Developing a Low Cost and Easily Manufactured Prosthetic Hand MaryAnne Haslow-Hall Scott Pierce Ph.D. Sweet Briar College Sweet Briar, VA ABSTRACT The loss of a limb can be a life-changing event that can cause grief and decreased self-esteem. The ability to restore functionality and cosmetic results to a limb deficient person can be a challenging yet rewarding pursuit. This research seeks to develop a prosthetic hand that is low cost, functional and aesthetically pleasing. The goal of this research is to develop a hand that satisfies the criteria mentioned above and enables the user to pick up and manipulate small objects. Our goal is to develop a lower cost alternative for those who may be unable to afford expensive, state of the art prosthetics. INTRODUCTION The earliest account of the use of prosthetics has been dated as far back as the Egyptian civilization. In 2000, a tomb near the ancient city of Thebes was discovered that contained a female mummy wearing a wooden prosthetic toe. [1] This discovery provided evidence that prosthetics have been used for thousands of years. The use of prosthetics has, however, changed over time. From the time following the Egyptian civilization up to the 15th century prosthetics were used in battle and to hide deformity [2]. The most common prosthetics were the basic peg leg and hand hook. By the 16th century these devices gained functionality by incorporating springs and gears. It 1 wasn’t until 1861 when the American Civil War began that prosthetics really took off. After the Civil War the United States government committed to supply prosthetics to all veterans in need. This commitment changed the goals of prosthetic design to those which we know today. Within the past 50 years research has been performed all over the world to help develop a more state of the art prosthetic hand. Unlike other prosthetics, the prosthetic hand has yet to catch up to its 20th century counter parts such as the prosthetic leg. Prosthetic legs have undergone rapid improvement in the past century and have even given some amputees the ability to participate in Olympic Games with little to no negative effects from their amputation. Prosthetic hands, however, are improving at a much slower pace and have not given users the same results as seen with the prosthetic leg. The After World War II the America amputee casualty list grew quite large [2]. In response to this, the United States government set out to investigate the state of the art prosthetic due to complaints from veterans who felt that the current technology was inadequate. Due to this, the American Orthotics and Prosthetics Association stepped up to address this need. Since then, many smaller companies and universities have also stepped up to the goal of developing state of the art prosthetics. The design discussed in this paper was developed after extensive review of current state of the art devices. Research was performed to review robotic and prosthetic hands that have been built or that are being developed. This research allowed for a better understanding of current technology. After reviewing all information, different design 2 embodiments were developed and after much deliberation a particular embodiment was chosen to model in Autodesk Inventor modeling software. PRELIMINARY RESEARCH The initial stage of this project involved researching scientific journals and papers that describe the state of the art in prosthetic hands. Hands such as the I-Limb Hand (Fig 1) developed by Fig 1: I-Limb Scottish company Touch Bionics [3] and the Fluidhand developed by the Orthopedic University Hospital in Heidelberg [4] are currently considered leaders in the world’s commercial prosthetic hand market. Academic institutions such as the University of Iowa, John Hopkins University and Carnegie Mellon have also designed and constructed prosthetic hands. Research at John Hopkins University was funded by DARPA (Defense Advanced Research Projects Agency) to construct the prototype prosthetic hand to help advance the hand prosthetic industry [5]. Carnegie Mellon developed the first anatomically correct finger and the University of Iowa developed a very unique design in which the entire hand is constructed out of springs. Interestingly, current state of the art designs have been developed using both electric and hydraulic power sources. It is clear that there is still room for new, innovative ideas in the design of upper-limb prosthetics. During our background research we also focused on electrical and mechanical components that are commonly used in small robotic devices. This supplied us with a good knowledge of all possibilities that were available to construct the hand. 3 ARCHITECTURE OF THE HUMAN HAND The human hand contains 4 fingers, an opposable thumb and a palm. The hand is made up of 27 bones that form the fingers, thumb and wrist [6]. It has 27 degrees of freedom: 4 in each finger, 5 in the thumb and 6 for the rotation and translation of the wrist. There are tendons and muscles that run along the front Fig 2: Human Hand and back side of each digit to control the opening and closing of the hand. The flexor muscles are located on the underside of the hand and cause the hand