BMVSS Knee a low-cost passive prosthesis to replicate able-bodied motion

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BMVSS Knee a low-cost passive prosthesis to replicate able-bodied motion Molly Berringer, Paige Boehmcke, Jason Fischman, Athena Huang, Danny Joh, Cali Warner Mentor: Murthy Arelekatti May, 2, 2017

Final Prototype

Need for knee prostheses in India 200,000 above-knee amputees in India Can cause unemployment and social stigmatization

Current Products Jaipur Exoskeleton knee $10 Jaipur-Stanford 4 bar knee $25 Active knees ~ $10,000-60,000 BMVSS Knee $150 $10 $25 $60,000 cost vs. performance gap for prostheses

Goal: Able-Bodied Walking Kinematics youtube.com/watch?v=guzhbe_tdvy

Design Requirements Consistent performance across environmental conditions Range of temperatures (5-118 Fahrenheit in India) Dirt, sand, mud, water Low maintenance 3 years before maintenance/replacement Fatigue life through 3 million cycle Close to able-bodied gait 20 degrees early-stance flexion 60 degrees swing phase flexion Accommodates different walking velocities Damping of ~20-30Nm damping during flexion Damping of ~2.7-5.5Nm damping during extension Smooth motions in knee and prevent jerky/jolting stops Mechanism fixed before heel strike, regardless of knee extension Less than 3 degrees of backlash Energy conserving through early stance flexion (10.5 J) Low cost Cost: <$150 Discreet Quieter than current design Must be worn discreetly under pants (size consideration) Structural integrity Accommodate body weight (70kg) Stability to withstand flexion moment of 40 Nm without buckling

Building on Prior Work V.N.M. Arelekatti and A.G. Winter. (2015) Design of a Fully Passive Prosthetic Knee Mechanism for Transfemoral Amputees in India. IEEEE ICORR.

Issues with Previous Design: (ESF) ESF mechanical component ESF of gait cycle

Issues with Previous Design Friction based latch Brake pads

10 Necessary for able bodied gait, and metabolic efficiency Not present in any current developing world prosthesis

Force Profile Modularity 11 Increasing force required for flexion up to 5 N-m axis can be moved 3.2 cm - This accounts for a wide range of GRF profiles among amputees Adjusting Spring Preload Adjusting Axis Placement

Stiffness Modularity 12 Moment arm can increase 2.3x Torsional stiffness of 0.8 7.0 N-m/kg-rad - covers calculated ideal 2.96 N-m/kg-rad angles of 4 22 degrees Adjusting Spring Location Swapping Spring

Provides Stability 13 Risk of buckling Adjustable socket position Locking axis can control latch ESF Ax KA KA ESFA Knee Axis LA LA youtube.com/watch?v=guzhbe_tdvy Locking Axis Spring bia for the latc Solution to prevent buckling: Use locking axis position to control latch engagement Adjustable pylon positi

Placement of Locking Axis 14 18 cm GRF Transition Point GRF transition point chosen as GRF COP when we want knee to unlock

Moment (Nm/kg) Damping the Knee for Able-Bodied Gait 0.4 Ideal Moment Graph for Prosthetic 15 0.2 0-0.2-0.4-0.6-0.8 0 20 40 60 80 100 Percentage of Gait (%) Ideal Moment Frictional Paramater Slow Cadence Natural Fast Damping b (N*m/kg) 0.28 0.29 0.42 Extension Daming b (N*m/kg) 0.039 0.069 0.078

Moment (Nm/kg) Damping the Knee for Able-Bodied Gait 0.4 Ideal Moment Graph for Prosthetic 16 0.2 0-0.2-0.4-0.6-0.8 0 20 40 60 80 100 Percentage of Gait (%) R^2 Values: Linear: 0.884 Rotary: 0.843 Ideal Moment Rotary Linear Frictional Paramater Slow Cadence Natural Fast Damping b (N*m/kg) 0.28 0.29 0.42 Extension Daming b (N*m/kg) 0.039 0.069 0.078

Justification for Moving to Rotary 17 Simple integration into knee design with other components Minimizes leakage (the only dynamic seal is the rotating one, better than sliding seal on the linear damper) More compact (dimensions are smaller because of high viscosity liquid) More innovative, compared to the existing designs of knees using viscous dampers Simple in design, no accumulator Lower cost

Rotary Design and Build 18 R 3 t R 2 R 1 t Top Base

Rotary Testing Showed Positive Results 19 Angular Velocity (rad/sec) Calculated Torque from equation (Nm) Physical Test (Nm) 3.14 2.67 ~3 to 4 6.28 3.05 ~4 to 5 Possible Sources of Error: Apparent fluid viscosity was estimated from a shear-thinning graph The physical test did not have constant angular velocity since human motion was used Static friction could not be calculated with the torque wrenches

Ways to Improve the Rotary 20 Things to Improve: Bi-directional damping Two dampers with a one-way clutch Optimizing design: Concentric circles Decrease thickness between walls Disassembled ACE rotary damper

Integration 21 One-way clutch Interior component of damper Base of damper

Testing was well accepted Damping is more than is wanted 22

QUESTIONS? 23

24 ESF Stiffness and Angle Trade-off (k = 140 N/mm)

Stability Zone 25 Andrysek, 2005 Unlocks latch and flexes knee Unlocks latch Flexes knee Superpose for overall region of instability

Another Possible Solution to Rotary Damping 26 Alternate concept: Rotary damper with orifice Can use Newtonian fluid Can use one way valve for bi-directional damping MCMs