2] Constructed of metal and plastic, it is designed with a natural, anthropomorphic aesthetic, and can be custom-fitted for each user. Its motions are controlled by built-in electrodes, which detect the movements of the user's remaining arm muscles and interpret them using electromyography software. [1] The fingers can form numerous naturalistic configurations to hold, grip or pinch objects. [7] The Michelangelo Hand is capable of moving with enough precision to conduct delicate tasks such as cooking, ironing, and opening a toothpaste tube, [1] but can also exert enough strength to use an automobile's steering wheel. Skin-toned cosmetic gloves are also available for the prosthesis. [8] In 2013, the Michelangelo Hand had a unit cost of around £47,000 (US$73,800). [2]

Users

Austrian electrician Patrick Mayrhofer suffered serious injuries to his hands at the age of 20 when he touched a 6000-volt power line in February 2008. After unsuccessful attempts to reconstruct his left hand, it was amputated below the elbow in July 2010 [9] and he became the first patient in the world to be fitted with a Michelangelo Hand. [4] [5] [10] [11] He joined Ottobock 3 years later, helping their customers learn to use their prostheses. [12] Having started para-snowboarding in 2012, [5] [9] Mayrhofer was named Paralympic Austrian Sports Personality of the Year [10] after winning a gold medal in banked slalom at the 2015 Para-Snowboard World Championships [13] He went on to win the Paralympic silver medal in banked slalom at the 2018 Winter Olympics. [14]

Numerous American soldiers who suffered limb amputation in combat have received Michelangelo Hands since 2011. In January 2012, Matt Rezink of Wisconsin became the first American civilian to receive a unit. [6] In January 2013, Chris Taylor, a British service engineer who had lost his right hand in a jet ski accident in 2009, became the first UK citizen to be fitted with a Michelangelo Hand. [2] By 2013, the hand was offered by several British prosthetic services companies, including Dorset Orthopaedic. [15]

See also

Related Research Articles

Prosthesis Artificial device that replaces a missing body part

In medicine, a prosthesis or prosthetic implant is an artificial device that replaces a missing body part, which may be lost through trauma, disease, or a condition present at birth. Prostheses are intended to restore the normal functions of the missing body part. Amputee rehabilitation is primarily coordinated by a physiatrist as part of an inter-disciplinary team consisting of physiatrists, prosthetists, nurses, physical therapists, and occupational therapists. Prostheses can be created by hand or with computer-aided design (CAD), a software interface that helps creators design and analyze the creation with computer-generated 2-D and 3-D graphics as well as analysis and optimization tools.

Amy Purdy

Amelia Michelle "Amy" Purdy is an American actress, model, para-snowboarder, motivational speaker, clothing designer and author. Purdy is a 2014 Paralympic bronze medalist, 2018 Paralympics silver medalist, and co-founder of Adaptive Action Sports.

Ottobock is a German prosthetics company situated in Duderstadt with 49 local stations all around the world. It has been responsible for several innovations in prosthetics, including the C-Leg, a computerized knee joint that adaptively varies its passive resistance to suit the patient's different walking gaits, and the Michelangelo Hand, a fully articulated robotic hand prosthesis. In 2017, the company bought Bebionic, the high technology robotic hand, from the Steeper, US company that developed prosthesis, and has become the most high-tech company in upper extremities. Ottobock has been a partner to the Paralympic Games since 1988, and an international worldwide partner to the International Paralympic Committee since 2005. In 2016, the partnership was extended until the end of 2020.

Targeted reinnervation enables amputees to control motorized prosthetic devices and to regain sensory feedback. The method was developed by Dr. Todd Kuiken at Northwestern University and Rehabilitation Institute of Chicago and Dr. Gregory Dumanian at Northwestern University Division of Plastic Surgery.

T42 is a disability sport classification for disability athletics, applying to athletes with single above the knee amputations or a disability that is comparable. This class includes ISOD classified A2 and A9 competitors.

T43 is a disability sport classification for disability athletics, applying to athletes with "Double below knee amputation or similar disability." It includes ISOD classified athletes from the A4 and A9 classes.

T44 (classification)

T44 is a disability sport classification for disability athletics, applying to "Single below knee amputation or an athlete who can walk with moderately reduced function in one or both legs." It includes ISOD A4 and A9 classes.

Paratriathlon is a variant of the triathlon for athletes with a physical disability. The sport is governed by the International Triathlon Union (ITU), and was first held as a Paralympic event at the 2016 Summer Paralympics in Rio de Janeiro, Brazil.

Paratriathlon classification is the classification system for athletes participating in paratriathlon. It is governed by the International Triathlon Union (ITU) The sport has been included in the 2016 Summer Paralympics.

BeBionic is a commercial prosthetic hand designed to enable amputees to perform everyday activities, such as eating, drinking, writing, typing, turning a key in a lock and picking up small objects.

The Cybathlon is a multi-sport event, an international competition in which people with physical disabilities compete against each other to complete everyday tasks using state-of-the-art technical assistance Systems ("pilots"). Besides the actual competition, the Cybathlon offers a platform to drive forward research on assistance systems for everyday use, and to promote dialogue with the public.

The Osseointegration Group of Australia is an organisation founded by Sydney orthopedic surgeon and osseointegration specialist Dr Munjed Al Muderis. The Osseointegration Group of Australia Team is made up of specialists from various fields including prosthetics, physio, rehabilitation, anesthesia and psychology.

