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Prosthetic Arm Force Reducer Team 1 – Halliday's ... - Ohio University

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<strong>Prosthetic</strong> <strong>Arm</strong> <strong>Force</strong> <strong>Reducer</strong><br />

<strong>Team</strong> 1 <strong>–</strong> Halliday’s Heroes<br />

<strong>Team</strong> Members:<br />

Dan Cole<br />

Jay Duffy<br />

Greg Harvey<br />

Josh Hlebak<br />

Michael Massey<br />

Lisa Molitoris<br />

Lou Monnier<br />

Lena Richards<br />

Monday, June 9 th , 2008<br />

Abstract:<br />

There is a need for an assistive technology device that focuses on extremity loss above the elbow<br />

within the field of agriculture. Our focus is with farmers who have physically demanding jobs to<br />

be able to perform tasks which require reliable simulated usage of the appendage and therefore,<br />

continue to run a profitable farm operation. The main goals of this device are to increase the<br />

potential grip strength of the prosthetic, reduce the necessary input force and therefore physical<br />

strain, and make the device serviceable enough that any maintenance can be done by the<br />

customer. A prosthetic arm force reducer was manufactured by designing a pulley mechanical<br />

advantage system housed within the hollow forearm section of the prosthetic. The system<br />

reduces the input force required by the user by 47% from 18 lbs to 9.5 lbs and costs only 9.6% or<br />

an additional $575 dollars of the total prosthetic arm.


Table of Contents Page Page<br />

1.0 Introduction………………………………………………………………………………....3<br />

1.1 Initial Needs Statement…………………………………………………………..…3<br />

2.0 Customer Needs Assessment………………………………………………………….…....3<br />

2.1 Weighting of Customer Needs……………………………………….......................5<br />

3.0 Revised Need Statement and Target Specifications…………………………………..……5<br />

4.0 External Search……………………………………………………………….…………….7<br />

4.1 Benchmarking……………………………………………………………………....8<br />

4.2 Application Patents………………………………………………………………..14<br />

4.3 Application Standards……………………………………………………………..15<br />

4.4 Application Constraints…………………………………………………………...16<br />

5.0 Concept Generation……………………………………………………………………….17<br />

5.1 Concept Generation……………………………………………………………….17<br />

5.2 Concept Development, Scoring and Selection……………………………….……21<br />

6.0 Concept Selection…………………………………………………………………………23<br />

6.1 Data and Calculations for Feasibility and Effectiveness Analysis………………..23<br />

6.2 Concept Development, Scoring and Selection…………………………………….28<br />

7.0 Final Design…………………………………………………………………………….....29<br />

7.1 System Personalization and Operation…………………………………………....40<br />

7.2 How is it Manufactured...........................................................................................40<br />

7.3 Cost Analysis & Bill of Materials…………………………………………………45<br />

7.4 Design Validation…………………………………………………………………47<br />

8.0 Conclusion………………………………………………………………………...………48<br />

Appendix A <strong>–</strong> Split Hook Sample Calculation…………………………………………………..51<br />

Appendix B <strong>–</strong> Interview Summaries……………………………………………………………..52<br />

Appendix C <strong>–</strong> Tim Lang’s Forearm Dimensions & Data………………………………………..55<br />

References………………………………………………………………………………………..56<br />

2


1.0 Introduction<br />

Limb loss generally refers to the absence of any part of an extremity due to surgical or traumatic<br />

amputation (Amputee Coalition of America 2008). Upper limb loss accounts for about 30% of<br />

the 350,000 persons with amputations in the United States (Kulley 2008). There are also multiple<br />

causes for upper limb loss such as disease, traumatic accidents, infections, and tumors.<br />

The field of agriculture is a very dangerous work environment with heavy equipment and many<br />

chances for accidents. Farming accidents are a common cause of upper limb loss that can put<br />

many farmers out of work. We would like to work with a farmer to develop an upgrade to the<br />

current prosthetic systems in use which would be able to assist that farmer in their daily work.<br />

Important objectives of the design project involve:<br />

• Full customer research to determine all the positives and negatives of the current system<br />

• Full benchmarking research to determine what has been attempted already and what has<br />

or has not worked<br />

• Solving the customers main needs with as little manufacturing and complexity as possible<br />

Through research, feedback, and further design our goal is to meet our objectives and design an<br />

assistive device for people with upper arm loss, specifically in the field of agriculture. A high<br />

standard of excellence will be put forth on all our efforts reflecting our strong team work,<br />

willingness, enthusiasm, and genuine interest to improve workplace conditions for people with<br />

disabilities.<br />

1.1 Initial Needs Statement<br />

There is a need for assistive technology devices that reduce barriers that prevent persons with<br />

severe disabilities from entering or advancing in the workplace. Devices are needed to address<br />

environmental accommodation, functional assistance, and mobility issues for people with<br />

cognitive disabilities, developmental disabilities, and physical impairments (vision, hearing and<br />

mobility) (NISH National Scholar Award for Workplace Innovation & Design 2007/2008).<br />

2.0 Customer Needs Assessment<br />

A customer has been identified who has upper limb loss above the elbow of his right arm. Our<br />

customer, Tim Lang, operates a dairy farm in Marietta, <strong>Ohio</strong> and lost his right arm<br />

approximately two years ago. Now that Tim has a prosthetic arm he is able to continue operating<br />

his farm, but with physical discomfort and difficulties. Through interviews (See Appendix A)<br />

and meetings with him as well as rehabilitation engineers, vocational supervisors, and prosthetic<br />

suppliers we have compiled a list of design features that would aid him in his daily farming tasks<br />

(See Table 2.0.1).<br />

Our customer has identified physical discomfort as his biggest problem with his prosthetic<br />

followed by a desire to have increased grip strength and lastly to make the device easy enough to<br />

fix that he himself could make repairs to it without having to send it in to a specialized<br />

prosthetics manufacturer. In order to weight our needs, the Analytical Hierarchy Process was<br />

3


used for three main categories. These categories consist of user friendly, reliable, and affordable.<br />

The contents of these categories can be found in Table 2.0.2 below.<br />

Table 2.0.1 - Initial Customer Needs List Obtained<br />

From Interviews and Observations<br />

Reduced user input force<br />

Increased grip strength<br />

Reliable<br />

Durable<br />

Servicable<br />

Light weight<br />

Corrosion resistant<br />

Simple to use<br />

Affordable<br />

Minimal maintance<br />

Rugged<br />

Adaptable to current prosthetic<br />

Optimal size for best operation<br />

Doesn't add too much cable travel<br />

Safe<br />

Table 2.0.2 - Hierarchal Customer Needs List<br />

1. User friendly<br />

1.1 Reduced user input force<br />

1.2 Increased grip strength<br />

1.3 Simple to use<br />

1.4 Doesn't add too much cable travel<br />

1.5 Light weight<br />

1.6 Safe<br />

1.7 Adaptable to current prosthetic<br />

1.8 Optimal size for best operation<br />

2. Reliable<br />

2.1 Durable<br />

2.2 Servicable<br />

2.3 Minimal maintance<br />

2.4 Corrosion resistant<br />

2.5 Rugged<br />

3. Affordable<br />

3.1 Low manufacturing costs<br />

4


2.1 Weighting of Customer Needs<br />

Weighting the customer needs is a key part of engineering before the design process. By<br />

weighting the needs, one can see the most important aspects of the project which will make<br />

further design decisions easier and more consistent. The weighting should also be directly<br />

related to the customer’s needs and desires as well. This assures that the customer will be happy<br />

with the final result.<br />

After weighting our project, it was determined that the reliable and user friendly categories were<br />

the most important needs of our project and customer. The breakdown of these needs can be<br />

found in Table 2.1.1 below.<br />

Table 2.1.1 - Analytical Hierarchy Process Breakdown<br />

User Friendly Reliable Affordable<br />

User Friendly 1.00 1.00 1.00<br />

Reliable 1.00 1.00 1.00<br />

Affordable 3.00 3.00 1.00<br />

Total 6.00 6.00 4.00<br />

Weight 0.333 0.333 0.222<br />

3.0 Revised Need Statement and Target Specifications<br />

There is a need for an assistive technology device that specifically focuses on upper-extremity<br />

loss above the elbow within the field of agriculture. Our particular focus will be farmers who<br />

have physically demanding jobs to be able to perform tasks which require reliable simulated<br />

usage of the appendage and therefore, continue to run a profitable farm operation. “Health<br />

professionals and others who have contact with farmers with disabilities need to be cognizant of<br />

the strong desire and continued ability to farm after severe injury. More attention should be<br />

given to farm-specific occupational rehabilitation programs, such as AgrAbility, and in the<br />

engineering of prostheses and other assistive technology.” (Reed & Claunch 1998)<br />

This need exists due to the prevalence of disabling injuries in agriculture due to farming being an<br />

incredibly dangerous profession. Theses persons with upper extremity loss within the field of<br />

agriculture need a specific prosthetic to continue working properly and efficiently in their daily<br />

farming tasks. In order for farmers to continue their livelihood, increasing the ease of use, grip<br />

strength, and serviceability of a standard prosthetic will be our main focus.<br />

To reduce to the physical impact on the user’s body and the amount of input force required to<br />

open the hooks, improved comfort and ease of use will be the main focal point. Also, many<br />

current available prosthetics are not robust enough nor have a sufficient gripping force to meet<br />

the demands of users who work in physically intensive occupations. Increasing the grip force of<br />

a standard split hook at the contact point(s) of the grippers will address this need for increased<br />

grip strength. Serviceability will be addressed by the maintenance being able to be performed<br />

easily by the customer.<br />

5


Table 3.0.1 <strong>–</strong> Customer Needs List<br />

Need # Need (In Order of Importance)<br />

1 Manageable input force<br />

2 Increased grip force<br />

3 Serviceability<br />

4 Reliability<br />

5 Affordability (under $700 US)<br />

6 Corrosion Resistance<br />

7 Light weight (Less than 5 lbs)<br />

8 Simplicity of operation (No electrical components)<br />

Table 3.0.2 <strong>–</strong> Needs Metric List<br />

Metric Need # Metric Importance # Units<br />

#<br />

(3 High, 1 Low)<br />

1 1,2,8 Input force 3 lbs<br />

2 1,2 Closing force 3 lbs<br />

3 all Unit price 2 $<br />

4 3,8 Unit dimensions 1 in<br />

5 1,2,3,4,6,8 Unit life 3 #cycles<br />

6 7,8 Unit weight 2 lbs<br />

USpecification quantities include:<br />

1. UInput forceU: A one-half decrease in input force is necessary. The input force to operate<br />

the prosthetic is human input: the user’s shrugs their shoulders, moving the cable. This<br />

cable is attached to the back harness and runs down the arm to the terminal device.<br />

This one-half decrease is necessary because the user has complained of nightly<br />

discomfort from using his current split-hook loaded with many rubber bands (up to 7).<br />

2. UClosing forceU: Enough closing force must be provided for the user to hold a nail steady<br />

and nail it into a wall. The closing force must be greater than or equal to a traditional<br />

spilt hook utilizing 7 rubber bands of tension.<br />

3. Unit priceU: A typical sized split hook prosthetic device made of stainless steel costs about<br />

$565 - 1,100 dollars. The entire mechanical advantage system will ideally cost under<br />

$700 which corresponds to bottom quarter of the price range.<br />

4. Unit dimensionsU: Our system must fit into the user’s existing forearm prosthetic. In<br />

order to ensure safe operation, there shall be no extraneous parts attached to the forearm.<br />

5. Unit lifeU: The unit life will be based on stainless steel being the favorable material for the<br />

mechanical advantage components because of its strength and corrosion resistant<br />

characteristics. An operating temperature range of -30 to 120˚F has also been specified,<br />

6


which could limit the use of rubber bands. The life specified should be at least 3 years or<br />

10,800 cycles (360 working days a year with 10 cycles per day).<br />

6. Unit weightU: A typical split-hook terminal device plus forearm section weighs about 2<br />

pounds. Since this project is concerned with enhancing functionality, some extra amount<br />

of weight will likely be incurred by the modifications. Our maximum weight is to stay<br />

under 5 pounds (approximately the weight of an average adult forearm and hand). The<br />

customer has added that extra weight will not act as a hindrance. The internally located<br />

mechanical advantage system will instead increase the strength of his currently hollow<br />

forearm section.<br />

4.0 External Search<br />

The Disability Act of 1990 was monumental in creating equal opportunities for people with<br />

disabilities. Though this act has made significant progress, only 25% of people between the ages<br />

of 16 to 64 (commonly considered as the working age demographic) with disabilities are<br />

employed. Of the remaining 75%, two-thirds of them wish they were employed (Health<br />

Progress, May/June, 2000).<br />

Our research began by getting in contact with the Athens County Bureau of Vocational<br />

Rehabilitation (BVR). The BVR is a branch of the <strong>Ohio</strong> Rehabilitation Services Commission<br />

(ORSC) which is a state agency that is annually responsible for vocational rehabilitation of<br />

55,000 <strong>Ohio</strong>an’s with disabilities. On average in a single year, the RSC aids 8,000 <strong>Ohio</strong>ans with<br />

disabilities into obtaining and retaining a job. Since 1990, the agency has assisted nearly<br />

100,000 citizens of <strong>Ohio</strong> with disabilities. The Athens County BVR provides rehabilitation<br />

services in ten counties of <strong>Ohio</strong> to individuals whose primary impairments range from physical,<br />

to emotional, and to mental. Many of their clients have orthopedic and mental health issues, and<br />

on average, there are 850 to 1,000 active customers with a variety of disabilities.<br />

Our main contact at the BVR was George Platounaris. George is the rehabilitation vocational<br />

supervisor at the BVR with over 30 years of experience. Upon meeting with him for the first<br />

time on October 10 th 2007, (see Appendix B for details) George was able to reference us to two<br />

rehabilitation design engineers who work in the field and mentioned he could be a contact point<br />

for information from those two individuals as well as help us obtain a potential customer.<br />

