WEBVTT - The Story: The Man Testing Out the Future of Prosthetics 0:00:07.880 --> 0:00:17.720 Glass, Welcome to tech stuff. I'm care Price. Yes it's Friday, 0:00:17.760 --> 0:00:19.400 but instead of the Week in Tech, we wanted to 0:00:19.440 --> 0:00:23.599 share a conversation I had with Jim Ashworth Beaumont some 0:00:23.720 --> 0:00:26.759 years ago. Jim was clipped by a truck when biking 0:00:26.800 --> 0:00:28.200 and sustained a traumatic injury. 0:00:29.040 --> 0:00:31.920 I was sitting at traffic lights and Lorry basically turned 0:00:31.960 --> 0:00:34.600 as it was leaving the traffic lights, and they caught 0:00:34.640 --> 0:00:36.559 me on the side of the vehicle and dragged me underneath. 0:00:37.320 --> 0:00:40.479 So I was essentially going to get crushed by the 0:00:40.479 --> 0:00:43.400 bat wheels, and I reflexively reached up to the bottom 0:00:43.440 --> 0:00:45.680 of the Lorry and grabbed hold of the underneath of it. 0:00:46.320 --> 0:00:48.760 So I got dragged up the road undre meters and 0:00:49.040 --> 0:00:51.400 my arm got caught under the bat wheels and taken off. 0:00:51.960 --> 0:00:54.680 On top of losing his arm, Jim's lungs were punctured 0:00:54.720 --> 0:00:57.560 and his liver was split in two. He told me 0:00:57.560 --> 0:01:00.640 that the next six weeks were a blur an coma, 0:01:00.720 --> 0:01:02.480 but also in a conscious state. 0:01:02.880 --> 0:01:04.720 I assume that I died and I was I was 0:01:04.920 --> 0:01:09.400 sort of going through between dimensions of experiencing various lives, 0:01:09.920 --> 0:01:12.039 and although in six weeks it seemed like a lot 0:01:12.080 --> 0:01:17.520 longer to me. I was experiencing things physically, by which 0:01:17.520 --> 0:01:19.720 I mean the doctors trying to save my life. I 0:01:19.800 --> 0:01:22.399 was basically having heart attacks like two three times a day, 0:01:22.600 --> 0:01:24.880 so they're kind of jumpstarted me, like continually. 0:01:25.480 --> 0:01:28.800 Amazingly, Jim was able to pull through, and soon he 0:01:28.880 --> 0:01:32.640 was troubleshooting how to live a one armed life. For 0:01:32.720 --> 0:01:35.680 most people, living with a prosthetic or even thinking about 0:01:35.720 --> 0:01:39.800 prosthetics would require a huge mindset shift, But this wasn't 0:01:39.880 --> 0:01:44.120 Jim's first encounter with these devices. After leaving the Royal Marines, 0:01:44.319 --> 0:01:46.760 Jim got a degree in prosthetics and orthotics and has 0:01:46.800 --> 0:01:50.320 worked in a clinical capacity helping patients through pain, function 0:01:50.400 --> 0:01:53.720 and mobility issues for decades. So when Jim needed a 0:01:53.760 --> 0:01:56.760 prosthetic arm of his own, his peers made him their 0:01:56.800 --> 0:02:01.960 guinea pig of sorts for the bionic future of prosthetic First, 0:02:02.120 --> 0:02:05.320 he was fitted with a titanium implant that was surgically 0:02:05.320 --> 0:02:08.600 inserted into the surviving bone of his arm. This is 0:02:08.639 --> 0:02:12.800 called ossio integration, and Jim's prosthetics can now attached to 0:02:12.840 --> 0:02:16.600 this socket instead of molding over a residual limb or 0:02:16.639 --> 0:02:20.640 stump on top of Ossio integration, Jim is living with 0:02:20.680 --> 0:02:23.280 a high tech electronic arm that looks like it's straight 0:02:23.280 --> 0:02:26.520 out of a Sci Fi props department. The Black Mental 0:02:26.639 --> 0:02:29.760 Arm costs upwards of one hundred thousand dollars, is controlled 0:02:29.840 --> 0:02:34.160 via Bluetooth app and provides increased mobility, grip and control. 0:02:34.960 --> 0:02:37.280 And in the interview you'll hear what it sounds like. 0:02:38.280 --> 0:02:41.040 Jim is truly inspiring and the future of prosthetics is 0:02:41.080 --> 0:02:44.800 extremely exciting to witness. So let's dive into my conversation 0:02:44.919 --> 0:02:49.440 with Jim Ashworth Beaumont. How would you say that your 0:02:50.080 --> 0:02:53.680 technical knowledge and experience helped you in your rehabilitation. 