Alternate Control Technology Methodologies for Cybernetic Prosthesis: Difference between revisions

Alternate Control Technology Methodologies for Cybernetic Prosthesis (view source)

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Addison MacKenzie

Power Users

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 <h3>Case Presentation</h3>
-A 26-year-old (Earth Standard) metagenetic Klingon female Starfleet security officer, was critically injured in the line of duty on Stardate 239601.12 when her right arm was severed by an indigenous predator on the previously uncharted world Limbo.<ref>[https://wiki.starbase118.net/wiki/index.php?title=Limbo_(Veritas) "Limbo (Veritas)"] Laser Spine Institute, Stardate 2396</ref>   Field conditions did not allow for the standard therapeutic treatments of bio-grafting, and the subject was forced to remain in an injured state for several months with only minimal medical resources available to control shock, blood loss, and infection. Subsequent infections resulted in the complete amputation of the arm.
+A 26-year-old (Earth Standard) metagenetic Klingon female Starfleet security officer, was critically injured in the line of duty on Stardate 239601.12 when her right arm was severed by an indigenous predator on the previously uncharted world Limbo.<ref>[https://wiki.starbase118.net/wiki/index.php?title=Limbo_(Veritas) "Limbo (Veritas)"] Starbase 118, Stardate 239601.12</ref>   Field conditions did not allow for the standard therapeutic treatments of bio-grafting, and the subject was forced to remain in an injured state for several months with only minimal medical resources available to control shock, blood loss, and infection. Subsequent infections resulted in the complete amputation of the arm.
 <br>When the patient was successfully evacuated to a specialized medical facility, extensive surgical intervention was required to successfully remove subsequent necrotic tissue from the original injury site prior to the installation of a type eleven scapula supplement mount, connected across the remaining bone tissue with microsutures and several hundred tritanium self-sealing micro-anchors.  The brachial plexus was found to be in acceptable condition to support a standard neuro-servo control interface, although the axial and ulnar nerve sheaths had been damaged.  The interface was surgically implanted and tested successfully by the attending surgeon at the time.  During subsequent physical reconditioning, the patient expressed frustration and discomfort, which required additional therapeutic focus to overcome.  After several weeks, she was discharged and returned to duty with instructions to work closely with her shipboard medical staff for any further issues.
-<br>In the course of her duties, the patient’s prosthetic was directly exposed to multiple exotic high energy discharges, which radiated from the prosthetic through the patient’s entire central nervous system, initially presenting symptoms of mild electrocution.  Medical staff were engaged subsequent to this exposure and, aside from minor symptoms that were attributed to the incident itself, the patient was discharged with a clean bill of health and continued to perform her duties without interruption for several additional days.
+<br>In the course of her duties, the patient’s prosthetic was directly exposed to multiple exotic high energy discharges, which radiated from the prosthetic through the patient’s entire central nervous system, initially presenting symptoms of mild electrocution.  Medical staff were engaged subsequent to this exposure and, aside from minor symptoms that were attributed to the incident itself, the patient was discharged with a clean bill of health and continued to perform her duties without interruption for several additional days.[[File:Cyberarm.JPG|right|thumb|300px|Patient's original prosthetic.]]
 <br>Later, however, the patient awoke in significant physical discomfort and found that the prosthetic was no longer functioning in an acceptable manner.  In the course of seeking medical attention, the prosthetic malfunctioned significantly, causing the patient severe radiating pain and a total loss of limbic motor control.  Comprehensive medical examination revealed the prosthetic itself had been severely damaged by the high energy discharges, and this damage had spread to the neuro-servo control interface and the brachial plexus nerves themselves, causing significant peripheral neuropathy.  Coupled with the existing damage to the nerve tissues, this prevented the patient from generating adequate nervous system feedback to activate and control a standard neuro-servo interface, even after the damaged unit was removed and replaced.  Her prognosis for recovery and return to duty at this point was non-favorable.
-<br>Several Starfleet engineers serving with the patient became aware of her condition and began examining the data provided by attending medical staff regarding the component malfunctions.  Working in tandem with medical staff, the engineers began a comprehensive disassembly of the patient’s prosthetic, with which they already had some familiarity due to improvised repairs and upgrades conducted at an earlier juncture.  They discovered that numerous control components of the original prosthetic were severely damaged and began laboring to extract them in an attempt to save the existing unit.  In the course of their repairs, the nature and extent of the damage to the patient’s nervous system became clear, which led the team to the conclusion that standard surgical approaches were insufficient.  In an effort to provide an immediate, workable solution, the Engineering team approached the patient’s injuries in the same manner in which they’d approach shipboard damage control efforts - they attempted to bypass the damaged systems and reroute the nervous system control impulses.  After performing a series of simulations to verify their hypothesis, the Engineering team began modifying a pair of subspace transceivers to serve as a replacement for the standard neuro-servo control interface that would not rely on the damaged brachial nerves.  Subsequent assembly and testing was conducted rapidly and, post repairs, the patient was again able to manipulate her prosthetic effectively and without accidental input or injury.
+<br>[[File:Vladislav-ociacia-hands-arm-wrestling-2.jpg|left|thumb|350px|Patient's new prosthetic.]] Several Starfleet engineers serving with the patient became aware of her condition and began examining the data provided by attending medical staff regarding the component malfunctions.  Working in tandem with medical staff, the engineers began a comprehensive disassembly of the patient’s prosthetic, with which they already had some familiarity due to improvised repairs and upgrades conducted at an earlier juncture.  They discovered that numerous control components of the original prosthetic were severely damaged and began laboring to extract them in an attempt to save the existing unit.  In the course of their repairs, the nature and extent of the damage to the patient’s nervous system became clear, which led the team to the conclusion that standard surgical approaches were insufficient.  In an effort to provide an immediate, workable solution, the Engineering team approached the patient’s injuries in the same manner in which they’d approach shipboard damage control efforts - they attempted to bypass the damaged systems and reroute the nervous system control impulses.  After performing a series of simulations to verify their hypothesis, the Engineering team began modifying a pair of subspace transceivers to serve as a replacement for the standard neuro-servo control interface that would not rely on the damaged brachial nerves.  Subsequent assembly and testing was conducted rapidly and, post repairs, the patient was again able to manipulate her prosthetic effectively and without accidental input or injury.
 <h3>Discussion</h3>