Tomorrow's technology today. - Dorset Orthopaedic

irstIntroducingi-LIMB Handthe prosthetic hand that’s a great leapforward. The i-LIMB Hand is the world’s first fullyarticulating bionic hand, delivering compliant grip,wraparound fingers, thumb rotation and full handpalmar grip.It brings a new dimension to upper limb prosthetics, withlevels of flexibility, durability, aesthetic presentation andoverall functionality that have never been seen before.For the first time, a prosthetic hand delivers gripconfigurations that behave in almost every respect likeits natural counterpart, transforming both the capabilitiesand the confidence of users.

ProDigitmulti-point fingerarticulationi-LIMB HandProDigit componentry showing motor and gearbox mechanical configurationmotorgearboxWith four, independent, fully powered fingers and anarticulating rotatable powered thumb, the i-LIMB Handtakes the generational lead in terminal devices. No othercommercial hand can match it for range of motion.The articulating finger underpins much of Touch Bionics’technical advantage and it is this articulation thatprovides the biggest benefit to the patient or user.With the ability to bend, touch, pick-up and point – thei-LIMB Hand matches the action of a natural hand morearticulationthan any powered device that has gone before it.

i-LIMB HandTouch Bionics is utilizing the myoelectric principles used in existing devices whileleveraging the mechanical advance of five fully-articulating powered digits.The advent of the i-LIMB Hand means that new grips are available to patientsthat have never been possible before.i-LIMB HandKey GripWhere the thumb closes down onto the side of theindex finger. This grip is used to hold items suchas a plate or a business card. The addition of wristrotation enables the user to turn a key in a lock in atotally ‘human’ way.Power GripWhere all fingers and the thumb close down togetherto create a full-wrap grip. This grip would be usedto hold a can of drink while opening the ring-pull,for example, and for carrying large objects such as abriefcase or shopping bag.Precision GripWhere the index finger and thumb meet(or index finger, middle finger and thumb meet) inorder to pick-up small objects and to hold objectswhen performing finer control tasks.Index PointWhere the thumb and fingers close but the indexfinger remains extended – patients have found thisgrip very useful for operating computer keyboards,telephone dial pads, ATM cash machines and a hostof other everyday requirements.Thumb ParkWhere the thumb closes down against the side ofthe hand to allow a jacket to be put on. This controlutilizes a simple control signal generated through theexisting myoelectric system.

i-LIMB HandThe combination of mechanical function, myoelectric control andcosmesis provide a new definition of grip. No longer is in-humantip strength required to provide function.Holding, presenting, picking, twisting, turning, pointing, grasping,and picking-up; these simple natural actions are now within thereach of everyone to get a grip on functionality.grip

i-LIMB HandThe i-LIMB Hand gives patients and users a growing choiceof product variations; for left or right hand; regularor small sizes; semi-opaque or black colouring; for wristconnector or wrist disarticulation.choiceLeft and Right Regular and Small Wrist Connector or Wrist Disarticulation Semi-opaque or Black Colour

As a result of the individual finger articulation and therotation of the thumb, Touch Bionics has innovatedcompletely new covering solutions to provide the strongcombination of function and aesthetic choice topatients and users.CoveringsIn meeting that challenge, Touch Bionics’ developmentteam has created a choice of three innovative cosmesiscoverings, all of which set new industry benchmarks andmeet specific usage objectives.coverings

Some patients love the ‘high tech’ appearance ofthe uncovered i-LIMB Hand, and for these peopleTouch Bionics developed the i-LIMB Skin. It’s a thinlayer of high-flex material, computer modelled tofit every contour of the hand with a unique internalslip-coating to aid movement.Cosmesis Coveringsi-LIMB Skin allows free movement of the fingersand rotating thumb, while protecting the hand frommoisture and dust – providing a highly effectivegrip surface. Better still, it is available in a choiceof two confident, individual colour options - blackand clear.i-limb Skin

lifelikeCoveringsDeveloped from a unique, custom blended silicone, ouroff-the-shelf lifelike covering moves flexibly with thei-LIMB Hand’s four articulating fingers and rotating thumbto give the combined benefits of advanced function andaesthetic accuracy.These coverings come in a choice of 10 skin shades, withsubtle highlights on the knuckles and palmar surface, andcolour defined fingernail tips, giving an enhanced, naturalappearance.

Coveringscustom paintedThe Cosmesis Partner logo representscompanies that have worked through researchand development to produce custom paintedand tailored gloves for patients that wish tocombine a great aesthetic with great function.These highly skilled and Touch Bionics-endorsedorganisations exist in major centres around theworld and include;POHLIG (Germany)Dorset Orthopaedic (UK)ArtTECH (USA)Touch Bionics also provides fully customizedcoverings through its LIVINGSKIN product whichcan include nails, veins and freckles that matchthe sound hand perfectly

Professional RelationsA4certificate 11/13/07 7:50 AM Page 1With wide interest and patient/user demandfor the i-LIMB Hand, growing numbers ofclinical professionals have been trained tomeet the demand for fitting, support andaftercare.Accredited i-LIMB Hand Practitionerstatus reflects an investment in learningthe finer points of the i-LIMB Hand. Whilstnot mandatory for a trained prosthetist,Touch Bionics’ hugely successful and populartraining sessions cover every aspect of thedetail required to support patients and users– from patient selection, reimbursement,and fitting, to servicing, support andaftercare.The contact details of all Accredited i-LIMBHand Practitioners can be found atwww.touchbionics.comThis is to certify that:David SmithofABC Partnersis certified by the Directors of Touch Bionics as ani-LIMB Hand Accredited PractitionerEffective from:1st August 2009Chief Executive Officeri-LIMB TM HandAccredited PractitionerTMprofessionals* No product appears in this photo

