FAQ on the use of pediatric exoskeleton ATLAS 2020


When will the exoskeleton?

When we get the CE mark, and that the clinical evaluation is necessary to pass in the Sant Joan de Deu (Barcelona) This evaluation is scheduled to be completed by the middle of next year. If there are no setbacks and get the investment needed production process for 2017 would be for sale or rent.

How much will the exoskeleton?

If we finally get coverage from private insurers, the use of the exoskeleton, following the prescription would be covered. If we do not get it (I hope so), the selling price would be around 50,000 euros. A rent would be about 800 euros per month.

What Social Security funds?

Not for the moment. And this is tricky as far as I know does not finance electric wheelchairs. Yet we intend to move, but will be a long-term negotiation with few expectations. We hope we have more private insurers.

What is the life of an exoskeleton?

The exoskeleton is similar to a car life. With an annual maintenance it can last more than 10 years. What happens is that the child grows and will have to change in size (we have 3 sizes). It is designed so that the size change does not involve the purchase of a new unit, but is a substitution of some components.

Does the child interact with other children can?

Of course. The exoskeleton intended to enable the child to perform daily activities involving movement. But the play is too big for now we settle for who can stand, sit and walk including changes of address. It is safe to use, so do security testing, if any would not have the certification for launch.

How the exoskeleton controlled?

There are two options: For children without residual joint mobility movement will be fully automated and the child runs a joystic like a wheelchair. If there is movement in joints, however small it may be, the exoskeleton used to interpret the intention of movement and the child moves more naturally froma without the joystic.

How fast the exoskeleton?

It can reach 0.8 meters per second, it is a walking speed. You can not run, but that is not needed. This is to keep the child walking without fatigue, children with SMA have fatigue problems.

Do I use at home or on the street?

The exos are there for adults only for use on flat and rigid floor. The prototype that we have also (ATLAS), but we are making for new projects to AME, such as kindergarten, but can navigate uneven ground and change of stiffness.

The requirements for the use of the exoskeleton

By the time head control, and contractures allow gait pattern. but the clinical trial will give us more SJD requirements.

The most appropriate age for use

Sooner. As our exo can not be made smaller than 3 years (for now) it is that the recommended age. The exoskeleton to allow the child to walk can delay complications associated with loss of motion: scoliosis, contractures, osteoporosis, and even improve respiratory function or rather delay its deterioration. So the sooner the better.

Combined with new drugs

Speaking with Dr. Tizzano and Dr. febrer, they think that keeping the child in good physical condition with the exo improve the effect of treatment with the new therapy. Another thing would be for entirely new drugs would heal illness and the child does not lose the ability to fly. But while there is loss of motion, the exoskeleton helps improve fitness and enhance the effect of the medicine.

How long can the child continued to use the exoskeleton?

The time may have followed that the child will tell the exo clinical trial. In principle what the child tolerated. It depends on what the child is fatigue. We will make every 10 minutes walk tests and analyzing the degree of fatigue. Hopefully as little as possible to fatigue and can use it continually, but I can not give a figure. The exoesquelto moves the joints of the child and if the child has no residual exo mobility does it all, then fatigue is only due to the standing position. When the child uses his residual mobility it can be more fatigue because it is making an effort.

Adult supervision

The exoskeleton will sell for use at home, and although it will have passed all safety tests, always adult supervision is required. That does not mean you have to be stuck holding on, but you do have to be aware of the child. It is like when a child learns to walk, you have to monitor it.

Can I use the exo contractures, scoliosis, dislocation?

Contractures provided this does not limit a pattern of stable ride, even if not perfect. Contractures may improve with use. Scoliosis: I understand that you could previously operate as the exo would not occur or not so serious. Hip dislocation: yes.

How much strength in the legs and trunk you need to have to use the exoskeleton?

You do not need any force. The exoskeleton has motors at each joint assisting or replacing muscle in his task of moving the joint. The exo does all the work, all the strength, the child directs the movement but exerts no force.

Other exoskeletons worldwide

Pediatric just ours. For adults with paraplegia without spasticity are 4: Ekso is American, Israeli ReWalk is, is Japanese and Rex Hal is from New Zealand. They all can now purchase for use in the hospital for an amount ranging from 60,000 to 160,000 euros

The evolution of the exoskeleton

There is much future ahead, we are only at the beginning. The speed depends on engine-reducers, they have to improve the power / weight / volume ratio. But there is also a limitation of security, is more difficult to control the movement safely at high speeds. I think the moment is not the goal running. remove the walker and it is our immediate objective and are working. The exo kindergarten project being tested in clinical at the Ramon y Cajal and going without walker and controls balance. Other changes: in general, any shift in 3d, sitting, standing, climbing stairs and walking on uneven ground.
To see how the exoskeleton can see images www.marsibionics.com or facebook www.facebook.com/marsibionics (and incidentally I like haceis us, hehe) The images of those really is the prototype we have in the labo we tested in a quadriplegic child. The AME is a bit bulkier because it has more leg 2 motors, a total of 10 engines, to allow this mobility 3d and stability. It weighs 12 kg. This can also be reduced over time.

You can be worn under clothes?

At the moment it can not be below the clothes, but we will make a nice design for kids

The main problem

The investment is the main problem we face. In Spain we do not get investment, we are talking with England, Japan and the United States. It is very difficult. Greatly facilitate the thrust of the families and associations. The social pressure. It could even facilitate public investment. On the other hand, as a desperate we are launching a campaign of crowdfunding, micro-donations-based, but hundreds of thousands. To reach both the public and you can also help. We shot a video next weekend with your families and the campaign launched in May. We will also go to the media. But porfa Spread. marsi the facebook of bionics is all updated and the campaign will be launched. Follow us now and share the most !!

Do I use at home or in the hospital?

In rehabilitation centers is also recommended, in fact start there. first in hospitals and rehabilitation centers for doctors and patients to try it, and then barred house.

User Guides

Documentation will, as instructions, but above all be demos and training courses for professionals and parents.

Have you already tried in AME?

Not being tested in AME. These projects have just begun. The AME is exo to manufacturing, testing and start from June, first static, single measurement and pressure testing will gradually move functions. The clinical trial itself begins in April 2016 HSJD. The test will be in 2017 at home all year long control of the Ramon y Cajal. If you want to participate in this test at home and get in touch because we are closing the period.

For when an exoskeleton for adults

For now we are focused on children because there is nothing in the market for them. Exos for adults there are 4, but of course, for paraplegia. The AME has no strength in arms or trunk to use those exos. Our technology is scalable, but to make models for adult necesiotaríamos more investment, and it is costing us a world fund pediatric. I do not rule, but for now we can not address it.

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