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Control and sensory feedback in prosthetics
CHRISTIAN ANTFOLK
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 2
Outline
• Amputations
• Upper limb prostheses
• Lower limb prostheses
• Conventional control
• Non-invasive methods of control (research)
• Invasive methods of control (research)
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 3
Amputation levels (upper limb)
Transradial
Transhumeral
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 4
Amputation statistics upper limb (UK 2006/2007)
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 5
Amputation statistics upper limb (UK 2006/2007) cont.
• Reasons for amputations (congenital excluded)
Cause Number Percentage
Trauma 113 52%
Dysvascularity 23 11%
Infection 12 6%
Neurological discorder 2 1%
Neoplasia 22 10%
Other 43 20%
Total 215 100%
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 6
Amputation levels (lower limb)
Transfemoral
Transtibial
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 7
Amputation statistics lower limb (UK 2006/2007)
> 20 times compared to upper limb !!!!! Why???
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 8
Amputation statistics lower limb (UK 2006/2007) cont.
• Reasons for amputations (congenital excluded)
Cause Number Percentage
Trauma 337 7 %
Dysvascularity 3300 72 %
Infection 356 8 %
Neurological discorder 56 1 %
Neoplasia 120 3 %
Other 405 9 %
Total 4574 100%
Was 11 % for upper limb amputees
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 9
Upper limb prostheses
• Partial fingers
• Hands
• Wrists
• Elbows
• Shoulders
• Major industrial players: Otto Bock, RSLSteeper, touchbionic, Liberating Technologies, MotionControl etc.
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 10
Prosthetic hand types
• Categorization
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 11
Partial finger prosthetics
• Can be bodypowered or electrically powered
• Can be purely cosmetic
• Touchbionics i-limb digits (prodigits)
• VINCENT finger
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 12
Task specific hand prostheses
• Related to a certain activity/sport
• Usually tailored for the specific task
http://www.oandp.com/products/trs/
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 13
Cosmetic hand prostheses
• Varying degrees of looking like an arm/hand
• Handcrafted/Painted
• CAM/CAE/CAD approaches
http://www.pillet.com/http://www.touchbionics.com/products/passive-functional-prostheses/livingskin/
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 14
Active/Bodypowered hand prostheses
• Hooks
http://rslsteeper.com/http://www.ottobock.com/
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 15
Active/Electrical hand prostheses
• Hands
http://rslsteeper.com/http://www.ottobock.com/http://www.utaharm.com/http://www.centri.se/
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 16
Active/Electrical hand prostheses
http://bebionic.com/http://www.touchbionics.com/http://www.living-with-michelangelo.com/http://handprothese.de/
• Dexterous hands
• Multiple motors
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 17
Active/Electrical hand prostheses
J. T. Belter and J. L. Segil, "Mechanical design and performance specifications of anthropomorphic prosthetic hands: a review," Journal of rehabilitation research and development, vol. 50, p. 599, 2013.
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 18
J. T. Belter and J. L. Segil, "Mechanical design and performance specifications of anthropomorphic prosthetic hands: a review," Journal of rehabilitation research and development, vol. 50, p. 599, 2013.
Active/Electrical hand prostheses
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 19
Active/Electrical hand prostheses
a) Vincent hand, b) iLimb, c) bebionic, d) Michelangelo
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 20
Research hands
http://handprothese.de/http://www.prensilia.com/
• Even more dexterous hands
• Multiple motors
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 21
Research hands cont.
