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Trend: Robotic Prosthetics

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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  1. Trend:Robotic Prosthetics Presented By Denise S. Bahr, R.N.

  2. 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.

  3. What are Robotic Prosthetics? • Prosthetic replace missing or damaged body appendages. • Robotic Prosthetics have working mechanisms to aid function.

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

  5. Robotic Prosthetic Hardware • Prosthetic hand • Equipped with microchips and microprocessors for movement • electrodes on skin above amputation to operate hand (Singer, 2007).

  6. 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)

  7. Robotic Prosthetic Software • “LifeHand Experiment” • Brain-Wave Technology

  8. Robotic Prosthetic Software • LifeHand Experiment • Connect prosthetic hand to residual limb • Run electrode from prosthetic to spinal cord • Brain controls prosthetic hand

  9. Robotic Prosthetic Example • Hardware = prosthetic hand, electrodes on skin • Software = muscle electrical stimulation signals computer in hand to grip fingers • This is Myoelectrics.

  10. 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

  11. Information Systems • Which used? • Electronic Medical Records • MedInformatix • Used By? • Physicians, Nurses, consultants, midwives, dispensers, para-medical staff, and pharmaceuticals. (Medinformatix, 2008)

  12. Electronic Medical Records • Usually found in hospital • Computerized legal medical record • Allowing for storage • Allowing for retrieval • Allowing for manipulation

  13. 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

  14. 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.

  15. Advantages • Boosts patient self image • Increases patient autonomy • Improves patient ability to perform ADLs

  16. Disadvantages • Costs • Weight/Size • Availability

  17. Ethical/Legal Issues • Sporting advantages • Assault • Special Assistance

  18. Informatics Competencies • Cleaning • Stump care • Procedure modification

  19. Functions and Responsibilities • Stump care • Knowledge of prosthetic • Follow up care

  20. Loss of Limb Doesn’t Have to Stop You • Long history of prosthetics • New advancements • Improve quality of life

  21. 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

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

  23. 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/

  24. 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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