The DEKA Arm: its features, functionality, and evolution during the Veterans Affairs Study to optimize the DEKA Arm.

Abstract:

BACKGROUND AND AIM:DEKA Integrated Solutions Corp. (DEKA) was charged by the Defense Advanced Research Project Agency to design a prosthetic arm system that would be a dramatic improvement compared with the existing state of the art. The purpose of this article is to describe the two DEKA Arm prototypes (Gen 2 and Gen 3) used in the Veterans Affairs Study to optimize the DEKA Arm. TECHNIQUE:This article reports on the features and functionality of the Gen 2 and Gen 3 prototypes discussing weight, cosmesis, grips, powered movements Endpoint, prosthetic controls, prosthetist interface, power sources, user notifications, troubleshooting, and specialized socket features; pointing out changes made during the optimization efforts. DISCUSSION:The DEKA Arm is available in three configurations: radial configuration, humeral configuration, and shoulder configuration. All configurations have six preprogrammed grip patterns and four wrist movements. The humeral configuration has four powered elbow movements. The shoulder configuration uses Endpoint Control to perform simultaneous multi-joint movements. Three versions of foot controls were used as inputs. The Gen 3 incorporated major design changes, including a compound wrist that combined radial deviation with wrist flexion and ulnar deviation with wrist extension, an internal battery for the humeral configuration and shoulder configuration, and embedded wrist display. CLINICAL RELEVANCE:The DEKA Arm is an advanced upper limb prosthesis, not yet available for commercial use. It has functionality that surpasses currently available technology. This manuscript describes the features and functionality of two prototypes of the DEKA Arm, the Gen 2 and the Gen 3.

journal_name

Prosthet Orthot Int

authors

Resnik L,Klinger SL,Etter K

doi

10.1177/0309364613506913

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

492-504

issue

6

eissn

0309-3646

issn

1746-1553

pii

0309364613506913

journal_volume

38

pub_type

杂志文章
  • The impact of gender, level of amputation and diabetes on prosthetic fit rates following major lower extremity amputation.

    abstract:BACKGROUND:Diabetes mellitus is a leading cause of major lower extremity amputation. OBJECTIVE:To examine the influence of gender, level of amputation and diabetes mellitus status on being fit with a prosthetic limb following lower extremity amputation for peripheral arterial disease. STUDY DESIGN:Retrospective analy...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364616628341

    authors: Davie-Smith F,Paul L,Nicholls N,Stuart WP,Kennon B

    更新日期:2017-02-01 00:00:00

  • Development of a method for fabricating polypropylene non-articulated dorsiflexion assist ankle foot orthoses with predetermined stiffness.

    abstract:BACKGROUND:A non-articulated plantarflexion resist ankle foot orthosis (AFO), commonly known as a posterior leaf spring AFO, is indicated for patients with motor impairment to the dorsiflexors. The AFO is often custom molded to a patient's lower limb anatomy and fabricated from polypropylene. There are no established g...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364610394477

    authors: Ramsey JA

    更新日期:2011-03-01 00:00:00

  • Effects of alignment on the roll-over shapes of prosthetic feet.

    abstract::Recent work suggests that a prosthetic ankle-foot component's roll-over shape - the effective rocker it conforms to between initial contact and opposite initial contact (the 'roll-over' interval of walking) - is closely linked to its final alignment in the prosthesis (as determined by a skilled prosthetist using heuri...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1080/03093640802366158

    authors: Hansen A

    更新日期:2008-12-01 00:00:00

  • Mathematical modelling and field trials of an inexpensive endoskeletal above-knee prosthesis.

    abstract::The swing-phase motion of the shank of an above-knee prosthesis has been modelled mathematically. An inexpensive endoskeletal prosthesis was designed using the Jaipur foot and conduit pipes with a hinge joint for the knee. Results of field trials and the modelling indicate that a very simple above-knee prosthesis can ...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093649209164323

    authors: Mohan D,Sethi PK,Ravi R

    更新日期:1992-08-01 00:00:00

  • Development and measurement properties of the Orthotics and Prosthetics Users' Survey (OPUS): a comprehensive set of clinical outcome instruments.

