May 11, 2024

New Technology Restores Cold Sensation in Amputees’ Phantom Limbs

Scientists have actually established the thin-film thermoelectric cooler (TFTEC), one of the worlds smallest and fastest refrigeration devices, for applications like enhanced prosthetics and augmented reality. Partnership with neuroscientists has actually allowed amputees to perceive temperature with phantom limbs, a first-of-its-kind advancement that has implications for prostheses, haptics, and other applications like cooling electronics and energy harvesting in satellites. The research study keeps in mind that the TFTEC elicited cooling sensations in the phantom limbs of all participants during a cold detection task, whereas conventional thermoelectric technology only did so in half of them– and the TFTEC did so 8 times quicker and with 3 times the strength. In addition, TFTEC utilized half the energy compared to current thermoelectric gadgets.
Katy Carneal, a biomedical engineer and assistant program manager a biomedical engineer and assistant program manager who leads innovative health-related research at APL sees a vast set of future applications for the miniaturized thermoelectric technology.

Venkatasubramanians strides in CHESS thermoelectrics were so significant by the end of 2019 that Bobby Armiger, who supervises APLs Exploratory Science Branch, questioned if his gadgets could be utilized to help with temperature level feeling in phantom limbs of amputees for improved prostheses. Because 2006, APL had been leading DARPAs Revolutionizing Prosthetics program, an effort concentrated on producing a mentally controlled artificial limb that will restore near-natural motor and sensory ability to upper-extremity amputee clients.
Johnny Matheny, a prosthetics tester, identifies which soda can is the coldest utilizing a modular prosthetic limb and thin-film thermoelectric device, both developed by the Johns Hopkins Applied Physics Laboratory. Credit: Ed Whitman/ Johns Hopkins University Applied Physics Laboratory.
” Weve understood that we can stimulate particular parts of somebodys amputated limb to feel feelings of touch and vibration, however no one has had the ability to develop a cooling sensation with the speed, effectiveness, and strength to restore natural thermal perception with a prosthetic system,” Armiger said. “Restoring temperature feeling has practical applications– like determining a cold drink– in addition to having the potential to enhance the psychological embodiment of the prosthetic device, perhaps by feeling the heat of a liked ones hand.”.
Venkatasubramanian and the thermoelectrics team began teaming up with Armiger and a team of neuroscientists and roboticists as part of a research study supported by the Center for Rehabilitation Sciences Research within the Department of Physical Medicine & & Rehabilitation (PM&R) at the Uniformed Services University of the Health Sciences (USU), through a sub-award from The Henry M. Jackson Foundation for the Advancement of Military Medicine to produce a wearable thermoelectric cooler quick and extreme sufficient to match the bodys capability to quickly sense temperature modifications.
From that, the wearable TFTEC was developed.
” Our TFTEC is just a bit more than one millimeter thick, weighs only 0.05 grams, comparable to a thin adhesive bandage, and can provide extreme cooling in less than a second,” stated Venkatasubramanian. “Its likewise 2 times more energy efficient than todays most typical thermoelectric devices, and can be readily made utilizing semiconductor tools that are also utilized for making light-emitting diodes [LEDs] Its an interesting development that could have substantial implications for prostheses and haptics applications.”.
To evaluate the TFTECs efficacy, scientists mapped thermal sensations in the phantom hands of four amputees.
” When someone loses part of a limb, the nerves within the recurring limb are still there, which can lead to the phantom limb feeling,” said Luke Osborn, a neuroengineering scientist who leads much of APLs noninvasive nerve simulation work. “You can put electrodes on different parts of an amputees arm where those nerves have actually regrown and promote experience– usually pressure, but in the current case, temperature level– and the person can inform us where in their phantom hand they feel those feelings.”.
Nature Biomedical Engineering recently published outcomes from APLs comprehensive TFTEC research for such sensory applications, which included lab-scale characterization, trials with amputees, and a real-life presentation of the technique. The study notes that the TFTEC generated cooling feelings in the phantom limbs of all individuals throughout a cold detection task, whereas traditional thermoelectric technology just did so in half of them– and the TFTEC did so 8 times faster and with three times the strength. Furthermore, TFTEC used half the energy compared to current thermoelectric devices.
” We found that the TFTEC device was substantially better at developing much faster and more extreme cooling sensations compared to standard gadgets, even though the target temperature was the exact same,” stated Osborn. “And that assisted participants make faster observations and choices.”.
The stimulation websites on test participants remained the same over 48 weeks of testing, recommending that the innovation could make it possible for users to feel the temperature level in their missing hands for several years. This temporal stability together with a wearable noninvasive treatment are appealing for adoption to real-world usage.
” When we started our work in March 2020, we recognized that within simply a number of trials, we could stimulate the phantom limbs of an amputee,” stated Venkatasubramanian. “We heard individuals say, Yes, I felt an instant cold feeling here and a tingle there.”.
The APL group continued to ideal its technique through screening on numerous people with amputation in addition to those with an intact limb. “These are the advancements we imagine as scientists,” Venkatasubramanian continued. “We invest years in the laboratory, and to see our innovation have an influence on somebodys quality of life, like an amputee to view the natural thermal world, is extremely satisfying.”.
Capable of creating informative and practical thermal signals for human understanding– at a fraction of the energy and size compared to todays cooling innovations– the gadgets low profile, high-speed, and lightweight nature make them appropriate for skin surface area applications without limitations that could affect motion.
” It has actually been fantastic to see the translation of this APL-developed thermoelectric technology into the healthcare domain through this first-of-kind demonstration in an amputee,” said David Drewry, a biomedical engineer and program supervisor within APLs National Health Mission Area. “We look forward to broadening the outcomes in more robust medical trials and incorporating the gadget into other wearable type aspects that can be easily released to people in need of sensory remediation or haptic feedback.”.
Katy Carneal, a biomedical engineer and assistant program manager a biomedical engineer and assistant program supervisor who leads ingenious health-related research study at APL sees a large set of future applications for the miniaturized thermoelectric innovation. “There are a lot of methods that pressure and temperature experiences affect the body,” stated Carneal. “In addition to enhancing the quality of life for amputees, weve opened a great deal of research study doors that can assist us study and find new treatments for neuromuscular illness or persistent pain.”.
Dr. Paul Pasquina, the chair of PM&R at USU, echoed that interest while applauding the work of the APL team. “What an advantage it is to work with such expert engineers to come up with solutions to assist real-world clients, including our injured warriors with limb loss,” he said.
APL is distinctively certified to advance the art-of-the-possible for novel health applications by exploring this intersection of materials science and electronic gadget engineering with biology and neuroscience. In addition to the Revolutionizing Prosthetics program, APL is making considerable advances in neural user interface research study, enhancing genomics tools, and monitoring physical tiredness to avoid warfighter injuries among lots of other developments in the National Health Mission Area.
Referral: “Evoking natural thermal understandings utilizing a thin-film thermoelectric gadget with high cooling power density and speed” by Luke E. Osborn, Rama Venkatasubramanian, Meiyong Himmtann, Courtney W. Moran, Jonathan M. Pierce, Priya Gajendiran, Jared M. Wormley, Richard J. Ung, Harrison H. Nguyen, Adam C. G. Crego, Matthew S. Fifer and Robert S. Armiger, 27 July 2023, Nature Biomedical Engineering.DOI: 10.1038/ s41551-023-01070-w.

