Low Cost Prosthesis_Process Book

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GAVA Simple Limb Initiative

DSID128 Spring 2015 Leslie Speer Gouichi Tanaka, Amaranta Hernandez, Vince Bjorge, Ashley Bachman 1


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Table of Contents Phase 0 Form Phase 1 Research Phase 2 Analyze Phase 3 Define Phase 4 Ideate Phase 5 Create Phase 6 Validate Phase 7 Model

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Phase 0 Briefing

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Ashley Bachman

Amaranta Hernandez

Vincent Bjorge

Gouichi Tanaka


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“Colombia is Second in World for Land Mine Victims, Behind Afghanistan.” -FOX News Latino Sept. 26, 2012

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COLOMBIA 4.5833° N, 74.0667° W Population: 48 million Capital: Bogotá

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Accidents Briefing

Hot Spots The map to the right illustrates the abundance of landmine-related accidents throughout Colombia. In particular, the areas of interest that will be our focus are the regions of Antioquia and Meta.

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History Briefing

Fuerzas Armadas Revolucionarias de Colombia (FARC) The “Revolutionary Armed Forces of Colombia�, originally in Spanish called Fuerzas Armadas Revolucionarias de Colombia, or commonly known as FARC, is a guerrilla organization responsible for the scattered land mines across Colombia.

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Phase 1 Research

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Geographic Regions Colombia

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Amazon

Pacific

Andes

Caribbean

Savannah

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Culture Colombia

Art, Music, Festivals Colombia is rich with a range of regional music from its Caribbean coast to Andean highlands, each with its own unique style. Some of the commonly known genres of music include cumbia, vallenato, salsa, and contemporary pop or jazz. Art and festivals are always full of bright, lively colors accompanied by music and dancing.

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Youth Colombia

Children in Poverty As many children in Colombia live in poverty, it is estimated that 1 out of 10 are uneducated, forcing them to enter into the workforce at an early age to support their families. As a means for survival, children are also seen involved in the armed forces, or even prostitution at as early as 11 years old.

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Industry Colombia

Job Sectors Mining takes on a large portion of the Colombian workforce due to having one of the largest coal reserves in Latin America, as well as 80% of the worldwide emerald supply. Construction has been booming since the early 2000’s in order to support the development transportation infrastructure. Agriculture continues to be Colombia’s oldest industry; although only 5% of the land is cultivated, it makes up about 30% of its workforce.

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Transportation Colombia

Urban Grid The most common means of transportation in Colombia include railways, buses, taxis, private cars, motorcycles, bicycles, and walking by foot. Public transit if fairly accessible for people who live within metro areas. There is a direct correlation between the activity in construction and transportation growth.

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Manufacturing Colombia

Mass Production The textile industry represents about a fifth of the entire employment of Colombia, with the U.S. as a main export market.

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Mahavir-Kmina Organization

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Mahavir-Kmina is a non-profit corporation in Medellin, Colombia started in 2007. Their sole objective is to manufacture prosthetics, and provide and fit them to amputees at no cost. It is estimated that they provide artificial limbs to 250 amputees per year, many of whom are children and young adolescents. They assist patients with medical consultation, production and fitting, physical therapy, and psychological support. Due to their efforts, they have facilitated the injured to re-integrate more easily into society; Whether it is getting an education, returning to their job, or participating in activities, they have helped people take back some of their potential.

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Low-Cost Prosthesis Case Study * Collaboration between Waag Society in The Netherlands, an Institute of Art, Science and Technology * And The house of Natural Fibers’ Fablab in Yogyakarta, Indonesia * Prosthetic with product costs below $50 * Produce a sustainable prosthesis by using local materials * Pineapple tree fibers combined with PU rubber compound to make the socket

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D-Rev Knee Case Study

Jaipur Knee V1

ReMotion Knee V2

ReMotion Knee V3

Stanford University students developed the V1 ReMotion to be produced and fitted by the JaipurFoot Organization.

Manufactured in Menlo Park, California to be distributed through Fundicion Protesis Para la Vida in Ecuador.

First mass manufactured version, design for global scale production.

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Phase 2 Analyze

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Amputations and Prosthetic Prep Amputation & Preparation Ergonomics

Limb exercises to correct

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Prosthetic Fitment Top edge of socket should be rounded to form wide lip on the back where the butt can sit.

Above knee

Weight bearing should be on the butt bone and over the entire stump. Pinch points found to cause long term damage caused by Ischial socket.

Prosthetic Fitting Ergonomics

Boys ages 9 to 13 gain an average of 10.5 pounds per year, and grow an average of 2.8 inches per year. Girls ages 9 to 13 gain an average of 13 pounds per year and grow an average of 1.75 inches per year. Every 6 to 12 months child prosthetic will need replacing.

