Transcript
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!


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