Printable Prosthetics R&D Q&A FAQ: Part 2 – The Wondering

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In order for me to design an OpenSCAD parametric model that can be adjusted to work for more people, I need to get a better handle on the necessary measurements and how they effect the final design.  Below is my understanding of the necessary measurements and how those measurements necessitate changes in the final prosthetic.

  1. What are the design ideals, besides functionality?
    1. While answering a different question, Marc Petrykowski suggests, “My goal as the designer and printer is to make the hand as near perfect as the other hand so it feels the same to the body and brain, thus they will respond with the effected hand like it was their real non effected hand. Also as stated above, the degrees of flexion and extension and the size/length of the fingers are all incorporated into the final design before the printing the hand.”
    2. Thus, all other things being equal, he tries to craft a hand that is as similar as possible to the non-effected hand.
  2. What are the main parts of the Cyborg Beast?
    1. I’ve drawn a picture with the main features of the Cyborg Beast printable prosthetic.  There are really just a few parts – the palm, the “gauntlet,” fingers, and thumb.  The gauntlet fits over and is secured to the forearm and is connected to the palm by two hinges.  The palm goes over the user’s effected hand and is connected to the fingers and thumb.
  3. What are the necessary measurements?
    1. Marc Petrykowski has provided a set of photos to demonstrate the various measurements.  They appear to all be in millimeters.  Please forgive my layman’s description of these various measurements.  Measurements are taken of the effected and non-effected sides so that a prosthetic can be made that will fit the effected side, but have similar characteristics to the non-effected side.
    2. Flexion angle.  This would be the maximum angle of movement from holding your hand out and then bending the hand at the wrist towards the inside of the wrist.  An example is pictured above as “Figure 1.”
    3. Extension angle.  This would be the maximum angle of movement from holding your hand out and then bending the hand at the wrist away from the inside of the wrist.  An example is pictured above as “Figure 2.”
    4. Knuckle width.  This is the width of the hand at the knuckles.  In Figure 3, you’ll see this as “H1” and “h1.”
    5. Wrist width.  This is the width of the hand at the wrist.  In Figure 3, you’ll see this as “W” and “w.”
    6. Hand measurements.  I’ve identified these as “H1 – H3” and “h1 – h4” in Figure 3 above.
    7. Forearm width measurements.  I’ve identified these as “F1 – F3” and “f1 – f4” in Figure 3 above.
  4. How does each measurement inform the design?
    1. Again, this is merely my guess, impression, or understanding of how each measurement results in a design change.  For the purposes of these diagrams, I’ve assigned each measurement a letter or letter/number combination.  When applicable, I’ve differentiated between the effected (lower case) and non-effected (upper case) hands.
    2. Hand Measurements (Figure 1,blue and green)
      1. Knuckle width, non-effected hand, “H1”.  This is necessary to creating a prosthetic of the size that will match the non-effected hand.
      2. Knuckle width, effected hand, “h1”.  This is necessary to creating a prosthetic of the size that will fit the effected hand inside the palm.
      3. Wrist to pinky knuckle, “H2” and “h2,” the purpose of which is to ensure a prosthetic that will fit the effected hand inside the palm.
      4. Wrist to middle finger tip, “H3” is the overall length of the uneffected hand.  The purpose of this is to create a prosthetic of roughly the same size as the uneffected hand.
      5. Wrist to index finger knuckle, “h3” is for making sure the prosthetic palm will fit around the effected hand.
      6. Wrist to middle3 finger, “h4” is for making sure the effected hand will fit inside the prosthetic palm.
    3. Wrist Measurements (Figure 1, orange)
      1. Wrist width, “W” for the non-effected hand and “w” for the effected hand.  The purpose of the effected hand measurement is to ensure a good fit between the prosthetic palm and the effected hand and the purpose of the non-effected hand measurement is to allow the prosthetic palm to match the non-effected hand more closely.
    4. Forearm Measurements (Figures 1, purple and red)
      1. Various measurements from “F1” (and “f1) just below the wrist to “F4” (and “f4”) which is the width of the elbow. As best as I can tell, these measurements are to ensure a good fit of the “gauntlet” on the effected forearm.
      2. Elbow to wrist, “F5” on the uneffected arm and “f5” on the effected arm.  I’m not sure what the purpose of this measurement is, but perhaps it is to ensure the effected arm with prosthetic is roughly the same length as the unaffected arm.
    5. Angle Measurements (Figures 2, 3)
      1. Somehow the flexion and extension are incorporated into the design.  I do not know how these settings inform the design.
  5. How accurate do these measurements need to be?
    1. Within 1mm, rounded up would be best.  Thanks to Peregrine Hawthrone and David Orgeman for the input.
  6. Questions begetting questions
    1. If you’ve ever made one of these prosthetics, please let me know if there’s anything I’ve gotten wrong.
    2. It appears the measurements effect the design as follows:
      1. Measurements “h1, h2, h3, h4 and w” dictate the size of the palm.  The ratio of the increase/decrease is then applied to all the finger bits.  The measurement “H3” is used to adjust the size of the palm and fingers on the effected arm.
      2. Measurements “f1, f2, and w” dictate the size of the gauntlet.
      3. The additional measurements on the corresponding uneffected arm could be used to make the prosthetic over the effected arm appear more like the uneffected arm.
      4. I’m guessing the other unused measurements (“f3, f4, f5”) are used as part of the Creighton University research study, to measure the physical changes in the extremities before, during, and after use of these prosthetics.
    3. How does the flexion and extension change the design?
    4. Have you printed the Cyborg Beast designs I’ve uploaded?  What are your thoughts?

