A Versatile 3D-Printable Soft Pneumatic Actuator Design for Multi-Functional Applications in Soft Robotics.

Soft pneumatic actuators (SPAs) play a crucial role in generating movements and forces in soft robotic systems. However, existing SPA designs require significant structural modifications to be used in applications other than their original design. The present article proposes an omni-purpose fully 3D-printable SPA design inspired by membrane type mold and cast SPAs. The design features a spring-like zig-zag structure 3D-printed using an affordable 3D printer with thermoplastic polyurethane and a minimum wall thickness between 0.4 and 0.6 mm. The new SPA can perform unidirectional extension (30% extension) and bidirectional (rotation around same axis) bending (100°), with the ability to exert 10 N blocking force for 350 kPa pressure input. In addition, the design exhibits the capability to be scaled down for the purpose of accommodating limited spaces, while simultaneously enabling the reconfigurable interconnection of multiple SPAs to adapt to larger areas and navigate intricate trajectories that were not originally intended. The SPA's ability to be used in multiple applications without structural modification was validated through testing as a robot end-effector (gripper), artificial muscles in a soft tendon-driven prosthetic hand, a tube/tunnel navigator, and a robot crawler.

Experimental Evaluation of a Hybrid Sensory Feedback System for Haptic and Kinaesthetic Perception in Hand Prostheses.

This study proposes a new hybrid multi-modal sensory feedback system for prosthetic hands that can provide not only haptic and proprioceptive feedback but also facilitate object recognition without the aid of vision. Modality-matched haptic perception was provided using a mechanotactile feedback system that can proportionally apply the gripping force through the use of a force controller. A vibrotactile feedback system was also employed to distinguish four discrete grip positions of the prosthetic hand. The system performance was evaluated with a total of 32 participants in three different experiments (i) haptic feedback, (ii) proprioceptive feedback and (iii) object recognition with hybrid haptic-proprioceptive feedback. The results from the haptic feedback experiment showed that the participants' ability to accurately perceive applied force depended on the amount of force applied. As the feedback force was increased, the participants tended to underestimate the force levels, with a decrease in the percentage of force estimation. Of the three arm locations (forearm volar, forearm ventral and bicep), and two muscle states (relaxed and tensed) tested, the highest accuracy was obtained for the bicep location in the relaxed state. The results from the proprioceptive feedback experiment showed that participants could very accurately identify four different grip positions of the hand prosthesis (i.e., open hand, wide grip, narrow grip, and closed hand) without a single case of misidentification. In experiment 3, participants could identify objects with different shapes and stiffness with an overall high success rate of 90.5% across all combinations of location and muscle state. The feedback location and muscle state did not have a significant effect on object recognition accuracy. Overall, our study results indicate that the hybrid feedback system may be a very effective way to enrich a prosthetic hand user's experience of the stiffness and shape of commonly manipulated objects.

Edge-Functionalized Graphene/Polydimethylsiloxane Composite Films for Flexible Neural Cuff Electrodes.

The design of neural electrodes has changed in the past decade, driven mainly by the development of new materials that open the possibility of manufacturing electrodes with adaptable mechanical properties and promising electrical properties. In this paper, we report on the mechanical and electrochemical properties of a polydimethylsiloxane (PDMS) composite with edge-functionalized graphene (EFG) and demonstrate its potential for use in neural implants with the fabrication of a novel neural cuff electrode. We have shown that a 200 µm thick 1:1 EFG/PDMS composite film has a stretchability of up to 20%, a Young's modulus of 2.52 MPa, and a lifetime of more than 10000 mechanical cycles, making it highly suitable for interfacing with soft tissue. Electrochemical characterization of the EFG/PDMS composite film showed that the capacitance of the composite increased up to 35 times after electrochemical reduction, widening the electrochemical water window and remaining stable after soaking for 5 weeks in phosphate buffered saline. The electrochemically activated EFG/PDMS electrode had a 3 times increase in the charge injection capacity, which is more than double that of a commercial platinum-based neural cuff. Electrochemical and spectrochemical investigations supported the conclusion that this effect originated from the stable chemisorption of hydrogen on the graphene surface. The biocompatibility of the composite was confirmed with an in vitro cell culture study using mouse spinal cord cells. Finally, the potential of the EFG/PDMS composite was demonstrated with the fabrication of a novel neural cuff electrode, whose double-layered and open structured design increased the cuff stretchability up to 140%, well beyond that required for an operational neural cuff. In addition, the cuff design offers better integration with neural tissue and simpler nerve fiber installation and locking.

