Abstract: An Intramedullary Distraction Osteotomy (IM DO) apparatus and corresponding methods are disclosed that allow for the patient or another to lengthen residual bone. The apparatus may be inserted into the intramedullary canal of the residual bone and may be lengthened through the application of a traction force. The apparatus protrudes from the body through a single percutaneous site. Lengthening of the amputated limb is achieved by the application of a controlled traction force that is generated by turning a lengthening knob external to the percutaneous site. One or more additional screw segments may be utilized to assist in limb lengthening. The traction force serves to separate a distal bone segment from a proximal bone segment at a specified, controllable rate, allowing new bone growth to fill in the resulting gap. Components of the apparatus provide support and alignment to the residual bone during both the lengthening and consolidation phases.

Abstract: A cable driven actuator and actuator method involve a movable link that is movable about a path by a cable connected to the link, and a movable support member having a cable routing element. The support member is movable in a manner to change a moment arm of the cable acting on the link to control torque applied to the joint.

Abstract: Prosthetic devices and, more particularly, modular myoelectric prosthesis components and related methods, are described. In one embodiment, a hand for a prosthetic limb may comprise a rotor-motor; a transmission, comprising a differential roller screw; a linkage coupled to the transmission; and at least one finger coupled to the linkage. In one embodiment, a component part of a wrist of a prosthetic limb may comprise an exterior-rotor motor, a planetary gear transmission, a clutch, and a cycloid transmission. In one embodiment, an elbow for a prosthetic limb may comprise an exterior-rotor motor, and a transmission comprising a planetary gear transmission, a non-backdrivable clutch, and a screw.

Abstract: Embodiments of the systems and methods described herein relate to a control unit comprising a memory having stored thereon a feature database that includes feature data, a portion of which is labeled with a transition from an ambulation mode and a memory having stored thereon a pattern recognition controller that is trained using the labeled feature data, wherein the pattern recognition controller is configured to predict the ambulation mode of an assistive device and the control unit is configured to communicate with sensors coupled to the assistive device.

Abstract: Embodiments of the invention provides myoelectric prosthesis control system that include a gel liner that has a plurality of layers and a plurality of leads at least partially positioned between the plurality of layers. In addition, a plurality of electrodes can be coupled to the leads and portions of the electrodes can also be positioned between the plurality of layers. At least some of the electrodes can include an electrode pole that is configured to contract the residual limb to detect electromyographic signals.

Abstract: Embodiments of the systems and methods described herein relate to a control unit comprising a memory having stored thereon a feature database that includes feature data, a portion of which is labeled with a transition from an ambulation mode and a memory having stored thereon a pattern recognition controller that is trained using the labeled feature data, wherein the pattern recognition controller is configured to predict the ambulation mode of an assistive device and the control unit is configured to communicate with sensors coupled to the assistive device.

Abstract: Systems and methods are described that relate to the control of a powered lower limb assistive device with one or more joints, where a controller of the assistive device is configured to receive one or more user-generated signals, determine control information using information in the one or more user-generated signals, select one or more joint impedance parameters of the assistive device for adjustment, and, for a mode and state of the assistive device, adjust the selected joint impedance parameters as a function of the control information. Additionally, systems and methods are described that relate to the control of such an assistive device, where a controller of the assistive device is configured to receive one or more user-generated signals containing information about the ankle angle of the assistive device, and adjust the stiffness of the ankle joint of the assistive device as a function of the ankle angle.

Abstract: Systems and methods for improved control of a lower limb device are disclosed. The lower limb may have one or more joints and one or more corresponding motors. In some embodiments, a center of pressure is calculated in order to enforce virtual constraints at the one or more joints of the lower limb device. The system utilizes one or more effective shapes, and each effective shape's corresponding error, in order to cause each joint motor to produce a torque that causes the joint to move according to a virtual constraint. The systems and methods result in improved control of lower limb devices.

Abstract: Systems and methods for the diagnosis of chronic pain are disclosed. An algometer comprising a pressure sensor and electrode is disclosed. The algometer may be used to measure pressure applied by a clinician at a location on a patient's body, along with EMG signals emanating from the same location of the patient. Further, a pain trigger operable by the patient may be used in coordination with the algometer. Data from the algometer and pain trigger are transmitted to a computing device and display for rendering and analysis of patient data, leading to improved diagnosis.

Abstract: Embodiments for superficial tissue compliance modulation and negative pressure wound therapy for stabilization of a chronic percutaneous implant are disclosed. An external cap is coupled to a compliance gradient of progressively decreasing stiffness. Together the external cap and compliance gradient act as a stress shield that allows forces that would otherwise act on the skin at the skin-implant interface to be dissipated over a larger area. In addition, negative pressure and fluids may be applied through negative pressure and fluid adapters, respectively, to the skin-implant interface, the status of which may be further monitored through the use of one or more sensors.