to close. The extensor muscles are on the back of the hand and cause the hand to be opened. The human thumb has two separate flexor muscles that move the thumb in opposition and make grasping possible. The joints of each digit are the distal phalange joint (DIP), the proximal phalange joint (PIP) and the metacarpal joint (MCP). PRELIMINARY DESIGN IDEAS Upon completion of the initial research, design goals and constraints for the hand were formulated. They are: Reproduce at a low cost Pick up small objects Perform multiple grasping functions such as pointing with index finger, grasping cylindrical objects and picking up small objects using the index finger and thumb. Device resembles human hand 4 The ability of the device to pick up small objects was one of the most important goals. In order to translate this goal into design specifications calculations were performed to determine the average torque on each finger and joint when holding an object with a weight of 0.91kg (Appendix I). A weight of 0.91kg was chosen as a base measurement because most small objects that the average person uses everyday do not exceed this weight. This gave us specifications that we could use to find robotic and mechanical components that would work and rule out one that would not. Several brainstorming sessions were held before a final design was chosen. These sessions resulted in three distinct design approaches, pneumatic, hydraulic and electric (Appendix II). Each approach utilizes a different source of power to control the motion of the hand. Design trees were generated for each approach. These trees included various mounting options for the devices and what type of skeleton the device would employ. After the design trees were completed a comparison chart of ten design embodiments was formulated (Appendix III). These ten design embodiments were compared against design goals such as controllability, force control, packaging and cost. This exercise pointed the direction for further research that needed to be performed before the selection of a final design. Once we had most of the required information we began to rate each embodiment. We gave each embodiment a numerical rating under each goal according to how well the design satisfied the requirement. In this rating a higher numerical value corresponds to better satisfaction of the design goal. 5 MECHANICAL AND CONTROL SYSTEM DESIGN Guided by the structured design approach discussed above, we selected a final design embodiment that utilizes electric cylinders/actuators that are packaged in the palm and upper wrist of the hand. We selected this design because it has a high goal achievement score, uses components in which we have a high level of confidence, and can be fabricated Fig 3: Firgelli Actuator in our lab. Significant research went into finding appropriate electric actuators and motors to control the device. We decided to use actuators and a controller from a company called Firgelli. This Canadian company is known for its advanced micro linear actuators. The architecture of these actuators is state of the art because they incorporate a linear actuator and position feedback into a device that is small enough to embed in the palm of the hand. Fig 4 & 5 are assemblies of the index finger positioned on the palm with the Firgelli actuator in place. Fig 4 shows the Fig 4: Index Finger Extended Fig 5: Index Finger Closed 6 finger in the extended position. Fig 5 shows how the actuator will pull on the tendon cable and close the finger to the position shown. When the actuator rod retracts in to its housing it will pull on the tendon wire that is connected to the end of the actuator rod, runs along the inside of the finger joints, and is attached to the tip of the finger. This placement of the cable generates a moment about each joint that will act to close the finger. Once the actuator was chosen and incorporated in the design, the mechanical architecture of the hand began to take shape. Another brainstorming session was held in order to come up with alternative designs that incorporated the Firgelli Fig 6: Torsion Spring actuators. Some designs included use of rubber-like materials to bring a finger back to a straight position and having restricted ball joints for the finger joints. Other design ideas used a double cable system to control all movements of a finger. The design that we selected utilizes hinge joints (Fig 7) that have Fig 7: Joint Assembly torsion springs (Fig 6) built into the joint to return the finger to a straight position. For this design a tendon cable will run through the finger itself on the inside of the palm through the rounded holes shown in Figure 7. This design will keep all mechanical parts located internally for a cleaner more functional exterior design. 