George extended the invitation to attend weekly meetings at BVR where feedback from industry<br />

professionals could be obtained.<br />

Contact with George lead to a phone interview (conducted later that same day) with<br />

rehabilitation industrial designer Mark Ficocelli (see Appendix B for details) who works on<br />

special projects for the BVR. Mark emphasized the fact that most of his work is done as a oneon-one<br />

interaction with a specific customer. He emphasized that each person required a different<br />

solution and that it is very difficult to create an adaptable solution. One area that he suggested<br />

we pursue is the field of prosthetic attachments, and referenced a recent case where he had<br />

worked with a farmer to create an attachment that could hold different sized wrenches.<br />

The solution to this problem resulted in the farmer with a type of hook-hand that could be pulled<br />

open by flexing the muscles of the back. Mark suggested buying burlap feed sack and<br />

7


attempting to create an attachment that could open and then hold the feed sack. Another<br />

suggestion he made was to attempt to put ourselves in the shoes of the person with a disability<br />

and spend the day trying to replicate the disability that is to be addressed. This would allow the<br />

team members to have first-hand experience with the particular disability. Other ideas he<br />

mentioned were excursion amplifiers, back harnesses, page turners, devices to help people get<br />

dressed and to feed themselves, home modifications, work site ergonomics, rural and farming<br />

work, computer adaptation, weight distribution, body position, and seating for people in to<br />

wheelchairs.<br />

After analyzing and debating the external research that was gathered, the decision was made to<br />

focus on the area of upper extremity loss with emphasis on agricultural solutions. Patent<br />

research was done to find solutions that might involve prosthetics or adaptations to equipment<br />

that farmers must use. In the area of prosthetics, emphasis was given to the fact that the arm<br />

would be used for physical labor and must be able to withstand and perform such heavy labor but<br />

yet reduce the amount of physical impact on his or her body.<br />

4.1 Benchmarking<br />

In order to better understand what might assist an agricultural worker who had lost an upper<br />

extremity, currently existing solutions were researched. What was found is that a limited number<br />

of workable solutions currently exist. A variety of devices were researched even if they did not<br />

cater strictly to farming. Hosmer sells a Model 7 Work Hook. (Fig. 4.1.1) On their website, the<br />

hook is described as having a 1-1/8” opening to accommodate a broom or shovel handle. The<br />

tines of the hook are serrated and it includes a knife holding, nail holding, and screw-driver<br />

holding device in the guards. The hook is made from stainless steel and each rubber band<br />

provides approximately 1.5lbs of applied tension. Springs are also available from the same<br />

manufacturer and can be used in place of the rubber bands. The springs are stainless steel and<br />

apply approximately 9lbs of tension per spring.<br />

Fig. 4.1.1 <strong>–</strong> Hosmer Model 7 Work Hook<br />

Otto Bock, one of the global leaders of health care products, produces a vector hook terminal<br />

device with two force settings. (Fig. 4.1.2) On their website, the hook is described as a unique<br />

8


design of the two load hook allows users to easily switch between two spring tension settings for<br />

different activities. Instead of using rubber bands the Otto Bock model uses a smaller diameter<br />

spring encircled inside a larger diameter spring on both sides of the hook. The name Vector<br />

Hook comes from the user’s ability the flip the moment arm in which the springs are attached<br />

from a 45° degree angle (relative to the tines of the hook) making it much easier to open to a<br />

more difficult 90° setting. The 10A60 model comes in either stainless steel or aluminum with a<br />

standard ½”-20 threading on the stud.<br />

Fig. 4.1.2 <strong>–</strong> Otto Bock Vector Hook Model 10A60<br />

The i-LIMB Hand is the first commercially available multi-articulating bionic hand. Since it has<br />

five independently powered digits, many different grips can be achieved (key grip, power grip,<br />

precision grip, and index point). The precision grip is shown in Figure 4.1.3. The i-LIMB Hand<br />

and patient interact in a symbiotic way. The hand is controlled by sensing electrical impulses in<br />

the forearm, and is powered by internal batteries. The batteries drive the five motors for a<br />

complete day and recharge overnight. Cosmesis is a covering for the i-LIMB Hand that provides<br />

a more realistic appearance and protects the internal mechanisms. This device costs two to three<br />

times more than traditional myoelectric devices. The product is robust, is made from extremely<br />

strong plastics, yet it cannot be exposed to water.<br />

Fig. 4.1.3 <strong>–</strong> Touch Bionics: The i-LIMB System<br />

TRS’s Adult Grip Prehensors are high performance hand replacements. The 1/2 inch diameter<br />

threaded stud will attach to any U.S. made wrist unit. They are high in strength, constructed<br />

reliably, and require low maintenance. The Adult Grip Prehensors are body powered and are to<br />

9


e used with a harness. The website claims that the Grip Prehensors are the highest efficiency of<br />

any body powered prosthetic device available. Applications range from peeling a banana and<br />

slicing a tomato to using a wrench or hammer, weightlifting, or shooting a bow. The range of<br />

gripping force can exceed 100 pounds. The models are stainless steel with titanium side plates<br />

and polyurethane gripping surfaces as options. A few applications along with material choices<br />

appear in Fig. 4.1.4 below.<br />

Fig. 4.1.4 <strong>–</strong> TRS Adult Grip Prehensors and Sample Applications<br />

Liberating Technologies, Inc. markets a device known as the RSL Steeper MultiControl Plus<br />

prosthetic hand system. These hands can close in as little as 0.9 seconds and come in a variety of<br />

sizes. The RSL Steeper MultiControl Plus Hand has a new power management system called<br />

Power<strong>Force</strong>. This electronic circuit provides additional grip force on demand and acts like an<br />

electric automatic transmission. An image of this product can be seen below in Fig. 4.1.5.<br />

Fig. 4.1.5 <strong>–</strong> Liberating Technologies, Inc. RSL Steeper MultiControl Plus<br />

Motion Control Inc. provides an electronic prosthetic arm for above elbow amputations. Known<br />

as the Utah <strong>Arm</strong>, motion control released the third version in 2004. In this particular version,<br />

microprocessors were incorporated into the arm to allow wearers to make fine-tune adjustments<br />

to the movement of the arm. This particular arm provides proportional control which allows the<br />

wearer to move the arm and hand slowly or quickly in any position. The Utah <strong>Arm</strong> 3 can be<br />

found below in Fig. 4.1.6.<br />

10


Fig. 4.1.6 <strong>–</strong> Utah <strong>Arm</strong> 3<br />

MAGNUM Parallel Grippers are used in the robotics industry. They utilize third-generation<br />

Zaytran technology and are made of tough, corrosive resistant materials. The MAGNUM<br />

parallel grippers are used in a variety of environments from welding, grinding, machining, clean<br />

room, disk fabrication, and food processing. The force to weight ratio of these grippers is in<br />

excess of 200. The gripper consists of two independent systems; force and synchronizing double<br />

helix. The MAGNUM Parallel Gripper mechanism is double sealed to ensure isolation from the<br />

environment. In harsh environments the double seals protect the parallel gripper from<br />

contamination that could lead to failure. The MAGNUM Parallel Grippers are shown in use in<br />

Fig. 4.1.7.<br />

Figure 4.1.7<strong>–</strong> Zaytran: MAGNUM Parallel Grippers<br />

A vector is described by its magnitude and direction. Vector prehensors (Fig. 4.1.8) yield a<br />

variable gripping force by varying the direction of the rubber band closing force yet keeping its<br />

magnitude constant. When the rubber band angle is 90 degrees, grip force is maximized. As the<br />

band angle decreases, the torque applied by the band about the pivot decreases. Currently, the<br />

best design to date uses elastomer bands will last for more than 70,000 cycles at the highest grip<br />

force setting. Bands are contained within the casing to shield the elements. With the current<br />

design, the elastomer bands can be replaced by an individual with Phillips’ head and flathead<br />

screwdrivers in about 10 minutes. At the highest setting, grip force begins at about 11 lbs and<br />

gradually rises to nearly 20 lbs as the hooks are opened. There are 11 intermediate settings that<br />

provide a choice of grip force levels between these two extremes.<br />

11


Figure 4.1.8- Vector Hook and Vector Grip<br />

Custom <strong>Prosthetic</strong> Services LTD. offers a conventional body-powered prosthesis that works by<br />

means of the operator’s body to overcome the closing force of the terminal device. (Fig 4.1.9)<br />

The system works by the user shrugging his or her shoulder. This movement is intern captured<br />

by the butterfly back harness system (Fig 4.1.10), which is attached to a cable that runs down the<br />

arm and is connected to the terminal device.<br />

Figure 4.1.9 <strong>–</strong> Custom <strong>Prosthetic</strong><br />

Services Body-Powered Upper<br />

Extremity <strong>Prosthetic</strong><br />

Figure 4.1.10 <strong>–</strong> Body-Powered <strong>Prosthetic</strong><br />

Butterfly Harness<br />

Some advantages of this system is that it is highly durable, useful in wet, dirty or dusty<br />

environments, reduced maintenance cost compared to electrically driven prostheses, and is<br />

relatively simple. Yet, some drawbacks include that the user have a sufficient residual limb<br />

length, musculature, range of motion, and the overall prosthesis is not cosmetically pleasing due<br />

to exposed cables and hooks.<br />

12


Feature<br />

Hosmer Model 7<br />

Work Hook<br />

Otto Bock Vector<br />

Hook 10A60<br />

Touch Bionics: i-<br />

LIMB System<br />

TRS Adult Grip<br />

Prehensors<br />

RSL Steeper<br />

MultiControl<br />

Plus<br />

MAGNUM<br />

Parallel Grippers<br />

Vector Hook &<br />

Vector Grip<br />

Adjustable No Yes Uncertain Yes No Uncertain Yes<br />

Electronics No No Yes No Yes Yes No<br />

Power Source Body Powered Body Powered Batteries Body Powered Batteries Batteries Body Powered<br />

Cost ~$350 ~$400 +$1000 ~$400 ~$600 ~$300 ~$400<br />

Serviceability Yes Yes No Yes No Uncertain Yes<br />

Corrosion<br />

Resistant<br />

Reduces Input<br />

<strong>Force</strong><br />

Table 4.1.1 <strong>–</strong> Terminal Device Product Benchmarking<br />

Yes Yes Yes/No Yes No Yes Yes<br />

No Yes Yes Yes/No Yes Yes Yes<br />

Table 4.1.2 <strong>–</strong> <strong>Prosthetic</strong> <strong>Arm</strong> Product Benchmarking<br />

Feature Utah <strong>Arm</strong> 3<br />

CPS Body-<br />

Powered<br />

<strong>Prosthetic</strong><br />

Adjustable Yes Yes/No<br />

Electronics Yes No<br />

Power Source Batteries Body Powered<br />

Cost N/a ~$5,000<br />

Serviceability No Yes<br />

Corrosion<br />

Resistant<br />

Reduces Input<br />

<strong>Force</strong><br />

Yes Yes<br />

Yes No<br />

Through benchmarking, it has been determined that there is a diverse market of terminal devices<br />

as well as compatible substitutes. Further up the arm, the user has fewer options to choose from.<br />

In order to aid in concept generation and the overall project’s scope one must consider the<br />

customer’s needs as seen in section 2.0.<br />

The Hosmer Hook is a tried and true classic terminal device made specifically for agricultural<br />

purposes. It does not require any electrical components, it is affordable, serviceable, and is<br />

corrosion resistant. One of its major drawbacks is that there is no force adjustability and it would<br />

require modifications in order to use springs as the resistive force rather than its standard rubber<br />

bands. The Otto Bock Vector Hook 10A60 shares the same strengths as the Hosmer model but<br />

the user can adjust the force and therefore reduce to input needed to open the hooks. Also,<br />

springs come standard on the Vector Hook model.<br />

13


The i-LIMB Hand has taken years to develop and the overall level of detail is out of our scope.<br />

The myoelectric power and five independent motors are a little too advanced for this project, and<br />

the battery power it utilizes is something that we may not want to incorporate into our final<br />

design. The TRS Adult Grip Prehensor is very durable, so we may be able to incorporate its<br />

strength and simplicity of design components into our final design.<br />

The RSL Steeper MultiControl Plus is not sturdy enough for an agricultural environment, yet<br />

does have a convenient feature which is a quick closing time and automated power system. The<br />

MAGNUM Parallel Grippers utilize a veritable design with a great strength to weight ratio that<br />

could be used to aid us in final concept selection, but it would require an electrical power source<br />

in order to operate. The Vector Prehensors are very useful because the gripper force is<br />

adjustable. This is good for the farmers to use high grip force when using heavy duty jobs then<br />

lower the force for tasks that require less force.<br />

The two prosthetic forearms presented in this section (as seen in Table 4.1.2) represent the two<br />

major types of prosthetic arms. The Utah <strong>Arm</strong> 3 is a typical electric powered microprocessor<br />

prosthetic arm, and the Custom <strong>Prosthetic</strong> Services Body-Powered Upper Extremity <strong>Prosthetic</strong> is<br />

the typical body-powered prosthetic arm. Due to its robustness, years of testing and field<br />

experience, and simplicity the body powered prosthetic might be the ideal path for our<br />

customer’s needs.<br />

The benchmarking has illuminated some strong points and weak points of products that are<br />

currently available. We will use some of the strengths and improve some of the weaknesses seen<br />

in the above products to make our design work with our need statement, customer input, and<br />

requirements. Durability, grip strength, and ease of use will be strong differentiators of our final<br />

design as compared to the benchmarked products.<br />

4.2 Applicable Patents<br />

The following are patents that may apply to the particular focus of our project:<br />