0:02:54.720 --> 0:02:58.519 Well, it's not straightforward to me because my history is 0:02:58.600 --> 0:03:02.680 quite varied. Into the armed forces as a professional athlete 0:03:02.720 --> 0:03:06.680 for a few years, I completed a PhD in human 0:03:06.720 --> 0:03:11.800 rehabilitation and the master's in rehabilitation. I qualified as a 0:03:11.800 --> 0:03:14.280 personal trainer, and I'm also a running coach as well, 0:03:14.680 --> 0:03:18.720 so all those different kind of aspects of my knowledge 0:03:18.919 --> 0:03:21.840 sort of focused on myself. I was kind of my 0:03:21.880 --> 0:03:25.280 own perfect subject, I suppose guinea pig, if that's the 0:03:25.320 --> 0:03:29.040 right phrase. So fortunately for me, it just turns out 0:03:29.040 --> 0:03:31.079 all the interests I've had, or the majority of them, 0:03:31.080 --> 0:03:34.360 have actually been related to getting somebody through an injury, 0:03:34.639 --> 0:03:37.560 optimizing their performance, getting them as good as they can 0:03:37.640 --> 0:03:42.480 be for sport. But those principles apply equally to patients, 0:03:42.760 --> 0:03:46.360 and I applied that to myself very quickly and very naturally, 0:03:46.840 --> 0:03:49.400 And I would say that gave me a massive advantage 0:03:50.400 --> 0:03:54.080 not only in addressing my own problem directly, but also 0:03:54.120 --> 0:03:58.280 communicating with other health cares and giving them a strategy 0:03:59.000 --> 0:04:03.840 to solved my problem. So it's extremely lucky in that respect. 0:04:03.920 --> 0:04:09.720 Yeah, can you talk about what limitation traditional prosthetics have, So. 0:04:10.480 --> 0:04:13.760 I saw a break prostheses down into three main categories. 0:04:13.800 --> 0:04:18.800 So is the let's say, very specific or task dependent device. 0:04:18.839 --> 0:04:22.120 So that might be something that's designed for a particular purpose, like, 0:04:22.360 --> 0:04:26.479 for example, I'm quite a keen runner, and what you 0:04:26.560 --> 0:04:29.080 need for good balance running is two arms as well 0:04:29.080 --> 0:04:32.120 as two legs. And once I've lost the arm, I 0:04:32.120 --> 0:04:34.479 spent four years running in a very weird way and 0:04:34.520 --> 0:04:37.800 getting lots of sort of injuries as a result. So 0:04:37.960 --> 0:04:41.520 this very simple kilogram and a half of steel attached 0:04:41.520 --> 0:04:44.520 to my body very very securely enables me to run 0:04:45.080 --> 0:04:49.080 and exercise very efficiently. So the next sort of category 0:04:49.440 --> 0:04:53.080 would be a body powered device. So the technology is 0:04:53.080 --> 0:04:56.320 probably about one hundred and fifty years old, and early 0:04:56.360 --> 0:04:58.640 examples are seen in the Civil War kind of American 0:04:58.680 --> 0:05:00.840 Civil War type of thing. When you have a war, 0:05:01.200 --> 0:05:05.440 innovation happens in prosthetics. So in like eighteen fifty odd 0:05:05.480 --> 0:05:08.160 when the American Civil War happened, people spend a lot 0:05:08.160 --> 0:05:09.640 of time thinking about, oh, how do we make a 0:05:09.680 --> 0:05:12.000 functioning device that people can actually pick things up or 0:05:12.040 --> 0:05:14.880 do a job once they get out of the services. 0:05:15.240 --> 0:05:17.599 So body powered devices they have. I usually have a 0:05:17.640 --> 0:05:20.520 hand and an elbow if we're talking about somebody's lost 0:05:20.680 --> 0:05:23.320 an arm above the elbow like I have, and then 0:05:23.680 --> 0:05:25.800 you can use cables which you're attached to other parts 0:05:25.800 --> 0:05:29.159 of the body and use accessory movements like shrugging the 0:05:29.160 --> 0:05:32.320 shoulders or stretching the chest out in order to power 0:05:32.400 --> 0:05:35.200 those components. I have a body powered arm that I 0:05:35.279 --> 0:05:37.919 use at work. And the advantage of those devices is 0:05:37.960 --> 0:05:40.080 they're very simple. You know exactly what they're going to do. 0:05:40.480 --> 0:05:43.440 The power comes from you're an input, not from a battery. 