About this trial
The purpose of this research study is to see how well a new type of myoelectric prosthesis works. A myoelectric prosthesis is a robotic limb for amputees that is controlled by sensing the activity of muscles in the body above the amputation level. This study involves a medical procedure to implant the Myoelectric Implantable Recording Array (MIRA) in the residual limb. The procedure will be performed under sedation by a physician. When muscles contract, they generate an electrical signal that can be sensed by MIRA and used to control the prosthetic limb. Myoelectric prosthetic limbs normally use electrodes that are placed on the surface of the skin to control different movements. However, MIRA is implanted under the skin, which could improve the ability to control the myoelectric prosthesis. After the MIRA is implanted, training will occur to learn how to control the prosthesis using the muscles in the residual limb. The device can stay implanted for up to one year. The device will be removed (explanted) by a physician.
Eligibility criteria
Qualifiers
Subjects must have a unilateral transradial amputation or wrist disarticulation.
Subjects must demonstrate independent voluntary control of muscles in the flexor and extensor compartments of the forearm
Subjects must be over 1-year post-amputation at time of implantation.
Subjects must be between the ages of 22 and 70 years old. Subjects outside this age range may be at an increased surgical risk and increased risk of fatigue during prosthetic training.
Disqualifiers
Subjects must be able to function without the use of a prosthesis, or have access to assistance, for a period of 6 weeks following implantation and explantation surgeries.
Subjects must not have visual impairment such that extended viewing of a computer monitor would be difficult even with ordinary corrective lenses.
Subjects who have another serious disease(s) or disorder(s) that could affect their ability to participate in this study (verified during pre-op anesthesia evaluation to determine surgical risk status) will be excluded.
Subjects must not have phantom limb pain that is self-reported to be severe (options are no pain, mild pain, moderate pain, severe pain).
Trial design
Treatments tested in this trial
- Myoelectric Implantable Recording Array (MIRA)
Treatment groups
Sponsors and collaborators
Boninger, Michael, MD
Lead sponsor
University of Pittsburgh
Sponsor institution
Ripple Therapeutics Corporation
Collaborator
National Institute of Neurological Disorders and Stroke (NINDS)
Collaborator