1. Loveless, J. H., "<strong>Prosthetic</strong> Load-Lift Hook Locking Mechanism," U. S. Patent 4,074,367,<br />

February 21, 1978.<br />

• Describes an electronically controlled pawl and ratchet system that would increase the<br />

grip strength and lifting capacity of a prosthetic arm. A ratchet wheel in the elbow of the<br />

arm is driven by a motor and pulley system located in the upper portion/shoulder of the<br />

arm. This system is used to clamp the gripping portion of the arm, located in the position<br />

of the hand. A nice system, however, it is fairly complicated and requires that the entire<br />

arm be prosthetic. There would be no use for this system in the case of an amputation at<br />

the elbow.<br />

2. Cooper, C. M., "Harness for Control of Upper Extremity Prosthesis," U. S. Patent 3,188,655,<br />

June 15, 1965.<br />

• Describes a harness that can be attached to a hook at the end of a prosthetic arm. By<br />

raising their opposite arm the user of this harness can open the hook at the end of<br />

their prosthetic arm. When the arm is lowered to the normal position the prosthetic<br />

14


hook is closed. The harness idea is one worth consideration but used in the manner<br />

shown here it is doubtful that the gripping force needed in our application could be<br />

achieved. A modification of this system could definitely be used in a future design.<br />

3. Threewit, D. M., "Terminal Connection for Control Cables," U. S. Patent 2,493,841, January<br />

10, 1950.<br />

• Describes a means for attaching and operating a cable in order to open and close a<br />

hook attached at the end of a prosthetic arm. A modification of this patent could be<br />

used in conjunction with the above harness.<br />

4. Radocy, R. and Dick, E., "<strong>Prosthetic</strong> Terminal Device," U. S. Patent 4,225,983, October 7,<br />

1980.<br />

• Describes a claw that is to imitate the gripping action of the thumb and forefinger.<br />

The device is closed through the use of an attached cable and is spring-loaded to<br />

return to the open position. The device utilizes two manual locking devices and three<br />

gripping surfaces to provide a variety of closed positions that allow for the grasping<br />

of objects of different sizes.<br />

5. Landsberger, S. L., "Artificial Hand For Grasping an Object," U. S. Patent 7,087,092,<br />

August 8, 2006.<br />

• Describes an alternative gripping device that utilizes two “fingers” which are<br />

connected to a “thumb.” This device resembles the human hand except in uses three<br />

“fingers” instead of five.<br />

6. Farquharson, R. H. and Still, D. P., "Attachment for Artificial <strong>Arm</strong> <strong>Prosthetic</strong> Device," U. S.<br />

Patent 5,464,444, November 7, 1995.<br />

• Describes a terminal device comprises of a first main part in operable and pivotal<br />

combination with a second main part, the combined main parts providing on one end<br />

a device for attaching to the end of an arm prosthesis, and on the other a device for<br />

attaching a variety of implements, the said device for implement attachment<br />

providing articulation capabilities that allow positioning of the implements in a<br />

variety of positions relative to the position of the arm prosthesis.<br />

7. Zajac, T. S., “Device for Gripping Workpieces,” U.S. Patent 4,591,199, May 27, 1986.<br />

• Describes a device for which fluid pressure is applied to opposite pistons connected<br />

to a gripping jaw hence moving the jaws open and closed. A rod extending along the<br />

axis of the two cylinders which is interconnected to the pistons is the means for<br />

synchronous movement. The interconnection affects rotation of the rod in opposite<br />

directions upon movement of the pistons with a bearing assembly located between the<br />

two fluid cylinders supporting the rod for rotation. The MAGNUM Parallel Grippers<br />

(Fig. 4.1.7) utilize this patent.<br />

4.3 Applicable Standards<br />

There are Quality Standards set for suppliers of Durable Medical Equipment, <strong>Prosthetic</strong>s,<br />

Orthotics, and Supplies (DMEPOS). The organization recommends that the supplier of a custom<br />

fabricated, custom fitted, custom-made prosthetic device be trained in a wide variety of treatment<br />

15


options. The definition given for a prosthetic device is any device (other than dental) that<br />

replaces all or part of an internal body organ (including contiguous tissue), or replace all or part<br />

of the function of a permanently inoperative or malfunctioning internal body organ.<br />

The prosthetic device must be in accordance with Medicare contractor policies (if applicable to<br />

user). The supplier shall perform a diagnosis-specific clinical examination and access and<br />

understand manufacturer guidelines prior to fitting. There should be an implementation plan also<br />

should be consistent with the prescribing physician’s written plan of care. Appropriate<br />

beneficiary follow-up care consistent with the items or service(s) provided, the beneficiary’s<br />

diagnosis, specific care rendered should be provided. The beneficiary or caregiver should be<br />

informed of the procedures for repairing, replacing, and/or adjusting the device or items.<br />

The caregiver should review care and maintenance instructions and provide necessary supplies<br />

(e.g. adhesives, solvents, lubricants) to attach, maintain, and clean the items, as applicable, and<br />

provide information about how to subsequently obtain necessary supplies. Also inspection and<br />

monitoring should be done for potential complications.<br />

Though these standards are more applicable to a supplier of the prosthetic device, not so much<br />

the designer, useful information could still be applied to our project. One important<br />

consideration is to fully educate the user on how the prosthetic works, inform them of any<br />

potential hazards or limitations of the device, and verify the compliance with the customer’s<br />

current prosthetic. If any questions arise, a medical professional will be a great source of further<br />

detail in each specific case. In the context of our design it is important that the end user be<br />

properly and thoroughly trained in how to operate the system before using it as well as informed<br />

of the procedures for repairing, replacing, and/or adjusting the device.<br />

4.4 Applicable Constraints<br />

Internal constraints include beginner level engineering experience, a limited budget, and a time<br />

constraint for development. The skill level of the team is entry-level with respect to engineering<br />

abilities meaning not all our decisions would be similar to decisions that would be made by<br />

seasoned prosthetic engineers given the same design circumstances. We will make the best<br />

decisions and choices with our knowledge, background research, and feedback received from<br />

professionals and customers.<br />

The construction of the product will be professional, yet will not be on the same level as a fullscale<br />

manufacturing plant since budget is limited, commodity prices are on the rise, and our<br />

manufacturing facilities are a bit small and limited. Compromise, value engineering, and advice<br />

from professionals will be utilized to help make smart decisions. Too much redesigning will not<br />

be possible on a limited budget or schedule. This will be accounted for by planning and<br />

developing concepts early and often before our final design criteria is selected. The overall<br />

product will reflect our high quality operation and level of thought and will help consumers with<br />

upper extremity loss succeed in the field of agriculture.<br />

There is an external constraint to our project which would be the limited market. A person with<br />

upper extremity loss and who would like to peruse and prosper in the agricultural field would fit<br />

our needs area. They must also have knowledge of our product and have adequate resources to<br />

16


purchase it. Safety is another external constraint. The device must be safe which means an<br />

ability to be released quickly so that secondary injuries do not occur in an emergency situation.<br />

Standards, previous patents, and pre-existing products will guide our final design, yet with<br />

creativity and ingenuity, our product will be significantly differentiable and salable to fit the<br />

target market and help people with upper extremity loss work in agriculture.<br />

5.0 Concept Generation<br />

The typical approach to generating concepts used by this team has been to brainstorm<br />

individually and then relay any ideas at the weekly meeting. During these meetings each concept<br />

is critiqued by all members of the group and the team is able to build off ideas submitted by<br />

other individuals in the group.<br />

The Bureau of Vocational Rehabilitation (BVR) and their engineers have provided meaningful<br />

feedback regarding concepts developed by the group. Additional customer input was added<br />

during the conceptual generation phase. The National AgrAbility Project is concerned with<br />

assisting disabled farmers and ranchers. Mark Novak is involved with the project and relayed<br />

areas in agriculture where disabled farmers are seeking assistance. He was also able to link<br />

information related to projects that have already been completed by engineering design groups at<br />

the <strong>University</strong> of Wisconsin - Madison. Through the BVR direct customer contact was achieved<br />

with Tim Lang, a dairy farmer in Marietta who has a complete arm prosthetic on his right arm.<br />

Tim has also been instrumental in providing sound feedback on concepts as well as providing<br />

ideas of his own.<br />

The feasibility of each of the concepts is our main concentration. If the idea is not feasible, and<br />

has no real-world expectations or usages, then there would be no reason to move forward with<br />

the design aspect of the idea. Once a concept has been deemed feasible it can be allowed to<br />

progress in the design process.<br />

Initial feedback from Tim Lang resulted in several areas of concentration for the design of a<br />

system that could benefit him in his everyday activities. To address these areas the following<br />

concepts were deemed feasible:<br />

A) Fabricating a hook of our own design that incorporates a vector hook system to allow<br />

flexibility in grip strength and opening force required.<br />

B) Using the Otto Bock Model 10A60’s current vector system to produce flexibility in grip<br />

strength and thus opening force required.<br />

C) Creating a mechanical advantage system to mount inside of the prosthetic forearm in order<br />

to reduce the opening force required from the user.<br />

D) Upgrading the springs used by the Otto Bock Model 10A60 to a stronger version that would<br />

increase the grip strength of the hook.<br />

5.1 Concept Generation<br />

Initial brainstorming for conceptual design began in class with discussion regarding possible<br />

routes that could be taken to solve our refined need statement. After each discussion each person<br />

17


was given a few days to come up with some conceptual designs of their own. Once properly<br />

prepared, we would meet once more as a whole and discuss different alternatives that each<br />

member had thought of with regard to our project idea(s). This practice has been the most<br />

effective process that our group has used to generate alternative concepts. These concepts were<br />

drawn on a board in front of all members and discussion was given to each idea. No concept was<br />

thrown out, but instead the pros and cons of each device were debated so that each member<br />

might be able to come up with ideas for improvement or new ideas all together. Sketching and<br />

solid edge modeling of these concepts are shown below.<br />

5.1.1 Concept A <strong>–</strong> Fabricated Hook<br />

Figure 5.1.1 <strong>–</strong> Sketch of Initial Hook Concept<br />

The initial concept of a hook to be fabricated is shown in Figure 5.1.1. This hook utilized a<br />

vector system by allowing the “screw adjustment” on the left side of the drawing to side between<br />

the upper position and lower position, symbolized by the arrow in the drawing. An additional<br />

feature of this first design was the implementation of an adjustable grip width by utilizing a<br />

movable jaw. The dashed line in the bottom right of the drawing shows the “cart” that the<br />

movable jaw would have moved through in order to accomplish this feature. Future contact with<br />

Tim Lang cited that this feature was not needed and would have been a waste of resources.<br />

18


Figure 5.1.2 <strong>–</strong> Solid Edge Model of Refined Hook Concept<br />

Shown above is the second iteration of the hook concept. The movable jaw feature has been<br />

eliminated from this design and a different approach to the vector system has been implemented.<br />

Rather than use a “screw” to adjust the vector position of the hook, the body of the book has<br />

been drilled out in three places to allow for three potential locations of spring placement. The<br />

lever on the left side of the hook can be pulled outward and then slid and released into the<br />

appropriate location.<br />

5.1.2 Concept B <strong>–</strong> Otto Bock Model 10A60 Vector Hook<br />

During the design of our own vector hook system it was discovered that there was a pre-existing<br />

hook of very similar operation. The Otto Bock Model 10A60 shown below incorporates and 2setting<br />

vector system.<br />

Figure 5.1.3 <strong>–</strong> Otto Bock Model 10A60 Vector Hook<br />

19


As can be seen in Figure 5.1.3 the Otto Bock hook allows the user to select an approximately<br />

half force setting by placing the lever in the location shown in the photo. By flipping the lever to<br />

the left (with respect to the fig.) the springs are placed in the full force orientation. Inspection of<br />

Figure 5.1.2 and Figure 5.1.3 shows that both our concept and the existing Otto Bock design are<br />

very similar.<br />

5.1.3 Concept C <strong>–</strong> Mechanical Advantage System Located in Forearm <strong>Prosthetic</strong><br />

The concept of a mechanical advantage system was developed in order to further reduce the user<br />

input required by the customer. The decision was made to implement the system inside of the<br />

hollow prosthetic forearm system. It was deemed a safety hazard to try and incorporate any type<br />

of similar concept on the exterior of the forearm as it could easily be snagged on many of the<br />

rapidly moving parts encountered by a farmer in his day-to-day work. Below, Figure 5.1.4<br />

displays how a 2:1 mechanical advantage could be achieved.<br />

Figure 5.1.4 <strong>–</strong> Mechanical Advantage Concept<br />

This concept incorporates the use of a pulley to achieve the mechanical advantage. The cable<br />

attached to the user’s harness would wrap around the pulley and anchor inside of the arm. A<br />

separate cable would then travel from the pulley to the user’s hook. The rings shown at either<br />

extremity of the drawing would mount to the interior walls of the forearm. Figure 5.1.5 shows<br />

the design incorporated inside of the forearm with the Otto Bock hook attached.<br />

Figure 5.1.5 <strong>–</strong> Mechanical Advantage System Concept Inside Forearm<br />

20


5.1.4 Concept D <strong>–</strong> Upgraded Springs for the Otto Bock Hook<br />

Once the similarities between our concept and the existing Otto Bock hook were noted, the team<br />

was fairly adamant about sourcing an Otto Bock hook rather than fabricate our own design. The<br />

Otto Bock hook incorporates four springs total <strong>–</strong> two springs on either side of the hook with one<br />

spring encompassing the other on either side of the hook (see Figure 5.1.3). In order to increase<br />

the grip force of this hook, more rugged springs could be incorporated. Figure 5.1.6 shows what<br />

the Otto Bock hook might look like with a stronger spring incorporated on one side of the hook.<br />