Abstract: Apparatus and methods are provided for determining a locomotion mode that can be provided to a controller of a lower prosthesis limb in order to accurately control the prosthesis. One or more prosthesis sensors are provided that break a gait cycle down into a plurality of gait phases. EMG sensors provide signals to a processor that directs them to a gait phase specific classifier that is used to determine a particular locomotion mode for the wearer. With the locomotion mode accurately known, the prosthetic device can be accurately controlled.

Abstract: A gripping device that comprises a first moveable jaw and a second fixed jaw is disclosed. The gripping device has a handle operatively engaged to the first moveable jaw and a connecting link operatively engaged to the first moveable jaw. The connecting link is positioned in at least one of a first position or a second position. The change in the position of the connecting link allows the gripping device to have either a default closed position or a default open position, which can be defined by voluntarily-open or voluntary-close modes of operation, respectively. The first moveable jaw moves in either of the modes of operation. The change in the mode of operation is accomplished through use of a connecting link that is passed through a singularity during the switching process to achieve the different output positions and directions.

Abstract: Embodiments of the invention provide for a prosthesis guided training system that includes a plurality of sensors for detecting electromyographic activity. A computing device, which can include a processor and memory, can extract data from the electromyographic activity. A real-time pattern recognition control algorithm and an autoconfiguring pattern recognition training algorithm can be stored in the memory. The computing device can determine movement of a prosthesis based on the execution of the real-time pattern recognition control algorithm. The computing device can also alter operational parameters of the real-time pattern recognition control algorithm based on execution of the autoconfiguring pattern recognition training algorithm.

Abstract: The present invention relates to a system for use in rehabilitation and/or physical therapy for the treatment of injury or disease. The system can enable an amputee to proceed over any surface without overbalancing. In particular the system is self-adapting to adjust the torque moment depending upon the motion, the extent of inclination, and the surface topography.

Abstract: The present invention relates to an improved system for use in rehabilitation and/or physical therapy for the treatment of injury or disease to the lower limbs or extremities. The system can enable an amputee to proceed over any inclined or declined surface without overbalancing. The system is mechanically passive in that it does not utilize motors, force generating devices, batteries, or powered sources that may add undesirable weight or mass and that may require recharging. In particular the system is self-adapting to adjust the torque moment depending upon the motion, the extent of inclination, and the surface topography. An additional advantage of the improvement is that the system can be light and may also be simple to manufacture.

Abstract: Embodiments of the invention provides myoelectric prosthesis control system that include a gel liner that has a plurality of layers and a plurality of leads at least partially positioned between the plurality of layers. In addition, a plurality of electrodes can be coupled to the leads and portions of the electrodes can also be positioned between the plurality of layers. At least some of the electrodes can include an electrode pole that is configured to contract the residual limb to detect electromyographic signals.

Abstract: A medical evaluation system includes an I/O module, a processing module, and an analysis module. The I/O module receives sensory data obtained by a motion sensor disposed in a mobile device carried by a patient at least when the patient is in a non-clinical environment. The processing module extracts medically relevant data from the sensory data received from the sensor in the mobile device. The relevant data includes one or more features of interest in the sensory data. The analysis module derives one or more surrogate biomarkers from the relevant data. The surrogate biomarkers represent at least one of a state or a progression of a medical condition of the patient. The mobile device may be a mobile phone carried by the patient and the sensor may include at least one of an accelerometer or a gyroscope that generates the sensory data to represent movements of the patient.

Abstract: A prosthetic assembly for a residual limb that includes a sleeve for attachment to a distal portion of the residual limb, where the attachment member has a diametrically oriented magnetic field, and a prosthesis with a socket for receiving the sleeve, where the prosthesis socket has a distal end with an attachment member having a corresponding diametrically oriented magnetic field. The diametrically oriented magnetic fields of the sleeve and prosthetic attachment members may be oriented on the prosthesis and the residual limb to achieve a predetermined rotational orientation between the prosthesis and the residual limb and will facilitate removal of the prosthesis with a twisting action.

Abstract: A method is provided for measuring a spasticity of a muscle, comprising indenting a tapper at a particular distance into the skin, tapping a tendon associated with a muscle, and measuring the force response within a response time window. If a spastic response is detected at a particular position of the tapper according to some predefined criteria associated with the force measure, then either the position or a preload force is recorded at the first position to produce a spastic response. This determination can be used for various medical diagnoses. Furthermore, passive muscle properties can be determined by calculating a muscle stiffness value based on a line slope at at least one of the first and second indentation positions based on the maximum tapping force value at the respective indentation position.