Artificial Digit Replacements for Women Veterans with Individual Digit Loss

为个别手指缺失的女性退伍军人进行人工手指替换

• 批准号: 10610390
• 负责人: RICHARD Fergus ffrench WEIR
• 金额: --
• 依托单位: VA EASTERN COLORADO HEALTH CARE SYSTEM
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-10-01 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10610390
• 关键词: Address; Algorithms; Amputation; Amputees; Anatomy; Award; Caring; Client; Clinic; Clinical; Clinical Trials; Clinical assessments; Consensus; Custom; Data; Data Analyses; Development; Device or Instrument Development; Devices; Digit structure; Drops; Economics; Electronics; Enrollment; Ensure; Environment; Evaluation; Feedback; Female; Fingers; Goals; Grant Review; Hand; Home; Individual; Industry; Label; Laboratories; Life; Life Style; Literature; Marketing; Mechanics; Medical; Medicine; Mission; National Institute of Child Health and Human Development; Occupational Therapist; Outcome Measure; Participant; Patients; Population; Production; Prosthesis; Prosthesis Design; Protocols documentation; Publications; Publishing; Questionnaires; Recommendation; Request for Proposals; Rubber; Sample Size; Security; Small Business Innovation Research Grant; Surface; System; Technology; Testing; Torque; Translating; Translations; United States National Institutes of Health; Upper Extremity; Veterans; Weight; Woman; Work; clinical decision-making; cost; design; experience; follow-up; grasp; improved; innovation; laboratory development; limb amputation; manufacture; manufacturing technology; military veteran; novel; personalized approach; prosthetic hand; prototype; psychologic; psychosocial; recruit; response; satisfaction; standard of care; timeline; usability; verification and validation

The largest population of upper limb amputees are those with partial hand amputations. This population outnumbers all other levels of upper limb amputees by a factor of 10. Therefore, a significant clinical impact can be made if a product serves this population effectively. The care of Veterans with upper limb amputations requires a highly individualized approach to medicine. Each Veteran brings a unique presentation to the clinic including levels of amputation, lifestyles, personal experience, and other medical indicators. They tend to be highly active individuals with the need for a prosthesis to keep up with their daily life. Prosthetists and occupational therapists work with each Veteran to provide a personalized medical solution using available components and technologies on the open market. Often, a return to optimized function is limited by the solutions available on the market, which provide insufficient durability, function, or a combination. To compound this issue, no commercially available prosthetic finger is appropriately sized for the full range of female hand sizes. Consequently, certain women Veterans with partial hand amputations are unable to obtain a prosthesis that meets their needs. To date, the VA Biomechatronics Development Laboratory (BDL) has developed a ratcheting prosthetic digit, the Point Digit, that is now commercially available for use in partial hand prostheses. Through our prior Merit Award [1I01RX002830], we successfully redesigned and prototyped this technology – the Women’s Digit – to permit it to be sized for a 5th percentile female while maintaining an industry leading strength to weight ratio and novel ratcheting mechanism. The mission of the VA Biomechatronics Development Laboratory is to innovate devices and algorithms in the field of upper limb prosthetic design. For this project, the BDL will complete a prosthetic solution that will meet the unique needs of women Veterans and be responsive to the VA RR&D Request for Proposals (RFP) to develop female Veteran specific prosthetic components. We will build upon our previous work to finalize and translate this device to the field. We will: 1) finalize development through iterative fitting and testing of the Women’s Digit and 2) conduct a take-home trial of women Veterans fitted with the Women’s Digit to assess device efficacy. Our goal is to provide an effective solution for women Veterans to ensure their ability to enjoy work and home life to the fullest.

上肢截肢者中最大的一部分是手部部分截肢的人。 上肢截肢者的数量是所有其他级别的上肢截肢者的十倍。因此，显着的临床影响可以 如果产品能够有效地服务于上肢截肢退伍军人的护理，那么就可以实现这一目标。 每位退伍军人都需要高度个性化的医疗方法，为诊所带来独特的表现。 包括截肢程度、生活方式、个人经历和其他医疗指标。 高度活跃的人，需要假肢来维持日常生活。 假肢修复师和职业治疗师与每位退伍军人合作，使用以下方法提供个性化的医疗解决方案： 公开市场上可用的组件和技术通常会受到以下因素的限制。 市场上现有的解决方案在耐用性、功能或组合方面均不足。 使这个问题更加复杂的是，没有一种市售的假手指尺寸适合所有女性 经过检查，某些手部部分截肢的女性退伍军人无法获得手部尺寸。 满足他们需求的假肢。 迄今为止，退伍军人管理局生物机电一体化开发实验室 (BDL) 已开发出棘轮假肢手指， 点数字，现在可以通过我们之前的优点在商业上用于部分手假肢。 奖 [1I01RX002830]，我们成功地重新设计并原型化了这项技术 - 女性数字 - 允许其尺寸适合第 5 个百分位的女性，同时保持行业领先的强度重量比， 新颖的棘轮机构。 VA 生物机电一体化开发实验室的使命是创新设备和算法 对于这个项目，BDL 将完成一个能够满足上肢假肢设计领域要求的假肢解决方案。 女性退伍军人的独特需求，并响应 VA RR&D 提案请求 (RFP) 我们将在之前的工作基础上开发女性退伍军人专用假肢部件。 我们将：1）通过迭代拟合和测试来完成该设备的开发。 女性手指和 2) 对配备女性手指的女性退伍军人进行带回家的试验以评估 我们的目标是为女性退伍军人提供有效的解决方案，以确保她们能够享受到设备的功效。 工作和家庭生活更加充实。