Posts Tagged Segway
[WEB SITE] FDA approves Vanderbilt-designed Indego exoskeleton for clinical and personal use | Research News @ Vanderbilt | Vanderbilt University
by David Salisbury | Mar. 10, 2016
Segway with legs’ approved by FDA for use by people with paraplegia
The U.S. Food and Drug Administration (FDA) has given clearance to market and sell the powered lower-limb exoskeleton created by a team of Vanderbilt engineers and commercialized by the Parker Hannifin Corporation for both clinical and personal use in the United States.
“I’m really glad,” said H. Fort Flowers Professor of Mechanical Engineering Michael Goldfarb who developed the exoskeleton with a team of engineers and students in his Center for Intelligent Mechatronics. “It is particularly gratifying because it is the first thing that has come out of my lab that has become a product that people can purchase, which hopefully will make a significant improvement in their quality of life.”
Indego®, which allows people paralyzed below the waist to stand up and walk, is the result of an intensive, 10-year effort. The initial development was funded by a grant from the National Institute of Child Health and Human Development. In 2012 Parker, a global leader in motion and control technologies, purchased an exclusive license to market the design and has worked closely with Goldfarb’s group to develop a commercial version of the medical device.
“Parker has done an excellent job in running their leg of the relay race, bringing the exoskeleton to market in just three years,” said Goldfarb.
Until recently “wearable robots” like Indego were the stuff of science fiction. In the last 15 years, however, advances in robotics, microelectronics, battery and electric motor technologies have made it practical to develop them to aid people with stroke and spinal cord injuries. The device acts like an external skeleton. It straps in tightly around the torso. Rigid supports are strapped to the legs and extend from the hip to the knee and from the knee to the foot. The hip and knee joints are driven by computer-controlled electric motors powered by advanced batteries. Patients use the powered apparatus with walkers or forearm crutches to maintain their balance.
“You can think of our exoskeleton as a Segway with legs. If the person wearing it leans forward, he moves forward. If he leans back and holds that position for a few seconds, he sits down. When he is sitting down, if he leans forward and holds that position for a few seconds, then he stands up,” Goldfarb said.
Indego is the second exoskeleton to receive FDA certification for U.S. use. The first was a device produced by Rewalk Robotics Ltd. However, Indego’s clearance came after completion of the largest exoskeleton clinical trail conducted in the United States. According to the Parker news release, “Over the course of more than 1,200 individual sessions, study participants were able to use Indego to safely walk on a variety of indoor and outdoor surfaces and settings with no serious adverse events.”
One of Goldfarb’s design goals was to give users the maximum amount of personal freedom possible. One of his requirements, for example, was to allow the user to put the exoskeleton on and take it off while sitting in a wheelchair. As a result, the Indego is considerably lighter and less bulky than the other exoskeletons under development.
Indego also has two features that are specifically designed to aid in rehabilitation:
- The amount of robotic assistance adjusts automatically for users who have some muscle control in their legs. This allows them to use their own muscles while walking. When a user is totally paralyzed, the device does all the work. The other designs provide full power all of the time.
- It is the only wearable robot that incorporates a proven rehabilitation technology called functional electrical stimulation. FES applies small electrical pulses to paralyzed muscles, causing them to contract and relax. FES can improve strength in the legs of people with incomplete paraplegia. For complete paraplegics, FES can improve circulation, change bone density and reduce muscle atrophy.
The innovative nature of the Indego design led Popular Mechanics to name Goldfarb one of its “Ten Innovators Who Changed The World” in 2013.
Beginning this summer, Goldfarb will head a four-year U.S. Department of Defense-funded study of the tangible economic and rehabilitation benefits of exoskeletons for people with spinal cord injuries. This will be performed at three medical centers: James Haley Veteran’s Hospital in Tampa (the first VA center in the country to use Indego), the Mayo Clinic in Rochester, Minnesota and the Vanderbilt University Medical Center.
People who use wheelchairs regularly can develop serious problems with their urinary, respiratory, cardiovascular and digestive systems, as well as getting osteoporosis, pressure sores, blood clots and other afflictions associated with lack of mobility. The risk for developing these conditions can be reduced considerably by regularly standing, moving and exercising their lower limbs. The study, which will involve 24 participants, is designed to determine whether regular use of the Indego will also reduce these conditions.
Indego has been available in Europe since November, when it received the CE Mark, the European Union’s equivalent of FDA approval. The initial price is $80,000.
The next step is getting the device approved for health insurance reimbursement. This involves getting the Centers for Medicare and Medicaid Services (CMS) to approve a “rate code” for the exoskeleton: a numeric code that identifies the characteristics of patients who Medicare/Medicaid will reimburse for purchasing a given piece of medical equipment. Typically, the government will reimburse 80 percent of the cost of approved medical devices. In most cases private health insurance providers adopt the CMS code.
- Mar. 10, 2016: FDA Clears Parker’s Indego® Exoskeleton for Clinical, Personal Use
- Oct. 30, 2012: Advanced exoskeleton promises more independence for people with paraplegia
- Feb. 26, 2015: Paralyzed by accident, grad student engineers his future with exoskeleton
David Salisbury, (615) 322-NEWS
When Marcus Thompson was left paraplegic after a skiing accident, his best friend Kevin Halsall wanted to design a wheelchair that would suit his active lifestyle.
The New Zealand engineer came up with a “game changing” wheelchair, called the Ogo, based on Segway technology that enables the user to move intuitively, more precisely and hands-free.
And with special features, like being able to change tyres to allow users to travel in all terrains, the wheelchair can move up to 20km per hour even off-road.
The prototype, which took Mr Halsall alongside Mr Thompson four years of development, is now a finalist in the National Innovators Awards and is in the process of being made available for purchase.
“The disabled are exactly like you and me, they all need freedom and excitement in their life. And Ogo takes that to a whole new level. It will go faster, it will go more places and is smaller and lighter than just about anything else.And the fact that you can operate it completely hands-free makes Ogo a definite game-changer.– KEVIN HALSALL”
Users simply lean in the direction of travel and use their core muscles even to stay in balance which occupational therapists say is a key benefit of the Ogo.
Its hands-free design will enable users freedom to do more from playing sports to mowing the lawn.
“It’s one of the life affirming things that this machine does, it puts you in touch with your whole body again,” Mr Thompson said.
The Ogo has been tested on people with disabilities from T4 to T12 and some tetraplegics. Anyone with abdominal control can operate the device hands free.
Those without abdominal control can still use the chair by holding on to its sides.
The wheelchair also has stabilisers for when users are working or lifting items off the floor. The battery-powered wheelchair can also be steered manually.
A price for the Ogo is yet to be fixed but Mr Halsall says he wants to keep it as low as he can to “make it affordable to people that need it”.