Temporal and spatial characteristics of bone conduction as non-invasive haptic sensory feedback for upper-limb prosthesis.

Bone conduction is a promising haptic feedback modality for upper-limb prosthesis users, however, its potential and characteristics as a non-invasive feedback modality have not been thoroughly investigated. This study aimed to establish the temporal and spatial characteristics of non-invasive bone conduction as a sensory feedback interface for upper-limb prostheses. Psychometric human-subject experiments were conducted on three bony landmarks of the elbow, with a vibrotactile transducer affixed to each to provide the stimulus. The study characterized the temporal domain by testing perception threshold and resolution in amplitude and frequency. The spatial domain was evaluated by assessing the ability of subjects to detect the number of simultaneous active stimulation sites. The experiment was conducted with ten able-bodied subjects and compared to two subjects with trans-radial amputation. The psychometric evaluation of the proposed non-invasive bone conduction feedback showed results comparable to invasive methods. The experimental results demonstrated similar amplitude and frequency resolution of the interface for all three stimulation sites for both able-bodied subjects and subjects with trans-radial amputation, highlighting its potential as a non-invasive feedback modality for upper-limb prostheses.

A 3D Printed Soft Robotic Hand With Embedded Soft Sensors for Direct Transition Between Hand Gestures and Improved Grasping Quality and Diversity.

In this study, a three-dimensional (3D) printed soft robotic hand with embedded soft sensors, intended for prosthetic applications is designed and developed to efficiently operate with new-generation myoelectric control systems, e.g., pattern recognition control and simultaneous proportional control. The mechanical structure of the whole hand ('ACES-V2') is fabricated as a monolithic structure using a low-cost and open-source 3D printer. It minimizes the post-processing required for the addition of the embedded sensors in the hand. These are significant benefits for the robotic hand that features low cost, low weight (313 grams), and anthropomorphic appearance. With the soft position sensors added to the fingers, the fingers' positions can be monitored to avoid self-collision of the hand. Besides, it allows a robotic prosthetic hand to eliminate the conventional way of returning to the neutral full open position when switching from one type of gesture to another. This makes the transition between the hand gestures much faster, more efficient, and more intuitive as well. Further, initial contact detection of each finger is achieved for the preshaping of multi-finger grasps, e.g., tripod grip and power grasps, to improve the stability and quality of the grasps. Combinations of different gestures allow the hand to perform multi-stage grasps to seize and carry multiple objects simultaneously. It can potentially augment the hand's dexterity and grasping diversity. Providing direct transition between the hand gestures and improved grasping quality and diversity are the primary contributions of this study.

3D printed linear soft multi-mode actuators expanding robotic applications.

Soft pneumatic actuators can produce a range of motions and deliver a high force-to-mass ratio whilst offering intrinsic compliance. Presently, the majority of soft pneumatic actuators are used to create bending motions, with very few able to produce significant linear movements. Fewer can actively produce strains in multiple directions. The purpose of this study is to produce and characterize a novel 3D printed actuator which is capable of both extension and contraction under differential pressures. A new elastomeric resin was synthesized to be used on digital light projection (DLP) 3D printers. The presented pneumatic device, a linear soft multi-mode actuator (LSOMMA), is demonstrably scalable and provides a stable response over its lifetime of >10 000 cycles. The LSOMMA operates at low pressures, achieving full contraction and expansion at gauge pressures of -25 kPa and 75 kPa, respectively, corresponding to actuator strains of up to -50% and 37%. All actuators presented in this study had a rise time of less than 250 ms. The applications of these multi-mode actuators were demonstrated by developing a pipe-crawling robot capable of traversing horizontal, vertical, and bent sections of a pipe, and a ground locomotion robot capable of moving up to 652 mm min-1 and turn at 361° min-1. An untethered locomotion robot which could navigate multiple surface materials was assembled to demonstrate the potential of the developed technologies for autonomous robotic applications.