Figure 5.1.6 <strong>–</strong> Otto Bock hook with Upgraded Spring<br />

5.2 Concept Development, Scoring and Selection<br />

Table 5.2.1 (as seen on the next page) was used in order to select which of the four concepts<br />

should be pursued. It was decided by the team that our resources could be allocated effectively<br />

to develop 2-3 of the concepts that were discussed. Two sets of criteria were used in determining<br />

the best concepts <strong>–</strong> “user needs” and “producer” criteria. Various aspects of these categories<br />

were the broken down and rated with what we deemed an “importance factor.” Each concept<br />

was then objectively rated in each of these areas and the value given to each concept was<br />

multiplied by the importance factor. In order to determine the best concepts all that had to be<br />

done was sum the total ratings of each individual concept. Ultimately the decision was made to<br />

progress with the two highest rated concepts.<br />

21


User Need Criteria<br />

Producer<br />

Criteria<br />

Concept<br />

Table 5.2.1 <strong>–</strong> Concept Scoring<br />

Fabricated<br />

Hook<br />

Otto Bock<br />

Model 10A60<br />

Mechanical Adv.<br />

System<br />

User Need Criteria Standards:<br />

1) Reduced User Input <strong>–</strong> Does this concept have the potential to provide a significant<br />

reduction in user input force required?<br />

2) Increased Grip Strength <strong>–</strong> Does this concept have the potential to provide an increase<br />

in grip strength over Tim’s current hook?<br />

3) Serviceable <strong>–</strong> Could this concept be serviced by the user without the assistance of a<br />

professional?<br />

4) Reliable <strong>–</strong> Will this product function correctly without regular maintenance so as not<br />

to reduce the users’ productivity?<br />

5) Corrosion Resistant <strong>–</strong> Can this concept be made out of materials that can withstand<br />

the agricultural environment?<br />

6) Affordable <strong>–</strong> Will this concept provide enough value to the customer that they can<br />

justify the cost?<br />

7) Simplicity of Use <strong>–</strong> Will this concept be as easy to use as the customer’s current<br />

application?<br />

8) Light Weight <strong>–</strong> Will this concept be light enough so as not to discomfort the user with<br />

added weight at the wrist or forearm?<br />

UProducer Criteria:<br />

1) Easily Manufactured <strong>–</strong> Does this team, as the producer of the product, have the skills<br />

and tools necessary to create and build all parts?<br />

2) Affordable <strong>–</strong> Can this product be made cheap enough that it can be sold at a profit and<br />

still provide significant value to the customer?<br />

3) Marketable <strong>–</strong> Would this concept provide a feature that would interest customers?<br />

4) Original <strong>–</strong> Does this concept provide a feature that is either new or vastly improved<br />

over current products in the market?<br />

Otto Bock<br />

Spring Upgrades<br />

Importance<br />

Factor (0-1)<br />

Rating [( 1-exceeds spec, 0-does not meet spec)*imp. factor]<br />

Reduced User Input 1.0 0.70 0.70 0.90 0.00<br />

Increased Grip Strength 1.0 0.50 0.60 0.00 0.90<br />

Serviceable 0.9 0.36 0.72 0.72 0.63<br />

Reliable 0.9 0.36 0.72 0.63 0.54<br />

Corrosion Resistant 0.8 0.64 0.64 0.64 0.48<br />

Affordable 0.6 0.18 0.42 0.54 0.42<br />

Simplicity of Use 0.5 0.25 0.45 0.40 0.35<br />

Light Weight 0.4 0.20 0.28 0.28 0.32<br />

Easily Manufactured 0.9 0.09 0.90 0.63 0.90<br />

Affordable 0.8 0.24 0.40 0.72 0.40<br />

Marketable 0.8 0.16 0.64 0.40 0.48<br />

Original 0.5 0.40 0.25 0.40 0.25<br />

TOTAL 4.1 6.7 6.3 5.7<br />

Relevance (1-highest, 4-lowest) 4 1 2 3<br />

22


6.0 Concept Selection<br />

6.1 Data and Calculations for Feasibility and Effectiveness Analysis<br />

6.1.1 - Static Analysis of Split-Hook Gripping <strong>Force</strong> and Necessary User Input<br />

Two of our proposed designs resemble traditional prosthetic terminal devices. Two of the most<br />

important parameters of a gripping device are the gripping force it provides, and the force needed<br />

to open it. The following analyses are configured to resemble a classic “split hook” design.<br />

Figure 6.1.1 <strong>–</strong> Classic Split Hook Design<br />

This design uses two hooks, one is mobile (upper hook in picture), and one is fixed (lower hook).<br />

The hooks are held together by a series of rubber bands. The user opens the hook by applying a<br />

force to the cable (seen at the right side of the picture). The amount of rubber bands, and the<br />

nature of the “cable post” are two things that can alter the gripping force, and the amount of user<br />

input needed to open the mobile hook. The following analyses utilize simple static models to<br />

formulaically simulate this design.<br />

UDetermining Gripping <strong>Force</strong>U:<br />

Figure 6.1.2 shows a simple static model of the moveable hook on a split hook prosthetic<br />

terminal device.<br />

Fr = Spring or rubber band force Fg = Gripping force<br />

Dr = Rubber Band Distance from Pivot L = Overall length of hook<br />

Figure 6.1.2 <strong>–</strong> Static Model of Moveable Hook<br />

23


Using simple static analysis, the resulting grip force (Fg) can be calculated by summing the<br />

moments about the pivot point on the right side:<br />

The term “Fr” in these equations is equal to k*xo (via Hooke’s Law), where “xo” is the<br />

elongation of the rubber band at the closed position of the hooks.<br />

UDetermining Needed User InputU:<br />

Figure 6.1.3 shows “top-down” views of the mobile hook in the closed (left) and partly open<br />

(right) positions<br />

Fr = <strong>Force</strong> of rubber band Dr = Distance from rubber band to pivot<br />

Fc = Cable force supplied by user (constant) Dp = length of cable post<br />

Figure 6.1.3 <strong>–</strong> Top-Down FBD<br />

“Fc” is considered a constant for this section, and it is assumed that the user is applying<br />

maximum force throughout the entire opening range of the hook. It is also assumed that the<br />

hook runs through a guide before it connects to the post on the hook. This keeps the user force<br />

vector in one direction at all times. Since torque is what we are after for this section, the forces<br />

“Fr” and “Fc” have to be resolved, so they are perpendicular with “Dr” and “Dp”, respectively.<br />

Figure 6.1.4 (as seen on the next page) shows the components needed to resolve the user input<br />

force (Fc).<br />

(2)<br />

(3)<br />

(4)<br />

24


Figure 6.1.4 <strong>–</strong> Input <strong>Force</strong> FBD<br />

The interior angle between Fc and Fc’ is equal to Ѳ. Therefore, both the resolved force, and<br />

subsequent torque can be determined easily:<br />

(user induced torque)<br />

Figure 6.1.5 shows the components necessary to resolve the force due to the rubber band.<br />

Figure 6.1.5 <strong>–</strong>Rubber Band FBD<br />

Please note that the rubber band force (Fr) will increase as a function increasing Ѳ. Therefore,<br />

Fr must be defined functionally:<br />

For this equation, “Fro” is equal to the rubber band force at Ѳ =0 (which is equivalent to the “Fr”<br />

from Figure 6.1.1). Also, “x” is equal to the amount of additional elongation the rubber band<br />

(5)<br />

(6)<br />

(7)<br />

(8)<br />

25


experiences for any Ѳ greater than 0. The interior angle between “Fr” and “Fr’” is equal to Ѳ.<br />

The resolved rubber band force (Fr’) can then be solved similar to the resolved user input force:<br />

Figure 5 illustrates the way that the term “x” is also a function of Ѳ.<br />

Figure 6.1.6 <strong>–</strong> Displacement & Angle FBD<br />

Combining these two functions, the resolved rubber band force and the resulting rubber bandinduced<br />

torque can be determined:<br />

Figure 6 shows the hook drawing with both forces resolved.<br />

Figure 6.1.7 <strong>–</strong>Resolved <strong>Force</strong>s FBD<br />

(9)<br />

(10)<br />

(11)<br />

(12)<br />

26


Since the torques of the both the rubber band (Tr) and the User (Tc) can be determined easily by<br />

using Figure 6, the following fraction can be utilized to monitor the user’s capability to open the<br />

hook.<br />

(Capability Index)<br />

By plotting the Capability Index for the hook’s entire range of angular motion, the relative ease<br />

which the user will experience while opening the hook (assuming they apply full force for the<br />

entire travel of the hook) can be observed. This is shown in Figure 6.1.8.<br />

The plot labeled “GOOD” indicates that the user is capable of opening the hook throughout its<br />

entire range of motion. The ease of opening, however, diminishes as the springs/rubber bands<br />

are stretched increasingly. The plot labeled “BAD” shows that at some intermediate Ѳ, the<br />

torque input from the user becomes equivalent to the torque produced by the stretched<br />

springs/rubber bands. Since the user’s input force is assumed to be maximum, the user is not<br />

capable of opening the hooks beyond this point.<br />

UDetermining Minimum Opening <strong>Force</strong>:<br />

Figure 6.1.8 <strong>–</strong> Capability Index Plots<br />

It may also be of interest to find what minimum amount of user force (Fcm) is needed to open<br />

the hooks to some angle Ѳ. This can be done easily, using the equations derived from the prior<br />

sections.<br />

(13)<br />

(14)<br />

(15)<br />

(16)<br />

27


6.1.2 - Analysis of Pulley Based Mechanical Advantage<br />

Figure 6.1.9 <strong>–</strong> Mechanical Advantage by the Use of a Pulley<br />

Using basic physics, a pulley can be used to theoretically cut the input force needed to move an<br />

object in half. When a pulley is not used, the input force is equivalent to the output force.<br />

Likewise, when a pulley is being used as shown in Figure 6.1.9, the tension in the cable around<br />

the pulley is the same. In the system used for this project, the “W” would be the hook post. The<br />

“W/2” on the right side is the grounded cable and the “W/2” on the left side is the cable that<br />

connects to the customer’s back harness.<br />

A disadvantage to the pulley system is the work required still remains the same.<br />

Work = force * distance<br />

Since the force is cut in half, the distance required is twice as much as when the pulley wasn’t<br />

used. This trade off of cutting the input force in half but doubling the necessary cable travel<br />

could be an issue in our finalized design.<br />

6.2 Concept Screening, Development and Selection<br />

Through our interaction with Tim, he stated that he wished for more grip force out of his current<br />

prosthetic, but also cited pain in his back and shoulders after a long days work with his current<br />

prosthetic’s grip force. Realizing that this was a major issue to Tim, we began discussing ways to<br />

address this problem. We very quickly realized that a mechanical advantage system was most<br />

likely the only way that our group would be able to achieve this feat. The system would allow<br />

for reduced stress on his body due to the input force being cut in half, therefore allowing for the<br />

possibility of a higher grip strength. After speaking with Tim and explaining the concept of the<br />

mechanical advantage system, he seemed very eager to see what our design had in store for him,<br />

as well as to test the input force required to open the hook. Therefore, we began focusing on,<br />

and designing a mechanical advantage system to fit within Tim’s forearm.<br />

(17)<br />

(18)<br />

28


Once the design of the system was underway, we realized that it would be nearly impossible to<br />

design the system to fit within Tim’s current forearm without numerous problems. Also, we<br />

would not be able to remove his forearm due to him needing it in his everyday life. Therefore<br />

our next step of the project was to find and order a forearm very similar to Tim’s so that we<br />

could put our system within that forearm instead.<br />

Our group met with Tim numerous times throughout the designing and manufacturing processes,<br />

where we took numerous measurements of Tim’s current forearm, cable travel, wall thickness,<br />

etc. enabling us to properly order a similar forearm from a prosthetic manufacturer. Tim pointed<br />

us in the direction of Yankee Bionics, a prosthetic manufacturing company in Akron, <strong>Ohio</strong> that<br />

he worked with in the manufacturing of his current prosthetic device. The company was nice<br />

enough to donate a slightly used forearm for the use in assisting Tim. Once we received the<br />

forearm, we finalized all of the necessary measurements and began manufacturing the<br />

mechanical advantage system, and completed the installation. Once our system was bolted<br />

within the forearm, the cable travel was then established. A small hole was then drilled through<br />

the exterior wall of the forearm, allowing the cable to be attached to the hook.<br />

Once the manufacturing was completed, the only step left in our project was to let Tim test the<br />

overall system and see how it performed. Where, after visiting Tim and allowing him to test the<br />

system, he was overwhelmed with how much easier our system was to open than his original<br />

prosthetic.<br />

7.0 Final Design<br />

7.0.1 Introduction<br />

A prosthetic arm force reducer was manufactured by designing a pulley mechanical advantage<br />

system housed within the hollow forearm section of the prosthetic with a 10A60 Otto Bock<br />

prosthetic terminal device.<br />

This design emerged after extensive interaction with customers, primarily Tim Lang, who<br />

precisely met the demographic we specified at the beginning of the project. Not only did this<br />

interaction help us to identify legitimate customer needs and eliminate unnecessary design<br />

features, but it also allowed us to take real measurements, which we used to confidently refine<br />

the newly-emergent subsystems.<br />

Through application of DFMA design principles, we have designed the mechanical advantage<br />

system to meet customer expectations, be readily manufactured, easily installed, minimally<br />

intrusive, and reasonably simple to analyze. This section concerns the implications of our design<br />

decisions.<br />

7.0.2 Impacts/Effects<br />

The first major impact concerns the choice of hook that we are using. The customer’s current<br />

hook utilizes rubber bands to supply the closing force of the hook. As a result, the customer has<br />

resorted to attaching a large number of rubber bands in order to achieve the grip strength that can<br />

be accomplished by using the springs available with the Otto Bock Model A60. The two-load<br />

29


hook allows the customer to operate in the full strength position only when necessary. Customer<br />

interaction has confirmed that this full strength setting offers more grip force than his currently<br />

modified prosthetic. Additionally, the customer can use half of the grip force and, therefore,<br />

have only half of the input force by a simple adjustment of a lever. Immediate effects of the<br />

upgrade to springs are that the user will be able to perform a wider variety of tasks with the<br />

increased grip force and also use the hook at half power, similar to a standard existing one-load<br />

hook. Long term effects could include fatigue and increased stress on the user’s body if the hook<br />

is used at full load fairly often and possibly an increase in the stresses in the entire prosthetic<br />

resulting in shorter product life due to fatigue.<br />

The mechanical advantage system offers relief for this. The ideal case for this system would<br />

give the user a 2:1 advantage in the input force required to open the spring hook. For example:<br />

