1.7 M amputees in the US (2008)

• 185 000 amputations / year → Vascular system, Diabetes, Cancer, Trauma, …

• Prosthesis fitting

• Very complex

• Painful

• Needs adjustments (weekly → yearly)

• Visits to clinic

• Costly

• Transportation: Difficult for amputee

• Problematic in remote areas

• Medicaid pays for majority → US govt interested in:

• Saving costs

• Improve quality

• Reduce hospital & clinic visits by 80% → huge savings

• Worldwide problem & global market: Europe, India & Developing countries

BodyNotes: Low-cost telemedicine for amputees David Sengeh, M.Sc. Candidate, BioMechatronics, MIT Media Lab Alex Olwal, M.Sc., Ph.D., Post-doctoral Researcher, Camera Culture, MIT Media Lab

•Minimize visits (patient: time & effort, health care: time & cost)

•Better adjustments → Improve quality of care

•Real-time remote collaboration for patient & prosthetist

Remote consultation to improve prostheses1. Patients tracks pain:

• Time• Intensity• Location• Type

2. Patient uploads data → Health Record System

3. Prosthetist downloads data → mobile / desktop• Improvements over time• Statistics / graphs

4. Prosthetist + Patient connect remotely (PC + mobile) → Shared screen• Patient shows problem• Prosthetist suggests adjustments

w/ Prosthetic Improvement Kit• Patient adjusts on their own

Prosthetist’ office Patient’s home

Part from Kit

Tele-medicine app

Prototype software implemented & tested

• 2 Android mobile clients• Java & Flash

• Open Source Electronic Health Record • IndivoX + CollaboRhythm platform

• PC-based tool for Prosthetist / Doctor• Java• Processing

• Connects over 3G, Wi-Fi & 4G

Prosthetic Improvement Kit: 1st prototype kit modelled & manufactured

3D model

(SolidWorks)3D-printed mold Silicone Insert Socket + Insert

Low-cost, real-time 2D & 3D telemedicine

• General concept → reporting + remote discussion & help

• Empower patient → report & feedback on progress

• Empower experts → tools that overcome distance

• Future developments: Pressure maps → Even better adaptations for socket comfort.