    abstract::The need to measure and evaluate orthotics and prosthetics (O&P) practice has received growing recognition in the past several years. Reliable and valid self-report instruments are needed that can help facilities evaluate patient outcomes. The objective of this project was to develop a set of self-report instruments t...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1080/03093640308726682

    authors: Heinemann AW,Bode RK,O'Reilly C

    更新日期:2003-12-01 00:00:00

  • The care of the limb deficient child in north Africa.

    abstract::The surgical and prosthetic treatment of longitudinal lower limb deficiency is described and discussed, in the light of cultural and social requirements. Those with upper limb deficiencies are not fitted with prostheses. ...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093649109164653

    authors: Sliman N,Mrabet A,Daghfous S,Douik M

    更新日期:1991-08-01 00:00:00

  • Sensory feedback add-on for upper-limb prostheses.

    abstract:BACKGROUND AND AIM:Sensory feedback systems have been of great interest in upper-limb prosthetics. Despite tremendous research, there are no commercial modality-matched feedback systems. This article aims to introduce the first detachable and feedback add-on option that can be attached to in-use prostheses. TECHNIQUE:...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364616677653

    authors: Fallahian N,Saeedi H,Mokhtarinia H,Tabatabai Ghomshe F

    更新日期:2017-06-01 00:00:00

  • Technical note--test instructions for the technical testing of mono-functional myoelectrically-controlled prosthetic hands. A proposal.

    abstract::To get an acceptable standard of prostheses and orthoses in Sweden, the Swedish Institute for the Handicapped is testing this group of aids. One important part of the work is to draw up test instructions. In response to a request from the Swedish Institute for the Handicapped, the Laboratory of Rehabilitation Engineer...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093648209167739

    authors: Ingvarsson B,Karlsson I,Ottosson LG,Thyberg M

    更新日期:1982-04-01 00:00:00

  • Principal structural testing of trans-tibial prosthetic assemblies: specimen preparation.

    abstract::A simple alignment apparatus and the method of transferring the offset test load to the prosthetic assembly through an aligned mandrel for the principal structural tests in accordance with ISO 10328 is presented. The new alignment apparatus was used to prepare test specimens consisting of traditional laminated prosthe...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1080/03093640008726554

    authors: Neo LD,Lee PV,Goh JC

    更新日期:2000-12-01 00:00:00

  • Carbon fibre reinforced plastic knee-ankle-foot orthosis with a partially flexible thigh cuff: a modification for comfort while sitting on a toilet seat.

    abstract::At the request of a polio survivor, a partially flexible thigh cuff made of leather and canvas for a carbon KAFO was devised to allow the wearer to feel more comfortable while sitting on a toilet seat. The original, acrylic resin, thigh cuff was partially excised to make an opening (15x10 cm), which was stuffed with r...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1080/03093640600863844

    authors: Hachisuka K,Arai K,Arai M

    更新日期:2007-06-01 00:00:00

  • Comparison of prosthetic costs and service between osseointegrated and conventional suspended transfemoral prostheses.

    abstract:BACKGROUND:Nowadays, a transfemoral amputation prosthesis can be fitted to the skeleton using an osseointegrated implant, that is, without a socket. Treated patients have reported improvements in quality of life. OBJECTIVES:To investigate differences in prosthetic costs and service of osseointegrated prostheses compar...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364612454160

    authors: Haggstrom EE,Hansson E,Hagberg K

    更新日期:2013-04-01 00:00:00

  • Tolerance of early walking with total contact among below-knee amputees--a randomized test.

    abstract::In order to reduce the need for repeated changes of socket due to postoperative atrophy and resorption of oedema simple temporary limbs are required to delay the casting of individual sockets until the stump is more mature. A randomized study of 95 below-knee amputees was performed with a re-usable temporary one-size ...

    journal_title:Prosthetics and orthotics international

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.3109/03093648309166980

    authors: Liedberg E,Hommerberg H,Persson BM

    更新日期:1983-08-01 00:00:00

  • Clinical field testing of vulcanized rubber feet for trans-tibial amputees in tropical low-income countries.

    abstract::In a prospective, controlled study, 186 prosthetic rubber feet of different designs were fitted to amputees with trans-tibial prostheses. There were 158 amputees available for follow-up. The amputee compliance was good and 89% were satisfied with their device. After 18 months of use one VI-Solid rubber foot from VVAF ...

