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Harnessing for Harnessing for Body Powered Body Powered Prostheses Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

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Page 1: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Harnessing forHarnessing forBody Powered ProsthesesBody Powered Prostheses

Ryan Spill, CPAdvanced Arm DynamicsSeptember 30, 2010

Page 2: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010
Page 3: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Figure 8 harness

• Suspension

• Control

Axilla loop

Inverted Y suspension

Page 4: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Inverted “Y” Strap for Suspension

Page 5: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Control Strap

Page 6: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Figure 9 Harness

• Provides control of TD only

• Alternate suspensory technique

Page 7: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Self-Suspending Socket Design with Figure 9 Harness

Page 8: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Custom Harness Designs

• Patient prefers suction

socket• Figure 9

harness for TD control• Distal

attachment to frame

Page 9: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010
Page 10: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Modified Control Cable

• Patient lives substantial

distance from office

• Heavy duty user

Page 11: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Alternate Control Cable

Page 12: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Alternate Anchor instead of Axilla Loop

Page 13: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Modified Triceps Cuff

Page 14: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Medial Cross Bar Assembly

Page 15: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010
Page 16: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

BilateralFigure 8

Page 17: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010
Page 18: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Figure 8 harness

• Efficient• Suspension & Control

Suspension strap

Elbow Lock/Unlock

Elbow/TD control

Page 19: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Figure 8 Harness

Lock/Unlock Lock/Unlock ControlControl

Page 20: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Figure 8 Harness for Triple Figure 8 Harness for Triple ControlControl

Double Ring

Control Cable mounted Laterally

locklock

Page 21: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Control Strap Mounted Medially

Page 22: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010
Page 23: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Transhumeral Chest StrapTranshumeral Chest Strap

• Left Transhumeral amputee secondary to

trauma

• Contralateral hand weakness

Page 24: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

TranshumeralTranshumeralChest StrapChest Strap

HarnessAttachmentLock/Unlock Cable

Easier for donning than

Figure 8

Page 25: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Control Strap

Page 26: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010
Page 27: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Modified Chest Strap

• Narrow Straps

• Medial lock/unlock attachment

allows locking by abduction

Page 28: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

• Elastic suspensory

straps

• Control strap travels through

keeper attached to

elastic

Page 29: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Chest strap for Elbow Disarticulation

Page 30: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010
Page 31: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010
Page 32: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Modified Harness• Left transhumeral

amputee• Secondary to burns• Compromised hand

strength

Page 33: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Initial Chest Strap

Page 34: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010
Page 35: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Elastic Chest Strap Attached to Axilla Loop

Combination of Figure 8 and Chest Strap Designs

Page 36: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Socket Modification to Assist Harness

• Silicone Locking Liner• Proximal and Distal

Suspension Strap

Page 37: Harnessing for Body Powered Prostheses Ryan Spill, CP Advanced Arm Dynamics September 30, 2010

Thank You!