Force Control of a 3D Printed Soft Gripper with Built-In Pneumatic Touch Sensing Chambers.

This work reports on a soft gripper with three-dimensional (3D) printed soft monolithic fingers that seamlessly incorporate pneumatic touch sensing chambers (pTSCs) for real-time pressure/force control to grasp objects with varying stiffness (i.e., soft, compliant, and rigid objects). The fingers of the soft gripper were 3D printed simultaneously along with the pTSC, without requiring support materials, using an inexpensive fused deposition modeling 3D printer. The pTSCs embedded in the fingers have numerous advantages, including fast response, repeatability, reliability, negligible hysteresis, stability over time, durability, and very low power consumption. Finite element modeling is used to predict the behavior of the pTSCs under different body contacts and to design their topology. Real-time pressure/force control was performed experimentally based on the feedback data provided by the pTSCs to grasp various objects with different weights, shapes, sizes, textures, and stiffnesses using an experimentally tuned proportional-integral-derivative (PID) controller with the same gains for all the objects grasped. In other words, the gripper can self-adapt to different environments with different stiffnesses and provide stable contact and grasping. These results are validated theoretically by modeling the soft gripper in contact with the objects with varying stiffness to show that the stability of the contact motion is not affected by the stiffness of the environment (i.e., the grasped object) when constant PID control gains are used.

Low-Hysteresis and Ultrasensitive Microcellular Structures for Wearable Electronic Applications.

Wearable technologies offer the opportunity to record human physiological signals in real time, in a noninvasive way, and the data can be used to aid in the early detection of abnormal health conditions. Here, we demonstrate how the interconnected porosity can be used to increase the sensitivity and linearity of capacitive pressure sensors. The finite element analysis supports the experimental observation that the movement of air during the dynamic mechanical loading is responsible for the high sensitivity observed (0.18 ± 0.01 kPa-1) when compared with the solid poly(glycerol sebacate) sensor (0.0042 ± 0.0002 kPa-1). The porous sensors present strain insensitivity and remarkable linearity over the entire range of applied mechanical pressure (0-6 kPa), capable of detecting both static and dynamic mechanical stimuli (17 nm/s), and a response time of 50 ms, without evidence of fatigue or electrical hysteresis over 10,000 mechanical cycles. The outstanding features of the porous sensors can find a broad range of applications in real-time health monitoring, from demanding movements like walking/running, to small deformations resulting from breathing or heart beating. The ultrasensitive microcellular structures synthesized in this study can be applied to other types of sensing transductions to obtain tunable and function-specific sensors with high sensitivity.

A 3D Printed Modular Soft Gripper Integrated With Metamaterials for Conformal Grasping.

A single universal robotic gripper with the capacity to fulfill a wide variety of gripping and grasping tasks has always been desirable. A three-dimensional (3D) printed modular soft gripper with highly conformal soft fingers that are composed of positive pressure soft pneumatic actuators along with a mechanical metamaterial was developed. The fingers of the soft gripper along with the mechanical metamaterial, which integrates a soft auxetic structure and compliant ribs, was 3D printed in a single step, without requiring support material and postprocessing, using a low-cost and open-source fused deposition modeling (FDM) 3D printer that employs a commercially available thermoplastic poly (urethane) (TPU). The soft fingers of the gripper were optimized using finite element modeling (FEM). The FE simulations accurately predicted the behavior and performance of the fingers in terms of deformation and tip force. Also, FEM was used to predict the contact behavior of the mechanical metamaterial to prove that it highly decreases the contact pressure by increasing the contact area between the soft fingers and the grasped objects and thus proving its effectiveness in enhancing the grasping performance of the gripper. The contact pressure can be decreased by up to 8.5 times with the implementation of the mechanical metamaterial. The configuration of the highly conformal gripper can be easily modulated by changing the number of fingers attached to its base to tailor it for specific manipulation tasks. Two-dimensional (2D) and 3D grasping experiments were conducted to assess the grasping performance of the soft modular gripper and to prove that the inclusion of the metamaterial increases its conformability and reduces the out-of-plane deformations of the soft monolithic fingers upon grasping different objects and consequently, resulting in the gripper in three different configurations including two, three and four-finger configurations successfully grasping a wide variety of objects.