0:05:43.560 --> 0:05:46.560 And also they're very durable, so you can drop it 0:05:46.600 --> 0:05:49.599 in a bucket of water or we're using a dusty environment, 0:05:49.640 --> 0:05:52.559 it's still going to work. And then we come onto 0:05:52.600 --> 0:05:56.200 these powered devices like I'm wearing at the moment. So 0:05:56.400 --> 0:05:59.240 at the moment, I'm wearing a a prothesis with a 0:05:59.279 --> 0:06:05.240 powered elbow and I've got power grist, so it has 0:06:05.760 --> 0:06:08.680 an internal battery which you can take out in charge 0:06:08.720 --> 0:06:11.840 every day. These lithium iron botteries are quite heavy, but 0:06:11.920 --> 0:06:15.400 they do store a massive amount of charge and that 0:06:15.440 --> 0:06:17.960 battery will last me two days and allow me to 0:06:18.000 --> 0:06:20.159 power the hand and the wrist and the elbow of 0:06:20.200 --> 0:06:23.560 this arm. So it is a fully functioning arm. And 0:06:23.600 --> 0:06:25.560 the only thing that's missing is the level of control 0:06:25.760 --> 0:06:28.360 that I have with it, and that's something that is 0:06:28.440 --> 0:06:31.279 quite important and prosthetics, and that's where the latest research 0:06:31.440 --> 0:06:33.720 is going right now, is figuring out how to give 0:06:33.760 --> 0:06:36.359 people that the number of channels of the richness of 0:06:36.400 --> 0:06:39.880 information to control a synthetic arm, which, on the face 0:06:39.880 --> 0:06:44.640 of it, given the mechanical technology that's available now, in principle, 0:06:44.640 --> 0:06:47.479 you can control the hand individual fung pingu wise, but 0:06:47.560 --> 0:06:49.880 there are so many degrees of movement involved in that 0:06:49.880 --> 0:06:53.320 that you need the in some way to reinstatement and 0:06:53.360 --> 0:06:56.039 That's the way the challenge lies for me because leasing 0:06:56.040 --> 0:06:57.560 the arm at the level I have, I've got two 0:06:57.600 --> 0:07:01.600 channels of information. I've got biceps and triceps and that's it. 0:07:02.400 --> 0:07:05.000 So you're trying to solve for more control essentially. 0:07:05.320 --> 0:07:08.680 Yeah, so there's a number of variables you're juggling. Is 0:07:08.720 --> 0:07:12.240 the simple ability of the arm to move throughout all 0:07:12.280 --> 0:07:15.960 its degrees of freedom, and then there's the practicality, is 0:07:16.000 --> 0:07:19.600 the safety, the durability. So these are all qualities of 0:07:19.640 --> 0:07:22.200 a natural arm that you don't even think about. But 0:07:22.400 --> 0:07:24.480 once these problems start arising, and then you have to 0:07:24.520 --> 0:07:26.239 think of ways either to solve them all at once 0:07:26.960 --> 0:07:32.120 or prioritize particular properties to suit the environment, to suit 0:07:32.160 --> 0:07:35.280 the task. And that's where the skill of my job 0:07:35.360 --> 0:07:38.640 lies actually, is really talking with patients to figure out 0:07:39.080 --> 0:07:42.080 what the lives are like, what their priorities, and how 0:07:42.080 --> 0:07:42.640 to solve them. 0:07:43.240 --> 0:07:46.240 How would you describe O CEO integration to someone who 0:07:46.280 --> 0:07:48.480 knows nothing about prosthetics? I e. 0:07:48.680 --> 0:07:51.720 Me, Most of us or many of us will know 0:07:51.760 --> 0:07:56.440 about prosthetic teeth. You know where they're implanted into your skull, 0:07:56.480 --> 0:07:59.640 your jaw. Many of us will know people who were 0:07:59.720 --> 0:08:03.280 pre profoundly deaf and have a cochlear implant, so that's 0:08:03.320 --> 0:08:06.880 something that's implanted into the skull. And very many of 0:08:06.920 --> 0:08:09.480 us know about hip and knee replacements and things like that. 0:08:10.080 --> 0:08:13.160 So for the last thirty years we've had Ossi integration, 0:08:13.280 --> 0:08:15.680 where you have this bit of titanium that sticks into 0:08:15.720 --> 0:08:18.840 the bone. But if you have regard to the potential 0:08:18.880 --> 0:08:21.280 for infection, which you're going to get if something sticken 0:08:21.280 --> 0:08:23.440 out for your skin, as long as you take care 0:08:23.480 --> 0:08:25.560 of that, you've basically got something which is anchored directs 0:08:25.560 --> 0:08:26.120 your skeleton. 