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Both, though, worry about the lack

of trained technicians in developing

countries to fit the products.‘In Nigeria

we are told there is just one highly

trained prosthetist at the moment,

whereas in the UK, there are more

than 250 dedicated prosthetists out

of a prosthetic and orthotic workforce

of nearly 1,000,’ says Prof Zahedi.

Blatchford is involved in a project

to provide factories of the future,

which will make the supply chain

more efficient.‘It’s early days,’ says

Stenson,‘but in the long run we need

to change the whole philosophy of the

way we provide prosthetics alongside

the technology.’

Prof Zahedi leads the engineering

team behind the first fully integrated

limb system, the Linx, which was

described in a recent award citation

as ‘the platform technology for the

beginning of the next generation of

prosthetics’.The Linx enables

communication between knee and

ankle via microprocessors, making

everyday activities such as walking the

dog on a sandy beach, descending a steep

slope or even just standing for three hours

at a concert, possible.‘It is the ability to

perform these simple tasks without pain

or fear of falling, as much as the ability

to run and jump, that users crave,’ says

Prof Zahedi.

But if ever more sophisticated

prosthetics are under development, the

way they are attached to the body has

changed little since the SecondWorld

War. It is this which the young team of

Cambridge PhD students at CBAS

intend to

revolutionise.As

one of the

company’s two founders, Emil Hewage,

explains, they are currently trialling a

permanently integrated medical device

that will provide a standardised way

prosthetic arm that allows the user to

wiggle their fingers.

Prof Zahedi’s vision is for an artificial

limb that you can keep on in the shower

without needing to change your

prosthesis and without pain.‘It will be

widespread one day,’ he says.‘It’s slow in

coming because we have to work harder

to convince the investment community,

government-funding agencies and

insurers of the cost benefits of these

developments. But just by reducing the

risk of falling, we reduce the burden on

the health service. In the end, users’

needs don’t differ, just their ability to pay.’

So the challenge remains to make the

impressive developments in prosthetic

technology

affordable.As

Hewage says:

‘I used to work on research for racing

cars, including prototype electric

vehicles and Formula 1. One carbon

running blade currently costs more than

we would spend building the chassis of

three prototype cars.’

Not every amputee wants to run in

the Paralympics.They just want to be

able to walk on the beach or pick up

a tennis racquet and now the technology

is there.The future is to make it

accessible to everybody.

THE INVESTOR

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17

of connecting prosthetics.‘Think of it as

an open standard USB connector for

prosthetic technology,’ says this expert

in computational neuroscience and

machine learning.‘It really is as simple as

plug ‘n’ play. Our dream is that one day

users will be able to go onAmazon and

order a limb that suits their needs.’

Those needs vary aesthetically as well

as practically, and the latest techniques

are allowing a new wave of design beyond

functionality.Art, sculpture and prosthetics

have a long relationship, as celebrated in

the recent

The Body Extended

exhibition

at the Henry Moore Institute in Leeds.

Once, the biggest cosmetic challenge was

colour-matching the prosthetic limb to

the individual’s skin tone.Today’s

younger users are looking to customise

the appearance of their limb, whether

that is covering it in embroidered leather

or adorning it with tattoos.

Meanwhile, researchers at Stanford

University in the US are working to

create prosthetic skin that will allow

a person to sense touch and pressure.

And at Johns Hopkins University

in Baltimore, physicians and

biomedical engineers report the first

successful trials of a mind-controlled

Users’ needs don’t

differ, just their

ability to pay

Greg Funnell

FUTURE TECHNOLOGY

ANALYSIS