A Wearable Biofeedback Device to Increase Gait Swing Time Could Have Positive Effects on Gait among Older Adults.

Older adults walk with a shorter stride length, reduced hip range of motion (ROM) and higher cadence. These are signs of reductions in walking ability. This study investigated whether using a wireless smart insole system that monitored and provided biofeedback to encourage an extension of swing time could increase stride length and hip flexion, while reducing the cadence. Seven older adults were tested in this study, with and without the biofeedback device, in an outdoor environment. Gait analysis was performed by using GaitRite system and Xsens MVN. Repeated measures analysis demonstrated that with biofeedback, the swing time increased by 6.45%, stride length by 4.52% and hip flexion by 14.73%, with statistical significance. It also decreased the cadence significantly by 5.5%. This study has demonstrated that this smart insole system modified positively the studied gait parameters in older adults and has the potential to improve their walking ability.

Effects of Wearable Devices with Biofeedback on Biomechanical Performance of Running-A Systematic Review.

This present review includes a systematic search for peer-reviewed articles published between March 2009 and March 2020 that evaluated the effects of wearable devices with biofeedback on the biomechanics of running. The included articles did not focus on physiological and metabolic metrics. Articles with patients, animals, orthoses, exoskeletons and virtual reality were not included. Following the PRISMA guidelines, 417 articles were first identified, and nineteen were selected following the removal of duplicates and articles which did not meet the inclusion criteria. Most reviewed articles reported a significant reduction in positive peak acceleration, which was found to be related to tibial stress fractures in running. Some previous studies provided biofeedback aiming to increase stride frequencies. They produced some positive effects on running, as they reduced vertical load in knee and ankle joints and vertical displacement of the body and increased knee flexion. Some other parameters, including contact ground time and speed, were fed back by wearable devices for running. Such devices reduced running time and increased swing phase time. This article reviews challenges in this area and suggests future studies can evaluate the long-term effects in running biomechanics produced by wearable devices with biofeedback.

A practical 3D-printed soft robotic prosthetic hand with multi-articulating capabilities.

Soft robotic hands with monolithic structure have shown great potential to be used as prostheses due to their advantages to yield light weight and compact designs as well as its ease of manufacture. However, existing soft prosthetic hands design were often not geared towards addressing some of the practical requirements highlighted in prosthetics research. The gap between the existing designs and the practical requirements significantly hampers the potential to transfer these designs to real-world applications. This work addressed these requirements with the consideration of the trade-off between practicality and performance. These requirements were achieved through exploiting the monolithic 3D printing of soft materials which incorporates membrane enclosed flexure joints in the finger designs, synergy-based thumb motion and cable-driven actuation system in the proposed hand prosthesis. Our systematic design (tentatively named X-Limb) achieves a weight of 253gr, three grasps types (with capability of individual finger movement), power-grip force of 21.5N, finger flexion speed of 1.3sec, a minimum grasping cycles of 45,000 (while maintaining its original functionality) and a bill of material cost of 200 USD (excluding quick disconnect wrist but without factoring in the cost reduction through mass production). A standard Activities Measure for Upper-Limb Amputees benchmark test was carried out to evaluate the capability of X-Limb in performing grasping task required for activities of daily living. The results show that all the practical design requirements are satisfied, and the proposed soft prosthetic hand is able to perform all the real-world grasping tasks of the benchmark tests, showing great potential in improving life quality of individuals with upper limb loss.

