Customized Patient Solution

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CUSTOMIZED PATIENT SOLUTION SD17-005 Faculty Advisor: Dr. Gabbard Company Contact: Jacky Hostetter

Abby Armstrong

Somer Hand

Niki Khandelwal

Sam Meaux


COMPANY DESCRIPTION

Personal Care + Homemaker Agency

Lexington, VA

Devin Robinson

Jacky Hostetter

ME + ISE Teams with Devin, Jacky, + Sherri

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PROBLEM STATEMENT

• Design + build a desk, footrest, + keyboard for a patient with Muscular Dystrophy (MD) • These assistive technologies will help mobilize Devin

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SCOPE

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01: Industrial Engineers • Ergonomic analysis • Human interface design • System interface design

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02: Mechanical Engineers • Structural analysis

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• CAD models • Power transduction

03: Joint Effort • Keyboard • Desk • Foot rest


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OBJECTIVES

Increase Productivity

Reduce Healthcare Costs

Improve Quality of Life


TARGET SPECIFICATIONS

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Desk

Footrest

Keyboard

• 3 axes of adjustability • 15 sec disassembly time

• Noticeable reduction of pain and swelling in feet/ankles • Increase in range of motion

• 150% increase in characters/minute


DESIGN METHODOLOGY

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Engineering Design Process

Recognition of Challenge

Information Gathering

Idea Evaluation

Problem Definition

Build

Idea Generation

Validation


SOLUTION

DESK Customer Needs: • Desk needs to fit through doorway + fit laptop + keyboard • Sturdy • Adjustable desk position

Target Specifications: • Size of desk surface top: 24” x 22” x 1” • Weight: 9 kg (20 lbs) • Maximum stress: 30 ksi

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SOLUTION

DESK - 3D MODEL

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SOLUTION

DESK ATTACHMENT TO WHEELCHAIR

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SOLUTION

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FOOTREST Customer Needs: • Size • Angular adjustability • Sturdiness

Target Specifications: • Height, length, width • Angle of adjustment • Maximum stress Image from Seating Dynamics


SOLUTION

FOOTREST PADDING • Inspired by prototyping session • Comfort Company • Padding thickness 1.75” • Wooden board screwed onto footplate

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SOLUTION

TIGHTENING OF FOOTREST PADDING Side Release Buckle Straps: • Polyester • Prevent foot from sliding forward and tightens width of footbox padding Image from Amazon

Fleece Noseband Cover: • Cover strap to prevent irritation/rubbing on ankles

Image from Dover Saddlery


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SOLUTION

FOOTREST ATTACHMENT

T-slot on Wheelchair

Footrest Insert and Attachment

Before: No Footrest

After: Footrest Attached


SOLUTION

KEYBOARD

Customer Needs: • Increased typing efficiency • Less arm movement to reach keys

Target Specifications: • Shorter distance from keys to hand • Cursor navigation integrated into keyboard

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SOLUTION

LEFT HAND COMPONENT

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SOLUTION

RIGHT HAND COMPONENT

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SOLUTION

CUSTOM KEY LAYOUT

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IMPACT Desk • 3 axes of adjustability • Assembly: 13.5 seconds, Disassembly: 10.5 seconds

Footrest • Reduction in swelling: LS - Ankle: 11 → 10 in, Arch: 11.75 → 11 in, Ball: 10.25 → 10 in RS - Ankle: 11.25 → 10.5 in, Arch: 10.75 → 10.5 in, Ball: 10.25 → 10 in • Increase in ROM, Reduced pain

Keyboard ● Old keyboard: 27.9 seconds, New keyboard: 21.8 seconds

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IMPACT CONTINUED

Client’s Final Remarks: “The swelling in my feet is going down. They’re at least half the size. I might even be wearing shoes again by graduation time.” (April 10th) “I’ve spent my whole life adapting to things in the world, so it’s been really great having things adapted to me for a change.”

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SPECIAL THANKS

• Professor Ott • Jacky Hostetter • Greg Peek • Sean Rahall • ME Team Members


CUSTOMIZED PATIENT SOLUTION SD17-005 Faculty Advisor: Dr. Gabbard Company Contact: Jacky Hostetter

Abby Armstrong

Somer Hand

Niki Khandelwal

Sam Meaux


IMPLEMENTATION PLAN

Manufacture + Build

Testing

Prototyping

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Design Refinement

Design Verification


STRESS ANALYSIS

● U-bolt clamp was replaced with a vibration damping u-bolt ○ Previous U-bolt clamp: Max stress = 11.59 ksi ○ New U-bolt: Max stress = 11.38 ksi

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SAFETY FACTOR

● Previous U-bolt clamp: min SF = 3.44 ● New U-bolt: min SF = 2.89

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WHEELCHAIR ATTACHMENT

● Coupling Nuts ○ ¼” diameter ○ Distance from centers = ⅜” ○ Replacing old block ● Socket Caps ○ ¼”-20 x 1½" Socket-Cap Anchor Bolt ○ Tighten/Loosen with Allen Wrench ○ Replacing old socket caps ● Circular Tube ○ Diameter = ¾” ○ Length = 3”

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ANGULAR ADJUSTMENT

Footplate Angular Adjustment - Allen Wrench Size: - Top Screw - 3/16” - Side Screw - 5/32”

Knee Angular Adjustment - Allen Wrench Size - Side Screw - 5/32

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48 Tooth Spline Feature - 7.5° Increments - 360° Range of Motion


HEIGHT ADJUSTMENT

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Conical Wedge

Divet to allow expansion How it Works - 6” of Height Adjustability - Allen Wrench Size - 7/32” - Tighten bottom bolt to pull down conical wedge - Conical Wedge puts pressure on inner tube to hold height in place


FOOT BOX

● Inspired by prototyping session ● Style: Standard ● Dimensions: 7” W x 10” L x 8” H ● Padding Thickness 1.75”

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RESISTANCE BAND & PADDING

Resistance Band by RAGE ● Dimensions: 18” L x 13/16’ W (2 Bands per Foot Box) ● Material: Rubber ● Purpose: Prevent foot from sliding forward due to angle of footplate and tighten the width of padding

Fleece Hackamore Noseband Cover ● Dimensions: 9” L ● Material: Fleece ● Purpose: Cover rubber padding in the front of the footbox to prevent discomfort

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CURSOR NAVIGATION

5 Pin PS2 style Joystick ● moves cursor around screen

Logitech Trackman Marble Trackball ● no software or alteration electronically ● retained L and R click functions

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JOYSTICK OPERATION

Flow Chart for joystick as cursor navigation

Arduino Leonardo: microcontroller

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JOYSTICK CODE

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ELECTRICAL SCHEMATIC

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ELECTRICAL SCHEMATIC

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SOFTWARE

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Keyboard

Joystick

gh60: Edited in Visual and Compiled

Arduino IDE

in Ubuntu Bash


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