Brighton & Sussex - REMAP - Custom made equipment for disabled people

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Profile Bed Control Adaptation

Our client struggled to use the handset for her profiling bed and wanted to retain independence. In order to overcome this challenge, our REMAP engineer has adapted the handset to allow the client to easily operate the controls on her bed.

Dog Ball Launcher

Our client wants to be able to interact with his dog by playing fetch, but finds it challenging due to his reduced mobility. Therefore, to overcome this challenge, our REMAP engineer has expertly designed and created a bespoke dog ball launcher, which can pick up the ball and relaunch it.

Walking Frame Supporting Platform

Our client had great difficulty going up his two steps from his hall to his kitchen. To solve this, REMAP has created an overlapping extension platform to the bottom step between the hall and the kitchen in order to accommodate the client using his walking frame.

One-handed Sandwich Cutter

An elderly stroke survivor with significant left-sided inattention and upper limb hemiparesis wanted to be able to make and cut his own sandwich to reduce dependence on his carers. The reliance on his right hand had made using knives risky (especially as he had previously been left-handed). Off-the-shelf sandwich cutters require force application from both hands. REMAP engineered a one- handed sandwich cutter that he could safely use with his functional right hand.

Chin controlled sewing machine

John has a spinal chord injury at chest level and uses a manual wheelchair.

He is an engineer and very much likes to work problems through himself. John bought an electric sewing machine so that he can sew bespoke articles for himself. However, he is unable to use his elbow to push the foot pedal because of his injury, and he needs his arms to steady himself to feed the material through the machine. To overcome this obstacle he rigged up something that goes round his neck to work the foot pedal and that works fine, but he feels that it would be great if the foot pedal was wireless or controlled via Bluetooth.

Step Stool

The usual solution for helping someone to get on/off the sofa or to get in/out of bed might be standard NHS step stools but given the client’s height the platform on these stools is too high for her to step onto and the support handle is also too high for her to reach. A particular challenge was to provide a step stool to allow the client to continue to access the kitchen worktop and sink. The use of a child’s plastic step to climb up to a kitchen chair placed side-on to the units was becoming increasingly unsafe and the area had to continue to be usable by her aged parents.

A Kitchen helper platform (designed for a child) is too narrow for the client to be able to use comfortably, therefore a bespoke design was necessary.

                                      

Telescopic Dressing stick and Hairbrush adaptor

Our client has a shoulder and upper limb weakness from a progressive long-term condition.  She needs to use a long-handled hairbrush and dressing stick to be independent, e.g. if she wears a cardigan outdoors, the weather improves and she gets hot, she cannot remove her cardigan if she is on her own.

Both the long-handled hairbrush and dressing stick are too long to fit in a handbag or be carried easily so cannot be used outside the home.  The client feels that if these items could be folded / retractable she would be more independent.  She cannot carry a large bag

Finger Support for independent Wheelchair operation

Our client had difficulty operating the standard control knob on his wheelchair, due to a muscular/nerve condition. He needed some extra help to be able to move the control knob in an easier and safer manner.

Coat Dressing Aid

The client has MND which affects his arms so he has difficulty raising them above waist height.

Getting dressed is a problem. He can get into a light coat or cardigan by hanging it on the back of a high-back chair and then lowering his arms into the sleeves. He can’t do this with a heavy overcoat which he needs to wear in cold weather. He does have helpers available at times, but this is a major limitation at other times.

Ankle Brace

 

Beneficiary, now 8 years of age, was born 9 weeks prematurely and as a result has Cerebral Palsy. This affects her left leg and balance and has prevented her from being able to ride a tricycle due to her left foot hitting the ground. The brakes on commercial trikes were also found to be inadequate.

An adapted bicycle with parent control bar became difficult and unsafe when wanting to cycle independently, so a bespoke solution was required.

Guitar support for Wheelchair user

He plays in a number of local bands near his home in Littlehampton. The weight of the guitar was beginning to cause stress issues around his neck via the guitar strap, so he was looking for an easy way of supporting the guitar without loading his neck. Without the potential solution he was beginning to think about stopping playing his guitar.

3D printed plastic cupholder

Anna has Muscular Dystrophy and difficulty holding a cup. A simple cup holder was required to enable the young girl to drink easily. Several iterations would be required to reach the final solution and to ensure the item was dishwashable.

Wheelchair sitting aid

Wheelchair sitting aidThe client has short knee height relative to the seat of a wheelchair, when he sits he is at the seat front. Two people physically lift him to the back of the seat.

A 100mm high platform with wall rail was made. A narrow ramp from the platform allows the front wheels of the chair to straddle it allowing the chair to dock at the platform (ramp folds up for safety). Two carers walk the client up the ramp, one supports him while he holds onto the rail, the other positions the wheelchair enabling him to sit to the back. There are no longer any injuries to the client or carers.

 

Retracting bed rail handle

This client has multiple sclerosis and uses a wheelchair. He has to use bed rail handles to transfer himself from his wheelchair to his bed but once sitting on the bed had difficulty in lifting his legs over the bed rail handle.

The end of the bed rail was removed and modified to be located in a metal casing which could be guided when raised and lowered. The handle is raised and lowered by means of a ‘crank and connecting rod’ system, driven by a 12v car windscreen wiper motor. Movement is initiated by one press button on a cable.

The system enables the client to be completely independent of assistance in transferring from wheelchair to bed and he is delighted with the result.

 

Remote operating device for digital cameras

Remote operating device for digital camerasLorna only has slight use of one finger and very restricted head movement. She wanted to be able use a digital camera to take family pictures.

The camera was fitted with a two- stage electrical operating mechanism to provide focusing and exposure, operated with a finger button. The camera and operating mechanism are mounted on gimbals supported on a column from the work table. A soft ball end on an attached lever enables the client to position the camera with her mouth. Her chin is still free to operate her powered chair.

Lorna can now take pictures herself and has another interest in life!

One-handed knitting device

One-handed knitting deviceThe client was paralysed on her left side following a stroke and wished to continue with her knitting.

The device employs knitting needles modified to make them attach to a magnet. The magnet enables the free needle to be retained in a located position without hindering the movement of the stitches along the needle. The device was base mounted for clamping onto a suitable table. A right-hand standard wheelchair table supports this client’s good arm and the left table is used to position the knitting device.

Whilst the client initially knitted very slowly, with minimum practice her objective to be able to knit was achieved.

Consider an alternative design.

Mechanical eater

Mechanical eaterClient has arthrogryposis which limits his upper limb and hand functions making eating from a plate at table level very difficult.

A wooden tower was made to support the food plate nearer to mouth level. A mechanical lever mechanism enables the spoon or fork to be manipulated normally at plate and mouth level from a handle at tabletop level. The plate rests on a turntable so that all food on the plate can be accessed.

The client was able to eat without help.

Inflatable neck collar control system

Inflatable neck collar control systemThe client has a debilitating condition that requires her to be prone in bed all day. She uses an inflatable neck collar to reduce pressure on her neck and requires a very quiet device with very light controls to allow her to inflate or adjust the pressure in the collar.

A 12 volt tyre pump powered by a rechargeable battery was used to inflate the collar and an electric air valve to release the air and deflate the collar. Light pressure on either of the two buttons on the control box starts both actions and release of the button stops the relevant action. An electronic overpressure device was developed and fitted to prevent overinflation of the neck pillow in the event of the control button being depressed continuously, or a fault developing.

The client can now adjust the pressure in the neck collar as and when required without the continuous need for help.

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