7 Figure 7 is an assembly of one of the index finger joints. It consists of two joint pieces (blue and green) connected with a pin (red). Located on the pin is a torsion spring (orange). There are also holes for the nylon tendon to run through. In the index finger there are three of these joints. Each has one degree of freedom that allows it to move on one axis. In the human hand the MCP joint (the joint closest to the palm) has two degrees of freedom; however the lateral degree of freedom does not provide much added function. For this reason and for the sake of simplicity we chose to utilize only one degree of freedom in our MCP joint. Figure 8 shows a picture of the completed index finger. The joints are all made out of aluminum, the pins connecting the joints are made out of stainless steel and the ”bones” connecting the joints are made out of carbon fiber. The pins are held in using retaining push nuts (Fig 12). The design for the joint has four hinge fingers sticking up from one joint piece and two hinge fingers Fig 8: Index Finger Assembly sticking up from the other piece (Figs 9 & 10). This double hinge design provides housing for the torsion spring as well as good stability. These material choices strike a balance between light weight and strength. 8 Fig 9: Final Joint Design Fig 10: Final Joint Design This design will be used to construct all the fingers of the hand. Using a single design for each finger allows for easier machining and a less expensive device. Although we plan to use the same design for all four fingers, each finger will be set to a distinct length to allow it to look more like a human hand. These length variations will be accomplished by varying the length of the carbon fiber bones. The correct torsion springs were chosen using the moment calculations discussed above. The calculations took into consideration the weight of each piece of the finger and the moment it produced on each joint. These calculations were used to select torsion springs that produce enough torque to cause each joint to straighten-out when there is no tension on the cable. Upon completion of the calculations the springs were purchased and the finger assembly was modeled in Autodesk Inventor. Tendon placement was also discussed and modified. It was determined that the tendon should run along the palm side of each joint through a rounded hole in each aluminum joint piece. We chose to run the tendon along the palm side of each joint after we reviewed documentation on the human hand. In the human hand there are flexor and extensor muscles and tendons that allow the finger to open and close. The flexor muscles and tendons are responsible for closing the finger and run along the palm side of the finger. Our goal is to duplicate the flexor tendons of the human hand by using a tendon 9 cable that has similar placement. The extensor muscles and tendons will be represented by the torsion springs. We chose to round the holes in the joint pieces to decrease wear of the wire and avoid breakage. Nylon string was selected as the tendon material in order to reduce friction and supply a strong light weight material. Nylon washers and retaining nuts will be placed on the ends of each pin to hold the joints together and reduce friction (Figure 11 & 12). Fig 11: Nylon Washers Fig 12: Retaining Ring THUMB DESIGN Upon completion of the index finger design, the design for the thumb began. Unlike the index finger, the thumb needs to be able to rotate about multiple axes so that it can move into position to touch any of the Fig 13: Spider Joint fingers. In humans, the thumb has 5 degrees of freedom: 1 in the DIP joint, 2 in the PIP joint and 2 in the MCP joint. This allows the thumb to cross over the palm and touch each of the fingers as well as change shape for different grips. As discussed above it is difficult to control a single joint with two degrees of freedom. In our design we utilize a MCP joint with 2 degrees of freedom while the DIP and PIP joints have only one. This is a reasonable decision because taking away one degree of freedom from the DIP joint would not hinder the thumb from making the grasping functions described in our goals. This thumb design will 10 be able to function closely to the human hand and still allow for multiple grasping positions. The control of the thumb position is simpler if the two axes of rotation of the MCP joint are coincident. In order to accomplish this, a spider joint was designed and attached to the palm (Fig 13). The tendon cable runs through a Fig 14: Thumb Assembly hole in the center of the spider in order to keep the DIP and PIP joints from closing when the spider joint twists. To open and close the thumb a tendon wire is run through the digit just as in the fingers. In order to rotate the MCP joint laterally a Fig 15: Complete Finger, Thumb and Palm Assembly 11 small, rotary gear motor is connected to the joint at the base of the thumb. This gear motor allows the user to determine the position of the thumb ranging from the side of the palm to touching the pinky finger. Figure 15 shows the solid model of the entire finger, thumb and palm assembly. Upon completion of our preliminary hand design, parts were ordered and drawings of each part of the index finger were assembled and printed. The drawings were then approved and ready to go to the machine shop in order to begin machining. CONCLUSION In this paper we have described the application of a structured design approach to the design of a prosthetic hand. The goal of this research was to develop a low cost, functional prosthetic hand. The work described in this paper represents an important