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Gripper Thumb Terminal Device
The Gripper Thumb TD is an experimental terminal device for upper limb amputees.Maker/DIY
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Developed at the MAGIC ACT / e-NABLE Lab at Rochester Institute of Technology, the Gripper Thumb TD has evolved over the past year to be effective for many two-handed tasks in much the same way as the voluntary opening split hook that has been used successfully for more than 150 years. However, it is designed to work without a Bowden cable.
Since the 3D printed device is still experimental, it should not be used without the clinical supervision of a Certified Prosthetist or Occupational Therapist. Special care should be taken in selecting the printing materials to assure that there are no layer adhesion issues or other durability concerns.
Perhaps the best way to evaluate this TD (and to get us through beta testing and design iteration) is to find a recipient who already has a prosthesis. That means they will likely already have a prosthetist or occupational therapist. If we have a winner here, the users and the clinicians will see the value based on comparison to other devices they have used. The modularity means that they can just screw off their TD and screw on the Gripper Thumb TD. They can easily switch back and forth for different activities.
The advantage over most other body-powered terminal devices is that the Gripper Thumb TD allows the user to grasp and release objects using the unaffected hand rather than a Bowden cable. Pressing an object against the frictional surface of the thumb tip can force the thumb to be pulled away from the fingers for an object to be gripped. Tasks with small objects (such as taking the nut off of a machine screw) or with large objects (such as opening and closing a jar, tube or bottle) can be undertaken this way.
After placing an object in the grasp of the Gripper Thumb TD, the unaffected hand can then be used to manipulate other objects such as putting toothpaste onto a toothbrush or cutting food with a knife while holding the item steady with a fork held in the Gripper Thumb TD.
Another advantage over the traditional split hook is that the Gripper Thumb TD is considered by some people to be more attractive.
The gripping is provided by the force from a latex band, so it should not be used by people with allergies to such materials.
The Gripper Thumb TD can be washed with ordinary hand-washing and drying procedures, and it can even be sanitized in a dishwasher when fabricated of materials that can withstand that process.
The device is attached to the prosthesis with the bolt thread that is standard for th region (1/2 - 20 in the US, M12 fine-thread in most other places), and it can be easily exchanged with other terminal devices although the Bowden cable will not be used, and it can be removed or temporarily held out of the way with a rubber band.
The thumb pivots on a 6-32 (or M3) machine screw and a pair of similar screws hold the hex bolt in place on the device. A flat washer is held in place on the bolt with the same type rubber ring that is used to provide the grasping force. Between the flat washer and the prosthesis, the ring also provides frictional force that allows the Gripper Thumb TD to be rotated for pronation or supination by the unaffected hand, but holds the TD steady in the chosen orientation.
The elastic ring is easily connected to the palm and to the thumb by a pair of zip-ties without tools (although a vise and pliers might be useful for one-handed assembly), and it can be easily replaced by clipping the zip-ties. It should not be used by people who are allergic to latex.
The Gripper Thumb TD was recently demonstrated at the Rochester Mini Maker Faire and it can be seen demonstrated at the end of this three and a half minute video: Maker Faire interview: https://www.facebook.com/RochesterMiniMakerFaire/videos/1156348114403185/
Materials and methods
0.05mm layers for nylon, 0.1 or 0.2mm layers for other materials
Always use a brim. Use at least 1.6mm shells and at least 1.6mm top and bottom layers.
Printing has been successful with SLS in nylon and with FDM in nylon, ABS, PETG, Cheetah and Armadillo filaments. Print the palm on its side with support when using FDM. The thumb also needs support during printing.
Successful durability of a print can be demonstrated by repeatedly tossing the device in the air to land on a hard floor. If it doesn’t break, then you probably have good layer adhesion but ABS is vulnerable to finger breaking even with use of acetone vapor bathing to assure good layer adhesion. Also, there are thick cross-sections in the palm, so look for cracks due to warping forces during printing.
The necessary friction on the thumb and fingertips is provided by silicone calking material (my favorite is as “Amazing Goop”) or a wrap such as Loctite GO2 Repair Wrap http://www.loctiteproducts.com/p/go2_wrap/overview/Go2-Repair-Wrap.htm.
Currently, testing has been done only with the small size left and right Gripper Thumb TD as the stress case. The small size should be functional for users of all sizes. Medium and Large size devices will be added to the STL files after they have been tested.
Elastic rings designed for veterinary use are made of latex and should not be used by people who are allergic to latex. https://www.amazon.com/Castrator-Rings-300-Pack-Green/dp/B00S8JVLOO/ref=pd_cp_469_3?_encoding=UTF8&psc=1&refRID=06J4ZTT2NQ3SQASSW385
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