Tactile Feedback in Closed-Loop Control of Myoelectric Hand Grasping: Conveying Information of Multiple Sensors Simultaneously via a Single Feedback Channel.

The appropriate sensory information feedback is important for the success of an object grasping and manipulation task. In many scenarios, the need arises for multiple feedback information to be conveyed to a prosthetic hand user simultaneously. The multiple sets of information may either (1) directly contribute to the performance of the grasping or object manipulation task, such as the feedback of the grasping force, or (2) simply form additional independent set(s) of information. In this paper, the efficacy of simultaneously conveying two independent sets of sensor information (the grasp force and a secondary set of information) through a single channel of feedback stimulation (vibrotactile via bone conduction) to the human user in a prosthetic application is investigated. The performance of the grasping task is not dependent to the second set of information in this study. Subject performance in two tasks: regulating the grasp force and identifying the secondary information, were evaluated when provided with either one corresponding information or both sets of feedback information. Visual feedback is involved in the training stage. The proposed approach is validated on human-subject experiments using a vibrotactile transducer worn on the elbow bony landmark (to realize a non-invasive bone conduction interface) carried out in a virtual reality environment to perform a closed-loop object grasping task. The experimental results show that the performance of the human subjects on either task, whilst perceiving two sets of sensory information, is not inferior to that when receiving only one set of corresponding sensory information, demonstrating the potential of conveying a second set of information through a bone conduction interface in an upper limb prosthetic task.

Environmentally Friendly and Biodegradable Ultrasensitive Piezoresistive Sensors for Wearable Electronics Applications.

Highly sensitive, flexible sensors that can be manufactured with minimum environmental footprint and be seamlessly integrated into wearable devices are required for real-time tracking of complex human movement, gestures, and health conditions. This study reports on how biodegradation can be used to enhance the sensitivity and electromechanical performance of piezoresistive sensors. Poly(glycerol sebacate) (PGS) elastomeric porous sensor was synthesized and blended with multiwall carbon nanotubes (MWCNTs) and sodium chloride (NaCl). Because of their unique porous characteristics, a single linear behavior over a large range of pressures (≤8 kPa) and an increase in their sensitivity from 0.12 ± 0.03 kPa-1 up to 8.00 ± 0.20 kPa-1 was achieved after 8 weeks in a simulated body fluid media. They can detect very low pressures (100 Pa), with negligible hysteresis, reliability, long lifetime (>200 000 cycles), short response time (≤20 ms), and high force sensitivity (≤4 mN). The characteristics of the developed foam sensors match the sensing characteristics of the human finger to pave the way toward low-footprint wearable devices for applications including human movement and condition monitoring, recreation, health and wellness, virtual reality, and tissue engineering.

A survey on what Australians with upper limb difference want in a prosthesis: justification for using soft robotics and additive manufacturing for customized prosthetic hands.

Purpose: Upper limb prostheses are part of a rapidly changing market place. Despite development in device design, surveys report low levels of uptake and dissatisfaction with current prosthetic design. In this study, we present the results of a survey conducted with people with upper limb difference in Australia on their use of current prostheses and preferences in a prosthetic in order to inform future prosthetic hand design.Methods: An online survey was conducted on upper limb amputees, with 27 respondents that completed the survey. The survey was a mixture of open-ended questions, ranking design features and quantitative questions on problems experienced and desired attributes of future prosthesis designs.Results: Common key issues and concerns were isolated in the survey related to the weight, manipulation and dexterity, aesthetics, sensory feedback and financial cost; each of which could be addressed by additive manufacturing and soft robotics techniques.Conclusions: The adaptability of additive manufacturing and soft robotics to the highlighted concerns of participants shows that further research into these techniques is a feasible method to improve patient satisfaction and acceptance in prosthetic hands.Implications for rehabilitationEven with recent developments and advances in prosthetic design, the needs and desires of prosthetic users are not being met with current products.The desires and needs of those with upper limb difference are diverse.Using additive manufacturing to produce prosthetics allows for mass customization of prosthetics to meet these diverse needs while reducing costs.A soft robotic approach to prosthetics can help meet the desires of reducing weight and costs, while maintaining functionality.