Assume the original spring at the high setting required 35 lbs. Now, with the mechanical<br />

advantage pulley, it should ideally only require 17.5 lbs to open the hook at full load. The<br />

impact of this system to the user would be a drastic reduction of the input force required for both<br />

settings on the two-load hook. Our design reduces the input force required by the user by 47%<br />

from 18 lbs to 9.5 lbs or about a 1.9:1 advantage.<br />

The negative impacts discussed for the move to the Otto Bock hook and its stiffer springs would<br />

be reduced significantly, because even with an increase in grip force, the user would be able to<br />

exert less force than in an unmodified system. With respect to the mechanical advantage system,<br />

the user would theoretically have to pull their cable twice as far as was previously required to<br />

fully open the hook in order to balance the energy and forces for a 2:1 mechanical advantage. It<br />

currently takes about 1.75 inches of cable travel to fully open the customer’s hook. The Otto<br />

Bock hook, however, does not open as wide as the customer’s hook. This reduces functionality<br />

somewhat, but is beneficial in that he will only have to pull the cable ~2.75” inches, instead of<br />

the 3.5 inches it would take to fully open his current hook.<br />

Short term effects of a mechanical advantage system upgrade would be an increase in user<br />

comfort due to the ease in which he or she can use their prosthesis. It would allow for the<br />

immediate implementation of an increased-strength two-load hook without increasing the force<br />

needed to operate such a device.<br />

Long term effects are an increased life for the cable operating the pulley, and an increase in the<br />

workload the user could accomplish. Some possible negative long term effects could include<br />

shorter lifespan of the cable post and the cable connecting it to the pulley since they would be<br />

experiencing an increase in tension from the springs. Also, there is a possibility of eventual back<br />

and shoulder injuries from prolonged use, though this fact exists with all current prosthetic hook<br />

designs.<br />

The overall impact of the production of this system on the environment or society would not be<br />

very significant. As currently designed, this upgrade kit uses mostly pre-produced parts that<br />

need little machining. Most of the work required is in assembly and can be done by a few<br />

trained operators. The greatest impact or effect of the combined upgrade system would be to the<br />

life of the customer who would be using this system on a daily basis, allowing him or her wider<br />

range of tasks that they can complete and decreasing the wear on his or her body.<br />

30


7.0.3 Professional/Ethical Standards<br />

Our team’s main goal is to help our customer, Tim Lang. We believe that our decisions should<br />

benefit him, first and foremost, and also stay within our parameters with respect to safety of our<br />

team and customer, budget, and design specifications. Our team conducts our meetings in a<br />

professional and productive manner, and pays close attention to our schedule to maximize<br />

efficiency and overall benefit to Tim. This attitude is reflected in our decision making process,<br />

customer and team interaction, and devotion that each team member has to our goals and<br />

successful completion of our project. Also, working together as a cohesive unit is far more<br />

productive than acting as individual with disjointed priorities.<br />

7.0.4 Function<br />

In order to add mechanical advantage to our system, a movable pulley was mounted in the<br />

forearm of the prosthetic. A movable pulley allows the user to input only half of the force<br />

required to open the hook. This is due to the fact that the forces on the pulley have to balance<br />

when the pulley is at equilibrium. Since two ends of the input cable are supporting the pulley in<br />

one direction, they will equally share the load pulling on the axle of the pulley. In our case, the<br />

load on the pulley will be the force required to open the prosthetic hook. Therefore, our<br />

customer will be able to pull on the free end of the input cable with half of the force required to<br />

open the hook. In the ideal case this will be a 2:1 advantage. A small disadvantage to the system<br />

is that it requires twice the input cable travel in order to obtain the mechanical advantage. This<br />

has been talked over with the customer and has been deemed an acceptable trade-off for gaining<br />

a 2:1 advantage.<br />

7.0.5 FMEA & Safety<br />

Figure 7.0.1 <strong>–</strong> Mechanical Advantage Schematic<br />

For the hook, initial consideration was given to minimize ways in which the Otto Bock design<br />

may fail in the agricultural setting where it would be used. This was approached by completing<br />

FMEA of the hook design, and the results of this analysis are presented in table 7.0.1.<br />

31


Failure Mode<br />

Table 7.0.1 - Risk Priority Number Analysis for Split Hook (Environmental)<br />

Potential<br />

Severity<br />

Likelihood of<br />

Occurrence<br />

Probability of<br />

Detecting<br />

Cable Break (at fitting) 7 3 8 168<br />

Corrosion Over Time 2 10 5 100<br />

Threading of <strong>Prosthetic</strong><br />

Connection<br />

RPN<br />

6 2 6 72<br />

Environmental Deposits 2 10 1 20<br />

Loss of Movement of<br />

Vector Hook<br />

3 5 1 15<br />

These failure modes were listed in order of importance according to the risk priority number<br />

(RPN) calculated in the far right column. The RPN is the product of potential severity,<br />

likelihood of occurrence, and detect-ability of the particular failure mode, as ranked on a scale<br />

from one to ten.<br />

Since the Otto Bock hook has been left in stock, OEM condition, failures relating to the stresses<br />

present in the hook itself were not included. The mechanical advantage, however, does allow the<br />

user to hypothetically pull twice as hard on the hook at full opening. Although this situation is<br />

not practical, it could lead to failures in the hook, which is not designed to experience twice as<br />

much force as is needed to open it to its maximum width.<br />

Corrosion over time and the hook accumulating environmental deposits are completely<br />

unavoidable considering the working conditions that it will be used under. As such, a stainless<br />

steel hook has been selected and all fabricated parts shall be made of stainless steel.<br />

Additionally, any mud or other element that fills some part of the hook should be able to be<br />

easily removed by our user.<br />

The only other failure mode of the hook of much concern was if the threading of the hook could<br />

be stripped in some way. The prosthetic arm provides the biggest guard against anything<br />

happening to the threading as the hook threads into a bushing that is then inserted into the<br />

prosthetic arm. This ensures that the threading is not constantly under torque but instead the arm<br />

will bear this force.<br />

FMEA was also completed for the mechanical advantage portion of the design in the same<br />

manner as conducted for the environmental effects on the system. The FMEA results are<br />

presented below in table 7.0.2.<br />

32


Table 7.0.2 - Risk Priority Number Analysis for Mechanical Advantage<br />

Potential Severity Likelihood of Occurance Probability of Detecting RPN<br />

Threading of Rings Strips<br />

Resulting in System Pulling<br />

Away From <strong>Prosthetic</strong> Walls<br />

7 (Inoperable)<br />

3<br />

6<br />

168<br />

Pulley Torques in Track<br />

and Locks<br />

5 (Temp. Inoperable)<br />

4<br />

8<br />

160<br />

Rope Slips From Pulley<br />

Wheel<br />

5 (Temp. Inoperable)<br />

4<br />

8<br />

160<br />

Bearings Seize in Track 5 (Temp. Inoperable)<br />

4<br />

4<br />

80<br />

Tracks Break Attachment<br />

With Rings<br />

7 (Inoperable)<br />

1<br />

6<br />

42<br />

By comparing the RPN’s of the mechanical advantage system to the RPN’s of the environmental<br />

effects, the numbers are similar. At very worst, the user loses the ability to open or close the<br />

hook. At minimum, the faulty system would pose significant to the user.<br />

The worst failure with regard to mechanical advantage is if the rings that attach to the prosthetic<br />

were to strip and the bolts pull away. This would result in the system becoming completely<br />

inoperable and could cause damage to the prosthetic arm as well. This failure possibility is<br />

minimized by the fact that correct design of the threads can nearly eliminate that possibility. In<br />

addition, there would be the possibility of detecting the failure as the system should develop<br />

some amount of “slop” or looseness before it became completely separated from the prosthetic<br />

wall.<br />

The possibility of the pulley seizing in the track or the rope slipping off the pulley wheel is<br />

legitimate; however, such a failure would only leave the system temporarily inoperable. It would<br />

be a significant inconvenience for the user, but would not leave them in any real danger.<br />

If the bearings were to lock in the track it would leave the system inoperable but there should be<br />

only a very small chance of this occurring. Additionally this would more than likely occur due<br />

to build-up of some type of deposit in the track that could be removed to allow the system to<br />

operate once again. If the tracks were to break at the ring it would leave the system totally<br />

inoperable, but as with the bearings, once again there is a very small chance of occurring.<br />

7.0.6 Economics/Value<br />

The decision to fabricate the tracks for the mechanical advantage system out of square tubing<br />

was economical. Both the manufacturing time and price are significantly less for this design<br />

than it would be to fabricate the tracks out of solid stock. The options for buying tracks were<br />

around the same base cost as the square tubing we chose ($7.82 per 12” length), but the quality<br />

and material were not acceptable. The most common track was made out of extruded aluminum<br />

which could bend and deflect relatively easily and is not compatible for welding with stainless<br />

steel.<br />

33


The rings are the most expensive part of the mechanical advantage system because they will be<br />

made out of a 2-1/2” diam. stainless steel pipe. The minimum length of stock for this pipe size is<br />

12’’ and as such a large amount of extra material had to be purchased. The high cost<br />

(approximately $73) is hard to justify for the construction of a single system, however this stock<br />

would be fine if multiple systems were to be constructed.<br />

A nylon pulley with a stainless steel housing was selected. This item cost around $20 and will<br />

require no additional modifications. The bearings were selected due to the flexibility of sizes<br />

available and the low cost. Ball bearings are approximately one-third the cost of rubberized<br />

wheels. The 1/4” diameter stock for the axles and spacers was very inexpensive at around $6 per<br />

12” length. All materials, with the exception of the nylon pulley, of the mechanical advantage<br />

system are stainless steel which makes any necessary welding possible and is good for corrosion<br />

7.0.7 Design Analysis<br />

For mechanical advantage system, yielding of the tracks is the most pertinent failure mode for<br />

formal analysis. This failure mode involves potential yielding of the track’s sidewalls due to the<br />

forces inherent to having the pulley travel centrally through the forearm. The central translation<br />

of the pulley requires the cable leading to the hook’s cable post to be at an angle at all times.<br />

This is illustrated below in a top-down view.<br />

Figure 7.0.2 <strong>–</strong> Pulley Vector Analysis<br />

The concern here is that the side-wall force “Fw” could torque the walls of track, and make them<br />

yield. There is also a possibility of a shearing failure where the tracks are welded to the retaining<br />

rings. Fortunately, theta decreases as the pulley is moved away from the front of the forearm<br />

during operation. Therefore, when the hook is fully open, the pulley is at its farthest point from<br />

the wrist, which results in the smallest value of theta to be encountered. This is desirable<br />

because at this condition, the largest forces are applied, but the effect of Fw is (geometrically) at<br />

its smallest.<br />

With these considerations in mind, this failure mode was analyzed at the point of highest user<br />

input with FEA software. FEA was chosen because of the unusual loading condition, and<br />

because it can simultaneously display the stresses at the sidewalls of the tracks, and the welded<br />

area.<br />

34


The actual FEA testing involved utilizing a drawing of our current track. By using our hook<br />

simulation spreadsheet, a user input force of 70 lbs was needed, and a side-load of 13.4 lbs<br />

(determined by the triangular relationship pictured above) was distributed among nodes in the<br />

inner wall of one track to simulate the effect of the bearing force “Fw/2” (only one track). The<br />

material chosen was annealed 302 stainless steel, because it was similar to the 304 stainless steel<br />

in which our actual tracks are made of. The following pictures give a visual summary of our<br />

FEA results.<br />

Figure 7.0.3 <strong>–</strong> Algor track model 1<br />

Figure 7.0.4 <strong>–</strong> Algor track model 2<br />

Figure 7.0.5 <strong>–</strong> Algor track model 3<br />

35


Results Summary<br />

• Maximum stress = 3154 psi (This value was very localized near the end of the<br />

loading area, and may not be an accurate depiction. These areas are shown in red<br />

in the top screenshot. Much more of the stress occurred in the green region,<br />

which indicated ~2000 psi).<br />

• Maximum displacement = 0.00035 in (The displacement results are shown in the<br />

second and third screenshots).<br />

These results instilled confidence in the design, because of the minimal stresses and<br />

displacements involved.<br />

The unit life was calculated based on the cable being the limiting factor. The cable breaking is<br />

the most likely failure to occur within the specified life (3 years). The cable used is 3/32”<br />

diameter type 304 Stainless Steel. It is constructed of 7x9 strand cord with a plain coating.<br />

Based on the cable breaking strength of 920 lbs. (as specified by McMaster.com), the stress to<br />

failure would be 133,277 psi. Drawing an S-N Curve and calculating the relationship between<br />

stress, S, and unit life, N, yields the relationship, S = 229,723N (-0.0851) . When S equals the<br />

breaking stress, the life of the cable is 13,675 cycles.<br />

7.0.8 Customer<br />

Much of the mechanical advantage design is based on or around customer input. Two significant<br />

parties have contributed a great deal input that is reflected in our system’s design. The first is<br />

from a direct link to a potential customer named Tim Lang. Tim is a young dairy farmer who is<br />

missing his right arm from the shoulder down and needs to reduce the amount of strain on his<br />

back and shoulders due to his body powered full arm prosthetic.<br />

Our first time visiting Tim greatly shifted our project from modifying the terminal device to have<br />

a moveable jaw and a compliant hook to allow for a wider grip to looking further down the arm<br />

and implementing a mechanical advantage system. Tim was very satisfied with his opening<br />

width (approximately 5 inches) and did not see a need to increase the width any further. Much of<br />

our work up to our first visit with Tim had been conjectures of what a typical arm prosthetic user<br />

might desire but by physically seeing him use his prosthetic many dilemmas with our old design<br />

became apparent.<br />

The second time our team visited Tim we came prepared with our refined mock-up<br />

demonstrating the concept of the mechanical advantage system. Upon seeing this Tim suggested<br />

using rounded head bolts so that the arm would not snag on anything. He also mentioned that one<br />

to two extra pounds in his forearm unit would not be a problem. Another piece of feedback that<br />

was critical was Tim agreeing that the trade off of reducing the input force needed to open the<br />

hooks in half was worth doubling the cable travel and therefore exaggerating his shoulder shrug.<br />