Open Bionics

Open Bionics is a UK-based company that develops low-cost, 3-D printed bionic prostheses for upper extremity amputees. The company is based in Future Space, co-located with Bristol Robotics Laboratory. The company was founded in 2014 by Joel Gibbard and Samantha Payne.

T47 is a disability sport classification for disability athletics primarily for competitors with a below elbow or wrist amputation. T47 is a classification for track events but unlike the other T40 to T46 classifications it has no equivalent F47 classification for field events. The amputee sports equivalent class is ISOD the A8 class. People in this class can have injuries as a result of over use of their remaining upper limb.

A4 is an amputee sport classification used by the International Sports Organization for the Disabled (ISOD).for people with acquired or congenital amputations. People in this class have one leg amputated below the knee. Their amputations impact their sport performance, including having balance issues, increased energy costs, higher rates of oxygen consumption, and issues with their gait. Sports people in this class are eligible to participate in include athletics, swimming, sitting volleyball, archery, weightlifting, wheelchair basketball, amputee basketball, amputee football, lawn bowls, and sitzball.

Gait deviations

Gait deviations are nominally referred to as any variation of standard human gait, typically manifesting as a coping mechanism in response to an anatomical impairment. Lower-limb amputees are unable to maintain the characteristic walking patterns of an able-bodied individual due to the removal of some portion of the impaired leg. Without the anatomical structure and neuromechanical control of the removed leg segment, amputees must use alternative compensatory strategies to walk efficiently. Prosthetic limbs provide support to the user and more advanced models attempt to mimic the function of the missing anatomy, including biomechanically controlled ankle and knee joints. However, amputees still display quantifiable differences in many measures of ambulation when compared to able-bodied individuals. Several common observations are whole-body movements, slower and wider steps, shorter strides, and increased sway.

Snowboarding at the 2018 Winter Paralympics

The Snowboarding competition of the 2018 Winter Paralympics will be held on 12 and 16 March 2018 at the Jeongseon Alpine Centre in Gangneung, South Korea.

Austria sent competitors the 2018 Winter Paralympics in Pyeongchang, South Korea. Austria sent 13 people to compete in three sports: para-alpine skiing, para-snowboarding and cross-country skiing.

Romania sent a competitor to the 2018 Winter Paralympics in Pyeongchang, South Korea. Romania's sole competitor was Mihaita Papară, in para-snowboarding. Romania first went to the Winter Paralympics in 2010. The country has never won a medal at the Winter Games. At the 2010 and 2014 Games, Romania was represented by one skier, Laura Văleanu.

Patrick Mayrhofer is Austria's most successful Paralympic Snowboarder. He won Silver in the Banked Slalom at the 2018 Winter Paralympics in PyeongChang, South Korea, Gold in the Banked Slalom at the 2015 World Para Snowboard World Championships in La Molina, Spain, and Silver in the Banked Slalom at the 2019 World Para Snowboard World Championships in Pyhä, Finland. In 2015 he was honored as the Paralympic Austrian Sports Personality of the Year.

References

  1. 1 2 3 4 "Michelangelo Hand". Advanced Arm Dynamics. Retrieved 7 February 2013.
  2. 1 2 3 4 5 "Transplant patient receives bionic hand with electronic fingers". The Daily Telegraph . 23 January 2013. Retrieved 7 February 2013.
  3. 1 2 "Indianapolis minister first to get revolutionary prosthetic". WTHR. 15 November 2012. Retrieved 7 February 2013.
  4. 1 2 Sruthi Pinnameneni (6 July 2011). "Europe's first bionic hand still going strong a year on". Deutsche Welle . Retrieved 18 March 2018.
  5. 1 2 3 "Patrick Mayrhofer". Ottobock. 13 March 2018. Retrieved 18 March 2018.
  6. 1 2 "Man Receives New Bionic Hand With Electronic Opposable Thumb". Singularity Hub. 8 February 2012. Retrieved 7 February 2013.
  7. Miguelez, John M. (2011). "Clinical Experiences With The Michelangelo Hand, A Four-Year Review". Duke University Libraries. Retrieved 8 February 2013.
  8. "Michelangelo Hand". Hanger Clinic. 2014. Retrieved 18 April 2015.
  9. 1 2 "Athlete Profile — Patrick MAYRHOFER". PyeongChang Organizing Committee for the 2018 Olympic & Paralympic Winter Games . Retrieved 18 March 2018.
  10. 1 2 "Mayrhofer ist Behindertensportler des Jahres". MeinBezirk.at (in German). 4 November 2015. Retrieved 19 March 2018.
  11. Neil Bowdler (18 May 2011). "Bionic hand for 'elective amputation' patient". BBC News Online . Retrieved 18 March 2018.
  12. "Pilots of the Cybathlon: Patrick Mayrhofer". Cybathlon, ETH Zurich. 5 June 2015. Retrieved 20 March 2018.
  13. "2015 IPCAS Para Snowboard World Championships La Molina: Men's banked slalom SB-UL". International Paralympic Committee. 28 February 2015. Retrieved 24 March 2015.
  14. "Medals and Ranking — Men's Banked Slalom SB-UL". PyeongChang Organizing Committee for the 2018 Olympic & Paralympic Winter Games. 16 March 2018. Archived from the original on 17 March 2018. Retrieved 16 March 2018.
  15. "Michelangelo Hand by Otto Bock". Dorset Orthopaedic. Archived from the original on 11 November 2013. Retrieved 11 November 2013.