step towards achieving that goal. We estimate that our hand can be manufactured in small quantities for a cost of about $2000 much less than more complex, state of the art designs. This work has allowed us to move towards our goal of helping upper-limb amputees who cannot afford state of the art prosthetics. Our next goal is to build a prototype of the index finger, thumb, and palm. This will allow us to test the effectiveness of our design in delicate grasping tasks. We will then move to the final design and construction of an entire hand. Finally, we intend to incorporate a myoelectric sensor system that will allow a user to actuate the hand using signals generated by the user’s own body. 12 Works Cited [1] Choi, Charles Q. "World's First Prosthetic: Egyptian Mummy's Fake Toe | LiveScience." LiveScience | Science, Technology, Health & Environmental News. Web. 29 July 2009. <http://www.livescience.com/history/070727_old_toe.html>. [2] Clements, Isaac P. "HowStuffWorks "The History of Prosthetic Limbs"" Howstuffworks "Health" Web. 29 July 2009. <http://health.howstuffworks.com/prosthetic-limb1.htm>. [3] Touch Bionics. Web. 29 July 2009. <http://www.touchbionics.com/news2.php?section=11&newsid=59&site=/professionals. php>. [4] "'Fluidhand': Each finger can be moved separately." PhysOrg.com - Science News, Technology, Physics, Nanotechnology, Space Science, Earth Science, Medicine. Web. 29 July 2009. <http://www.physorg.com/news128082539.html>. [5] Campbell, P. "Revolutionizing Prosthetics 2009 Team Delivers First DARPA Limb Prototype." JHUAPL. Web. 29 July 2009. <http://www.jhuapl.edu/newscenter/pressreleases/2007/070426.asp>. [6] Marrero, Ian C. "Hand, Anatomy: eMedicine Plastic Surgery." EMedicine - Medical Reference. Web. 02 Aug. 2009. <http://emedicine.medscape.com/article/1285060overview>. Adv Mater Processes, 2007, 165, 12, 8 ASM International, Member/Customer Service Center, Materials Park, OH, 44073-0002, USA [mailto:cust-srv@asminternational.org], [URL:http://www.asminterational.org] Adv Mater Processes, 2008, 166, MPMD; Suppl., 70, ASM International, Member/Customer Service Center, Materials Park, OH, 44073-0002, USA, [mailto:custsrv@asminternational.org], [URL:http://www.asminternational.org] Journal of Biomedical Engineering (Transactions of the ASME), 2005, 127, 6, 934-945, ASME International, 3 Park Avenue, New York, NY, 10016-5990, USA, [URL:http://www.asme.org] Journal of Mechanical Design(Transactions of the ASME), 2006, 128, 2, 356-364, ASME International, 3 Park Avenue, New York, NY, 10016-5990, USA, [URL:http://www.asme.org] Robot and Human Communication-Proceedings of the IEEE International Workshop, 2000, 405-410 13 Figures Figure 1: I-Limb hand developed by Scottish company Touch Bionics Figure 2: Human hand Figure 3: Firgelli micro linear actuator Figure 4: Index finger extended Figure 5: Index finger closed Figure 6: 180 degree torsion spring Figure 7: Finger joint assembly Figure 8: Index finger assembly Figure 9: Final finger joint design Figure 10: Final finger joint design Figure 11: Nylon washers Figure 12: Retaining nuts Figure 13: Spider joint for MCP joint in thumb Figure 14: Thumb assembly Figure 15: Complete hand assembly 14 Appendix I Moment Calculations Grasp of a Big Gulp Room Temp Big Gulp = 32oz 2 pounds 0.9072 kilograms F=ma 8.90 Coefficient of Static Friction = 0.6 (between finger tips and aluminum) Moments Force/ # of Finger 14.833/6 2.47 CSF=F/N N=8.900/.6 14.83 Newtons Meters Nm lbft lbin Index Finger DIP Joint PIP Joint MCP Joint 2.47 2.47 2.47 0.02 0.04 0.08 0.05 0.10 0.20 0.04 0.44 0.07 0.88 0.15 1.75 Middle Finger DIP Joint PIP Joint MCP Joint 2.47 2.47 2.47 0.02 0.05 0.09 0.05 0.11 0.22 0.04 0.44 0.08 0.98 0.16 1.97 7.42 7.42 0.02 0.06 0.15 0.41 0.11 1.31 0.30 3.61 Ring Finger (Same as Index) Thumb PIP Joint MCP Joint 15 Appendix II Tree Diagrams Power Source: Electric Actuator: Electric Rotary encoder force sensor on finger tip strech sensor Electric Cylinder controller/actuator finger tip Direct From Motor force sensor motor Motor Mount: Exo Exo Endo Joints Palm Endo Wrist Palm Finger Endo Wrist Palm Finger Smart Materials bend contract applied voltage Power Source: Pneumatic/Hydraulic Actuator: Bendy Straw sensor/control Pressure regulator position Ballon Exo Endo Built In Tiny Air Cylinder Pressure Regulator Air Motor Flow Regulator Exo Exo Endo Joint Wrist Endo Joint Wrist 16 1 0 2 2 0 3 5 4 4 0 Bendy Straw Hydraulic Air Cylinder Hydraulic Cylinder Hydraulic Motor Tiny Electric Gear Motor Electric Rotary in Wrist Electric Cylinder in wrist Tiny electric Cylinder in Finger Smart Materials Known Resources Bendy Straw Pneumatic Design Embodiments ? 3 3 5 5 3 3 2 3 2 ? 1 4 4 1 2 5 4 5 4 ? 2 3 3 2 1 3 4 3 3 5 4 4 3 3 4 2 2 4 5 5 4 2 2.5 3 3 2.5 2 5 4 ? 4 3 4 4 3 3 4 ? ? Controllability Force Force Coolness (Position) generation Control Packaging Factor Cost WHAT? (Dr. Pierce) How much force-control architecture How much force? How to control? Does a tiny Hydraulic motor exist If you can't put it at joint forget it How small/ how much torque? How Small? How Small? How much force Research Bellows and bender Research Bellows and bender Plan of Action Appendix III Design Embodiments 17