Implementation of natural sensory feedback in a portable control system for a hand grasp neuroprosthesis.

This paper presents the design and implementation of the first generation of a portable system for a hand grasp neuroprosthesis that is controlled by means of signals from natural sensors in the skin of the index finger. To reduce development time and costs, we based our design on readily available, standardised modules such as a 486DX100 compatible CPU, a data acquisition board, a flash disk storage unit, and a high-efficiency DC/DC switch-mode power supply. Additionally, we designed and built a telemeter to supply an implanted muscle stimulator with power and control data. The signal from the natural sensors was recorded with a cuff electrode implanted around the palmar digital nerve innervating the radial aspect of the index finger. For amplification of the recorded nerve signal, we added an external low-noise nerve signal amplifier. For pre-processing of the recorded nerve signal, an optimised band-pass filter was used. A data-recording unit allowed storage and off-line analysis of the stimulator command and the recorded nerve signal. The portable system was used by a tetraplegic volunteer to test the feasibility of including natural sensors in a hand grasp neuroprosthesis for activities of daily living. The flexibility of the presented system allows rapid prototyping of experimental FES hand grasp systems intended for portable use.

[1]  P.H. Peckham,et al.  A flexible, portable system for neuromuscular stimulation in the paralyzed upper extremity , 1988, IEEE Transactions on Biomedical Engineering.

[2]  Michael R. Neuman,et al.  Sensors for Use with Functional Neuromuscular Stimulation , 1986, IEEE Transactions on Biomedical Engineering.

[3]  R. Stein,et al.  Instrumentation for ENG and EMG recordings in FES systems , 1994, IEEE Transactions on Biomedical Engineering.

[4]  N. Hoshimiya,et al.  [A voice-controlled functional electrical stimulation system for the paralyzed hand]. , 1985, Iyo denshi to seitai kogaku. Japanese journal of medical electronics and biological engineering.

[5]  M. Haugland,et al.  Artifact-free sensory nerve signals obtained from cuff electrodes during functional electrical stimulation of nearby muscles , 1994 .

[6]  David M. Bayer,et al.  A Two-Axis Shoulder Position Transducer for Control of Orthotic/Prosthetic Devices , 1972, IEEE Transactions on Industrial Electronics and Control Instrumentation.

[7]  R. Stein,et al.  Neural prostheses : replacing motor function after disease or disability , 1992 .

[8]  P. Peckham,et al.  Evaluation of shoulder movement as a command control source , 1990, IEEE Transactions on Biomedical Engineering.

[9]  A. Prochazka,et al.  The bionic glove: an electrical stimulator garment that provides controlled grasp and hand opening in quadriplegia. , 1997, Archives of physical medicine and rehabilitation.

[10]  T R Scott,et al.  Tri-state myoelectric control of bilateral upper extremity neuroprostheses for tetraplegic individuals. , 1996, IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society.

[11]  D. Vasiljevic,et al.  A programmable electronic stimulator for FES systems , 1994 .

[12]  T. Sinkjaer,et al.  Control of FES thumb force using slip information obtained from the cutaneous electroneurogram in quadriplegic man. , 1999, IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society.

[13]  P H Chappell,et al.  A portable system for closed loop control of the paralysed hand using functional electrical stimulation. , 1998, Medical engineering & physics.

[14]  B Upshaw,et al.  Digital signal processing algorithms for the detection of afferent nerve activity recorded from cuff electrodes. , 1998, IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society.

[15]  Thomas Sinkjær,et al.  Real Time Foot Drop Correction using Machine Learning and Natural Sensors , 2002, Neuromodulation : journal of the International Neuromodulation Society.

[16]  P H Peckham,et al.  EEG-based control of a hand grasp neuroprosthesis. , 1999, Neuroreport.

[17]  K.L. Kilgore,et al.  Synthesis of hand grasp using functional neuromuscular stimulation , 1989, IEEE Transactions on Biomedical Engineering.

[18]  Morten Kristian Haugland,et al.  Skin contact force information in sensory nerve signals recorded by implanted cuff electrodes , 1994 .

[19]  Y. Handa A portable multichannel FES system for restoration of motor function of the paralyzed extremities , 1989 .

[20]  Dennis D. Roscoe,et al.  An Externally Powered, Multichannel, Implantable Stimulator for Versatile Control of Paralyzed Muscle , 1987, IEEE Transactions on Biomedical Engineering.

[21]  N. Hoshimiya,et al.  A multichannel FES system for the restoration of motor functions in high spinal cord injury patients: a respiration-controlled system for multijoint upper extremity , 1989, IEEE Transactions on Biomedical Engineering.

[22]  J. Hoffer Techniques to Study Spinal-Cord, Peripheral Nerve, and Muscle Activity in Freely Moving Animals , 1990 .

[23]  Andreas Inmann,et al.  Closed-loop control of a FES system incorporating natural sensory feedback used for restoration of hand grasp in tetraplegics , 1999 .

[24]  P. E. Crago,et al.  Instrumented assessment of FNS hand control during specific manipulation tasks , 1994 .

[25]  R. D'ambrosia,et al.  The Myoelectric Signal of Electrically Stimulated Muscle During Recruitment: An Inherent Feedback Pareter for a Closed-Loop Control Scheme , 1986, IEEE Transactions on Biomedical Engineering.

[26]  Morten Kristian Haugland,et al.  Slip information provided by nerve cuff signals: application in closed-loop control of functional electrical stimulation , 1994 .

[27]  R. Nathan,et al.  Upper limb functions regained in quadriplegia: a hybrid computerized neuromuscular stimulation system. , 1990, Archives of physical medicine and rehabilitation.

[28]  R. Stein,et al.  Stable long-term recordings from cat peripheral nerves , 1977, Brain Research.

[29]  P H Peckham,et al.  A comparison between control methods for implanted FES hand-grasp systems. , 1998, IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society.

[30]  D.B. Popovic,et al.  Sensory nerve recording for closed-loop control to restore motor functions , 1993, IEEE Transactions on Biomedical Engineering.

[31]  R. Stein,et al.  Principles Underlying New Methods for Chronic Neural Recording , 1975, Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques.

[32]  Johannes J. Struijk,et al.  Tripolar nerve cuff recording: stimulus artifact, EMG and the recorded nerve signal , 1995, Proceedings of 17th International Conference of the Engineering in Medicine and Biology Society.