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Prosthesis for Tibial Amputees Focused on the 3rd World

Prosthesis for Tibial Amputees Focused on the 3rd World

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Published by Inne ten Have
This is a paper which is made in the context of Design for All. Design for all is an optional
subject that is taught at the Faculty of Industrial Design Engineering of Delft University of
Technology in The Netherlands. The assignment for this subject has been given to us by
Mister J. Molenbroek (Associate Professor who teaches Design for All) and Mister H.
Kooistra (Dutch surgeon, who independently works in Sri Lanka as a surgeon and helps
victims of landmines). There are different groups working on this assignment and there is
a price (3 roundtrip tickets to Sri Lanka to implement the solution) to be won for the
group which comes up with the best solution or design for the assignment. According to
us the succes of the solution is dependent of the people (their culture and good will) in
Sri Lanka. We therefore see a decent analysis as the first and most important
requirement to be able to implement designs in Sri Lanka.

The purpose of this paper is to inform everybody who is interested in our solutions for a
prosthesis which can be produced and used in the third world. This paper is written in
March till May 2002. It will (hopefully) be the introduction for a project in Sri Lanka with
local disabled, for which will be tried to implement the design and/or to make necessary
improvements.

In Appendix I we will give individual motivations why we follow this optional subject and
why we choose this design project.

Boudewijn, Wouter & Farshad
This is a paper which is made in the context of Design for All. Design for all is an optional
subject that is taught at the Faculty of Industrial Design Engineering of Delft University of
Technology in The Netherlands. The assignment for this subject has been given to us by
Mister J. Molenbroek (Associate Professor who teaches Design for All) and Mister H.
Kooistra (Dutch surgeon, who independently works in Sri Lanka as a surgeon and helps
victims of landmines). There are different groups working on this assignment and there is
a price (3 roundtrip tickets to Sri Lanka to implement the solution) to be won for the
group which comes up with the best solution or design for the assignment. According to
us the succes of the solution is dependent of the people (their culture and good will) in
Sri Lanka. We therefore see a decent analysis as the first and most important
requirement to be able to implement designs in Sri Lanka.

The purpose of this paper is to inform everybody who is interested in our solutions for a
prosthesis which can be produced and used in the third world. This paper is written in
March till May 2002. It will (hopefully) be the introduction for a project in Sri Lanka with
local disabled, for which will be tried to implement the design and/or to make necessary
improvements.

In Appendix I we will give individual motivations why we follow this optional subject and
why we choose this design project.

Boudewijn, Wouter & Farshad

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Published by: Inne ten Have on Dec 09, 2009
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Prosthesis for Tibial Amputeesfocused on the 3
rd
World
Introduction Report “Design for All” – April 2002
Written by:
Boudewijn Wisse IO9964426Wouter van Dorsser IO9195386Farshad Soleymani IO9784809
Mentors:
Johan MolenbroekHenk KooijstraInne ten Have
I'm going to Graceland Poor boys and Pilgrims with families And we are going to Graceland And my traveling companions Are ghosts and empty sockets I'm looking at ghosts and empties But I've reason to believe We will all be received In Graceland 
Paul Simon - Graceland
 
 
Prosthesis for Sri-Lanka TU-Delft 2002 Wisse, v Dorsser, SoleymaniPage 1
Preface
This is a paper which is made in the context of Design for All. Design for all is an optionalsubject that is taught at the Faculty of Industrial Design Engineering of Delft University of Technology in The Netherlands. The assignment for this subject has been given to us byMister J. Molenbroek (Associate Professor who teaches Design for All) and Mister H.Kooistra (Dutch surgeon, who independently works in Sri Lanka as a surgeon and helpsvictims of landmines). There are different groups working on this assignment and there isa price (3 roundtrip tickets to Sri Lanka to implement the solution) to be won for thegroup which comes up with the best solution or design for the assignment. According tous the succes of the solution is dependent of the people (their culture and good will) inSri Lanka.
We therefore see a decent analysis as the first and most important requirement to be able to implement designs in Sri Lanka 
.
 The purpose of this paper is to inform everybody who is interested in our solutions for aprosthesis which can be produced and used in the third world. This paper is written inMarch till May 2002. It will (hopefully) be the introduction for a project in Sri Lanka withlocal disabled, for which will be tried to implement the design and/or to make necessaryimprovements.In Appendix I we will give individual motivations why we follow this optional subject andwhy we choose this design project.Boudewijn, Wouter & Farshad
 
Prosthesis for Sri-Lanka TU-Delft 2002 Wisse, v Dorsser, SoleymaniPage 2
Table of contents
Summary..........................................................................................................................3
 
Introduction.....................................................................................................................4
 
Analysis ………………………………………………………………………………………… 5
Social Analysis of Sri Lanka..........................................................................................5
 
Medical analysis..........................................................................................................11
 
Lower leg.................................................................................................................11
 
Amputation..............................................................................................................11
 
Gait Analysis...............................................................................................................14
 
Force Diagram............................................................................................................15
 
Prostheses..................................................................................................................16
 
History.....................................................................................................................16
 
Sockets....................................................................................................................17
 
Shanks....................................................................................................................20
 
Foot-ankle systems.................................................................................................21
 
Conclusion Prostheses Analysis.............................................................................25
 
Production...................................................................................................................27
 
Available Materials..................................................................................................27
 
Available production methods.................................................................................28
 
Standardization.......................................................................................................29
 
Life Cycle Analysis......................................................................................................31
 
Synthesis.......................................................................................................................33
 
Design Philosophy......................................................................................................33
 
List of Design Requirements.......................................................................................34
 
Common..................................................................................................................34
 
Shank......................................................................................................................34
 
Foot-ankle system...................................................................................................34
 
Socket.....................................................................................................................35
 
Production and implementation...............................................................................36
 
Experiments and evaluation........................................................................................37
 
Concepts.....................................................................................................................40
 
Concept 1: The rocker-foot......................................................................................40
 
Concept 2: The socket by Inne redesigned.............................................................41
 
Concept 3: The textile / leather socket....................................................................44
 
Concept 4: The polymer socket...............................................................................46
 
Concept 5: Knowledge transfer...............................................................................47
 
Concept 6: Implementation plan..............................................................................49
 
Conclusion..................................................................................................................52
 
References.....................................................................................................................53
 
Appendix........................................................................................................................54
 
Appendix I: Individual motivations...............................................................................54
 
Appendix II: Exercises.................................................................................................58
 
Appendix III: Manual – Producing prostheses.............................................................60
 
Appendix IV: Manual - How to design prostheses......................................................65
 
Appendix V: The measurement prosthesis.................................................................70
 
Appendix VI: Tempur..................................................................................................71
 
Appendix VII: Patents..................................................................................................72
 

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