MediKnit: Soft Medical Making for Personalized and Clinician-Designed Wearable Devices for Hand Edema
Authors: 
Heather Jin Hee Kim, Narjes Pourjafarian, Arhan Choudhury, Joan Stilling, Cindy Hsin-Liu KaoAuthors Info & Claims
Heather Jin Hee Kim, Narjes Pourjafarian, Arhan Choudhury, Joan Stilling, Cindy Hsin-Liu KaoAuthors Info & ClaimsArticle No.: 110, Pages 1 - 30
Abstract
Current rapid prototyping in medical domains relies on rigid 3D-printed materials, lacking flexibility, customization, and clinician-led input. This paper introduces MediKnit, a novel approach for the fabrication of soft medical devices, addressing critical limitations in existing design processes for medical devices. MediKnit provides a design tool empowering clinicians to personalize fabric-based devices for hand edema. This tool allows clinicians to adapt the design to individual patients' demands, thereby enhancing the overall effectiveness of therapy. The MediKnit device created by this tool consists of a machine-knit glove with active compression, which is programmable through a custom PCB. This device facilitates the mobilization of edema. To illustrate the practical implementation of our approach, this paper presents case studies involving six patients experiencing hand edema. The results demonstrate the adaptability and feasibility of our process for developing soft medical devices, highlighting its potential to broaden accessibility, facilitate personalized solutions, and empower clinicians as active medical makers.
Supplemental Material
PDF File - Glove Template Generation
A description of the process to generate 2D template of a glove given measurements of a hand
- Download
- 422.67 KB
References
[1]
Rochelle Ackerley, Ida Carlsson, Henric Wester, Håkan Olausson, and Helena Backlund Wasling. 2014. Touch perceptions across skin sites: differences between sensitivity, direction discrimination and pleasantness. Frontiers in Behavioral Neuroscience 8 (2014). https://doi.org/10.3389/fnbeh.2014.00054
[2]
Roland Aigner, Mira Alida Haberfellner, and Michael Haller. 2022. SpaceR: Knitting Ready-Made, Tactile, and Highly Responsive Spacer-Fabric Force Sensors for Continuous Input. In Proceedings of the 35th Annual ACM Symposium on User Interface Software and Technology (Bend, OR, USA) (UIST '22). Association for Computing Machinery, New York, NY, USA, Article 68, 15 pages. https://doi.org/10.1145/3526113.3545694
[3]
Lea Albaugh, Scott Hudson, and Lining Yao. 2019. Digital fabrication of soft actuated objects by machine knitting. In Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems. 1--13.
[4]
Lea Albaugh, Scott E Hudson, and Lining Yao. 2023. An Augmented Knitting Machine for Operational Assistance and Guided Improvisation. In Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems (CHI '23). Association for Computing Machinery, New York, NY, USA, 1--15. https://doi.org/10.1145/3544548.3581549
[5]
Lea Albaugh, Scott E Hudson, and Lining Yao. 2023. Physically Situated Tools for Exploring a Grain Space in Computational Machine Knitting. In Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems (Hamburg, Germany) (CHI '23). Association for Computing Machinery, New York, NY, USA, Article 736, 14 pages. https://doi.org/10.1145/3544548.3581434
[6]
Lea Albaugh, James McCann, Scott E. Hudson, and Lining Yao. 2021. Engineering Multifunctional Spacer Fabrics Through Machine Knitting. In Proceedings of the 2021 CHI Conference on Human Factors in Computing Systems (Yokohama, Japan) (CHI '21). Association for Computing Machinery, New York, NY, USA, Article 498, 12 pages. https://doi.org/10.1145/3411764.3445564