With that feedback it confirmed that a mechanical advantage system was not only needed but<br />

wanted by the customer. Tim also led us to his prosthetic manufacturer Yankee Bionic which<br />

happened to have a forearm piece with very similar dimensions to Tim’s forearm.<br />

36


Another sector that has aided in our design is from the Bureau of Vocational Rehabilitation<br />

(BVR) specifically George Platounaris. The BVR is comprised of councilors who provide<br />

services leading to employment for people with physical and mental disabilities. Through<br />

George and his staff engineers he has confirmed that our design is well suited for our target<br />

customer, very marketable, and usable. This feedback is based on several customers that George<br />

and other councilors have worked with in the past.<br />

One other sector that has directed our design is from manufacturers of terminal devices,<br />

especially Otto Bock. Through contact with Otto Bock we have realized that our initial vector<br />

hook idea (having multiple resistive force settings) was not a new idea and that the very simple<br />

yet effective system they were using was the culmination of a lot of engineering and customer<br />

feedback.<br />

7.0.9 DFMA<br />

When exploring the design for manufacturing and assembly (DFMA) for the mechanical<br />

advantage module it is important to design each component based upon its manufacturability,<br />

dimensions, material, functionality, machinability, and other assembly considerations. By<br />

considering all of those items it will help to ensure a simple but yet effective design. Our module<br />

can be broken down into four parts as seen in Figure 7.0.9.<br />

1<br />

Ax<br />

3<br />

Figure 7.0.9 <strong>–</strong> Mechanical Advantage Solid Edge Model<br />

1 = Hoops, 2 = Pulley, 3 = Tracks, 4 = Axle<br />

Part #1 <strong>–</strong> Hoops: There will be two hoops that will encase the entire mechanical advantage<br />

module. The hoop closer to the hook is the “wrist” hoop, and one further back is the “elbow”<br />

hoop. Hoops were chosen over square tubing due to the circular shape of the interior of the<br />

2<br />

37


forearm. This gives the user the ability to push the unit into the forearm and obtain a tighter fit<br />

due to more contact area between the hoop surface and forearm. It also increases the amount of<br />

rigidity in the system. Furthermore, the circular shape increases the distance between the tracks,<br />

which allows more room for the pulley’s installation. The wrist hoop is chamfered to increase the<br />

contact area and therefore make a tighter fit and to ensure that the corner of the hoop is not<br />

catching against the side of the forearm (this would have been much more difficult to do with<br />

square tubing). Both hoops will be made of type 304 stainless steel due to its high corrosion<br />

resistance, good weldability and machinability, and 30,000 psi yield strength. The only<br />

disadvantage of using circular hoops was the need for flats milled on their outside surfaces to<br />

ensure proper hole drilling/tapping, and on their inside surfaces to fasten down of the tracks.<br />

Part #2 <strong>–</strong> Pulley: The entire pulley sub-assembly (the pulley wheel, pulley housing, and the<br />

pulley axle) were purchased as one part. Our choice of pulley has a removable axle, so a<br />

different axle (one which met our diameter requirements) could be used in its place. Another<br />

important feature of the pulley is that it has a rigid eyelet which reduces twisting in the output<br />

cable. The entire pulley assembly is technically a “pulley block”, which means that the wheel is<br />

housed in a steel casing. The casing is an important feature, because it keeps the input cable<br />

from slipping off the groove of the wheel. The pulley wheel is capable of guiding a cable of up to<br />

1/8” diameter which is well above the 3/32” cable being used. The pulley will be somewhat<br />

loosely mounted to the axle and no machining will be required.<br />

Part #3 <strong>–</strong> Tracks: To make the tracks, ½” x ½” square tubing was chosen. Square tubing lent<br />

itself to track design, requiring minimal milling and drilling operations after the stock had been<br />

cut to length. Another critical issue is that the tracks and hoops are made of the same stainless<br />

steel alloy (type 304), which ensures a better and more uniform weld when the track is welded to<br />

the wrist hoop.<br />

Part #4 <strong>–</strong> Axle: The choice of a removable-axle pulley block allowed quick removal of the stock<br />

axle without damage to the pulley. The original axle was replaced with a stainless steel one,<br />

which was not only more resistant to environmental effects, but was also turned to the<br />

appropriate diameter to operate within the track openings. The ends of the axle had a slightly<br />

larger OD than the center section, and were separated by grooves. This was done to prevent the<br />

axle from shifting perpendicular to the motion of the pulley.<br />

Other Considerations: The forearm prosthetic will require some machining such as drilling for<br />

all eight of the mounting screws. Also, the output cable will require a drilled slot in the forearm<br />

to reach the hook’s cable post. All of the machining operations on the forearm will be aided by a<br />

template that lays out the location of each machining operation.<br />

38


Figure 7.0.10 Cable Path for Mechanical Advantage System<br />

No modifications were required for the input or output cable. Swage operations, however, were<br />

used to terminate the input cable to the elbow hoop (marked “X” in Figure 7.0.10), and to<br />

terminate the output cable at the pulley eyelet and cable post of the hook.<br />

7.0.10 Testing (Mock-Up)<br />

To test the feasibility and demonstrate the concept of our mechanical advantage design it was<br />

critical to produce a mock-up. This mock-up used a 2 inch I.D. PVC pipe cut to 10 inches to<br />

help simulate the amount of space in a typical<br />

prosthetic forearm. All of the parts were<br />

bought at Lowe’s and the total cost of the<br />

mock-up was just under $28 and took four<br />

hours to manufacture. After completing the<br />

mock up for the mechanical advantage system,<br />

our group then used a fish scale to<br />

approximate the change in input force needed.<br />

The scale was used with the original,<br />

unmodified hook to see what the input force<br />

was, and then this was compared to the input<br />

force using the mechanical advantage. The<br />

overall force value did exactly what was<br />

expected, it was cut in half. The force without<br />

the mechanical advantage was determined to<br />

be approximately 35 lbs, whereas the force<br />

while using the mechanical advantage was<br />

approximately 17 lbs.<br />

Figure 7.0.11 Mock Up<br />

39


7.1 System Personalization and Operation<br />

Before installation of our upgrade, it is important to consider the sizing of the individual<br />

components that comprise our system, as they apply to each specific customer. The most<br />

important dimensions, then, apply to the space available within the forearm and the operation of<br />

the prosthetic itself. Specifically, the diameter of the forearm at the location of each ring, the<br />

overall length of the forearm piece, and the required length of cable travel needed to fully open<br />

the hook are the most pertinent. Knowing these critical dimensions allows us to judge whether<br />

or not the forearm meets the minimum requisite length to use our system. This minimum<br />

requisite length is based on the assumption that the pulley will travel through the wrist hoop<br />

during operation. Therefore, the wrist hoop must have a large enough ID to allow for this.<br />

The length of the track must also be long enough to allow sufficient pulley travel for the user to<br />

open the hook completely. The overall track length also affects the location of the elbow hoop.<br />

The elbow hoop must be placed far enough within the forearm so as not to interfere with the<br />

mechanism within the prosthetic arm associated with forearm position setting. Assuming that<br />

this requisite length is met by a potential customer’s forearm, the sizing of the hoops is achieved<br />

by a simple turning operation to their OD, and the tracks can also be made using the same<br />

milling tools and techniques. The pulley in our design was chosen specifically to be small and<br />

strong, which should make it applicable to almost any customer, even one with a smaller<br />

forearm. Once the system has been manufactured based on the specifications appropriate to the<br />

customer’s, it can be installed into the forearm (please see the “Assembly” portion of Section<br />

7.2) and operated.<br />

During operation, when tension is applied to the input cable (see Figure 7.0.10), tension is also<br />

applied at its termination point on the other side of the pulley. This causes the pulley wheel to<br />

rotate, moving the entire pulley block towards the elbow. The pulley block is connected to the<br />

output cable which is connected to the cable post of the hook. During the motion, the angled<br />

position of the output cable (see Figure 7.0.2) will, ideally, cause intimate contact between the<br />

pulley’s axle, and the side of the track it is touching. This contact should cause the axle to roll<br />

along the track, rather than slide, because rolling is desirable for wear characteristics.<br />

If any type of maintenance has to be performed by the user, the forearm must be removed from<br />

the forearm assembly. This requires the external cable leading from the harness to the forearm to<br />

be disconnected. From there, the forearm should be able to be completely removed from the rest<br />

of the arm assembly.<br />

Most maintenance issues will require partial disassembly of the mechanical advantage system.<br />

This is most easily accomplished by removing the back ring (the one closer to the elbow). First,<br />

the nuts used to fasten the tracks to the ring must be loosened. Next, the external screws used to<br />

retain the ring on the outside of the forearm must be removed.<br />

7.2 How it is Manufactured<br />

Consult the Drawing Package, found separately from report, for more detailed CAD drawings of<br />

all parts.<br />

40


7.2.1 Rings (Part #’s THH-001 [Elbow] & THH-001 [Wrist])<br />

1) Obtain 2.5 OD 2.0 ID 304 Stainless tube.<br />

2) Face off front of tube to ensure square face.<br />

3) Turn down to 2.28 OD for front ring and 2.45 for back ring.<br />

4) Place 5 degree chamfer .1 inch from front.<br />

5) Cut off ring at .5 inch long.<br />

6) Mill .275 flat on the x axis 0 degrees relative to ring. The flats will be .01 down on the z<br />

axis.<br />

7) Center flat and use start drill .2 inches from front of ring (y axis). For the back ring it is<br />

.2 inches from the back of the ring.<br />

8) Drill hole with number 3 drill bit.<br />

9) Tap hole with ¼ 28 threads per inch tap.<br />

10) Repeat steps 6-9 at 90, 180, and 270 degrees relative to ring.<br />

7.2.2 Track (2x) (Part # THH-003)<br />

Figure 7.2.1. - Ring Manufacture<br />

1) Cut ½ x ½ box steel to approximately 3 inches using band saw.<br />

2) Mill sides so square and overall length in 2 29/32 inches.<br />

3) Center box steel on y axis and start drill .2 inches from outer edge.<br />

4) Drill mounting holes with 9/32 inch bit.<br />

5) Repeat steps 3-4 on other side of the box steel.<br />

6) Flip box so the holes now are facing downward.<br />

7) Mill .45 back on x axis from face of box.<br />

8) Repeat passes with an increase in depth until thickness of track is only .1 inch.<br />

41


9) Center box on y axis and mill 3/16 groove through length on box.<br />

7.2.3 Axle (Part # THH-004)<br />

Figure 7.2.2 - Track Manufacture<br />

1) Face off .25 in OD stock<br />

2) Groove to .17 in diameter start .15 in from edge and continue .19 in inward.<br />

3) Repeat groove 1.32 to 1.5 from front face with 0.17 diameter.<br />

4) Cut off with overall length 1.66 inches<br />

Figure 7.2.3 - Axle Manufacture<br />

42


7.2.4 Collars<br />

1) Using lathe turn overall length from .25 to .22<br />

7.2.5 Assembly<br />

1) Drill cable exit hole on right hand side (looking from the top of the arm) ¾ inch from the<br />

front of the arm using a ½ in bit<br />

2) Place front ring in forearm chamfer side first<br />

3) Ensure that the mounting holes are at 0, 90, 180, and 270 degrees relative to arm.<br />

4) Using a flash light mark were mounting holes shine though<br />

5) Remove ring and drill holes with 3/8 inch bit<br />

6) Bolt two tracks (vertically) with the nuts and other mounting holes inside the arm on the<br />

front ring<br />

7) Place back ring inside of arm and line holes so that they at 0, 90, 180, and 270 degrees.<br />

Also ensure that the tracks are square.<br />

8) Using flash light as before mark mounting holes<br />

9) Drill mounting holes with 3/8 inch bit.<br />

Fig 7.2.4 - Forearm Assembly<br />

10) Attach bolts on the two mounting holes only.<br />

11) Place the collar then the pulley then the other collar on axle.<br />

12) Ensure everything is square and tighten down collars using allen wrench on set screw.<br />

43


Collar<br />

Pulley<br />

Axel<br />

Fig. 7.2.5 - Pulley Unit Assembly<br />

13) Remove pulley and axle apparatus and loop and clamp cable to the front of the pulley.<br />

14) Loop second cable around pulley and loop and clamp around mounting hole bolt. Clamp<br />

down with a nut. ( Mount on left side for a right arm and right side for a left arm)<br />

15) Maneuver the front cable so that it falls through the cable exit hole and axle is in the<br />

tracks.<br />

16) Using nuts tighten down the tracks on the ring.<br />

17) Screw in split hook.<br />

18) Loop cable from exit hole in cable post and clamp in place. Make sure pulley is pulled all<br />

the way forward in the tracks.<br />

Figure 7.2.6 - Cable Path and Final Assembly<br />

44


7.3 Cost Analysis & Bill of Materials<br />

It is an important factor to try to keep the overall cost of this system to a minimum. Even<br />

though this is a new and innovative system, the people that will benefit will still need it to be in<br />

the appropriate price range. Since there is not another example of this system on the market it is<br />

hard to compare it to price. Tim Lang’s full arm prosthetic cost approximately 6000 dollars. So<br />

it would seem reasonable to keep this system upgrade to 10-15% of the total full arm prosthetic.<br />

The first initial consideration for the cost analysis is the materials for the alpha prototype as<br />

shown in Table 7.3.1. There are a lot of wasted materials to complete the initial prototype. For<br />

example only one of the twelve inches of the 2.5 inch stainless tubing is used. Also the bearings<br />

that were purchased were proven to be not useful to the overall design. Even though they are not<br />

in the current system they still have to be considered for the material cost of the alpha prototype.<br />

There was also an excess of bolts, washers, and oval sleeves purchased. These inefficient uses of<br />

materials lead to the high material cost of $178.17. It is expected that there will be a drastic<br />

decrease in materials for the beta prototype and for the production of multiple units.<br />

