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CHAPTER SIX



              Upper-Limb Prosthetic Devices



              Georgios A. Bertos* ,†,‡ , Evangelos G. Papadopoulos*
              *National Technical University of Athens, Athens, Greece
              †
              Northwestern University Prosthetics-Orthotics Center, Physical Medicine & Rehabilitation, Feinberg School
              of Medicine, Chicago, IL, United States
              ‡
              Bionic Healthcare, Inc, Chicago, IL, United States
              Contents
              1 Introduction                                                177
               1.1 History                                                  177
               1.2 How is Success Defined for Upper-Limp Prosthetics?       178
               1.3 Characteristics of a Prosthesis                          180
               1.4 Types                                                    182
               1.5 Technologies That Affect Upper-Limb Prostheses           195
              2 State of the Art                                            210
               2.1 LUKE Arm                                                 210
               2.2 Targeted Muscle Reinnervation                            211
               2.3 Sensing Many-DoFs                                        213
               2.4 3D Prototyping                                           215
               2.5 Osseointegration—Osseoperception                         215
               2.6 BIONs and IMESs                                          219
               2.7 Neural Feedback Integration                              220
               2.8 Optogenetics                                             223
               2.9 Biomechatronic EPP                                       223
              3 Trends for the Future That Can Enable Biomechatronics Upper-Limb Prostheses  227
               3.1 Personalization/3D Printing/Fast Prototyping             227
               3.2 Many-DoFs                                                227
               3.3 Osseointegration and Osseoperception                     227
               3.4 EPP and Biomechatronic EPP                               228
               3.5 Discussion/Realignment                                   228
              Authors’ Contributions                                        231
              References                                                    231
              Further Reading                                               240




                   1 INTRODUCTION
                   1.1 History
              The replacement of a human hand or arm is a truly challenging task. As
              Aristotle called it, the hand is the “finest tool of all” or the “instrument

              Handbook of Biomechatronics                 © 2019 Elsevier Inc.  177
              https://doi.org/10.1016/B978-0-12-812539-7.00006-4  All rights reserved.
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