0:08:26.880 --> 0:08:28.680 And that was what the situation you were in. 0:08:28.760 --> 0:08:31.400 Yeah you got it. Yeah, absolutely. So the issue with 0:08:31.480 --> 0:08:34.600 me as a prostatic patient is that my residual limb, 0:08:34.640 --> 0:08:37.320 my stump is which very very short, and so that 0:08:37.360 --> 0:08:39.520 limits the amount of force you can apply to a 0:08:39.559 --> 0:08:42.520 prosthetic device and also the amount of pressure on your 0:08:42.520 --> 0:08:45.280 body that results from you try to put pressure through it. 0:08:45.840 --> 0:08:48.360 So you've got this tissue viability issues. Not all of 0:08:48.440 --> 0:08:51.800 us knowbmd's lost an arm or a leg, but wear 0:08:51.800 --> 0:08:54.520 a badly fitting pair of shoes for any time I'd 0:08:54.520 --> 0:08:56.000 have to walk for a long distance. You know about 0:08:56.000 --> 0:08:59.360 it pretty soon, right, And if that's your only pair 0:08:59.400 --> 0:09:02.000 of shoes. If that's all you got. What that does 0:09:02.000 --> 0:09:05.080 it limits your ability to use the device or it 0:09:05.080 --> 0:09:08.840 certainly puts you off. So what you have in upper 0:09:08.880 --> 0:09:13.319 and Prospects is a situation where many people need limbs 0:09:13.400 --> 0:09:16.400 in places like Gaza and all that. So many people 0:09:16.440 --> 0:09:19.679 have lost limbs, and even if you can provide somebody 0:09:19.679 --> 0:09:23.400 with the limb, the comfort factor and the tissue viability 0:09:23.480 --> 0:09:26.520 factor really limit the use. In Europe, we've got the 0:09:26.559 --> 0:09:31.280 situation in Ukraine and actually that is an experimental hotbed 0:09:31.400 --> 0:09:32.760 for ussy integration right now. 0:09:33.200 --> 0:09:36.600 To your point, war zones unfortunately become a breeding ground 0:09:36.600 --> 0:09:37.839 for innovation, you got it. 0:09:37.920 --> 0:09:41.280 Yeah, absolutely, So those specialists in OSCI integration are spending 0:09:41.280 --> 0:09:44.520 a lot of time in Ukraine and it is pushing 0:09:44.559 --> 0:09:46.040 forward the field most definitely. 0:09:46.480 --> 0:09:49.280 What are some of the things that they're experimenting with. 0:09:49.520 --> 0:09:51.600 Well, if I can talk about the effect of an 0:09:51.640 --> 0:09:54.679 explosion or a high velocity bullet, if you catch you 0:09:54.840 --> 0:09:58.000 around in your upper arm, it's going to take your 0:09:58.160 --> 0:10:00.640 entire arm off. If you catch your through your forum, 0:10:00.679 --> 0:10:02.079 it's going to take your arm up below the elbow 0:10:02.160 --> 0:10:04.960 or potentially above it. And having an elbow having a 0:10:05.040 --> 0:10:08.559 joint is great under voluntary control, and having all those 0:10:08.600 --> 0:10:11.440 muscles and nerves undervolved controls great because then you can 0:10:11.520 --> 0:10:14.720 use them to directly drive a prosthesis. If you lose 0:10:14.720 --> 0:10:17.520 the entire arm, of the majority of arm, then you 0:10:17.559 --> 0:10:21.000 know get limited kind of options. So that's where OSI 0:10:21.040 --> 0:10:24.400 integration comes in as a way to securely anchor a prosthesis, 0:10:25.040 --> 0:10:27.880 and that enables you to push so much more load 0:10:27.920 --> 0:10:31.640 through your body. Before I got milesome integration, I could 0:10:31.679 --> 0:10:33.560 just about take loads through the end of it without 0:10:33.559 --> 0:10:36.800 a prosthesis on. But now I can support my entire 0:10:36.800 --> 0:10:38.440 body weight through my stump. 0:10:38.880 --> 0:10:39.959 Really yeah. 0:10:40.320 --> 0:10:42.600 I can do press ups, I can do pull ups. 0:10:43.200 --> 0:10:45.280 And when I'm a work as well as working with patients, 0:10:45.320 --> 0:10:47.800 I'm in the workshop building things as well, and I 0:10:47.840 --> 0:10:51.800 can apply a huge amount of force through the prosthesis 0:10:51.800 --> 0:10:52.920 and it's absolutely fantastic. 