Patients and Usersi-LIMB Hand functionality is available to a wide range of candidate users,from wrist disarticulation to shoulder forequarter.Users are able to perform a significant number of activities of daily living (ADLs)– particularly the new levels of function benefit from individual finger articulationand precision. While heavy use activities are more appropriate to ruggedizeddevices such as ETDs, the i-LIMB Hand is very comfortable lifting weights up to44 lbs overall weight limit.Both new and existing myoelectric users are strong candidates for the i-LIMBHand. Touch Bionics’ mission is to increase the proportion of upper limbamputees that decide to opt for a myoelectric device.Heavy UsageForequarterShoulder DisarticulationBody PoweredMild Usagei-LIMB HandMyoelectricAll of these arecandidates forfitting of thei-LIMB Hand.Trans-humeralThrough ElbowTrans RadialWristcandidate users

Patients and UsersAcross the world there are many people now enjoying the benefits ofTouch Bionics’ i-LIMB Hand:“I’m pretty sure that someone who doesn’t know me wouldn’t evenguess that it wasn’t my own hand.”i-LIMB Hand user Lindsay Block“Every day that I have the hand, it surprises me … an amazing handand I’m glad I got picked to use it.”i-LIMB Hand user Juan Arredondo (Sargeant U.S. Army retired)“With the i-LIMB hand, there is a lot of potential for a lot of grips thatenable the user to do everything he needs to do.”i-LIMB Hand user John Germanhappy users

Warrantypeaceof mindThe i-LIMB Hand comes with a full set of supportinginstructions, product documentation and maintenanceaccessories, fully ready for use. Most importantly, thei-LIMB Hand comes with the peace of mind of a one yearstandard warranty covering any product issues from themoment that it is fitted.Touch Bionics so confident in the quality of the i-LIMBHand that it is are also prepared to offer both;2 Year EXTENDED WARRANTY and;3 Year EXTENDED WARRANTYAn extended warranty covers all parts, labour, annualservice by a Touch Bionics technician and an annualdevice upgrade if required (same generation of hand).* No product appears in this photoFull service checks are performed in months 12 and 24for extended warranty contracts.

Daily Usageeasyevery dayThe high levels of technology in the i-LIMB Hand extendto the batteries and charging system that is provided. Itmeans that users can rely on getting a full day’s usagefrom a single charge, at regular levels of usage.However, technology is not what users are thinkingabout when they are performing activities of daily living(ADLs). They may, for example, be buttoning a shirt,carrying shopping bags, brushing teeth, picking up a coin,filing documents, hugging their children.Touch Bionics’ goal; to transform the everyday lives ofextraordinary people.Touch Bionics understands that existingmyoelectric users have needs andpreferences in the terminal devices they useeveryday – they may require differing levelsof performance from different devices atdifferent times. They may, for example, bevery used to the powered wrist rotation oftheir previous device.Touch Bionics has made the i-LIMB Handeasy to decouple and attach throughcompatibility with industry-standard wristunits (including powered rotator and flexionoptions) so that users can integrate thei-LIMB Hand with their socket preferences.

Componentrysimple systemsStandard WristConnectorTouch BionicsInternal BatterySupplied by Touch BionicsSourced by ProsthetistPowered WristRotation(optional)StandardElectrodesPowered ElbowOptions x 2There’s no point in great technological advances, if they fall down on the practicalities.So the i-LIMB Hand operates with industry standard socket components, from othermanufacturers, making life straight forward for the clinical professional. The list includeselectrodes, cables, connectors and wrist units.Above elbow users are catered for by the i-LIMB Hand’s compatibility with elbow unitsfrom Motion Control (Utah U3 and U3+) and from LTI (Boston Digital Arm). In bothcases the arm/elbow unit detects the i-LIMB Hand and makes the correct connectionsvia the conventional wiring and battery.

DistributionNo wonder Touch Bionics is the fastest growing upperlimb product company in the world.Touch Bionics’ distribution partners around the globehave established a reputation for reliable product andclinical support.If you wish to become a Distributor Partner of TouchBionics or would like to find how you can purchaseproducts in your country please visit:www.touchbionics.comglobal

ComponentryFrom start to finish, the i-LIMB Hand has been designedwith the user in mind. As the 5 ProDigit fingers thatmake-up the i-LIMB Hand are easily swapped-out byremoving one screw, if needed, practitioners are ableto interchange fingers in their facility. This enables theuser to return immediately to active function with noneed to return the i-LIMB Hand unit to Touch Bionics.modularity

North American Customers (Canada, Mexico & US)Tel: +1-800-208-SKIN (7546)Tel: +1-845-346-4225UK & Non-North American CustomersTel: +44 1506 438 556Email: info@touchbionics.comFor address details and further information please visit our website:Website: www.touchbionics.comTouch Bionics, LIVINGSKIN, DermaHair, i-LIMBHand, SeasonGuard, i-LIMB and ProDigits andassociated logos are trademarks of Touch EMAS Limitedand /or are the subject of trademark applications orregistrations in various countries around the world.All Touch EMAS products are subject to continuousresearch and development – we therefore reservethe right to alter technical specifications without priornotice. Touch EMAS products are protected by patentand/or patent applications in various countries aroundthe world.© Copyright 2009 Touch Bionics Inc. and Touch EMASLtd. All rights reserved.