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1 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) 1 2

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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

[email protected]

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| Faculty of Engineering LTH | Dept of. Biomedical Engineering | Christian Antfolk | Slide 64

Thank you!

[email protected]

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