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Targeted Muscle Reinnervation (TMR)

The greatest presentation on emerging technologies that BCIS has ever seen. Period.
by

Dylan Reed

on 30 April 2015

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Transcript of Targeted Muscle Reinnervation (TMR)

Effects on the Future
Effects on Education
Effects on the Workforce
Future Impact with (TMR).
Minimal effects overall
TMR obviously cannot be utilized by everyone

Amputees in the workforce who get TMR surgery will be more effective workers
Greatly improve quality of life for amputee military veterans
Permanent paralysis of target muscle

Phantom limb pain

Growth or tumor in nerve tissue (Neuroma)
Feasibility
TMR surgery still very expensive procedure

Strict criteria

Current prosthetic designs for TMR patients are unrealistic
Works Cited
Kuiken, T., Li, G., Lock, B., Lipschutz, R., Miller, L., Stubblefield, K., & Englehart, K. (2009, 02 11). Targeted muscle reinnervation for real-time myoelectric control of multifunction artificial arms. Retrieved from http://jama.jamanetwork.com/article.aspx?articleid=183371
Unknown. (n.d.). Advanced arm dynamics. Retrieved from http://www.armdynamics.com/pages/tmr
Boseley, S. (2007, 02 01). Woman with the golden arm that points to a surgical breakthrough. Retrieved from http://www.guardian.co.uk/science/2007/feb/02/medicineandhealth.uknews
Adee, S. (2009, 01). Winner: The revolution will be prosthetized. Retrieved from http://spectrum.ieee.org/robotics/medical-robots/winner-the-revolution-will-be-prosthetized/3
Belfiore, M. (2007, 08 07). The world's most advanced bionic arm. Retrieved from http://www.wired.com/science/discoveries/news/2007/08/bionic_arm?currentPage=all
Team #3
Caleb Geer
Dylan Reed
Occil Roberson
Satvir Singh
Alex Spadel
Easier to attach
Wireless
Take less time to attach it to body.
Maybe cheaper in future. (it's an idea.)
Available to the public for legs
Effects on Education
The original concept and main source of funding
D.A.R.P.A
Targeted Muscle Reinnervation - Basics

May become a widely used procedure for amputees
Will revolutionize the entire field of prosthetic technologies
Educational Impact: From hook to bionics
Lead Developers
Dr. Todd Kuiken and Richard Weir
TMR's immediate effect on education
$48.5 Million for initial research and development
Engineers from 28 companies in six countries
The Workforce
Effects on Education
Universities and Institutions
Lead universities
Johns Hopkins University - Applied Physics Laboratory(APL)
Lead Institutions
Rehabilitation Institute of Chicago
D.E.K.A
Effects on Education
Patients and Rehabilitation
Surgery
Re-innervation and Nerve Mapping
Post-surgery
Muscle training
Developed by Todd A. Kuiken, MD, PhD
Developed for arm amputees
more natural movement & sensory perception
No specific costs given
Additional surgeries required
Uses more expensive prosthesis
Your Shoulder Bone's Connected to Your...
The Nervous System
Brain + Spinal Cord
Sends Electrical Messages through Nerves
Muscles receive this info
Arm contains:
Musculocutaneous, Median, and Radial Nerves
Modern Prosthesis
Body-Powered
Cumbersome
Lots of straps
Not accurate
Myoelectric
Heavier
Lots of maintenance
Can only use one joint at a time
Not accurate
("Myoelectric Prosthetics," n.d.)
So What is Targeted Muscle Reinnervation?
Special surgery
Only available to public for arm amputees
Relocates arm nerves to pectoral muscle
Advantages
More natural control of limb
Return of sense of touch
(Kuiken et al, 2012)
So What is Targeted Muscle Reinnervation?
Risks
Feasibility and Cost
Future Impacts
Targeted Muscle Reinnervation is:
the future in prosthetic technologies
Revolutionizing and improving everyday life for amputees
a technology that is still growing and evolving...

Works Cited
Kuiken, T., Li, G., Lock, B., Lipschutz, R., Miller, L., Stubblefield, K., & Engleheart, K. (2009, 02 11). Targeted muscle reinnervation for real-time myoelectric control of multifunction artificial arms. Retrieved from http://jama.jamanetwork.com/article.aspx?articleid=183371
Boseley, S. (2007, 02 01). Woman with the golden arm that points to a surgical breakthrough. Retrieved from http://www.guardian.co.uk/science/2007/feb/02/medicineandhealth.uknews
Unknown. (Artist). (n.d.). Targeted muscle reinnervation. [Print Photo]. Retrieved from http://www.armdynamics.com/pages/tmr
Adee, S. (2009, 01). Winner: The revolution will be prosthetized. Retrieved from http://spectrum.ieee.org/robotics/medical-robots/winner-the-revolution-will-be-prosthetized/3
Belfiore, M. (2007, 08 07). The world's most advanced bionic arm. Retrieved from http://www.wired.com/science/discoveries/news/2007/08/bionic_arm?currentPage=all
Myoelectric Prosthetics. Myoelectric Prosthetics. Retrieved 12/01/12 from http://www.myoelectricprosthetics.com/
Kuiken, Todd,A. (2012). A Neural Interface for Artificial Limbs: Targeted Muscle Reinnervation. American Association For Surgery Of The Hand. Retrieved 12/01/12 from http://www.assh.org/AnnualMeeting/AnnualMeetingArc hives/Instructional%20Course%20Handouts/IC33_Hando uts.pdf
In Conclusion...
Full transcript