19 Feb

Precision, Flexibility, and Everyday Independence: Mike Rayer and Scott Jacoby on the Espire™ Pro

Precision, Flexibility, and Everyday Independence: Mike Rayer and Scott Jacoby on the Espire™ Pro Precision, Flexibility, and Everyday Independence: Mike Rayer and Scott Jacoby on the Espire™ Pro Precision, Flexibility, and Everyday Independence: Mike Rayer and Scott Jacoby on the Espire™ Pro Precision, Flexibility, and Everyday Independence: Mike Rayer and Scott Jacoby on the Espire™ Pro
 

The Clinical Advantage: Flexibility in Design

When selecting a prosthesis for Scott, Mike explains that the Espire Pro was the primary choice, largely due to its unique design features. "The elbow was the first thing that we selected, mostly because of the flexibility with the inputs, but also the external battery" Mike’s says. In Scott’s case, the external battery was a "big deal," providing a reliable power source for a robust and natural-looking system.

 

Intuitive Control and Simultaneous Operation

To ensure Scott has the most natural movement possible, Mike used a specific control setup:

  • Elbow Control: Scott uses a linear transducer. By performing a biscapular abduction (pulling on the transducer), he can raise the elbow. To lower it, he simply relaxes back down past a specific point.

  • Terminal Device: Scott uses two-site electrode control. contracting his bicep closes the TASKA CX hand, while activating the tricep opens it.

What makes this setup truly work for Mike and Scott is the ability for proportional control. The further or faster Scott pulls on the transducer, the quicker the elbow moves. Similarly, with the hand, a slight signal allows him to grasp delicate objects very slowly and precisely.


"As he continues to progress, he can actually operate those simultaneously" Mike notes, highlighting the potential for advanced, natural movement.

Tuning for Success: The 60% Rule

One of the most critical parts of the clinical fitting is ensuring the patient doesn't feel overwhelmed. Mike explains that for Scott, they have currently set the elbow speed at 60%.

Mike says "He's able to control it quickly enough to get to where he wants it, but it's easy enough to not overshoot where he wants to position it". This "intuitive" early-stage setup is key to helping patients know that when they make a particular motion, the device will perform in a predictable, functional way.

 

The Impact of the "Simple" Things

Whilst the technology behind the Espire Pro is advanced, the goal is simplicity for the user. For Scott, the magnitude of the technology hit home during a very common daily task. "The big thing for me, the moment where I was like, 'this is it,' is when I tie my shoe," Scott shares. "Looking down, I’m like, I did that on my own and not relying on other people. Sounds simple, but that’s what it was for me".

Watch Mike and Scott's Video Below:

 

Precision, Flexibility, and Everyday Independence: Mike Rayer and Scott Jacoby on the Espire™ Pro