[7]
Lea Albaugh, James McCann, Lining Yao, and Scott E. Hudson. 2021. Enabling Personal Computational Handweaving with a Low-Cost Jacquard Loom. In Proceedings of the 2021 CHI Conference on Human Factors in Computing Systems (CHI '21). Association for Computing Machinery, New York, NY, USA, 1--10. https://doi.org/10.1145/3411764.3445750
[8]
Sandra M. Artzberger. 2014. 3 - Edema Reduction Techniques: A Biologic Rationale for Selection. In Fundamentals of Hand Therapy (Second Edition), Cynthia Cooper (Ed.). Mosby, St. Louis, 35--50. https://doi.org/10.1016/B978-0-323-09104-6.00003-1
[9]
Douglas Bates, Martin Mächler, Ben Bolker, and Steve Walker. 2015. Fitting Linear Mixed-Effects Models Using lme4. Journal of Statistical Software 67, 1 (2015), 1--48. https://doi.org/10.18637/jss.v067.i01
[10]
Chris M. Bleakley and Joseph T. Costello. 2013. Do thermal agents affect range of movement and mechanical properties in soft tissues? A systematic review. Archives of Physical Medicine and Rehabilitation 94, 1 (Jan. 2013), 149--163. https://doi.org/10.1016/j.apmr.2012.07.023
[11]
Femke Cappon, Tingting Wu, Theodore Papaioannou, Xinli Du, Po-Lin Hsu, and Ashraf W Khir. 2021. Mock circulatory loops used for testing cardiac assist devices: A review of computational and experimental models. The International Journal of Artificial Organs 44, 11 (Nov. 2021), 793--806. https://doi.org/10.1177/03913988211045405
[12]
Mark Carey, Daniel Laird, Keith A Murray, and John R. Stevenson. 2010. Reliability, validity, and clinical usability of a digital goniometer. Work 36 1 (2010), 55--66.
[13]
Rogério Mendonca De Carvalho, Maria Del Carmen, Janerio Perez, and Fausto Miranda. 2012. Assessment of the Intraobserver and Interobserver Reliability of a Communicating Vessels Volumeter to Measure Wrist-Hand Volume. (2012). https://academic.oup.com/ptj/article/92/10/1329/2735174
[14]
Athira Dev. [n.d.]. KNIT CAD AND STRUCTURES. https://athiradev.wordpress.com/wp-content/uploads/2017/01/knit-paint.pdf
[15]
A. K. Dąbrowska, G.-M. Rotaru, S. Derler, F. Spano, M. Camenzind, S. Annaheim, R. Stämpfli, M. Schmid, and R. M. Rossi. 2016. Materials used to simulate physical properties of human skin. Skin Research and Technology 22, 1 (2016), 3--14. https://doi.org/10.1111/srt.12235 eprint: https://onlinelibrary.wiley.com/doi/pdf/10.1111/srt.12235.
[16]
Kenneth R. Flowers. 1988. String Wrapping Versus Massage for Reducing Digital Volume. Physical Therapy 68, 1 (Jan. 1988), 57--59. https://doi.org/10.1093/ptj/68.1.57
[17]
David W. Gibson and Harry L. Greene. 2010. Edema. In Decision Making in Medicine (Third Edition) (third edition ed.), Stuart B. Mushlin and Harry L. Greene (Eds.). Mosby, Philadelphia, 18--21. https://doi.org/10.1016/B978-0-323-04107-2.50011-9
[18]
Judy W Griffin, Laurie S Newsome, Susan W Stralka, and Phillip E Wright. 1990. Reduction of Chronic Posttraumatic Hand Edema: A Comparison of High Voltage Pulsed Current, Intermittent Pneumatic Compression, and Placebo Treatments. Physical Therapy 70, 5 (May 1990), 279--286. https://doi.org/10.1093/ptj/70.5.279
[19]
Megan Hofmann, Lea Albaugh, Ticha Sethapakadi, Jessica Hodgins, Scott E Hudson, James McCann, and Jennifer Mankoff. 2019. KnitPicking Textures: Programming and Modifying Complex Knitted Textures for Machine and Hand Knitting. In Proceedings of the 32nd Annual ACM Symposium on User Interface Software and Technology. ACM, 5--16.
