BME100 f2017:Group4 W1030 L1

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Lab Write-Up 1 | Lab Write-Up 2 | Lab Write-Up 3
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OUR TEAM

Name: Quentin Ellis
Name: Nazima Ansari
Name: Jacob Schuler
Name: Alexis Chavez
Name: Ryan Dougherty

LAB 1 WRITE-UP

<Affordable and Durable Mechanical Prosthesis for Low Income Patients>


Health Care Issue

<The health care issue is the lack of affordable, durable, and complex prosthetics for low income individuals with lower arm amputations. This prosthetic uses a mechanical compressed spring system, that upon being compressed will slowly rotate a pulley and wire to close a metal grasping device. To release spring tension and subsequently let go of the object, the forearm of the device is turned slightly, which guides it into a separate channel and allows the spring to uncompress and thus let the metal grasping device open again. This system ensures that the device is both durable, inexpensive, and provides sufficient pressure to hold an object.>

Customer Validation

<Phoenix Children's Hospital (PCH): This product reduces the cost of prosthetics on families. This is important because children will grow out of their prosthetics several times during their lifetime. Reducing the cost for each one of those will improve patient care by reducing cost. Improving patient care improves customer relations for PCH and thus increases their business.

Veterans Administration (VA): Because of decrease budgets the VA will need to cut costs. This product provides a cheaper alternative to the cheapest and most basic double hook prosthetic. This ultimately will cut costs for the VA and improve patient care by reducing cost for them as well.

Hangar Clinic: The Hangar Clinic specializes in prosthetics and rehabilitation for those who have lost a limb. They provide an array of prosthetic options for patients to chose from. To serve their clients the best they must provide an array of option for both high income and low income patients. This product provides a better alternative for low income individuals and thus will improve patient care for the Hangar Clinic.

Banner Health Organization: The reduced cost of this product and the increased functionality of it will contribute positively to patient well-being. In order to be competitive Banner must strive to be the best in patient care to attract business. This product will help them do that in regards to amputees.

Shriner’s Hospital for Children: This product reduces the cost of prosthetics on families. This is important because children will grow out of their prosthetics several times during their lifetime. Reducing the cost for each one of those will improve patient care by reducing cost. Improving patient care improves customer relations for Shriner's and thus increases their business.

Honor Health Organization: The reduced cost of this product and the increased functionality of it will contribute positively to patient well-being. In order to be competitive Honor Health must strive to be the best in patient care to attract business. This product will help them do that in regards to amputees.

St. Joseph's: The reduced cost of this product and the increased functionality of it will contribute positively to patient well-being. In order to be competitive St. Joseph's must strive to be the best in patient care to attract business. This product will help them do that in regards to amputees.

Valley Orthotics and Prosthetics (VOP): VOP specializes in prosthetics and rehabilitation for those who have lost a limb. They provide an array of prosthetic options for patients to chose from. To serve their clients the best they must provide an array of option for both high income and low income patients. This product provides a better alternative for low income individuals and thus will improve patient care for VOP.

Pongratz Orthotics and Prosthetics (POP): POP focuses on providing cost effective care to insurance companies, doctors and hospitals. They focus on a variety of orthotic and prosthetic care. In addition, most health insurance companies have provider contracts with POP.

McCleve Orthotics and Prosthetics: McCleve Orthotics and Prosthetics focuses on providing customized, yet high quality prosthetic and orthotic care to patients.They work with a variety of hospitals in Arizona, including Banner Health, Tempe St.Lukes, Mercy Gilbert and much more, in addition to working with a variety of insurance providers. They also have over fifteen rehabilitation centers in Arizona. All of these factors make it easier and more convinient for patients to get the care they need.

Arise Prosthetics: Arise Prosthetics provides prosthetics of varying complexities and prices. This product would decrease the price of lower arm prosthetics and thus make complex lower arm prosthetics available to low income patients. This benefits Arise Prosthetics because they can sell more units to patients who may have not been able to afford a prosthetic.

Mayo Clinic: The reduced cost of this product and the increased functionality of it will contribute positively to patient well-being. In order to be competitive the Mayo Clinic must strive to be the best in patient care to attract business. This product will help them do that in regards to amputees.

Limbs for Life: Limbs for Life makes prosthetics and orthotics extremely affordable, given that they cover costs for those who lost their limbs via a workplace accident, military service, disease, illness and sometimes even car accidents. This solves the issue of affordability for many patients.

Comprehensive Prosthetics and Orthotics (CPO): CPO specializes in prosthetics and rehabilitation for those who have lost a limb. They provide an array of prosthetic options for patients to chose from. To serve their clients the best they must provide an array of option for both high income and low income patients. This product provides a better alternative for low income individuals and thus will improve patient care for CPO.

Sunnybrook: The reduced cost of this product and the increased functionality of it will contribute positively to patient well-being. In order to be competitive Sunnybrook must strive to be the best in patient care to attract business. This product will help them do that in regards to amputees.

Artificial Limb Specialist (ALS): ALS is a patient centric clinic dealing with only amputees. For their pediatric program, our device's reduced cost will ensure that the family pays less than they would normally have to, to get fitted prosthetics as the child grows. For their sports program, this devices durability can survive the rigors placed on it by physical activity.

African Progress Foundation (APF): APF provides orthodox fitting and prosthetics to individuals in Africa suffering from amputations. They currently need financial assistance to continue their mission. The low cost of this device will reduce the amount of assistance they will need so that they can better help those patients.

Barr Foundation: Barr's goal is to provide Prosthetics to low income individuals who would normally be unable to afford it. These people are typically in regions that do not have the facilities to maintain the prosthetics. The durability of this product as well as its low cost solve both of these problems.

