Low-cost sensor-integrated 3D-printed personalized prosthetic hands for children with amniotic band syndrome: A case study in sensing pressure distribution on an anatomical human-machine interface

• Published in: PloS one 2019-03, Vol.14 (3), p.e0214120
• Main Authors: Tong, Yuxin, Kucukdeger, Ezgi, Halper, Justin, Cesewski, Ellen, Karakozoff, Elena, Haring, Alexander P, McIlvain, David, Singh, Manjot, Khandelwal, Nikita, Meholic, Alex, Laheri, Sahil, Sharma, Akshay, Johnson, Blake N
• Format: Article
• Language: English
• Subjects: 3D printing; Analysis; Birth defects; CAD software; Electronic components industry; Information management; Medical research; Nanotubes; Optical scanners; Polymer industry; Polymers; Production management; Prostheses and implants
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0214120

Interfacing anatomically conformal electronic components, such as sensors, with biology is central to the creation of next-generation wearable systems for health care and human augmentation applications. Thus, there is a need to establish computer-aided design and manufacturing methods for producing personalized anatomically conformal systems, such as wearable devices and human-machine interfaces (HMIs). Here, we show that a three-dimensional (3D) scanning and 3D printing process enabled the design and fabrication of a sensor-integrated anatomical human-machine interface (AHMI) in the form of personalized prosthetic hands that contain anatomically conformal electrode arrays for children affected by amniotic band syndrome, a common birth defect. A methodology for identifying optimal scanning parameters was identified based on local and global metrics of registered point cloud data quality. This method identified an optimal rotational angle step size between adjacent 3D scans. The sensitivity of the optimization process to variations in organic shape (i.e., geometry) was examined by testing other anatomical structures, including a foot, an ear, and a porcine kidney. We found that personalization of the prosthetic interface increased the tissue-prosthesis contact area by 408% relative to the non-personalized devices. Conformal 3D printing of carbon nanotube-based polymer inks across the personalized AHMI facilitated the integration of electronic components, specifically, conformal sensor arrays for measuring the pressure distribution across the AHMI (i.e., the tissue-prosthesis interface). We found that the pressure across the AHMI exhibited a non-uniform distribution and became redistributed upon activation of the prosthetic hand's grasping action. Overall, this work shows that the integration of 3D scanning and 3D printing processes offers the ability to design and fabricate wearable systems that contain sensor-integrated AHMIs.