[20]
Megan Hofmann, Nayha Auradkar, Jessica Birchfield, Jerry Cao, Autumn G Hughes, Gene S-H Kim, Shriya Kurpad, Kathryn J Lum, Kelly Mack, Anisha Nilakantan, Margaret Ellen Seehorn, Emily Warnock, Jennifer Mankoff, and Scott E Hudson. 2023. OPTIMISM: Enabling Collaborative Implementation of Domain Specific Metaheuristic Optimization. In Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems (CHI '23). Association for Computing Machinery, New York, NY, USA, 1--19. https://doi.org/10.1145/3544548.3580904
[21]
Megan Hofmann, Kristin Williams, Toni Kaplan, Stephanie Valencia, Gabriella Hann, Scott E. Hudson, Jennifer Mankoff, and Patrick Carrington. 2019. "Occupational Therapy is Making": Clinical Rapid Prototyping and Digital Fabrication. In Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems. ACM, Glasgow Scotland Uk, 1--13. https://doi.org/10.1145/3290605.3300544
[22]
Kathrin Härén and Mikael Wiberg. 2006. A Prospective Randomized Controlled Trial of Manual Lymph Drainage (MLD) for the Reduction of Hand Oedema after Distal Radius Fracture. The British Journal of Hand Therapy 11, 2 (June 2006), 41--47. https://doi.org/10.1177/175899830601100202 Publisher: SAGE Publications.
[23]
Yuki Igarashi, Takeo Igarashi, and Hiromasa Suzuki. 2008. Knitting a 3D Model. Computer Graphics Forum 27, 7 (2008), 1737--1743. https://doi.org/10.1111/j.1467-8659.2008.01318.x arXiv:https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1467-8659.2008.01318.x
[24]
Alexandre Kaspar, Liane Makatura, and Wojciech Matusik. 2019. Knitting Skeletons: A Computer-Aided Design Tool for Shaping and Patterning of Knitted Garments. In Proceedings of the 32nd Annual ACM Symposium on User Interface Software and Technology (New Orleans, LA, USA) (UIST '19). Association for Computing Machinery, New York, NY, USA, 53--65. https://doi.org/10.1145/3332165.3347879
[25]
Jin Hee (Heather) Kim, Shreyas Dilip Patil, Sarina Matson, Melissa Conroy, and Cindy Hsin-Liu Kao. 2022. KnitSkin: Machine-Knitted Scaled Skin for Locomotion. In Proceedings of the 2022 CHI Conference on Human Factors in Computing Systems (New Orleans, LA, USA) (CHI '22). Association for Computing Machinery, New York, NY, USA, Article 391, 15 pages. https://doi.org/10.1145/3491102.3502142
[26]
Jin Hee (Heather) Kim, Joan Stilling, Michael O'Dell, and Cindy Hsin-Liu Kao. 2023. KnitDema: Robotic Textile as Personalized Edema Mobilization Device. In Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems. ACM, Hamburg Germany, 1--19. https://doi.org/10.1145/3544548.3581343
[27]
Jin Hee (Heather) Kim, Simone White, Melissa Conroy, and Hsin-liu Cindy Kao. 2021. KnitDermis: Fabricating Tactile On-Body Interfaces Through Machine Knitting. 2021 (2021), 1183--1200.