0:10:53.280 --> 0:10:56.880 That's incredible, And that's because of OCO integration absolutely yeah. 0:10:56.960 --> 0:10:59.880 Yeah. The other side of it is because the prosthesis 0:11:00.120 --> 0:11:03.240 so securely fixed to my body, it makes it so 0:11:03.320 --> 0:11:06.319 much easier to control because although I'm still using the 0:11:06.440 --> 0:11:10.120 electrical signals from my stump to control a prosthesis in 0:11:10.200 --> 0:11:13.080 quite a limited way. The fact that the electrodes stay 0:11:13.120 --> 0:11:15.920 in the same place all the time means that my 0:11:16.000 --> 0:11:17.160 control is so much better. 0:11:17.640 --> 0:11:19.960 Can you talk a little bit about the procedure and 0:11:20.000 --> 0:11:22.640 the risks of the procedure and what made you decide 0:11:22.679 --> 0:11:23.240 to try it? 0:11:23.720 --> 0:11:26.760 Well, there was the practical side of things that I've discussed. 0:11:26.920 --> 0:11:29.520 I wouldn't say it necessarily limited me at work, but 0:11:29.600 --> 0:11:33.280 I was. My use of a prosthesis was very limited 0:11:33.320 --> 0:11:36.680 to work through necessity, and then when I was outside work, 0:11:36.720 --> 0:11:39.640 I wouldn't wear anything. When you're wearing a prosthesis, you 0:11:39.720 --> 0:11:42.040 kind of have to think about what your priorities are. 0:11:42.240 --> 0:11:44.800 I weighed up the benefit of using a prosthesis against 0:11:44.800 --> 0:11:46.880 the comfort side of things and decided, well, it's not 0:11:46.880 --> 0:11:50.640 worth me wearing a prosthesis for most of the time, right, So, 0:11:51.040 --> 0:11:54.600 knowing about the science already, I didn't need to be 0:11:54.600 --> 0:11:59.040 convinced that having the surgery to implant the titanium implant 0:11:59.200 --> 0:12:02.160 into my stuff was a good idea. It was more 0:12:02.960 --> 0:12:07.640 the emotional side of it. You know, it continues actually 0:12:07.720 --> 0:12:10.920 to play on the back of your mind and you're 0:12:10.920 --> 0:12:13.200 always thinking, I've got this artificial things sticking out through 0:12:13.320 --> 0:12:16.520 my body, This is kind of weird, being right, I 0:12:16.520 --> 0:12:19.120 would imagine, Yeah, but when as soon as I put 0:12:19.120 --> 0:12:22.439 an arm on, that problem solves because I'm getting the benefit. 0:12:23.360 --> 0:12:24.760 So what I tend to do now is as soon 0:12:24.800 --> 0:12:26.640 as getting out of bed in the morning, I'll put 0:12:26.679 --> 0:12:30.080 a prosthetic arm on, and then I feel complete and 0:12:30.280 --> 0:12:32.640 all those concerns about having that bit of mel sticking 0:12:32.679 --> 0:12:35.719 out through my body go away. Don't even think about it. 0:12:35.960 --> 0:12:37.360 So it's really when it's not there. 0:12:37.559 --> 0:12:41.480 Yeah. Now, But before the US integration, wearing an arm 0:12:41.520 --> 0:12:43.959 we felt foreign and weird because it wouldn't do etaally 0:12:44.040 --> 0:12:46.080 what I wanted to do. It to do it moved 0:12:46.080 --> 0:12:49.240 relative to my body. So because you've got the bone 0:12:49.280 --> 0:12:51.640 in my arm, then you've got the soft tissue, and 0:12:51.679 --> 0:12:53.880 then you've got the prosthesis on the outside of that, 0:12:53.920 --> 0:12:56.280 all these things move relative to each other, and so 0:12:56.440 --> 0:12:58.040 it never does exactly what we wanted it to do, 0:12:58.480 --> 0:13:00.880 whereas now I'm in control of it again. 0:13:05.840 --> 0:13:08.600 After the break, how Jim's one hundred thousand dollars arm 0:13:08.800 --> 0:13:21.760 works with him stay with us. How did you end 0:13:21.840 --> 0:13:24.480 up with the high tech prosthetic that you have now? Like, 0:13:24.520 --> 0:13:27.960 what was the process of developing it? After your accident. 