Below knee 31


Human Movement Human Movement Ergonomics

Walking bounce Point of impact

Period of gradual weight increase as body is vaulted over the supporting leg

Period of opposite leg acting as supporting leg providing upward “bounce� allowing for the prosthetic to be kicked forward In addition the to basic needs of a leg prosthetic providing the ability to walk and stand, the children of colombia will require the ability to be able to climb steep slopes, trees, and fencing. The foot will need to be able to adjust to the rocky terrain while providing adequate traction or have the ability to wear shoes. School activities include running and jumping type play.

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Behavior

Behaviors

Age, personality, and social support will all have an effect on the outcome of how well an amputee will accept their new condition and prosthetic.

Age

Body Image

Fulfilment of desires

For a young child, the fulfilment of desire will most likely lie within being able to participate in the same activities as their peers without the prosthetic drawing attention or hindering them. The prosthetic should also be easy enough to maintain as to become habit forming.

Easy to fix

Dependent

Narcissistic

Easy to maintain

Sense of Ownership

Power/Control 33


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Anthropometric parameters Age/ Height

Boys Girls

20 18

100

39.4

9

90

35.4

80

31.5

70

27.5

8

16 14

6

12

5

10 8

4

6

3

4

Centimeters per year

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Inches per year

Centimeters per year

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62 60

23.6

55

50

19.7

40

15.8

30

11.8

20

7.8

2

2 0

Inches per year

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Age/ Leg length

0 1

2

3

4 5 6 7

8

9 10 11 12 13 14 15 16 17 18 19

Age A steady rate of 2.5 inches per year from age 6 to 8 years old.

0

2

4

6

8

10

12

14

16

18

20

Age A difference of 2.75 inches in leg length between age 6 to 8 years old.

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Phase 3 Define

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Design Process Approach Define Design Process Research Primary: - Interview Amputees - Interview rehabilitation specialists - Interview medical anthropologist Secondary: - Watch documentaries - Examine case studies Ideation brainstorm: - Individual Concept Development: - Individual with weekly collaboration Prototyping: - Both individual and collaborative Testing: - Collaborative Refinement: - Individual Documentation: - Collaborative

Ideation brainstorm R e s e a r c h

Concept development P r o t o

Refinement

GOAL 38

T e s t i n g

D o c u m e n t


Stakeholders

olders

Define Support Group

Amputee Support Group - Mahavir Kmina

- Therapist - Designers - Colombia

Family & Community - Parents

Doctors & Healthcare

Family & Friends

- Siblings - Relatives - Friends - Teachers - Classmates - Employer - Coworkers

Doctors & Healthcare - Primary doctor

- Physicians - Technicians - Nurses - Medical device companies

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Design Approach

Hierarchy of Needs

Primary Needs Define

Primary needs 1. Fit and Comfort 2. Ability to Walk 3. Avoid pain, rashes, blisters

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Design Approach

Secondary Needs

Secondary Needs 1. Self-esteem 2. Identity 3. Social Acceptance

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Intrinsic Values Define

Values Creating Emotions Safe

Energized

Excited Trusting

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Valued Stimulated

Cared-for

In-control Confident Pleased


Opportunity Define A prosthetic for.........

vs Rural Activity

Urban Activity

Reality

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Goals Goals Define

IS

ARKET PLACE?

O AT D WH

PEOPLE WANT?

WH AT I

SD ES I

RA

OB JE CT IV

COLOMBIA

R? SE EU

THE

TH

E?

TO

CULTURE

CHILD

• BEHAVIOR • LIFESTYLE

(SOCIETY)

WHAT IS

BL

E

W

T HA

BL VIA

M THE N I E

(USER)

DESIRABILITY

VIABILITY

UNIQUE TO COLOMBIA CREATE JOBS NATIONAL BRANDING PROMOTE UNITY

PRODUCTION • NATURAL RESOURCES • INDUSTRIES

D

F

U

ERGONOMICS • ANTHROPOMETRICS • USER EXPERIENCE

TECHNOLOGY

W HO

PROSTHETIC (PRODUCT)

PR

AB IL IT Y

TO

(BUSINESS)

OC

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N

EE

D?

W

HA TI SP OS SIBL E

? WITH TECHNOLOGY

HO WE

ASY IS IT

TO USE? EA

N EA S FU SE O

D

DUCT?