    journal_title:Prosthetics and orthotics international

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1080/03093640600794692

    authors: Steen Jensen J,Nilsen R,Zeffer J,Fisk J,Hartz C

    更新日期:2006-08-01 00:00:00

  • Psoriasis and the effect of prosthetic fitting.

    abstract::This contribution presents the case histories of two patients who underwent limb amputation. One patient suffered from psoriasis prior to the surgery and the second developed psoriatic lesions post surgery. Both patients were provided with a prosthesis and despite the multiple cutaneous complications of the psoriasis ...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093640309167979

    authors: Heim M,Warshavski M,Siev-Ner I

    更新日期:2003-04-01 00:00:00

  • Effectiveness of prosthetic rehabilitation of children with limb deficiencies present at birth.

    abstract::This study was performed to investigate the efficacy of prosthetic rehabilitation in children with congenital malformations, also to determine whether there were any factors related to family history and pregnancy which could have affected the formation of such deficiencies. Twenty-five (25) limb deficient children we...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093649909071624

    authors: Sener G,Yiğiter K,Bayar K,Erbahçeci F

    更新日期:1999-08-01 00:00:00

  • A field evaluation of arm prostheses for unilateral amputees.

    abstract::A post-clinical investigation has been carried out among 42 unilateral amputees who lost their hand due to an accident. The investigation was directed at two main topics of interest. Firstly the amputee, the problems he has to cope with, and the role the prosthesis plays in his life; and secondly the prosthesis, its u...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093648309166586

    authors: van Lunteren A,van Lunteren-Gerritsen GH,Stassen HG,Zuithoff MJ

    更新日期:1983-12-01 00:00:00

  • Changes in the corticospinal tract after wearing prosthesis in bilateral transtibial amputation.

    abstract:BACKGROUND:After amputation, the brain is known to be reorganized especially in the primary motor cortex. We report a case to show changes in the corticospinal tract in a patient with serial bilateral transtibial amputations using diffusion tensor imaging. Case Description and Methods: A 78-year-old man had a transtibi...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章,评审

    doi:10.1177/0309364616684216

    authors: Lee SY,Kang SH,Kim DK,Seo KM,Ro HJ,Kim JK

    更新日期:2017-10-01 00:00:00

  • Interface pressures and shear stresses: sagittal plane angular alignment effects in three trans-tibial amputee case studies.

    abstract::Interface pressures and shear stresses at different sagittal plane angular alignment settings were measured on 3 trans-tibial amputee subjects ambulating with patellar-tendon-bearing total contact prostheses. Substantial socket-shank angular alignment modifications in the sagittal plane had minimal effect on stance ph...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093649909071607

    authors: Sanders JE,Daly CH

    更新日期:1999-04-01 00:00:00

  • Movement quality of conventional prostheses and the DEKA Arm during everyday tasks.

    abstract:BACKGROUND:Conventional prosthetic devices fail to restore the function and characteristic movement quality of the upper limb. The DEKA Arm is a new, advanced prosthesis featuring a compound, powered wrist and multiple grip configurations. OBJECTIVES:The purpose of this study was to determine if the DEKA Arm improved ...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364616631348

    authors: Cowley J,Resnik L,Wilken J,Smurr Walters L,Gates D

    更新日期:2017-02-01 00:00:00

  • Scientific validation of two commercial pressure sensor systems for prosthetic socket fit.

    abstract::The concept of measuring pressure at the interface between the stump and the prosthetic socket could provide valuable information in the process of prosthetic socket fabrication, modification, and fit. Two systems, the Rincoe Socket Fitting System (SFS) and Tekscan's F-Socket Pressure Measurement System, have been com...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1080/03093640008726523

    authors: Polliack AA,Sieh RC,Craig DD,Landsberger S,McNeil DR,Ayyappa E

    更新日期:2000-04-01 00:00:00

  • A method for performance comparison of polycentric knees and its application to the design of a knee for developing countries.

    abstract:BACKGROUND:Polycentric knees for transfemoral prostheses have a variety of geometries, but a survey of literature shows that there are few ways of comparing their performance. OBJECTIVES:Our objective was to present a method for performance comparison of polycentric knee geometries and design a new geometry. STUDY DE...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364616652017

    authors: Anand TS,Sujatha S

    更新日期:2017-08-01 00:00:00

  • Contact dermatitis to cobalt chloride with an unusual mechanism.