0:13:28.679 --> 0:13:31.640 So essentially that was the based on our relationship that 0:13:31.679 --> 0:13:34.080 I've so reinforced in my time in ospital. So I 0:13:34.120 --> 0:13:37.960 spent four months in a critical care unit, so very 0:13:38.000 --> 0:13:40.720 limited in terms of my mobility, and so I got 0:13:40.720 --> 0:13:43.600 busy kind of exploring all sorts of avenues either using 0:13:43.679 --> 0:13:47.080 the cod bless the Internet, but also linking up with 0:13:47.120 --> 0:13:50.040 my kind of connections within the industry. So one of 0:13:50.080 --> 0:13:53.439 the guys that I spoke to was Alantdougal at Proactive Prosthetics, 0:13:53.440 --> 0:13:56.640 which is a private company based out into the west 0:13:56.679 --> 0:13:59.080 of London, and I basically got chatted to him and 0:13:59.120 --> 0:14:02.959 started talking about what as possible. This fantastic arm that 0:14:03.000 --> 0:14:05.240 I have, which is worth an excess of one hundred 0:14:05.240 --> 0:14:09.720 thousand pounds, is a nice stuff black and in myoelectrics, 0:14:09.720 --> 0:14:13.600 which is the field of externally powered prosthetic devices, most 0:14:13.640 --> 0:14:19.360 of these aren't covered for waterproof or dusty environments. So 0:14:19.760 --> 0:14:21.600 what I tend to do is revert to using a 0:14:21.600 --> 0:14:25.880 body powered prosthesis for things that require that sort of 0:14:25.960 --> 0:14:29.640 level of durability. Now, in terms of the arm itself, 0:14:29.840 --> 0:14:33.640 I've got two channels of information available. I've got the 0:14:33.640 --> 0:14:36.800 biceps and the triceps which are the two surviving muscles 0:14:37.400 --> 0:14:40.160 that I have in my arm. So if I was 0:14:40.240 --> 0:14:43.120 using a traditional powered prosthesis, I would be able to 0:14:43.120 --> 0:14:46.560 open and close one component and that's it. So what 0:14:46.600 --> 0:14:48.520 we're then doing is you were using software in order 0:14:48.640 --> 0:14:53.880 to improve the flexibility of my use of the device. Right, 0:14:54.680 --> 0:14:56.840 So I've got an elbow which has got two degrees 0:14:56.880 --> 0:14:59.600 of freedom flex and extent. I've got a wrist which 0:14:59.680 --> 0:15:02.960 is wroteation only, so that's another two degrees of freedom, 0:15:03.160 --> 0:15:05.800 and then I've got the hand itself. And here what 0:15:05.840 --> 0:15:09.000 I'm doing is I'm using mechatronic algorithms in order to 0:15:09.080 --> 0:15:12.120 change the grip of the hand. So once again we 0:15:12.160 --> 0:15:14.400 have the old traditional hands which just have one grip 0:15:14.560 --> 0:15:16.880 pattern which is like a pinch grip, and then we 0:15:16.920 --> 0:15:19.840 have these multi grip hands which are oution about now. 0:15:20.480 --> 0:15:23.320 This particular hand I'm using, which is an elimb made 0:15:23.320 --> 0:15:26.000 by a company called Dosser. By the way, this has 0:15:26.320 --> 0:15:29.880 up to thirty two different grip patterns and they're programmable. 0:15:30.040 --> 0:15:32.600 So I've programmed this with the grip patterns I need, 0:15:32.920 --> 0:15:35.080 and when I want to switch it, I essentially use 0:15:35.120 --> 0:15:38.560 a pattern of muscle twitches in order to change the 0:15:38.640 --> 0:15:43.160 grass pattern. So all those degrees of movement in their hand, 0:15:43.200 --> 0:15:45.240 which I think the number about twenty seven and all, 0:15:46.040 --> 0:15:50.360 I've actually devolved to a mechanical algorithm, but it's under 0:15:50.360 --> 0:15:53.720 my control. You can give the patient like a smartphone 0:15:54.000 --> 0:15:57.440 with the software for the hand, so to a limited extent, 0:15:57.480 --> 0:15:58.520 they can actually program their. 0:15:58.440 --> 0:16:00.880 Hand themselves, and that hopening currently. 