Thanks for reading and helping!  Comments appreciated!

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Printable Prosthetics R&D Q&A FAQ: Part 1 – The Questioning

Top down view, extension view, and flexion view
Top down view, extension view, and flexion view

Marc Petrykowski of Creighton University was kind enough to provide some additional practical experience and information about the university’s research study into printable prosthetics.  For anyone looking to dive into this project, I’m cross-posting the information from the e-NABLE Google Plus group here.1 I’ve adjusted the formatting slightly, but otherwise everything below are Marc’s words.

  1. What exact measurements do you need (e.g., hand-length from where to where?) 
    1. Below are photos of all of the measurements I use for designing a hand.2 Yes it does seem like a lot, but all of them are needed to ensure the best custom fit for the hand we make for the user. When making a custom hand, it is important to make the 3D printed hand as similar to the non effect hand (fingers, width, length, etc). Each hand also has to be custom because of the size (length, width, height) or the stump. Some are very tiny and some are much bigger, so that also plays a big role when you have to design a hand. There are two photos that are measuring angle of flexion and extension. Those are important to see how tight or how loose the hand has to be for the power and strength of the individual and to make the hand as functional as possible.
  2. How do you get them from scans etc.
    1. Scans from our 3D scanner are in the format .STL which can be imported into programs such as blender (Shown below). Then I can lay it into the preexisting hand design and see an image of how it will fit, including the gauntlet size. If there are further changes to be made, I can do it all in blender before the print.
  3. How do you apply those measurements to your model
    1. As stated above, the measurements matter for the size of the hand. You can’t have a hand that is much smaller then the opposite hand, but you also can’t have a hand that is too small or large for the stump. Everything has to be customize depending on each case. This is where the designing takes the longest. My goal as the designer and printer is to make the hand as near perfect as the other hand so it feels the same to the body and brain, thus they will respond with the effected hand like it was their real non effected hand. Also as stated above, the degrees of flexion and extension and the size/length of the fingers are all incorporated into the final design before the printing the hand.
    2. And if, as +Jorge Zuniga suggests, ALL parts can be pre-printed, I’m hoping you guys will take the lead in helping us make it easy.  (As easy as buying shoes at a shoe store)
    3. This is possible because all of the redesigning and redoing of the measurements are all done in blender. Remember, if you resize a finger to a certain percentage, then you have to do the same for the rest of the fingers, thumb, phalanges, palm, and the gauntlet. That is how you can print everything off as one complete print.
  4. What are the pre-printed unit descriptors and dimensions small medium large XL? Narrow/wide?
    1. Pre Print units are based off of the measurements and how you converted them in blender. Instead of having small, medium, large, XL, etc. I have converted that into being resizing percentages. I use makerware since we use makerbots (2x and 2) so for a hand such as below picture measurements, I would classify that as a small or (110-130%), an extra small would be closer to 100-110% (which is super small like a 4 year old or so), a medium hand will be around 130-150%, a large will be around 150-170%, and an extra large is around 170%-190%+. Again, the percentage matters from the sizes that correspond the non effected hand as you want to make it as close to the other hand as possible.
  5. Does a Medium finger always go with a Medium hand?  If not, what’s the deal?
    1. Yes, whenever you print a certain size of one finger, you do that same size for the rest of the print. For example, if I printed a palm at 110%, I would have to make the fingers, phalanges, thumb, thumb phalanger, and the gauntlet all at 110%.
  6. Where are  the models for printing S M L XL hands or fingers, etc..
    1. The problem is that there are no models. Each hand is supposed to be custom depending on each case scenario.

I have several follow up questions, but I’ll leave those for the next post.

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  1. The Google Plus group is private and you have to request an invitation, freely given, to be included.  While discussing discrete issues is easy enough, without the ability to quote original text, a detailed multi-issue open design discussion is very difficult. []
  2. Note:  I’ve removed the photographs.  I am not sure I have permission to post these pictures publicly. []