Center for International Rehabilitation (CIR): CIR's goal is to provide prosthetics world wide, specifically third world countries. These people are typically in regions that do not have the facilities to maintain the prosthetics. The durability of this product as well as its low cost solve both of these problems.

Limbs for Life: Limbs for Life provides complete care for those who would otherwise not have it. The reduced cost and durability of our product ensure they can treat more low income individuals.





Citations: Sabzi Sarvestani, A., & Taheri Azam, A. (2013). Amputation: A Ten-Year Survey. Trauma Monthly, 18(3), 126–129. http://doi.org/10.5812/traumamon.11693

Orthotics, Prosthetics & Rehabilitation Humanitarian Database. (n.d.). Retrieved September 05, 2017, from http://www.drfop.org/humanitarian/?frmRegion=AFRICA

Sarvestani, A. S., & Azam, A. T. (2013, December). Amputation: A Ten-Year Survey. Retrieved September 04, 2017, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3864397/

Society, W. (n.d.). Low Cost Prosthesis. Retrieved September 05, 2017, from http://www.lowcostprosthesis.org/the-need

Tobin, B. (2015, August 24). Prosthetics in the Developing World. Retrieved September 05, 2017, from http://www.borgenmagazine.com/prosthetics-developing-world/




Competitors

Advantages

The Low Cost Prosthesis: Provides a decent product for $50 dollars, with simplistic rugged design. Amputee Coalition: Donation of older upper arm prosthesis to 3rd world Countries, at no cost to the organization. Touch Bionics: Provides cutting edge prosthesis in the U.S, high tech and versatile. The ideal solution would be a prosthetic arm that is both durable, but in-expensive and user friendly.

Disadvantages
The Low Cost Prosthesis: With its relatively low cost, it does not have much in they way of versatility. It is more akin to a simple metallic piece then anything else. Amputee Coalition: The main provider of their prosthesis is donations, which they cannot control the flow of. They also do not make money off of it, were as we will make money. Touch Bionics: High prices and limited availability leads to a small outreach and a lack of presence overseas.


Our Device
Our device wants serve as a cost effective answer to the problems presented above. The group aim is to create a lower cost prosthesis, in the area of a few hundred dollars, that is purely mechanical in function, to provide both a durable and cost effective solution to the issue of the lack of prosthesis available to those in growing countries, and especially in terms of the lack of long-term health care.





IP Position


For our product, we conducted an patent search in regards to a prosthetic that closes as pressure is put onto it, and prosthesis that use similar systems and came up with no results. This would go to show that at least our idea is new in thought, but in all actuality the prosthesis market, and especially the upper limb market, is a bit saturated at the moment. So while prosthesis designated for use by low income individuals isn't a new idea, we hope that our concept is a fresh enough take that investors would be willing to look past it, and look at the potential market value.

Some Patents that have slight similarities are as follows: US4258441A US Grant,HAND REHABILITATION FOUNDATION, Dual operated lateral thumb hand prosthesis, A hand and lower arm prosthesis is provided for amputees who have the amputation stump of the lower arm muscularly connected to the upper arm, the prosthesis including a lateral thumb pinch utilizing a key grip with spring closure force connected to the upper arm elbow and in combination connected to the opposite shoulder to translate force of humeral flexion electively, alternately or in combination, with pronation and supination to the thumb pinch. Filing Date 1979-08-20

US4685924A NEW LIFE LABORATORIES Inc, Prehensile thumb and finger prosthesis A prosthesis of the hand and including a thumb and at least one finger, and other fingers as may be required, and a forearm socket, and comprised of at least said one finger articulated and biased in opposition to an adjustably fixed thumb, thereby providing a grip adapted to yield to forcible entry of an object therein and released by angular movement of the upper arm relative to the lower arm through a pull cord that operates to withdraw said finger or fingers from prehensile grasp with an object held against the thumb by said bias. Filing Fate 1985-10-04

US6896704B1 Harada Electronics Co Ltd National Institute of Advanced Ind Science and Tech AIST, Movable finger for prostheses, upper extremity prostheses using this movable finger, and movable finger controller A movable finger for prostheses, having a base a first intermediate portion connected to the base, a second intermediate portion connected to the first intermediate portion, and a fingertip connected to the second intermediate portion. The prosthesis further includes a first intermediate portion bending mechanism for actuating an actuator disposed in the base to pull a first wire to turn an eccentric member, a second intermediate portion bending mechanism for pulling a second wire wound around a pulley disposed as a movable pulley in the first intermediate portion by the eccentric member, whereby the pulling and bending of the second intermediate portion is by a third wire connected to the pulley, and a fingertip bending mechanism for pulling and bending the fingertip by a fourth wire connected to the first intermediate portion, whereby the pulling and straightening is by a fifth wire. Filing Date 2000-05-19

Fundability Worksheet Scores

Competitors<2. While the market place is crowded with different vendors for a whole range of prosthetics, very few provide lost cost prosthetics, which is the market for this device. Not a single one of these competitors are providing complex grip, only systems involving a hook. Because the device provides this and at the same or nearly the same cost it can be considered a clinical improvement because it lowers the cost. The of the basic split hook system (main competitor) is up to 10,000 dollars, while this device is significantly cheaper. It is not a three because of the wide range of choices available.>


Customer Validation<1. Given value.>


IP Position<2. Currently, no patent exists or covers this specific mechanism that engages the mechanical grip. However, there hasn't been a patented filed for this device as of yet so it is immediately disqualified from the score of 3. Because there are no current patents that cover this kind of mechanism, it qualifies as a two. It is not a one because freedom to operate still exists for this device. >