Table 7.3.1 - Material Costs for Alpha Prototype<br />

Part Use Price Quantity<br />

2-1/2" DIA. Round Piping Rings $72.89 1<br />

1/2"x1/2" Square Piping Tracks $7.82 2<br />

Pulley Pulley $20.46 1<br />

Double-Shielded Bearings Bearings $8.00 2<br />

1/4" DIA. Stock Axle, Misc. $5.95 1<br />

3/32" Wire Rope Cable $1.34/ft 10 ft<br />

Oval Sleeve for<br />

3/32" Rope<br />

Cable<br />

Attachments<br />

$8.43/pack 1 pack<br />

1" OD Flat<br />

Washer<br />

Bolts for<br />

Attachment<br />

$8.64/pack 1 pack<br />

Truss Head<br />

Attach Rings<br />

$10.64/pack 1 pack<br />

Machine Screw<br />

Set Screw<br />

Shaft Collar<br />

to <strong>Arm</strong><br />

Lock Pulley<br />

in Place on Axle<br />

$2.84 2<br />

Total Cost for Alpha Materials : $178.17<br />

The next consideration is the manufacturing costs of the system. For the alpha prototype<br />

approximately 40 hours was spent on the completion. This was mainly due to trial and error of<br />

certain aspects of the design. For example the tracks had to be re-manufactured because there<br />

was not ample room to attach the nut to the bolt. A section of the track had to be milled away so<br />

there would be enough room to secure it in place. From Table 7.3.1 the cost of labor was $15<br />

dollars per an hour, the overhead factor was one, equipment factor was a half, and the tolerance<br />

factor was 0.25. The reason for the generalized tolerance factor is the system had some<br />

tolerances that are more open than others. So with a value of 0.25 both examples of the<br />

tolerances are considered. With all this in consideration the overall cost of the alpha prototype<br />

was $1828.17 dollars. This is 31% of the overall system cost of $6000 dollars. The majority of<br />

this is labor costs and is assumed to decrease as more prototypes are produced.<br />

45


Table 7.3.2 - Alpha Prototype Total Costs<br />

Alpha Prototype<br />

a. Total Time to Complete in Hours<br />

Complete Manufacture and Assembly<br />

40<br />

b. Labor rate for the Operation ($/hr) $15 (level 2 skilled Labor)<br />

c. Labor Cost ($) = a x b 600<br />

d. Basic Overhead Factor 1<br />

e. Equipment Factor 0.5<br />

f. Special Operation/Tolerance Factor 0.25<br />

g. Labor/Overhead/Equipment Cost ($) = c x (1+d+e+f) 1650<br />

h. Purchased Materials/Components Cost 178.17<br />

Total Cost for Alpha Prototype Production: $1828.17<br />

With the final production cost of $1828.17 dollars was simply too high of a price for any person<br />

to purchase the system. Table 7.3.3 shows the material costs if ten beta units were produced.<br />

For ten prototypes only one section of tubing needs to be purchased which drastically reduces the<br />

individual material costs. The total amount of material costs is $508.56 to produce ten units.<br />

This is only $50.86 dollars in material costs to produce one beta prototype. This results in a<br />

decrease of $127.31 in material costs for every beta prototype.<br />

Table 7.3.3 - Material Cost for Ten Beta Units<br />

Part Use Price Quantity<br />

2-1/2" DIA. Round Piping Rings $72.89 1<br />

1/2"x1/2" Square Piping Tracks $7.82 5<br />

Pulley Pulley $20.46 10<br />

1/4" DIA. Stock Axle, Misc. $5.95 2<br />

3/32" Wire Rope Cable $1.34/ft 30<br />

Oval Sleeve for<br />

3/32" Rope<br />

Cable<br />

Attachments<br />

$8.43/pack 3 packs<br />

1" OD Flat<br />

Washer<br />

Bolts for<br />

Attachment<br />

$8.64/pack 3 packs<br />

Truss Head<br />

Attach Rings<br />

$10.64/pack 3 pack<br />

Machine Screw<br />

Set Screw<br />

Shaft Collar<br />

to <strong>Arm</strong><br />

Lock Pulley<br />

in Place on Axle<br />

$2.84 20<br />

The manufacturing for the beta types would also be reduced considerably. Using the same<br />

method for the alpha prototype, the overall manufacturing costs for a beta prototype is shown in<br />

Table 7.3.4. From previous experience and time trials the total time to complete the different<br />

operations are shown. It is also assumed that the labor will be paid $15 dollars an hour for their<br />

work. All of the other factors are the same as the alpha prototype. From this the total<br />

46


manufacturing costs are $525.00. This is a decrease from the alpha prototype of $1125, and puts<br />

the overall cost of the system to $575.86. This is an alpha to beta savings of $1252.31. The main<br />

reasons for this price drop are the inefficient use of alpha materials and the errors in the<br />

manufacturing. This price is in the 10- 15% range of the total prosthetic arm cost of $6000.<br />

Table 7.3.4 - Manufacturing Costs for Beta Prototype<br />

Operation Operation Operation<br />

1 2 3 Operation 4<br />

Cut Cut<br />

square grooves in<br />

tracks to pulley axle<br />

desired to allow<br />

Cut pipe length travel in<br />

tubing to and drill the tracks.<br />

1" sections bolt Insert into<br />

and turn holes. pulley and<br />

down on Mill lock into<br />

lathe. opening position Bolt<br />

Drill bolt for pulley with assembly to<br />

holes axle spacers prosthetic<br />

a. Total time to complete operation(s) in hours 5 3 2 3<br />

b. Labor rate for the operation ($/hr) 15 15 15 15<br />

c. Labor Cost ($) = a x b 75 45 30 45<br />

d. Basic overhead factor 1 1 1 1<br />

e. Equipment factor 0.5 0.5 0.5 0.5<br />

f. Special operation/Tolerance factor<br />

g. Labor/Overhead/Equipment Cost ($) = c x<br />

0.25 0.25 0.25 0.25<br />

(1+d+e+f) 206.25 112.50 82.50 123.75<br />

h. Purchased materials/Components cost 12.15 7.82 22.44 8.45<br />

Total Labor/Overhead/Equipment Cost $ 525.00<br />

Total Purchased Material/Components Cost $ 50.86<br />

Total Cost for Assembly $ 575.86<br />

7.4 Design Validation<br />

Throughout our design and manufacturing phases, interaction with our end user has shaped our<br />

project, and allowed us to effectively address real-world considerations. Ultimately, three main<br />

goals were set forth from analyzing our customer input: reduction of input force (to reduce strain<br />

on the user’s body), increase in grip force (to allow the user to complete a wider variety of tasks<br />

with the prosthetic), and to make the product both reliable and serviceable (so the customer can<br />

fix it easily, if need be).<br />

For the reduction of input force, we decided on a pulley-based mechanical advantage system<br />

early on. This configuration guaranteed a 2:1 reduction in user input force, as well as twice as<br />

much cable travel to get it open. Since this feature was most important to the user, and would<br />

47


equire the most engineering resources for implementation, a 2:1 force reduction was deemed<br />

appropriate, and the corresponding grip force increase would be chosen so as not to negate the<br />

beneficial effects of the pulley. As mentioned in section 7.0, the 2:1 reduction was validated<br />

using a simple fish scale, which indeed registered half the input force to open the hooks when<br />

used with our mechanical advantage system. Additionally, the Otto Bock hook also has less<br />

opening distance than the one the customer currently uses. This presents a clear trade off: if the<br />

customer chooses to use our product, the size of objects he will be able to grasp will be more<br />

limited. On the other hand, the smaller opening will mean less cable travel than he is used to.<br />

His current prosthetic would have to experience 3.5 inches of cable movement with our device,<br />

but the Otto Bock (with less opening) capacity, only requires ~2.75 inches.<br />

Choosing a grip force that corresponded appropriately to our 2:1 mechanical advantage proved<br />

challenging. Unlike the mechanical advantage system, where many options were available for<br />

force reduction, the only feasible way to increase grip force was to outfit the Otto Bock with<br />

higher stiffness springs. This was problematic because many of the springs whose dimensions<br />

were appropriate for our application could not deflect to the necessary distance. Furthermore,<br />

there was much variation in the stiffnesses of the dimensionally-applicable springs; this made<br />

choosing one with an appropriate amount of grip force difficult. Fortunately, one customer<br />

meeting led to a qualitative test of the user’s current grip force versus the Otto Bock’s. This<br />

simple test showed that there was a marked increase in grip force by using the Otto Bock. This<br />

was most likely due to the fact that the “pinch point” of the customer’s hook was much further<br />

from the rubber band than the Otto Bock’s pinch point is from its springs (see Figure 6.1.2)<br />

When the customer was finally outfitted with our prosthetic, we were confident that an increase<br />

in the ease of use and grip force was present. Even at the Otto Bock’s higher grip force setting,<br />

the customer commented that the force required to open the hook was less than his current<br />

prosthetic (it would be much better to have some actual numbers to validate these claims).<br />

8.0 Conclusion<br />

Our project successfully met our objectives. Mr. Tim Lang, the dairy farmer from Marietta for<br />

whom this system was designed, is extremely satisfied with our product. Though Tim Lang will<br />

not be using our exact prototype, he will be working with the Bureau of Vocational<br />

Rehabilitation engineers to implement our mechanical advantage system in a new prosthetic<br />

forearm that he will be receiving from Yankee Bionics. The forearm used in our prototype was<br />

donated by Yankee Bionics, and it is the exact size Tim needs, yet it was not equipped to be<br />

fitted with a rotational chuck system. This system allows Tim to rotate his hook 180° to be able<br />

to drive his stick shift tractor and quickly change to operating his milking machines.<br />

Since the forearm we received did not have the capability of utilizing a rotating chuck system,<br />

our team decided that we should not proceed with finding a way to rotate our hook. The 180°<br />

rotation that Tim needed was not feasible for our system, so we thought the slight rotation we<br />

would achieve would not add value to the overall design. Tim’s next forearm will have the<br />

proper rotating chuck system which he will need to fully rotate his hook for everyday operations.<br />

The BVR engineers should easily be able to move the mechanical advantage system to Tim’s<br />

new forearm. Bolting the holes on the forearm and securing the bolts will be the only major<br />

48


operation necessary. This convertibility also applies to future times when Tim receives a new<br />

forearm from the company. Every 3 years the forearm and cable are replaced by insurance, so<br />

Tim could do the future changeovers of the mechanical advantage system to the forearm himself<br />

or with the help of BVR engineers. The cable should then be able to last another 3 more years<br />

until the next changeover. As seen in Table 8.0.1, the system will last 13,675 cycles which is<br />

approximately equivalent to 3.8 years (360 working days a year using the system 10 times per<br />

day). This lifecycle number is based on the cable being the limiting factor.<br />

The project met all of the specifications as outlined in Section 3.0. The following table<br />

summarizes these specifications and relates them to the actual performance of our design.<br />

Table 8.0.1 Performance Relative to Specifications<br />

Specification Actual<br />

Avg. 9.5 lbs (47%<br />

Acceptable?<br />

Input <strong>Force</strong> Avg. 18 lbs<br />

Reduction)<br />

Equivalent to 11 rubber<br />

Yes<br />

Closing As strong or stronger bands at hook’s highest<br />

<strong>Force</strong> than 7 rubber bands<br />

setting Yes<br />

Unit Price Less than $700 Total Prototype cost $575 Yes<br />

Unit Fit into Tim’s prosthetic Fits into Tim’s prosthetic<br />

Dimensions forearm<br />

forearm Yes<br />

Unit Life 10,800 Cycles (3 years) 13,675 Cycles (3.8 years) Yes<br />

Unit Weight Less than 5 lbs 4 lbs Yes<br />

The true value of this design allows Tim a way to more comfortably work in the fields exerting<br />

one-half less input force than he traditionally had to use with his former prosthetic. This will<br />

greatly lessen the discomfort that he experiences from using the prosthetic in his daily work.<br />

The system is easily cleanable, corrosion resistant, simple to operate, and utilizes the standard<br />

cable and cable connectors that both Yankee Bionics and Tim are familiar with already. The<br />

mechanical advantage system being fully contained in the forearm is extremely unique.<br />

Currently, no product on the market like this exists. The system is very compact, yet the<br />

materials chosen are quality and easily machineable and replaceable.<br />

Our recommendation is to continue with our mechanical advantage project. The user would send<br />

in his/her forearm to our company and we would install the mechanical advantage system for<br />

them. Though maintenance is relatively simple, we would also offer maintenance and<br />

replacement services to our customers. Our company would be in partnerships with prosthetic<br />

forearm manufacturers such as Yankee Bionics. If we needed to modify the design to fit a larger<br />

range of forearms, we would do so in the future to help the maximum amount of people.<br />

The prosthetics industry is very specialized for each user. Our product can be adjusted for<br />

different sized forearms by modifying the outer diameter dimension of the two rings. Further,<br />

the system is bolted to the forearm using 8 rounded head bolts. The only variable tasks in our<br />

49


design would be adjusting the ring size and bolting the system to the forearm. Since our product<br />

has a level of standardization that many others do not in the prosthetics industry, this makes our<br />

product unique and will help maximize the users’ benefits. As an added option to increase the<br />

appearance, a neoprene sleeve would be available, streamlining the look of the forearm. This<br />

was not a concern for Tim because he works in the fields all day, but others may request it.<br />

Overall, Tim will be able to improve the quality and ease of his workday. Tim’s current<br />

prosthetic utilizes 1.75” of cable travel, while our design requires 2.125” of cable travel. If this<br />

becomes a working issue for Tim, we suggest the BVR engineers attach another cable to the<br />

outside of the forearm which will allow Tim to switch the mechanical advantage system on or<br />

off.<br />

The closing force measurements were based on data collected directly from Tim. He said that<br />

the mechanical advantage system with the Otto Bock hook (at its highest setting) was equivalent<br />

in closing force to his current hook using 11 rubber bands. He also said it was much easier to<br />

operate our system especially given the high closing force.<br />

A full prosthetic arm typically costs around $6,000. Our system would only cost an additional<br />

