Bionic hand allows amputee to feel again
Kounteya Sinha,TNN | Feb 6, 2014, 10.07 AM IST

LONDON: The world's first bionic hand which feels a real human touch is here.

 A Danish man who lost his left hand in an accident nearly a decade
ago has become the first to receive a bionic hand that feels in real
time.

 The prosthetic hand was wired to the nerves in his upper arm. It has
helped Dennis Aabo Sorensen grasp objects intuitively and identify
what he was touching while being blind folded.

 "The sensory feedback was incredible," said the 36 year-old amputee
from Denmark. "I could feel things that I hadn't been able to feel in
over nine years."

 In a laboratory setting wearing a blindfold and earplugs, Sorensen
was able to detect how strongly he was grasping, as well as the shape
and consistency of different objects he picked up with his prosthetic.

 "When I held an object, I could feel if it was soft or hard, round or
square," Sorensen said.

 This, experts say, is the first sensory-enhanced artificial limb.

 Initially, scientists were worried about reduced sensitivity in
Dennis' nerves since they hadn't been used in over nine years. These
concerns faded away as the scientists successfully reactivated
Sorensen's sense of touch.

 The clinical study therefore provides the first step towards a bionic
hand. The next step involves miniaturizing the sensory feedback
electronics for a portable prosthetic. In addition, the scientists
will fine-tune the sensory technology for better touch resolution and
increased awareness about the angular movement of fingers.

 The electrodes were removed from Sorensen's arm after one month due
to safety restrictions imposed on clinical trials, although the
scientists are optimistic that they could remain implanted and
functional without damage to the nervous system for many years.

 Sorensen lost his left hand while handling fireworks during a family
holiday. He was rushed to the hospital where his hand was immediately
amputated. Since then, he has been wearing a commercial prosthetic
that detects muscle movement in his stump, allowing him to open and
close his hand, and hold onto objects.

 Created by Silvestro Micera and his team at EPFL (Switzerland) and
SSSA (Italy), a prototype of this bionic technology was tested in
February 2013 during a clinical trial in Rome under the supervision of
Paolo Maria Rossini at Gemelli Hospital (Italy).

 Sorensen underwent surgery in Rome at Gemelli Hospital on January 26.
A specialized group of surgeons and neurologists, led by Paolo Maria
Rossini, implanted transneural electrodes into the ulnar and median
nerves of Sorensen's left arm.

 After 19 days of preliminary tests, Micera and his team connected
their prosthetic to the electrodes - and to Sorensen - every day for
an entire week.

 The ultra-thin, ultra-precise electrodes, developed by Thomas
Stieglitz's research group at Freiburg University (Germany), made it
possible to relay extremely weak electrical signals directly into the
nervous system. A tremendous amount of preliminary research was done
to ensure that the electrodes would continue to work even after the
formation of post-surgery scar tissue. It is also the first time that
such electrodes have been transversally implanted into the peripheral
nervous system of an amputee.

So what exactly did the team do?

 Micera and his team enhanced the artificial hand with sensors that
detect information about touch. This was done by measuring the tension
in artificial tendons that control finger movement and turning this
measurement into an electrical current. But this electrical signal is
too coarse to be understood by the nervous system. Using computer
algorithms, the scientists transformed the electrical signal into an
impulse that sensory nerves can interpret. The sense of touch was
achieved by sending the digitally refined signal through wires into
four electrodes that were surgically implanted into what remains of
Sorensen's upper arm nerves.

 "This is the first time in neuro-prosthetics that sensory feedback
has been restored and used by an amputee in real-time to control an
artificial limb," says Micera.

 "It works like a brake on a motorbike," explains Sorensen about the
conventional prosthetic he usually wears. "When you squeeze the brake,
the hand closes. When you relax, the hand opens."

WebSource: 
http://timesofindia.indiatimes.com/home/science/Bionic-hand-allows-amputee-to-feel-again/articleshow/29935517.cms



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