Page 57 - ITU KALEIDOSCOPE, ATLANTA 2019
P. 57

ICT for Health: Networks, standards and innovation




           There are no such differences as the foot prosthetic moves   reliability, etc. must be defined in standardization. On the
           synchronously with the healthy foot. However, a sensor that   other  hand,  since  a  computer  system  controls  several
           monitors  the  healthy  foot  is  needed.  From  our  existing   modules  in  a  powered  prosthetic,  not  only  physical
           research, we determined that monitoring the heel position of   information  but  also  data-level  information  must  be
           the healthy foot is best. This is why a sensor is built into the   standardized.
           heel of the shoe.
                                                              The following eight interfaces shown in Figure 12 do not
           The  central  terminal  is  required  to  control  the  instep   have  exchange  information  between  modules,  so  their
           push/pull module in collaboration with the control board. We   interface level is physical:
           believe  the  upper  position of  the  foot  module  is  ideal  for   -   INT-1:  size,  connection  method,  and  reliability
           mounting the battery and control board to the foot prosthetic.   between socket and ankle joint;
                                                                 -   INT-2:  size,  connection  method,  and  reliability
           We  plan  to  use  a  single  motor  cylinder  for  the  instep   between ankle joint and instep push/pull;
           push/pull module. The module is attached to the front of the   -   INT-3:  size,  connection  method,  and  reliability
           shin as shown in Figure 12. However, we plan to determine   between ankle joint and foot;
           whether the module should be placed on the front of shin or   -   INT-4:  size,  connection  method,  and  reliability
           on part of the Achilles' tendon on the basis of experimental   between instep push/pull and foot;
           results.                                              -   INT-5:  size,  connection  method,  and  reliability
                                                                    between foot and toe;
           For the single motor cylinder, we used an Oriental Motor DR   -   INT-6:  size,  connection  method,  and  reliability
           series with a 30-mm stroke, 2-kg carrying force, and a 100-  between heel sensor and shoe;
           mm/sec maximum stroke speed [11]. The heel-up spring has   -   INT-7: DC/AC, voltage, and connector type between
           a  motor-driven  spring-release  mechanism.  However,  we   battery and instep push/pull;
           estimate  that  the  release  timing  must  be  controlled  by  a   -   INT-8: DC/AC, voltage, and connector type between
           sensor built into the heel-up spring, not one built into the heel   battery and toe.
           of a shoe for a healthy foot.
                                                              On the other hand, the following four interfaces include data-
           We estimate the instep push/pull module and heel-up spring   level  information  in  addition  to  the  physical  level
           can  be  applied  to  people  with  walking  disabilities.  In   information;
           particular, the heel-up spring is useful as it compensates for   -   INT-9:
           muscle weakness, as described in section 4. This means that   Physical level: connector type;
           the price of the heel-up spring can be lowered.           Data  level:  pulses  from  the  control  board  to  the
                                                                     instep.  The  control  board  changes  the  direction,
                                                                     speed and number of pulses to control the cylinder
                                                                     speed and stroke.

                                                                 -   INT-10:
                                                                     Physical level: connector type;
                                                                     Data  level:  pulses  from  the  control  board  to  a
                                                                     cylinder  of  the  toe  module.  The  control  board
                                                                     changes the direction, speed and number of pulses
                                                                     to control the cylinder speed and stroke.

                                                                 -   INT-11:
                                                                     Physical  to  session  level:  wireless  connection
                                                                     (Bluetooth);
                                                                     Application  level:  controls  direction,  speed  and
                                                                     maximum angle of foot rotation.

                                                                 -   INT-12:
                                                                     Physical  to  session  level:  wireless  connection
                                                                     (Bluetooth);.
                 Figure 12 – Module structure foot prosthetic        Application  level:  controls  direction,  speed  and
                                                                     maximum angle of foot rotation.
           5.2    Interface and standardization items
                                                                              6.  CONCLUSION
           In  the  case  of  unpowered  prosthetics,  interfaces  between
           modules are at the physical level, since there is no control   There are several million people living with limb loss in the
           information  transferred  between  them.  Physical  level   world. Powered leg and/or foot prosthetics enable amputees
           information,  such  as  size,  weight,  connecting  method,





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