Researchers have developed the thin-film thermoelectric cooler (TFTEC), among the worlds tiniest and fastest refrigeration gadgets, for applications like enhanced prosthetics and enhanced reality. Collaboration with neuroscientists has actually enabled amputees to perceive temperature with phantom limbs, a first-of-its-kind development that has implications for prostheses, haptics, and other applications like cooling electronics and energy harvesting in satellites. (Artists Concept).
Researchers at Johns Hopkins Applied Physics Laboratory (APL) have developed one of the smallest, most intense, and fastest refrigeration devices, referred to as the wearable thin-film thermoelectric cooler (TFTEC). They have signed up with forces with neuroscientists to help amputees feel temperature level with their phantom limbs.
This pioneering development opens up a vast array of advantageous brand-new performances, including improved prosthetics, tactile feedback in unique augmented reality (AR) formats, and thermally-regulated treatments for usage cases like pain relief. The innovation is likewise potentially important in a selection of industrial and research contexts, such as cooling electronic devices and lasers, and energy harvesting in satellites.
TFTEC advancement at APL started in 2016, when Rama Venkatasubramanian, a semiconductor device engineer and chief technologist for APLs thermoelectrics research study, started developing advanced nano-engineered thermoelectric products and gadgets for the Defense Advanced Research Projects Agency (DARPA) MATRIX program. To support MATRIX, APL developed innovative thin-film thermoelectric materials called Controlled Hierarchically Engineered Superlattice Structures (CHESS), to make it possible for an entirely new set of transduction abilities for a number of Department of Defense applications, including cooling computer system chips and engine elements.