1. Affordable Knee Replacement Joshua Powers JaipurKnee: a high-performance knee joint for developing world amputees

2. Addressing the Problem Over 25 million people in the world today are suffering from the loss of a limb Amputees looking to replace a missing limb turn to modern prosthetics Todays prosthetics are unaffordable, leaving people around the world hopeless

3. Costs Partial foot ($14,187) Ankle disarticulation ($16,356) Hip ($45,633) Transpelvic disarticulation ($49,208) Transtibial, or below the knee ($16,690) Knee joint ($45,563) Most expensive and complex portion of a prosthetic leg http://healthcaresavvy.wbur.org/2013/04/the-cost-of-prosthetics/

4. Who can afford it? Out of the 25 million people in the world suffering from the loss of a limb, only about 20% can afford the necessary prosthetics Amputees in third world countries do not have the money or resources for modern prosthetics Each year, disease and trauma in war torn areas of the world leave thousands of new, less fortunate amputees

5. Making affordable prosthetics… Todays existing affordable prosthetics are limiting – Affordable leg prosthetics operate on a single-axis hinge system – On rough terrain, single-axis hinges tend to be unstable and can even buckle at times Most affordable knee prosthetics used in the last ten years have been unsuccessful

6. Whats Needed The ideal prosthetic knee joint: – Lightweight – Durable – High range of mobility – Affordable – Simple

7. A Real Solution The JaipurKnee Designed in collaboration with Stanford University and the Jaipur Foot Organization

8. Reliable and Affordable Simple! 5 plastic pieces and 4 standard fasteners Easily integrated; works with standard prosthetic systems Cheap; $20 per unit

9. Specifics of the JaipurKnee Lightweight; 1.5 lbs Durable; oil-filled nylon polymer self lubricates! 165 degrees of motion; bending/kneeling Works with standard prosthetic systems Bench top tested for 3-5 years of use

10. Impact 4,977 patients have been fit with ReMotion's JaipurKnee 79% of these patients are still wearing their prostheses 95% of patients report no failures in their JaipurKnees

11. Engineering for the future The D-Rev team aims to provide products that improve the health and well-being of people living on an income of less than $4 dollars a day Currently implementing products in India, Haiti, Nepal, Ecuador, Uganda, Kenya, Tanzania, Nigeria, Sri Lanka, Botswana, Bangladesh and Iraq.

12. Sources http://healthcaresavvy.wbur.org/2013/04/the-cost-of- prosthetics/ http://healthcaresavvy.wbur.org/2013/04/the-cost-of- prosthetics/ The Journal of Rehabilitation Research and Development <http://d- rev.org/projects/remotion/design.html http://www.popularmechanics.com/science/health/med- tech/7-medical-upgrades-for-developing-countries-2#slide- 2 http://www.popularmechanics.com/science/health/med- tech/7-medical-upgrades-for-developing-countries-2#slide- 2 http://healthcaresavvy.wbur.org/2013/04/the-cost-of- prosthetics/ http://healthcaresavvy.wbur.org/2013/04/the-cost-of- prosthetics/ Matthew Karam, MD. Iowa Orthopedic Journal.