Hubert Egger (medical technician)

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Hubert Egger

Hubert Egger (born March 14, 1964 in Brixen ) is a medical technician. The success of his research with bionic arm and leg prostheses for people with limb amputations attracted worldwide attention when, under his leadership, the thought-controlled arm prosthesis was presented in 2007, then the feeling hand prosthesis in 2009 and finally the first feeling leg prosthesis in 2015.

Life

Egger grew up as the seventh of eight children in a mountain farming family in St. Andrä in South Tyrol . After primary and secondary school, he completed the state vocational school for industrial electricians in Bruneck , the trade school for industrial electronics and the trade high school in Bozen , where he graduated in 1984 in electrical engineering. In autumn 1984 Egger moved to Vienna , where he first studied electrical engineering and then communications engineering at the Vienna University of Technology . In 1993 he also enrolled at the Medical University of Vienna and obtained his doctorate in 1999 in the field of medical technology at the Technical University of Vienna. Egger focuses his efforts on using existing parts of motor and sensory nerves in the stump of people with limb amputations for the interaction with artificial high-tech limbs, so that they function as bionic arm and leg prostheses in their biological counterparts to natural ones Bring limbs as close as possible.

Create

Mind controlled arm prosthesis

In 2007, Otto Bock , where he headed research projects from 2000 to 2011, presented the world's first thought-controlled arm prosthesis by the Austrian Christian Kandlbauer . This bionic arm prosthesis contained six electrodes and three joints. It was controlled by the nerves that supplied the patient's natural arm with motor prior to the amputation . In an operation , the severed nerves were connected to several chest muscles , which served as biological amplifiers for the motor movement commands. By means of electromyography the electrical movement commands were picked off at the skin surface, and thus the bionics - prosthesis intuitively controlled (only by means of "memory" of thought).

Sensitive hand prosthesis

In 2009, the company presented the extended version of this bionic arm prosthesis, the first prototype with the feeling hand prosthesis. He integrated artificial pressure, vibration and temperature sensors into the fingertips of the prosthetic hand, which act like the receptors in natural skin and generate electrical signals when an object is grasped. In addition to the descending direction of transmission of the movement commands from motor nerves to the bionic prosthesis, the electrical signals from the artificial sensors in the prosthetic fingers were also transmitted to the brain in the ascending direction of transmission. For this purpose, pressure, vibration and temperature actuators integrated in the prosthesis shaft were used, which transmitted the sense of touch to surgically diverted cutaneous nerves, which were sensitive to natural fingers before the amputation .

Sensing prosthetic leg

In 2015, the Upper Austria University of Applied Sciences , for which Egger has been teaching and researching since 2012, presented the first sensory prosthetic leg of the Austrian Wolfgang Rangger in cooperation with the Medical University of Innsbruck . There were six force sensors in the sole of the prosthetic foot, which recorded the rolling movement when walking. The electrical signals from these artificial sensors were sent to the brain in a similar way to the sensory hand prosthesis. For this purpose, vibration actuators integrated into the prosthesis shaft from mobile phones were used, which transmitted the rolling movement of the prosthetic foot to surgically diverted cutaneous nerves that supplied areas of the natural foot with sensitive care before the amputation.

Egger deliberately did not patent circuitry ideas for the sensory leg prosthesis and implemented them with low-cost components from industrial electronics. He justified his approach in order to make it easier for start-ups and small and medium-sized medical technology companies to further develop their prototypes into marketable medical products and, against the background of the resulting market diversity, to make bionic prostheses more affordable for as many people with limb amputations as possible, including people in thresholds - and developing countries. His first prototype of the feeling leg prosthesis is exhibited in the Vienna Technical Museum .

Bionic leg prosthesis "Suralis"

Bionic leg prosthesis "Suralis". Olympic champions Toni Innauer (left) and Hubert Egger (right) in the Concordia Press Club in Vienna.

In 2019, the start-up company Saphenus Medical Technology announced that the new development "Suralis" was about to enter the market. It is a marketable medical product based on Egger's ideas , which consists of a wireless transmitter and receiver unit and makes existing prosthetic legs feel. The two components work independently and can be used as an add-on for every commercially available prosthesis, regardless of the technical design and regardless of the manufacturer. Operation and individual adjustment of the intensity of feeling should be possible using a smartphone. Olympic champion Toni Innauer is co-founder of Saphenus Medical Technology . The founding of the start-up company and the marketing of the medical product are supported by the European Commission as part of the Horizon2020 funding program .

Awards and honors

Awarding of the 1st place of the Vienna Future Prize to Hubert Egger (center) on November 7, 2008 in the City Hall of Vienna
Awarding the Medal of Honor to Hubert Egger (left) by Mayor Peter Brunner (right) on November 22, 2019 in the Festsaal Forum Brixen
  • 1996: Sponsorship award for young South Tyroleans abroad from the “Futura” initiative in South Tyrol
  • 2008: Awarded 1st place in the Vienna Future Prize for the “Mind-Controlled Arm Prosthesis” project by the Mayor of Vienna
  • 2009: Award for special professional achievements by the mayor of the home town of Brixen
  • 2013: Honored as "South Tyrolean of the day" by the radio station Südtirol1
  • 2013: First award for "Upper Austrian of the day" by the Upper Austrian News
  • 2015: Second award for “Upper Austrian of the Day” by the Upper Austrian News
  • 2019: Awarding of the Medal of Honor for services to the city of Brixen and the community by the home parish in the Festsaal Forum Brixen

literature

  • H. Egger: The thought-controlled and the feeling arm prosthesis. Orthopädie Aktuell, pp. 156–161, Argelanderstrasse 59, 53115 Bonn, March 2010
  • H. Egger: The feeling hand prosthesis. Credit Suisse, Nano Circle, Innovative Technologies and Trends, March 2010
  • H. Egger: Gait Analysis in Prosthetic Care. Eurocom eV Aktuell, pp. 1–8, August Klotz Str. 16d, D52349 Düren, October 2014
  • EM. Baur, H. Egger: A New Approach to a Sensitive Leg Prosthesis - A Case Study. Sensory feedback by means of relocated sensory nerves from the foot area. Orthopädietechnik Neuroprothetik, Verlag Orthopädie-Technik / Bundesinnungsverband für Orthopädie-Technik, Reinoldistr. 7–9 44135 Dortmund, July 2016
  • EM. Baur, H. Egger: Medium-term clinical result after sensitive nerve transfer surgery (TSR) and fitting of a “feeling leg prosthesis”. Case report, Orthopädie-Technik publishing house / Federal Association for Orthopedic Technology, Reinoldistr. 7–9 44135 Dortmund, November 2018

Individual evidence

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  8. Title ( Memento from April 11, 2019 in the Internet Archive ) Die Presse, article from November 13, 2007.
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  11. ^ Prostheses with feeling Das Erste, broadcast on November 14, 2010.
  12. Mind-controlled prosthetic arm moving to market in Europe Engadget, article from December 5, 2010.
  13. Prostheses with Heads, Radio Ö1, broadcast on November 30, 2010.
  14. First person with sensory leg prosthesis Austria Press Agency, broadcast on June 8, 2015.
  15. Artificial leg allows patient to feel BBC News, June 8, 2015 article.
  16. World's first "feeling" prosthetic leg fitted in Austria The Telegraph. Article dated June 8, 2015.
  17. Austrian pioneers first "feeling" leg prosthesis The Local Austria, article from June 8, 2015.
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  33. The feeling prosthesis Die Neue Südtiroler Tageszeitung, article from June 8, 2015.
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