[28]
Karin Knygsand-Roenhoej and Thomas Maribo. 2011. A Randomized Clinical Controlled Study Comparing the Effect of Modified Manual Edema Mobilization Treatment with Traditional Edema Technique in Patients with a Fracture of the Distal Radius. Journal of Hand Therapy 24, 3 (July 2011), 184--194. https://doi.org/10.1016/j.jht.2010.10.009
[29]
Udaya Lakshmi, Megan Hofmann, Stephanie Valencia, Lauren Wilcox, Jennifer Mankoff, and Rosa I. Arriaga. 2019. "Point-of-Care Manufacturing": Maker Perspectives on Digital Fabrication in Medical Practice. Proceedings of the ACM on Human-Computer Interaction 3, CSCW (Nov. 2019), 91:1--91:23. https://doi.org/10.1145/3359193
[30]
Mackenzie Leake, Kathryn Jin, Abe Davis, and Stefanie Mueller. 2023. InStitches: Augmenting Sewing Patterns with Personalized Material-Efficient Practice. In Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems (CHI '23). Association for Computing Machinery, New York, NY, USA, 1--14. https://doi.org/10.1145/3544548.3581499
[31]
Erika S Lewis. 2010. Finger circumference measurements: inter- and intra-rater reliability. Hand Therapy 15, 3 (2010), 69--72. https://doi.org/10.1258/ht.2010.010017 arXiv:https://doi.org/10.1258/ht.2010.010017
[32]
Jenny Lin, Vidya Narayanan, Yuka Ikarashi, Jonathan Ragan-Kelley, Gilbert Bernstein, and James McCann. 2023. Semantics and Scheduling for Machine Knitting Compilers. ACM Transactions on Graphics 42, 4 (July 2023), 143:1--143:26. https://doi.org/10.1145/3592449
[33]
Yiyue Luo, Kui Wu, Andrew Spielberg, Michael Foshey, Daniela Rus, Tomás Palacios, and Wojciech Matusik. 2022. Digital Fabrication of Pneumatic Actuators with Integrated Sensing by Machine Knitting. In Proceedings of the 2022 CHI Conference on Human Factors in Computing Systems (New Orleans, LA, USA) (CHI '22). Association for Computing Machinery, New York, NY, USA, Article 175, 13 pages. https://doi.org/10.1145/3491102.3517577
[34]
Yiyue Luo, Junyi Zhu, Kui Wu, Cedric Honnet, Stefanie Mueller, and Wojciech Matusik. 2023. MagKnitic: Machine-Knitted Passive and Interactive Haptic Textiles with Integrated Binary Sensing. In Proceedings of the 36th Annual ACM Symposium on User Interface Software and Technology (San Francisco, CA, USA) (UIST '23). Association for Computing Machinery, New York, NY, USA, Article 66, 13 pages. https://doi.org/10.1145/3586183.3606765
[35]
Chuan-Xiang Ma, Wei-Ren Pan, Zhi-An Liu, Fan-Qiang Zeng, and Zhi-Qiang Qiu. 2018. The deep lymphatic anatomy of the hand. Annals of Anatomy - Anatomischer Anzeiger 218 (July 2018), 105--109. https://doi.org/10.1016/j.aanat.2018.03.001
[36]
George C Maihafer, Mark A Llewellyn, William J Pillar, Kristen L Scott, Denise M Marino, and Rebecca M Bond. 2003. A comparison of the figure-of-eight method and water volumetry in measurement of hand and wrist size. Journal of Hand Therapy 16, 4 (Oct. 2003), 305--310. https://doi.org/10.1197/S0894-1130(03)00155-8
[37]
Klaudia Marek, Justyna Redlicka, Elżbieta Miller, and Igor Zubrycki. 2023. Objectivizing Measures of Post-Stroke Hand Rehabilitation through Multi-Disciplinary Scales. Journal of Clinical Medicine 12, 23 (Dec. 2023), 7497. https://doi.org/10.3390/jcm12237497
[38]
James McCann, Lea Albaugh, Vidya Narayanan, April Grow, Wojciech Matusik, Jennifer Mankoff, and Jessica Hodgins. 2016. A Compiler for 3D Machine Knitting. ACM Trans. Graph. 35, 4, Article 49 (jul 2016), 11 pages. https://doi.org/10.1145/2897824.2925940
[39]
M. Meyer-Marcotty, O. Jungling, B. Vaske, P. M. Vogt, and Karsten Knobloch. 2011. Standardized combined cryotherapy and compression using Cryo/Cuff after wrist arthroscopy. Knee Surgery, Sports Traumatology, Arthroscopy 19, 2 (Feb. 2011), 314--319. https://doi.org/10.1007/s00167-010-1280-4
[40]
Leanne K Miller, Christina Jerosch-Herold, and Lee Shepstone. 2017. Clinical assessment of hand oedema: A systematic review. Hand Therapy 22, 4 (Dec. 2017), 153--164. https://doi.org/10.1177/1758998317724405
[41]
Leanne K. Miller, Christina Jerosch-Herold, and Lee Shepstone. 2017. Effectiveness of edema management techniques for subacute hand edema: A systematic review. Journal of Hand Therapy 30, 4 (2017), 432--446. https://doi.org/10.1016/j.jht.2017.05.011
