Trend robotic prosthetics
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Trend: Robotic Prosthetics. Presented By Denise S. Bahr, R.N. Objectives. Describe trend: Robotic Prosthetics Discuss and evaluate the hardware and software utilized with this trend. Explain and evaluate the information system used with this trend.

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Trend: Robotic Prosthetics

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Trend robotic prosthetics

Trend:Robotic Prosthetics

Presented By

Denise S. Bahr, R.N.


Objectives

Objectives

  • Describe trend: Robotic Prosthetics

  • Discuss and evaluate the hardware and software utilized with this trend.

  • Explain and evaluate the information system used with this trend.

  • Assess the role and functions of the nurse informaticist when working with this trend.

  • Examine related legal/ethical issues.

  • Illustrate the Advantages/Disadvantages from nursing perspective.


What are robotic prosthetics

What are Robotic Prosthetics?

  • Prosthetic replace missing or damaged body appendages.

  • Robotic Prosthetics have working mechanisms to aid function.


Prosthetics today

Prosthetics Today

  • “…turning handicap into a high-performance, cybernetic fashion statement” (Ricker, 2009, ¶2).


Robotic prosthetic hardware

Robotic Prosthetic Hardware

  • Prosthetic hand

  • Equipped with microchips and microprocessors for movement

  • electrodes on skin above amputation to operate hand (Singer, 2007).


Electrode stimulation

Electrode Stimulation

  • Tiny electrodes attached to skin

  • Connect to prosthetic, aligned with electrode receivers

  • Receivers connected to robotic hand

  • Fingers grip

    (Singer, 2007, ¶3-4)


Robotic prosthetic software

Robotic Prosthetic Software

  • “LifeHand Experiment”

  • Brain-Wave Technology


Robotic prosthetic software1

Robotic Prosthetic Software

  • LifeHand Experiment

  • Connect prosthetic hand to residual limb

  • Run electrode from prosthetic to spinal cord

  • Brain controls prosthetic hand


Robotic prosthetic example

Robotic Prosthetic Example

  • Hardware = prosthetic hand, electrodes on skin

  • Software = muscle electrical stimulation signals computer in hand to grip fingers

  • This is Myoelectrics.


Software evaluation

Software Evaluation

  • Very successful in trial patients, with high satisfaction by patients

  • Patients performed faster than predicted

  • Axiom 1 – Met

  • Axiom 2 – Met

  • Axiom 3 - Met


Information systems

Information Systems

  • Which used?

    • Electronic Medical Records

    • MedInformatix

  • Used By?

    • Physicians, Nurses, consultants, midwives, dispensers, para-medical staff, and pharmaceuticals. (Medinformatix, 2008)


Electronic medical records

Electronic Medical Records

  • Usually found in hospital

  • Computerized legal medical record

    • Allowing for storage

    • Allowing for retrieval

    • Allowing for manipulation


Information systems1

Information Systems

  • Function?

    • Training needs

    • Demands and wants of modern science

    • Documentation

    • Diagnosing

  • Configuration?

    • Mainframe

    • Modular

    • Point of care

  • Data Standard?

    • ANSI

    • American Society for Testing and Material

    • Institute of Electrical and Electronic Engineers

    • International Standard Org.

  • D & P Classification System?

    • ICIDH


Information systems2

Information Systems

  • NP Standards Classification Scheme?

    • NIC, NOC

  • Recommendation?

    • I would recommend this system to others

    • Very efficient in progressing prosthetic efficiency and functionality.

    • Monitor for hackers.


Advantages

Advantages

  • Boosts patient self image

  • Increases patient autonomy

  • Improves patient ability to perform ADLs


Disadvantages

Disadvantages

  • Costs

  • Weight/Size

  • Availability


Ethical legal issues

Ethical/Legal Issues

  • Sporting advantages

  • Assault

  • Special Assistance


Informatics competencies

Informatics Competencies

  • Cleaning

  • Stump care

  • Procedure modification


Functions and responsibilities

Functions and Responsibilities

  • Stump care

  • Knowledge of prosthetic

  • Follow up care


Loss of limb doesn t have to stop you

Loss of Limb Doesn’t Have to Stop You

  • Long history of prosthetics

  • New advancements

  • Improve quality of life


References

References

  • Brondou, Colleen. (December 3, 2009). Prosthetic hand controlled by thoughts. Finding Dulcinea: Librarian of the Internet. Retrieved March 23, 2010, from http://www.findingdulcinea.com/news/science/2009/dec/Prosthetic-Hand-Controlled-By-Thoughts.html

  • Mahoney, John. (November 12, 2009). In defense of cyborg athletes. Popsci: The Future is Now. Retrieved April 14, 2010 from http://www.popsci.com/technology/article/2009-11/defense-cyborg-athletes


References1

References

  • Medinformatix. (2008).Mission statement. Medinformatix. Inc. Retrieved March 25, 2010, from http://www.medinformatix.com/Company_info/mission_statement.htm


References2

References

  • Norton, K.M. (2007, November/December). A brief history of prosthetics. InMotion, 17(7). Retrieved February 18, 2010, from http://www.amputee-coalition.org/inmotion/nov_dec_07/history_prosthetics.html

  • Ricker, T. (February 10th, 2010). Immaculate prosthetic limb concept makes combines fun again. Engadget. Retrieved February 18, 2010, from http://www.engadget.com/2009/02/10/immaculate-prosthetic-limb-concept-makes-combines-fun-again/


References3

References

  • Singer, E. (2007, November 27). Prosthetic limbs that can feel. Technology. Retrieved February 18, 2010, from http://www.technologyreview.com/biomedicine/19759/

  • Wilson, A.B. Jr. (1963). Limb prosthetics today. Artificial Limbs, 7(2), 93-96.


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