0:16:01.240 --> 0:16:03.920 Yeah, yeah, absolutely, This hands been around about fifteen years, 0:16:03.960 --> 0:16:07.080 I think, so that technology is there, and me, being 0:16:07.120 --> 0:16:09.720 a qualified procethestist, I've also got the software for the 0:16:09.760 --> 0:16:13.680 wrist and the elbow, which has given me complete cote 0:16:13.720 --> 0:16:17.960 blanche to program the arm, which the average patient doesn't 0:16:18.000 --> 0:16:21.920 have at the moment. But suffice to say, prostetists spend 0:16:21.920 --> 0:16:23.360 an awful lot of time trying to get it right. 0:16:23.720 --> 0:16:24.520 That's incredible. 0:16:24.800 --> 0:16:27.440 The next stage in this is software which will essentially 0:16:27.520 --> 0:16:29.240 configure itself when you put the arm. 0:16:29.200 --> 0:16:30.880 On on the basis of your muscles. 0:16:31.480 --> 0:16:35.360 Well, there's a software package called coapt and that is 0:16:35.400 --> 0:16:40.240 a pattern recognition software. So instead of just having electrodes 0:16:40.360 --> 0:16:43.560 on specific muscle groups within your remaining part of your arm, 0:16:44.320 --> 0:16:46.760 you have a sleeve which you roll onto the arm 0:16:46.920 --> 0:16:50.080 and that picks up patterns of activation rather than individual signals, 0:16:50.520 --> 0:16:52.560 and then you assign each pattern of activation to a 0:16:52.600 --> 0:16:55.560 particular action. So it means that the patient doesn't actually 0:16:55.560 --> 0:16:59.200 have to train to use the device. The device trains 0:16:59.240 --> 0:17:02.880 itself to work with the patient, which is pretty awesome. 0:17:03.360 --> 0:17:06.919 That's incredible, and that's machine learning. It's not quite AI. 0:17:07.119 --> 0:17:10.640 AI is a different thing entirely, but it is using 0:17:10.680 --> 0:17:13.720 machine learning to get the device to work with the patient. 0:17:14.200 --> 0:17:16.200 And can you just elaborate on that a little bit 0:17:16.280 --> 0:17:17.159 for a lay person. 0:17:17.520 --> 0:17:20.200 Sure. So what you do is you start saying to 0:17:20.280 --> 0:17:23.119 the patient, okay, i'll put this device on you. Now 0:17:23.320 --> 0:17:26.080 if you think about closing your hand, and then you 0:17:26.119 --> 0:17:29.840 show them on the screen hand closing, and then what 0:17:29.880 --> 0:17:33.000 they'll do is just imagine the hand closing and using 0:17:33.440 --> 0:17:37.800 their nerves that they had, and then using the patterns 0:17:37.840 --> 0:17:40.719 of electrical signal that you pick up off the surfaces 0:17:40.720 --> 0:17:44.120 of the skin, you basically generate a pattern of activation 0:17:44.160 --> 0:17:46.920 which you can then assign to the hand closing. 0:17:47.440 --> 0:17:49.200 So it's code. What you're doing. 0:17:49.400 --> 0:17:52.920 Essentially allowing the machine to code that signal and match 0:17:52.960 --> 0:17:56.440 it to an output. So it means that the machine 0:17:56.760 --> 0:18:00.120 and the individual can learn together, which is pretty. 0:18:00.560 --> 0:18:05.200 So essentially like the software update is coming from the person. 0:18:05.960 --> 0:18:10.240 Yeah, yeah, definitely, that's it. Wow, you're uploading that information 0:18:10.280 --> 0:18:12.680 every time you put on It's incredible. That's pretty well. 0:18:12.880 --> 0:18:14.920 Has it changed the way that you work with patients. 0:18:15.080 --> 0:18:17.320 I don't think it's changing the way I deal with patients. 0:18:17.880 --> 0:18:20.920 It's definitely changed the way they see me. I was 0:18:20.960 --> 0:18:25.120 always very kind of go focused and interested in educating 0:18:25.119 --> 0:18:27.840 patients and giving them their heads up on what the 0:18:28.119 --> 0:18:30.560 light the outcome would be of their kind of treatment. 0:18:30.680 --> 0:18:35.119 And there's that kind of paradigm gap between a clinician 0:18:35.160 --> 0:18:37.720 and the patient where I'm thinking one thing and they're thinking, 0:18:37.800 --> 0:18:39.800 what the hell do they know? Because they are all fit, 0:18:39.920 --> 0:18:43.280 healthy and stuff, and they've got a point and I suppose. 