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ELEMENTS OF A PRESCRIPTIVE AND ADAPTIVE PROSTHESIS DEVELOPMENT SERVICE FRAMEWORK

Published online by Cambridge University Press:  19 June 2023

Nicholas Patiniott*
Affiliation:
University of Malta
Jonathan C. Borg
Affiliation:
University of Malta
Emmanuel Francalanza
Affiliation:
University of Malta
Joseph P. Zammit
Affiliation:
University of Malta
Pierre C. Vella
Affiliation:
University of Malta
Alfred Gatt
Affiliation:
University of Malta
Kristin Paetzold
Affiliation:
Technical University of Dresden
*
Patiniott, Nicholas, University of Malta, Malta, nicholas.patiniott@um.edu.mt

Abstract

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Amputees face a number of challenges when acquiring and using a prosthesis, with major issues being the cost of the device, the time it takes for their custom prosthesis to be developed and delivered, as well as the challenges they face to get it regularly serviced and maintained. The other stakeholders involved, including the prosthetists and standard systems manufacturers, have a difficulty to collectively handle so many issues that occur to the different amputees. To address these challenges, our research reported in this paper contributes an approach to how these can be handled, through a Prescriptive approach entitled Adaptive Prosthetic Life-Cycle Service System (adProLiSS) Framework. Unlike other product service systems, adProLiSS is designed to explicitly involve and serve the amputee and their evolving needs during different phases throughout the amputee's life. This impacts how a prosthetic device needs to be designed to ensure a smoother interaction between the amputee and the device. The adProLiSS preliminary evaluation shows an improvement by which amputees can be efficiently provided with a prosthesis that evolves with their changing needs and aspirations, this fostering a longer term 'patient-centred care' service.

Type
Article
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
The Author(s), 2023. Published by Cambridge University Press

References

Andreasen, MM & Hein, L 2000, Integrated Product Development. IPU, Lundtofte.Google Scholar
Batty, M. (2018). Digital twins. Environment and Planning B: Urban Analytics and City Science, 45(5), 817820. https://doi.org/10.1177/2399808318796416Google Scholar
Blessing, L., Chakrabarti, A., and Wallace, K., 1995. “A Design Research Methodology”. International Converence on Engineering Design, ICED 95, PRAHA, 2224Google Scholar
Borg, J.C., Yan, X.T. and Juster, N.P., 2000. “Exploring decisions’ influence on life-cycle performance to aid design for Multi-X. AI EDAM, 14(2), pp.91113. https://doi.org/10.1017/S0890060400142015Google Scholar
Colombo, G., Filippi, S., Rizzi, C. and Rotini, F., 2010. “A new design paradigm for the development of custom-fit soft sockets for lower limb prostheses”. Computers in Industry, 61(6), pp.513523. https://doi.org/10.1016/j.compind.2010.03.008CrossRefGoogle Scholar
Darr, T., Klein, M. and McGuinness, D.L., 1998. Configuration design. AI EDAM, 12(4), pp.293294.Google Scholar
Gatenby, D. A. and Foo, G., “Design for X (DFX): Key to competitive, profitable products,” in AT&T Technical Journal, vol. 69, no. 3, pp. 213, May-June 1990, https://dx.doi.org/10.1002/j.1538-7305.1990.tb00332.x.Google Scholar
Schneider, N.Evolving business models in orthotics”. Canadian Prosthetics & Orthotics Journal. 2021; Volume 4, Issue 2, No. 3. https://doi.org/10.33137/cpoj.v4i2.35876.CrossRefGoogle ScholarPubMed
Lenau, T.A., Dentel, I. and Guðlaugsson, T., 2010. Engineering design of an adaptive leg prosthesis using biological principles International design conference-DESIGN 2010. Dubrovnik, Croatia.Google Scholar
Price, M. A., Beckerle, P. and Sup, F. C., “Design Optimization in Lower Limb Prostheses: A Review,” in IEEE Transactions on Neural Systems and Rehabilitation Engineering, vol. 27, no. 8, pp. 15741588, Aug. 2019, https://dx.doi.org/10.1109/TNSRE.2019.2927094.CrossRefGoogle ScholarPubMed
Patiniott, N., Borg, J., Francalanza, E., Gatt, A., Vella, P., Zammit, J., & Paetzold, K. (2002). Towards a Product Service System Framework for Lower Limb Prosthetic Devices. Proceedings of the Design Society, 2, 13411350. https://dx.doi.org/10.1017/pds.2022.136CrossRefGoogle Scholar
Rajťúková, V., Michalíková, M., Bednarčíková, L., Balogová, A. and Živčák, J., 2014. Biomechanics of lower limb prostheses. Procedia engineering, 96, pp.382391. https://doi.org/10.1016/j.proeng.2014.12.107CrossRefGoogle Scholar
Robert, G., Donetto, S. and Williams, O., 2021. Co-designing healthcare services with patients. In The Palgrave Handbook of Co-Production of Public Services and Outcomes (pp. 313333). Palgrave Macmillan, Cham.CrossRefGoogle Scholar
Safari, R., 2020. Lower limb prosthetic interfaces: Clinical and technological advancement and potential future direction. Prosthetics and Orthotics International, 44(6), pp.384401. https://dx.doi.org/10.1177/0309364620969226.CrossRefGoogle ScholarPubMed
Sansoni, S., Wodehouse, A. and Buis, A., 2015. A new design system of below-limb prostheses-The role of a visual prosthetic designer.Google Scholar
Sibalija, Jovana, Barrett, David, Subasri, Mathushan, Bitacola, Lisa, and Kim, Richard B. “Understanding Value in a Healthcare Setting: An Application of the Business Model Canvas.” Methodological Innovations 14.3 (2021): 205979912110504. Web.CrossRefGoogle Scholar
Young, M, McKay, C, Williams, S, Rouse, P, Bilzon, JLJ. Time-related changes in quality of life in persons with lower limb amputation or spinal cord injury: protocol for a systematic review. Syst Rev. 2019 Aug 2 ;8(1):191. https://dx.doi.org/10.1186/s13643-019-1108-3. PMID: 31370881; PMCID: PMC6676595.CrossRefGoogle ScholarPubMed
How to set up a Prosthetic Limb Business, (2021). [online] The European Business Review. Available at: https://www.europeanbusinessreview.com/how-to-set-up-a-prosthetic-limb-business/. (accessed date: 22/11/22)Google Scholar
Our Business Model. [online] ossur.com. Available at: https://www.ossur.com/global/investor-relations/our-business/our-business-model (accessed date: 22/11/22)Google Scholar
How to Start a Prosthetic & Orthotic Limbs Business. [online] gaebler.com. Available at: https://www.gaebler.com/How-to-Start-a-Prosthetic-and-Orthotic-Limbs-Business.htm (accessed date: 21/11/22)Google Scholar
Clark, Emily, Singhal, Shubham, Weber, Kyle (2021), The future of healthcare: Value creation through next-generation business models. [online] McKinsey & Company. Available at: https://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/the-future-of-healthcare-value-creation-through-next-generation-business-models (accessed date: 21/11/22)Google Scholar
LaPointe, Jacqueline (2018), 4 Hospital Business Models for Consumer-Centric Healthcare. [online] TechTarget. Available at: https://revcycleintelligence.com/news/4-hospital-business-models-for-consumer-centric-healthcare (accessed date: 21/11/22)Google Scholar
Prosthetic Limb Service - Caring for your prosthetic lower limb. [online] EnableNSW. Available at: https://www.enable.health.nsw.gov.au/about/publications/fact-sheets/caring-for-your-prosthetic-lower-limb (accessed date: 21/11/22)Google Scholar