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 22
Wrists
• Electric/Manual
• Locking
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 23
Elbows
• Electrical/Manual
• Lock/Free swing
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 24
Shoulders
• Mostly mechanical
• Free swing / Lock
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 25
Whole system / Research prototypes
• Complete systems
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 26
MPL video
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 27
Lower limb prosthetics
• Hips
• Knees
• Feet
• Major industrial players: Otto Bock & Össur
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 28
Hips
• Helix3D Hip Joint System
http://www.ottobock.com/
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 29
Knees
• Electric / Hydraulic / Pneumatic
• Microprocessor controlled or not
• Active / Breaking
http://www.ottobock.com/http://www.ossur.com
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 30
Wrists/Feet
• Passive / Electrical
• Active / Breaking
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 31
Research in lower limb prosthesis
http://biomech.media.mit.edu/
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 32
Research in lower limb prosthesis
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 33
Control of upper limb prosthes
• Bodypowered VC, VO
• Cineplasty control
• Myoelectric control
• Research methods
– Pattern recognition of EMG signals
– Targeted Reinnervation
– Control using information from the peripheral nervoussystem
– Control using information from the central nervoussystem
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 34
Bodypowered prosthesis
• Harness over shoulders
• Voluntary closing /opening
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 35
Bodypowered prosthesis II
• Cineplasty
• Sauerbruch-Lebsche-Vanghetti
• Tendon exteriorization
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 36
Electromyogram
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 37
Myoelectric control I
• One site
• Two site
• Pattern recognition (research)
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 38
One (single) site control – single function
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 39
Two (dual) site control – single function
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 40
Two (dual) site control – dual function
• Controlling hook and wrist rotationStarts in hook control Close hookOpen hookChange to wrist controlWrist rotate rightWrist rotate left
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 41
Research into control of prosthetic hands
• Limitations of conventional control schemes:
– One function at a time (sequential)
– Limited grasp types (open / close) even with new hands
– No real force control
• Pattern recognition algorithm/ Machine learning methods
– Set of inputs (EMG signals, usually multiple channels 8-16)
– Set of targets (Usually different grasps)
– Algorithm finds a function that discriminates patterns of EMG activity into different grasps
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 42
Pattern recognition based control : surface EMG
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 43
Targeted reinnervation
• Target muscle deinnervated
• Target muscle reinnervated nerves going to muscles in the no longer existing limb.
T. A. Kuiken, L. A. Miller, R. D. Lipschutz, B. A. Lock, K. Stubblefield, P. D. Marasco, P. Zhou, and G. A. Dumanian. Targeted reinnervation for enhanced prosthetic arm function in a woman with a proximal amputation: a case study. Lancet, 369:371-380, 2007.
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 44
Targeted reinnervation : video
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 45
Invasive control : EMG
• Epimysial electrodes
• Intramuscular electrodes
M. Ortiz-Catalan, B. Håkansson, R. Brånemark, “An osseointegrated human-machine gateway for long-term sensory feedback and motor control of artifical limbs” Sci. Transl. Med 6 257(re6) 2014.
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 46
Invasive control : interfacing with the PNS
S. Micera, L. Citi, J. Rigosa, J. Carpaneto, S. Raspopovic, G. Di Pino,L. Rossini, K. Yoshida, L. Denaro, P. Dario, and P. M. Rossini, “Decoding information from neural signals recorded using intraneural electrodes: Toward the development of a neurocontrolled hand prosthesis,” Proc. IEEE, vol. 98, no. 3, pp. 407–417, Mar. 2010.
• Similar concept as research EMG
• Electrodes
• Pattern recognition
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 47
Invasive control : interfacing with the CNS
• Concept again similar
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 48
Invasive control : interfacing with the CNS
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 49
Current research in my lab
• DeTOP – EU project
– Partners:
» Lund, Gothenburg, Essex, CSEM, Integrum, Prensilia, Scoula Superiore Sant’Anna,
http://www.detop-project.eu/
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 50
Current research in my lab
• Otbioelettronics Quattrocento
– 384 channels + 16 auxilliary
– 10 kHz per channel
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 51
• Custommade force-rig
• 9 sensors
• Each finger
• Two on the thumb
• Three for the wrist
– flexion/extension
– pronation/supination
– radial/ulnar deviation
Current research in my lab
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 52
Current research in my lab
• Force + iEMG
– Fine-wire electrodes
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 53
Current research in my lab
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 54
• Intramuscular fine wire EMG
• Example signals from FDP (Flexor Digitorum Profundus)
• Flexion of digits 3,4,5.
High force
Medium force
Low force
D1 D2 D3 D4
Current research in my lab
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 55
• Intramuscular fine-wire EMG
• Initial results
EMG
Force
Firing rate
Envelope
Current research in my lab
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 56
Current research in my lab
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 57
• Body-powered
• Elektro-mechanical
Current research in my lab
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 58
Current research in my lab
• Sensory feedback and force sensors
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 59
• Virtual Reality for rehabilitation and training
Cyberglove
Myo
Current research in my lab
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 60
• Deep Learning and HDSEMG
Current research in my lab
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 62
Demo
| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 63
Masters thesis projects
• If you are interested in machine learning for control of hand prostheses or building a handprosthesis (mechatronics) or sensory feedback systems for prosthetic hands or other topics in ”neuroengineering” please contact me
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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 64
Thank you!
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