[42]
Vidya Narayanan, Lea Albaugh, Jessica Hodgins, Stelian Coros, and James McCann. 2018. Automatic Machine Knitting of 3D Meshes. ACM Trans. Graph. 37, 3, Article 35 (Aug. 2018), 15 pages. https://doi.org/10.1145/3186265
[43]
Vidya Narayanan, Kui Wu, Cem Yuksel, and James McCann. 2019. Visual Knitting Machine Programming. ACM Trans. Graph. 38, 4, Article 63 (jul 2019), 13 pages. https://doi.org/10.1145/3306346.3322995
[44]
Gabrielle Ohlson, Angelica M. Bonilla Fominaya, Kavya Puthuveetil, Jenny Wang, Emily Amspoker, and James McCann. 2023. Estimating Yarn Length for Machine-Knitted Structures. In Proceedings of the 8th ACM Symposium on Computational Fabrication (SCF '23). Association for Computing Machinery, New York, NY, USA, 1--9. https://doi.org/10.1145/3623263.3623355
[45]
Huaishu Peng, Jennifer Mankoff, Scott E. Hudson, and James McCann. 2015. A Layered Fabric 3D Printer for Soft Interactive Objects. In Proceedings of the 33rd Annual ACM Conference on Human Factors in Computing Systems (CHI '15). Association for Computing Machinery, New York, NY, USA, 1789--1798. https://doi.org/10.1145/2702123.2702327
[46]
Mariana Popescu, Matthias Rippmann, Tom Van Mele, and Philippe Block. 2018. Automated generation of knit patterns for non-developable surfaces. In Humanizing Digital Reality: Design Modelling Symposium Paris 2017. Springer, 271--284.
[47]
Karyn Repinski. [n.d.]. Lymphatic Massage: What You Need to Know. https://vibrantskinbar.com/blog/lymphatic-drainage-massage/#:~:text=The%20cost%20of%20a%20lymphatic,location%20of%20the%20med%20spa. Accessed: 2023-01-04.
[48]
T A Roper, S Redford, and R C Tallis. 1999. Intermittent compression for the treatment of the oedematous hand in hemiplegic stroke: a randomized controlled trial. Age and Ageing 28, 1 (Jan. 1999), 9--13. https://doi.org/10.1093/ageing/28.L9
[49]
Ganesh Shimoga, Tae-Hoon Kim, and Sang-Youn Kim. 2021. An Intermetallic NiTi-Based Shape Memory Coil Spring for Actuator Technologies. Metals 11, 8 (Aug. 2021), 1212. https://doi.org/10.3390/met11081212 Number: 8 Publisher: Multidisciplinary Digital Publishing Institute.
[50]
Zilin Si, Tianhong Catherine Yu, Katrene Morozov, James McCann, and Wenzhen Yuan. 2023. RobotSweater: Scalable, Generalizable, and Customizable Machine-Knitted Tactile Skins for Robots. https://doi.org/10.48550/arXiv.2303.02858 arXiv:2303.02858 [cs].
[51]
Samantha Speer, Ana P Garcia-Alonzo, Joey Huang, Nickolina Yankova, Carolyn Rosé, Kylie A Peppler, James Mccann, and Melisa Orta Martinez. 2023. SPEERLoom: An Open-Source Loom Kit for Interdisciplinary Engagement in Math, Engineering, and Textiles. In Proceedings of the 36th Annual ACM Symposium on User Interface Software and Technology (UIST '23). Association for Computing Machinery, New York, NY, USA, 1--15. https://doi.org/10.1145/3586183.3606724
[52]
Bo Ying Su, Zhongqi Wei, James McCann, Wenzhen Yuan, and Changliu Liu. 2023. Customizing Textile and Tactile Skins for Interactive Industrial Robots1. ASME Letters in Dynamic Systems and Control 3, 031007 (Oct. 2023). https://doi.org/10.1115/1.4063602
[53]
Hiroo Suami, G Ian Taylor, and Wei-Ren Pan. 2007. The Lymphatic Territories of the Upper Limb: Anatomical Study and Clinical Implications:. Plastic and Reconstructive Surgery 119, 6 (May 2007), 1813--1822. https://doi.org/10.1097/01.prs.0000246516.64780.61
[54]
Brooklyn Tweed. [n. d.]. SEAMING. https://brooklyntweed.com/pages/seaming-101
[55]
Irmandy Wicaksono, Peter G. Hwang, Samir Droubi, Franny Xi Wu, Allison N. Serio, Wei Yan, and Joseph A. Paradiso. 2022. 3DKnITS: Three-dimensional Digital Knitting of Intelligent Textile Sensor for Activity Recognition and Biomechanical Monitoring. In 2022 44th Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC). 2403--2409. https://doi.org/10.1109/EMBC48229.2022.9871651
[56]
Irmandy Wicaksono and Joseph Paradiso. 2020. KnittedKeyboard: Digital knitting of electronic textile musical controllers. In Proceedings of the International Conference on New Interfaces for Musical Expression. Birmingham City University, Birmingham, UK, 323--326.