9.6% of the full prosthetic arm’s cost. This is a small price to pay for the value added with<br />

respect to increased comfort and ease of operation. Tim says that becoming accustomed to living<br />

with a prosthetic was extremely difficult at first, but stated, “The body’s like a chameleon; it will<br />

adapt to whatever circumstances.” Our goal is to help other people ease the transition period to<br />

get used to using a prosthetic arm. Tim will be reaping the rewards of our mechanical advantage<br />

system, and we hope many other people will have this same benefit.<br />

50


Appendix A <strong>–</strong> Split Hook Sample Calculation<br />

Using the hook pictured at the beginning of section 6.1 for basic dimensions, an analysis of the<br />

forces and torques present at a 30° opening will be performed.<br />

-Spring <strong>Force</strong> at closed position (Fr): 30 lbs<br />

-Spring constant (k): 50 lbs/in<br />

-Length from pivot to end of hook (L): 5 in<br />

-Distance from pivot to spring (Dr): 1 in<br />

-Length of cable post (Dp): 1.5 in<br />

-Opening Angle (Ѳ): 30 degrees<br />

-Maximum force user can achieve (Fc): 70 lbs<br />

Using Equation (3) to determine the grip force at Ѳ = 0, it is found to be 7.5 lbs<br />

To find the torque which the user can generate at Ѳ =30, Equation (6) is used, and a torque of<br />

90.9 in-lbs is found.<br />

To find the torque of the spring at the same Ѳ, Equation (11) is used to get a torque of 51.7 inlbs.<br />

The Resulting Capability Index, calculated simply by using Equation (12), gives a ratio of 1.76.<br />

Since this value is greater than 1, the user is capable of opening the hook to this extent.<br />

If an item was placed in the within the hooks at this angle, the resulting grip force can be<br />

calculated using a modified version of the “Fg” formula used to find the grip force at Ѳ = 0:<br />

Performing this calculation, the object within the hooks would feel a grip force of 12.9 lbs.<br />

51


Appendix B <strong>–</strong> Interview Summaries<br />

Mark Ficocelli - Phone Interview (9:30AM <strong>–</strong> 10:30AM) Oct. 10 th 2007<br />

• Is an industrial designer that does a lot of private consulting and contract work in<br />

conjunction with the BVR (Bureau of Vocational Rehabilitation).<br />

• Much of his work is found through places like the BVR and from word-of-mouth and is<br />

almost always with one specific case at a time.<br />

• Much of his design is mechanical that focuses on a specific need for a person with a<br />

disability.<br />

• He suggested looking into upper extremities prosthetic devices (hook hand) and<br />

considered that to be the best mass marketable idea.<br />

• He mentioned a recent case that involved a farmer who had recently lost his hand and he<br />

needed a way the hold different sized box wrenches. With his hook-hand prosthetic he<br />

was unable to keep a firm grip on the heavy wrenches. Much of the solution to this<br />

problem involved adding more rubber bands to the hooks hinge joint and using a thicker<br />

cable that ran from his prosthetic to a back brace, He was able to open and close the hook<br />

by simply flexing his back muscles.<br />

• One suggestion he mentioned for that type of project would be to buy a burlap feedbag<br />

and see if the prosthetic could open and hold a bag. He suggested 60lbs of closing<br />

pressure.<br />

• One item he stressed was to modify the man not the machine he uses. It is much more<br />

sensible to make a universal adaptor on a prosthetic for picking up different sized objects<br />

rather than making jigs or different attachments for each size.<br />

• Another item he stressed was to focus of a specific function. Much of his design is<br />

custom for the person and specific for their particular disability. It is very difficult to<br />

create a universal device to help a lot of people because there is such a wide range of<br />

unique disabilities.<br />

• Another idea was to put yourself into the disabled person’s position and see what<br />

difficulties you find. He suggested riding around in a wheelchair all day around campus<br />

or blindfolding yourself and try to navigate a building. This might help us spawn ideas.<br />

• He mentioned that wheelchair design was very specific but very marketable. Also it<br />

might help to visit a design office or firm to get a feel for a typical office space.<br />

• Patent searching is for marketing but you should understand and know about it.<br />

• Other ideas he mentioned was excursion amplifiers, back harnesses, page turners, devices<br />

to help people get dressed and to feed themselves, home modifications, work site<br />

ergonomics, rural and farming work, computer adaptation, weight distribution, body<br />

position, and seating for people in to wheelchairs, and yes even one handed chainsaws.<br />

• Sources and products he sited where the OQO (thumb board electric device) Premobile.<br />

• One ADA standard he mentioned was a 1 to 12 slope for wheelchair ramps.<br />

52


George Platounaris - Interview (12:00PM <strong>–</strong> 1:00PM) Oct. 10 th 2007<br />

• Is the rehabilitation vocational supervisor at the BVR. He has been working in<br />

rehabilitation consulting for close to thirty years.<br />

• The BVR is a state agency that services 10 counties out of <strong>Ohio</strong>. Annually it services<br />

50000 people with disabilities most of which have orthopedic and metal health issues.<br />

Typically they have 850 to 1000 active customers with a whole array of disabilities. Each<br />

year RSC puts over 8000 individuals with severe disabilities to work.<br />

• One good contact he mentioned was a Linda McQuistion who is typically and is<br />

considered the main engineer for the BVR.<br />

• He also mentioned a professor at the <strong>University</strong> of Cincinnati named Howard Baum who<br />

is in industrial design who has done a lot of design for adaptive devices for people with<br />

disabilities.<br />

• He referred us to a Jerry Olsheski who is a professor in the college of education at OU<br />

who is or was chair of the department of rehabilitation counseling.<br />

• Another referral was a Mark Gold who is now deceased. During his life he worked<br />

intensely with mentally disabled people and developed a program in the 1970 called Try<br />

Another Way to help people with disabilities obtain careers.<br />

• He suggested visiting special schools or classrooms and would gladly get us in contact<br />

with facilities, machine shops, sheltered workshops, or special schools.<br />

• He suggested getting in touch with WOUB to get a story line going and get the<br />

communities interest. This could possibly lead to sponsorship or increase our funding.<br />

• He was very interested in getting in contact with Dr. Kremer (he now has his email<br />

address) to ask questions and facilitate any services he can offer.<br />

• Sources he mentioned were Clovernook and Diagnostic Hybrids which is a lab that has<br />

been recently hiring a lot of people from Personnel Plus because of the amount of manual<br />

labor.<br />

• He mentioned weekly meetings that we could definite sit in on. (I really don’t have much<br />

information about these meetings).<br />

• George seemed very eager to help us and possibly coordinate a project with us.<br />

53


Tim Lang <strong>–</strong> 2 nd Interview (2:00 PM <strong>–</strong> 4:00 PM) February 27 th 2008<br />

• Did not seem to think additional weight in forearm would be an issue. Agreed to place<br />

small (1-2 lb) weight in forearm for a couple arms sometime soon as a trial.<br />

• Had no concerns with the Otto Bock hook. Really liked the vector system and had an<br />

overall good impression of the hook.<br />

• Increased range of motion due to mechanical advantage is going to be an issue. We need<br />

to find a way to address this so that he doesn’t have to double his current movement<br />

pattern. Also, current range of travel is caused by cable post coming into contact with the<br />

wrist of his prosthetic, an issue we should be cautious of with our design.<br />

• We took pictures of harness operation so that it could be examined by entire team. See<br />

pictures posted by Jay.<br />

• Threading of Otto Bock hook was a perfect match with his arm.<br />

• Forearm connects to elbow which connects to the upper arm (three piece system). The<br />

gearing of the arm placement is located in the elbow and the forearm appears to be<br />

connected by screws in a fairly simple manner. See pictures.<br />

• Problem with the cable pinching at the elbow if we run it directly into the forearm<br />

through the current opening. We will need to address this issue in our design by finding<br />

an alternative way for the cable to enter the forearm. Possibility of drilling slanted holes<br />

for entry and exit or a slot into the arm at the elbow to avoid pinching the cable.<br />

• Current cable is guided by leather loop as well as bolted connection points. Cable also<br />

runs through a casing at points where there is a bend. Pictures will show this.<br />

• Details of current cable should be able to be obtained by contacting Gene at Yankee<br />

Bionic.<br />

• Any bolt heads on the outside of the prosthetic must be smooth and round. Additionally,<br />

the nuts on the interior of the arm are some sort of special flat type nut.<br />

• Cable did not seem to be very flexible. Must be cautious in looping around pulley.<br />

54


Appendix C <strong>–</strong> Tim Lang’s Forearm Dimensions & Data<br />

• Note: All measurements were done with a dial caliper on 2/27/08<br />

Thickness = 0.225”<br />

Overall Length* = 6.80”<br />

Useable Length = 5.50”<br />

Wrist (O.D.) = 2.10”<br />

2” from wrist (O.D.) = 2.45”<br />

4” from wrist (O.D.) = 2.80”<br />

6.8” from wrist (O.D.) = 2.95”<br />

Taper = Continuous through entire length<br />

Cable Dia. = .086” (~3/32”)<br />

Length of Cable Post = 1.0”<br />

Angle of Cable Post = 45° ± 10° (Same as Otto Bock hook)<br />

Depth of Wrist Chuck = 1.0” into forearm (threaded)<br />

Cable Travel = 1.75”<br />

Input <strong>Force</strong> = 4-6 kg<br />

Flexibility of Cable = able to make 0.5” loop<br />

* - The overall length is the shortest distance from the wrist chuck to the scooped cutout of the<br />

forearm.<br />

UOther Notes<br />

• The prosthetic is comprised of three major parts (the shoulder/upper arm, the elbow, and<br />

the forearm).<br />

• Tim was uncertain of how to disconnect the forearm at the elbow for he has never done it<br />

before. The pictures might yield some clues of how it is done but is can be done.<br />

• The wrist chuck can be completely removed from the forearm via six to eight flat screws.<br />

• The threading of the Otto Bock hook is the same as Tim’s hook<br />

• When the forearm is all the way up, it and touches the elbow unit causing a pinch point at<br />

the scooped cutout of the forearm.<br />

• Tim didn’t seem to have a problem with 1 to 2 lbs of extra weight in the forearm.<br />

• Tim claims that the tighter the harness the less shrugging necessary and the less amount<br />

of cable travel. Also, that he is capable of a larger shrug.<br />

55


References<br />

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http://www.armdynamics.com/healthC_prosthetic.html<br />

viewed on November 2007<br />

Aetna, “Clinical Policy Bulletin: Myoelectric Prostheses”,<br />

http://www.aetna.com/cpb/medical/data/300_399/0399.html, viewed on November 2007.<br />

AK Steel, “Product Data Sheet: 410 Stainless Steel”,<br />

http://www.aksteel.com/pdf/markets_products/stainless/martensitic/410_Data_Sheet.pdf,<br />

viewed on October 2007.<br />

Amputee Coalition of America, “<strong>Prosthetic</strong> Devices for Upper-Extremity Amputees”,<br />

http://www.amputee-coalition.org/military-instep/prosthetic-devices-upper.html, viewed<br />

on October 2007.<br />

Amputee Coalition of America, “What are Limb Loss and Limb Difference?”,<br />

http://www.amputee-coalition.org/nllic_faq.html#2, viewed on June 2008.<br />

Amputee Supply, “Model 8X Medium Adult Size Hook by Hosmer”,<br />

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s_id=63, viewed on October 2007.<br />

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Cigna, “Cigna Healthcare Coverage Position”,<br />

http://www.cigna.com/customer_care/healthcare_professional/coverage_positions/medic<br />

al/mm_0233_coveragepositioncriteria_myoelectric_prostheses.pdf, viewed on November<br />

2007.<br />

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and Supplies”,<br />

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viewed on October 2007.<br />

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viewed on November 2007.<br />

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317234-502.jpg, viewed on June 2008.<br />

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Patent 5,464,444, November 7, 1995.<br />

Firgelli Automations, “2" Stroke 150lb <strong>Force</strong> Linear Actuator”,<br />

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November 2007.<br />

Frey, D. D., Carlson, L. E., & Ramaswamy, V., “Voluntary-Opening Prehensors with Adjustable<br />

Grip <strong>Force</strong>”, vol. 7, no. 4, pp.124 <strong>–</strong> 131, 1995.<br />

56


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2007.<br />

Hosmer, “Model 7 Work Hook-Adult Size”, http://www.hosmer.com/products/hooks/index.html,<br />

viewed on October 2007.<br />

Komp, C., “Attitude, Not Cost, Barrier to Disabled Workers,”<br />

http://newstandardnews.net/content/index.cfm/items/2909, viewed on September 24,<br />

2007.<br />

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http://biomed.brown.edu/Courses/BI108/BI108_2003_Groups/Hand_<strong>Prosthetic</strong>s/stats.ht<br />

ml, viewed on June 2008.<br />

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2006.<br />

Liberating Technologies Inc., “Electric Hands for Adults: Myo, Servo, or Switch Control”,<br />

http://www.liberatingtech.com/products/Electric_Hands_for_Adults_Myo_Servo_or_Swit<br />

ch_Control.asp, viewed on November 2007.<br />

Loveless, J. H., "<strong>Prosthetic</strong> Load-Lift Hook Locking Mechanism," U. S. Patent 4,074,367,<br />

February 21, 1978.<br />

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viewed on September 24, 2007.<br />

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viewed on November 2007.<br />

57


UniCare, “Myoelectric Upper Extremity <strong>Prosthetic</strong> Devices”,<br />

http://medpolicy.unicare.com/policies/guidelines/DME/myoelectric_upper_extremity.htm<br />

l, viewed on October 2007.<br />

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November 2007.<br />

58


Drawing Package<br />

1. THH‐001………………………………………………………………………..Elbow Ring<br />

2. THH‐002………………………………………………………………………..Wrist Ring<br />

3. THH‐003………………………………………………………………………..Track<br />

4. THH‐004………………………………………………………………………..Axle<br />

5. THHA‐001……………………………………………………………………...System Assembly View

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