Towards Including End-Users in the Design of Prosthetic Hands: Ethical Analysis of a Survey of Australians with Upper-Limb Difference.

Advances in prosthetic design should benefit people with limb difference. But empirical evidence demonstrates a lack of uptake of prosthetics among those with limb difference, including of advanced designs. Non-use is often framed as a problem of prosthetic design or a user's response to prosthetics. Few studies investigate user experience and preferences, and those that do tend to address satisfaction or dissatisfaction with functional aspects of particular designs. This results in limited data to improve designs and, we argue, this is pragmatically and ethically problematic. This paper presents results of a survey we conducted in 2017 with people with upper limb difference in Australia. The survey sought to further knowledge about preferences surrounding prosthetics and understanding of how preferences relate to user experience, perspective, and context. Survey responses demonstrated variety in the uptake, use and type of prosthetic-and that use of, preferences about, and impacts of prosthetics rely not just on design factors but on various contextual factors bearing on identity and social understandings of disability and prosthetic use. From these results, we argue that non-use of prosthetics could be usefully reframed as an issue of understanding how prosthetics can best support users' autonomy. This supports the claim that there is a need to incorporate user engagement into design processes for prosthetic limbs, though further work is needed on methods for doing so.

Bioinspired Three-Dimensional-Printed Helical Soft Pneumatic Actuators and Their Characterization.

Soft pneumatic actuators (SPAs) are widely studied and applied in the field of soft robotics. To expand their applications, the SPAs should be purpose-built to generate application-specific complex motions with multiple degrees of freedom. This article describes a new SPA consisting of a series of internal chambers with the same helix angle arranged in a row, which could generate bending and twisting motions simultaneously. The trajectory of the helical actuator was analyzed through the finite element method (FEM) by changing the angle of the chambers and the actuator length. We employed a three-dimensional printing method to directly fabricate the thin-walled and airtight helical actuators without applying any postfabrication process. The recorded trajectory of the actuator and the measured blocking force on the tipping point were compared with the corresponding simulation results from the FEM. The actuation behavior of the helical actuator has been compared with that of the actuator with zero chamber angle, but with the same size (i.e., a normal bending actuator generating a two-dimensional trajectory). It is found that the proposed helical actuator (with a maximum 2.10 N blocking force) had a higher mechanical output (or efficiency) than the normal bending actuator (with a maximum 1.19 N blocking force) under the same pressure input. We fabricated a soft helical actuator as the fingers of a four-finger gripper to grasp complex-shaped items. Furthermore, another four-finger gripper made of a hybrid actuator consisting of a half of the angled chambers and a half of the nonangled chambers was constructed to demonstrate that the proposed design and fabrication technique could be employed to establish application- and function-specific soft robotic systems.

Bone Conduction as Sensory Feedback Interface: A Preliminary Study.

Non-invasive sensory feedback is a desirable goal for upper limb prostheses as well as in human robot interaction and other human machine interfaces. Yet many approaches have been studied, none has been broadly deployed in upper limb prostheses. Bone conduction has the potential to excite an effect known as osseoperception and therefore provides a novel sensory interface. This paper presents the preliminary results of our study into the temporal parameters of a sensory feedback interface utilizing vibrotactile stimulus onto the ulnar olecranon representing a non-invasive sensory feedback interface. Three different tests are performed to establish the characterizing parameters of the interface; perception threshold, sensation discrimination and reaction time. Our results are similar to the results obtained for invasive bone conduction. The perception threshold for lower frequencies is small and therefore allows using small transducers with low power consumption. The sensation discrimination shows comparable results as reported in existing literature as well as the reaction time for the amputee is within the same range.