0:18:43.840 --> 0:18:47.480 And then when they see me with artificial limb because 0:18:47.480 --> 0:18:49.080 of where the armor work, I just walk into the 0:18:49.160 --> 0:18:52.960 waiting room and greet the patient and say hi, I'm Jim, 0:18:53.200 --> 0:18:55.480 and they'll look at my arm straight off the bat. 0:18:56.200 --> 0:18:58.520 Then I can see the wheels turning. We're over the 0:18:58.560 --> 0:19:00.800 huddle already because they can see I've been through something 0:19:01.280 --> 0:19:03.359 and I've got some sort of insight into what it 0:19:03.400 --> 0:19:06.840 takes to come back from an injury or a pathology 0:19:06.840 --> 0:19:10.000 of some sort. So that's huge. Actually, it really is. 0:19:10.560 --> 0:19:12.640 What is the biggest change in your daily life since 0:19:12.680 --> 0:19:16.000 you got an ascio integrated prosthesis. 0:19:16.160 --> 0:19:18.320 I would say the level of confidence I've got in 0:19:19.240 --> 0:19:24.520 just living life and feeling on a par with other people. 0:19:25.800 --> 0:19:28.439 The way I approach my life. I don't regard as 0:19:28.480 --> 0:19:31.280 myself as disabled, let's put that way. And that's not 0:19:31.320 --> 0:19:33.639 because I refute the word. It's just that I'm enable 0:19:33.720 --> 0:19:35.800 in so many parts of my life that actually the 0:19:35.840 --> 0:19:39.000 stuff I can't do is kind of infintestimally small. But 0:19:39.280 --> 0:19:41.040 since the also integration, because I can wear an arm 0:19:41.040 --> 0:19:43.359 all the time and operate and in a lot of 0:19:43.359 --> 0:19:46.920 things exceed what other people do with sport and things 0:19:46.920 --> 0:19:50.800 like that, I just feel like a different person, but 0:19:51.560 --> 0:19:53.200 somebody that's equal to other people. 0:19:53.760 --> 0:19:57.600 You talk about how ZEO integration is something that you 0:19:58.480 --> 0:20:01.679 get through private insurance and fund it yourself. I know 0:20:01.720 --> 0:20:04.960 it's very important to you probably to have these things 0:20:05.000 --> 0:20:07.520 more widely available. What is that going to take. 0:20:08.200 --> 0:20:10.400 I think it's evidence, that's what it's going to take. 0:20:10.880 --> 0:20:15.000 So if you imagine that I'm one of maybe ten 0:20:15.080 --> 0:20:18.560 or fifteen people in the UK, that have had oscient 0:20:18.560 --> 0:20:21.720 integration in the last ten years, right, it is quite 0:20:21.760 --> 0:20:25.800 hard to develop that kind of evidence. Now there are 0:20:25.800 --> 0:20:28.280 some recipients of OSC integration in the UK that have 0:20:28.359 --> 0:20:31.040 received it on the National Health Service their lower limb 0:20:31.560 --> 0:20:34.520 and their ex servicemen. But as the cost comes down, 0:20:34.640 --> 0:20:37.119 as we produce more evidence to show that it's not 0:20:37.160 --> 0:20:40.160 a technology that's going to cause harm through infection for example, 0:20:40.520 --> 0:20:43.320 because that's one of the only real downsides with oscient integration, 0:20:43.359 --> 0:20:46.399 apart from the bone fracturing or whatever, and make it 0:20:46.440 --> 0:20:48.800 more economical for people to get that technology, the better 0:20:49.080 --> 0:20:51.240 and more people will get it, and as at some 0:20:51.240 --> 0:20:55.720 point we'll reach the point where our authorities allow people 0:20:55.760 --> 0:20:57.719 to get more of it. Now America is slightly different 0:20:57.880 --> 0:21:03.440 how so well because insurance kind of driven economy, right, 0:21:04.119 --> 0:21:07.720 so if you have the money, you can have the technology. 0:21:07.800 --> 0:21:07.960 Right. 0:21:08.600 --> 0:21:10.080 You can in the UK as well, but it's much 0:21:10.080 --> 0:21:11.720 more explicit in the US. 0:21:11.760 --> 0:21:14.679 I guess what does the future of this technology look like? 0:21:14.720 --> 0:21:16.760 As someone who's on the front lines of it, both 0:21:17.119 --> 0:21:18.720 personally and professionally. 0:21:19.440 --> 0:21:23.840 Well, the also integration technology moves alongside other technologies as well, 0:21:23.920 --> 0:21:27.720 So I talked about the anchoring of the prothesis to 0:21:27.760 --> 0:21:30.320