[57]
Matthew Wolak. 2021. Facilitating Estimation of the Intraclass Correlation Coefficient. https://github.com/matthewwolak/ICC R package version 2.4.0.
[58]
Kui Wu, Marco Tarini, Cem Yuksel, James McCann, and Xifeng Gao. 2022. Wearable 3D Machine Knitting: Automatic Generation of Shaped Knit Sheets to Cover Real-World Objects. IEEE Transactions on Visualization and Computer Graphics 28, 9 (Sept. 2022), 3180--3192. https://doi.org/10.1109/TVCG.2021.3056101 Conference Name: IEEE Transactions on Visualization and Computer Graphics.
[59]
Tianhong Catherine Yu, Riku Arakawa, James McCann, and Mayank Goel. 2023. UKnit: A Position-Aware Reconfigurable Machine-Knitted Wearable for Gestural Interaction and Passive Sensing Using Electrical Impedance Tomography. In Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems (Hamburg, Germany) (CHI '23). Association for Computing Machinery, New York, NY, USA, Article 628, 17 pages. https://doi.org/10.1145/3544548.3580692
Index Terms
- MediKnit: Soft Medical Making for Personalized and Clinician-Designed Wearable Devices for Hand Edema
Recommendations
KnitDema: Robotic Textile as Personalized Edema Mobilization Device
CHI '23: Proceedings of the 2023 CHI Conference on Human Factors in Computing SystemsHand edema, defined as swelling of the hands caused by excess fluid accumulation, is a pervasive condition affecting a person’s range of motion and functional ability. However, treatment strategies remain limited to time-consuming manual massage by ...
Emerging wearable medical devices towards personalized healthcare
BodyNets '13: Proceedings of the 8th International Conference on Body Area NetworksThe increasingly aging population and prevalence of chronic diseases have been observed in many countries, which increase great burden for the health care system over recent few decades. With the technology innovation in IT and biomedical engineering, ...
Personal Wearable Devices to Measure Heart Rate Variability: A Framework of Cloud Platform for Public Health Research
DH '17: Proceedings of the 2017 International Conference on Digital HealthBackground: Heart rate variability (HRV) refers to the variation in time interval between heart rates (RR-interval). Studies have demonstrated that emotional disorder is associated with lower HRV. Electrocardiography (ECG) is the conventional HRV ...
Comments
Information & Contributors
Information
Published In
Copyright © 2024 ACM.
Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than the author(s) must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected].
Publisher
Association for Computing Machinery
New York, NY, United States
Publication History
Published: 09 September 2024
Published in IMWUT Volume 8, Issue 3
Check for updates
Author Tags
Qualifiers
- Research-article
- Research
- Refereed
Funding Sources
- Cornell University Multi-Investigator Seed Grant
Contributors
Other Metrics
Bibliometrics & Citations
Bibliometrics
Article Metrics
- 0Total Citations
- 336Total Downloads
- Downloads (Last 12 months)336
- Downloads (Last 6 weeks)16
Reflects downloads up to 25 Feb 2025
Other Metrics
Citations
View Options
Login options
Check if you have access through your login credentials or your institution to get full access on this article.
Sign in