Reading reviews of people who try bionic arms (myoelectric prosthetic arms), they talk about following challenges:
- High price
- Good myoelectric arms can cost upwards of USD 50k to USD 100k and insurance doesn't cover it generally (so people are not able to afford it)
- Precise movements are precontrolled
- Like grabbing movement is triggered by a command sent from the muscle and not done like we do normally
- This means custom, precise movements cannot be made (and perhaps researching that is the opportunity)
- "Our hands are INCREDIBLE tools, one of the most advanced components in the animal kingdom. You might respond with a Shadowhand gif of someone holding an egg or something similar but those are mostly pre-formed poses AND that's based on conscientious movement. That says nothing about reaction time or true manipulability."
- "There are typically only two “contact site” sensors inside the socket — this is called a “dual-site” system — so you need to cycle through a series of grip patterns by flexing twice in quick succession inside of the socket to get to the one you want."
- Lack of feedback
- https://www.youtube.com/watch?v=PLk8Pm_XBJE
- Feedback requires some intervention at the time of the surgery
- Unlike regular arms/hands, there is no feedback from bionic arms, so precisely controlling finger movements becomes difficult
- Well, at this point, accuracy. For instance, grabbing a plastic cup, it's so easy to crush and spill your drink. Other sort of solid containers are perfectly fine. Granted I've only had it about a week now, but I do not foresee that getting any easier, mostly because there is no feedback.
- " In fact, more amputees _prefer simple cable driven systems over the electronic prosthesis_."
- it doesn't look as cool but the fact is you get near-instantaneous reactions because they are kinematically linked to your own body's motion
- Desired: "the performance of a myoelectric without the assistance of sight."
- But lack of feedback also helps the user be fearless
- "Mostly because it doesn't hurt, so I don't have to brace myself or worry about hurting myself.""
- Accuracy
- Reasons for declined accuracy
- the ability of the user to generate clear muscle signals at the sensor sites;
- the unpredictability of the sensors’ ability to detect myoelectric signals, which is heavily affected by the quality of contact between the sensors and the skin;
- the electromechanical delay in the bionic hand’s response to detected signals.
- 'typical users may attempt 1,200 grasping motions a day with a bionic hand. If the accuracy rate of the myoelectric control system is only 80 %, i.e. an error rate of 20 %, this equates to hundreds of errors per day.'
- Charge running out
- "It usually lasts me all day, but if I use it a lot, it will be dead by noon and then I'm stuck with a dead hand all day" (that's bulky and inconvenient)
- No anticipatory movement
- Like we do with normal hands
- Weight perhaps?
- "it felt heavy as hell. It was only three pounds or so, but three pounds feels like a ton to a limb that typically carries no weight, and the heft of the prosthetic hand pulled hard on the socket and made me sweat."
- Doesn't compete well with adapted behaviors without the limb
- "Prosthetic arm technology is still so limited that I become _more disabled_ when I wear one."
- Limit contact sensors with the body
- Some [advocacy groups](https://bionicsforeveryone.com/bionic-hands-finding-the-right-myoelectric-control-system/#) have suggested that the high rates of dissatisfaction with bionic limbs are primarily the result of the inadequacy of “dual-site” myoelectric sensor systems
- Lack of adequate personalization
- "residual limbs are like fingerprints"
**Cool things:**
- No extra mental effort for operating it
- "Otherwise, when it comes to articulating my fingers and working it in conjunction with the rest of my body, it's getting to be much easier, and almost happens without any concentration,"
- Being able to type!
- "I can type with it, but not nearly as quickly as I've grown to typing without it."
- Fast training (within 5 minutes)
- I hit the ground running when I got this, about 5 minutes in to it I had almost complete control,
- Watrerproof
- In theory, better than natural limbs
- "Paralympic legacy showed the world that amputees can run a 100 meters faster than most of us can"
Stats
- 40 million people need prosthetics and only 5% have them
Sources:
- https://www.reddit.com/r/IAmA/comments/14qoem/iama_bionic_man_ama_ilimb_prosthetic_arm/
- https://www.reddit.com/r/IAmA/comments/4y5jax/i_am_the_engineer_who_developed_the_worlds_most/
- https://www.inputmag.com/culture/cyborg-chic-bionic-prosthetic-arm-sucks
- https://bionicsforeveryone.com/bionic-hands-finding-the-right-myoelectric-control-system/#
- https://bionicsforeveryone.com/advanced-neural-interfaces-for-bionic-hands/
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