MAHAVIR KMINA

CUSTOMIZABLE DYNAMIC TRENDY FASHHIONABLE OWNERSHIP INCORPORATE ART INCORPORATE MUSIC INDENTITY

USABILITY

PRO

SIMPLE MECHANICS EASE OF SERVICE RELIABLE PROCESS ACCESSIBLE MATERIALS LOW COST MANUFACTURING REPURPOSED MATERIALS

• MANUFACTURE PROCESS • TOOLS AVAILABLE

TH E

FEASIBILITY • • • • • •

V

• • • • • • • •

OF

• • • •

AR E L

• • • • • • • • •

COMFORTABLE ADJUSTABLE STABLE APPROACHABLE ROBUST LIGHTWEIGHT WATERPROOF MAINTENANCE SERVISABLE


Mission Statement Define

A $30 or less, fully functional prosthetic that alleviates the physical limitations, psychological and social stigmas imposed on school age children and their community. A prosthetic leg that is an aid, an extension and an enhancement to the human body. The prosthetic will play to the strengths of Mahavir-Kmina’s facilities and capabilities.

6-8 years old School-age children in Colombia 45


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Phase 4 Ideate

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2D Exploration Socket

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3D Mockups Socket

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Decision Matrix Socket

Selection Criteria Aesthetics Comfort Structural Durability Material Properties Elemental resistance Versatility Customizability Cost Maintenance Safe Guards Sum +’s Sum 0’s Sum -’s Net Score Rank Continue

Concept D

Concept E

Concept F

0 + 0 0 + + + + + 6 3 1 5 1 Yes

+ 0 1 1 8 -7 3 No

+ 0 + 0 0 + + + 5 3 2 3 2 Yes 51


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2D Exploration Knee

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2D Exploration Knee

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3D Mockups Knee

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3D Overview Knee

photo of evolution

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Knee decision matrix

Selection Criteria Aesthetics Comfort Structural Durability Material Properties Elemental resistance Versatility Customizability Cost Maintenance Safe Guards Sum +’s Sum 0’s Sum -’s Net Score Rank Continue

Concept A

Concept B

Concept C

Concept D

Concept E

Concept F

+ + 2 0 8 -6 4 No

+ + + 3 0 7 -4 1 Yes

+ 1 0 9 -8 5 No

+ + + 3 0 8 -5 3 Yes

0 + + 2 1 7 -5 2 Yes

+ + + + + + + 7 03 7 4 1 Yes 57


2S Exploration Fairing

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3D Mockups 1

2

3

4

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2D Exploration Foot

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3D Mockups

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3D Overview Foot

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Decision Matrix Foot

Selection Criteria Aesthetics Comfort Structural Durability Material Properties Elemental resistance Versatility Customizability Cost Maintenance Safe Guards Sum +’s Sum 0’s Sum -’s Net Score Rank Continue

Concept A

Concept B

Concept C

Concept D

Concept E

Concept F

0 + + 0 2 2 6 -4 3 No

0 0 0 0 0 4 6 -6 4 No

0 0 0 0 0 0 0 6 4 -4 3 No

0 + + + + + 0 0 5 3 2 3 1 Yes

0 + 1 1 8 -7 5 No

+ + + 0 + 0 0 4 3 3 1 2 Yes 65


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Phase 5 Create

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Peg-leg Pylon Testing of weight bearing capacity began by attaching a tube with a rubber foot to the 3D-printed knee.

L-bracket Rig We constructed a rigid yet lightweight rig out of wood and shelving corner brackets.

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Adjacent Rig Create Hot Spot Side-to-side torsional stress applied to the connector piece between Knee and Rig

Handle Handle bar was added in attempt to resolve the issue of uneven stress to connector piece.

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Foot V2 Create The following issues were identified in the version 1 foot and resolved in version 2: * Single polycarbonate sheet flexes too much * Proportions were wrong, particularly height of pylon attachment * Ball heel did not offer substantial stability

V.2

V.1 70


Wood Block After further testing and examination, we still needed to resolve the issue of the foot rotating about the pylon.

To mitigate that problem, a wooden block was drilled, shaped, and fastened to be a pylon support. Then to add stability and reduce forwards/ backwards sway, the wood block was screwed down through the polycarbonate. 71


Socket Create

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Functional Prototype Create

Range of Motion Our functional prototype was scaled to fit one of our team members for the purposes of reallife testing. The range of motion of the knee closely replicates that of a real human leg, allowing the amputee user to participate in more common daily activities.

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Phase 6 Validate

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Rig V.3 Fitting Create

Modified Socket Rig After trial and error of our L-bracket rig and Adjacent Rig, we essentially combined the ideas of both methods into one super rig. The new V.3 rig has a cutout on the rear side of the socket to allow the tester to strap the leg on. It also allows the tester to put their weight directly through the entire leg.

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Phase 7 Model

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Socket Model

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Knee Model

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Foot Model

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