    abstract:BACKGROUND:Contact dermatitis is a frequent inflammatory skin disease. A suspected diagnosis is based on clinical symptoms, a plausible contact to allergens and a suitable history of dermatitis. Therefore, careful diagnosis by patch testing is of great importance because the patch testing is important to find out which...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364614534293

    authors: Arslan S,Aksan S,Ucar R,Caliskaner AZ

    更新日期:2015-10-01 00:00:00

  • The use of a direct manufacturing prosthetic socket system in a rural community in South Africa: A pilot study and lessons for future research.

    abstract:BACKGROUND:Challenges exist with the provision of appropriate mobility assistive devices in rural areas. The use of the direct manufacturing prosthetic socket system is a possible solution to these challenges. OBJECTIVES:The objective of this study was to test and explore the clients' perspectives with the application...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364616683982

    authors: Ennion L,Johannesson A,Rhoda A

    更新日期:2017-10-01 00:00:00

  • Standing balance in people with trans-tibial amputation due to vascular causes: A literature review.

    abstract:BACKGROUND:Balance is an important variable to consider during the rehabilitation process of individuals with trans-tibial amputation. Limited evidence exists on the balance abilities of people with trans-tibial amputation due to vascular causes. OBJECTIVE:The purpose of this article is to review literature and determ...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章,评审

    doi:10.1177/0309364616683819

    authors: Seth M,Lamberg E

    更新日期:2017-08-01 00:00:00

  • A mechanically-actuated wave mattress.

    abstract::A polio victim who has been in a negative pressure ventilator ("iron lung") since 1950 was in need of an activated mattress to combat the hallucinatory effects of complete immobilization and to assist with body pressure distribution. A mechanical method was used to give the patient's mattress a moving wave form of ver...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1080/03093647809177773

    authors: Brearley MN,Motloch WM

    更新日期:1978-08-01 00:00:00

  • Powered prosthetic hands in very young children.

    abstract::Myoelectric prostheses are generally not provided in the United Kingdom for children before the age of 3 1/2 years. Following the introduction of a smaller sized electric hand in the United Kingdom in 1993 the authors decided to introduce electrically powered hands for a group of congenital upper limb deficient childr...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093649809164477

    authors: Datta D,Ibbotson V

    更新日期:1998-08-01 00:00:00

  • The assessment and description of amputee activity.

    abstract::The activity achieved by a lower limb amputee is usually assessed by clinical judgement or physiological tests. The former is seldom absolute, being affected by factors such as patient age, and is expressed in categories which may not be equivalent to those used by other observers. Physiological testing provides a mea...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093648109146225

    authors: Day HJ

    更新日期:1981-04-01 00:00:00

  • Bondgraph modelling and simulation of the dynamic behaviour of above-knee prostheses.

    abstract::A mathematical model was used to investigate the dynamic behaviour of an above-knee (AK) prosthesis in the swing phase and to analyse the influence of mass and mass distribution on the maximal stump load and the required energy. The model consists of a bondgraph model of the prosthesis and a "walking" model which pred...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093648709078180

    authors: Van de Veen PG,Van der Tempel W,De Vreiss J

    更新日期:1987-08-01 00:00:00

  • Comparison of prosthetic outcomes between adolescent transtibial and transfemoral amputees after Sichuan earthquake using Step Activity Monitor and Prosthesis Evaluation Questionnaire.

    abstract:BACKGROUND:The devastating earthquake in Sichuan in 2008 has left many adolescent amputees. However, little research has been focused on the adolescent amputees who have high potential to return to premorbid activity level. OBJECTIVES:To investigate daily step activities and prosthesis-related quality of life of the a...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364614556837

    authors: Chu CK,Wong MS

    更新日期:2016-02-01 00:00:00

  • The immediate effects of fitting and tuning solid ankle-foot orthoses in early stroke rehabilitation.

    abstract:BACKGROUND:Ankle-foot orthoses are known to have a generally positive effect on gait in stroke, however the specifc type of AFO and the time point at which it is provided are highly variable in the currently available literature. OBJECTIVE:The objective was to determine the immediate spatiotemporal and kinematic effec...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364614538090

    authors: Carse B,Bowers R,Meadows BC,Rowe P

    更新日期:2015-12-01 00:00:00