{
  "id": "AIBD-0121",
  "title": "Karin's bone-anchored, nerve-connected Mia Hand: after more than three years of daily use her phantom pain fell from 5 to 3 and her stump pain vanished (Science Robotics case report)",
  "summary": "Swedish amputee Karin uses a bone-anchored, nerve-linked Mia Hand daily; phantom pain fell 5 to 3, stump pain gone (Sci. Robotics 2023).",
  "date_observed": "2023-10-11",
  "date_basis": "unassessed",
  "date_precision": "unassessed",
  "benefit_status": null,
  "source_collection": null,
  "source_entry": null,
  "account": "Karin, a Swedish woman born in 1973, lost her right hand below the elbow in a farming accident. She received a neuromusculoskeletal prosthesis at Sahlgrenska University Hospital. It comprises titanium implants in the radius and ulna and severed nerves transferred to muscle grafts. Implanted electrodes feed an embedded controller and a Prensilia Mia Hand. The study ran from September 2018 to April 2021, and the EU DeTOP consortium announced the implantation on 5 February 2019. The case report (Science Robotics, 11 October 2023) states her phantom limb pain fell from 5 to 3 and stump pain vanished. Quality of life rose, and she had used the hand in daily life for more than three years and continues to.",
  "category": "benefit created",
  "unexpected": false,
  "purpose": "The prosthesis was built to give reliable control, feedback and attachment after amputation, with surgical reconstruction to add myoelectric sites and treat neuropathic pain. The reported function and pain outcomes were that purpose.",
  "system": "Transradial neuromusculoskeletal prosthesis: osseointegrated titanium implants with implanted muscle and nerve electrodes, an embedded controller, and the Prensilia Mia Hand",
  "model_version": "Mia Hand",
  "developer": "Center for Bionics and Pain Research (Chalmers University of Technology and Sahlgrenska University Hospital, Mölndal) with Integrum AB; hand by Scuola Superiore Sant'Anna and Prensilia SRL, under the EU DeTOP project",
  "deployer": "Sahlgrenska University Hospital, Sweden (surgery led by Rickard Brånemark and Paolo Sassu)",
  "location": "Mölndal, Sweden",
  "domain": "Healthcare (upper-limb prosthetics and phantom limb pain)",
  "segment": "Academic clinical research, single-patient implementation",
  "benefit_type": "Improved Physical Health",
  "taxonomy_note": "The daily use of the nerve-linked hand for over three years is also an accessibility gain.",
  "registry_ids": {
    "oecd_aim": "2023-10-09-84b0"
  },
  "ratings": [
    {
      "group": "personal",
      "depth": 3,
      "reason": "The paper reports phantom limb pain down from 5 to 3, stump pain from 6 to 0 and sleep interference gone. EQ-5D-5L is up from 0.23 to 0.63 and daily use tops three years. Karin says the research “has given me a better life” and that she needs much less medication. Life-changing for one identifiable person, from a single-patient study without a control group."
    }
  ],
  "ai_role": {
    "status": "assessed",
    "statement": "The benefit comes from the whole neuromusculoskeletal interface, not from a learned model alone. The paper reports that in daily life the hand ran on direct control. Signals from two implanted electrodes mapped to open and close, and a sustained open signal switched grasps. Decoding of six movements (100 percent completion) and of five individual fingers (up to 95 percent) was shown in laboratory Motion Tests. The paper never uses the words AI or machine learning. The AI framing comes from the institutions' release (Brånemark: osseointegration, reconstructive surgery, implanted electrodes “and AI”). It also comes from CNN (“AI algorithms inside the prosthesis interpret the signal”). Keep the record only if that framing is acceptable as the AI claim."
  },
  "evidence": [
    {
      "kind": "peer-reviewed study",
      "citation": "Ortiz-Catalan M., Zbinden J., Millenaar J., et al. (2023). A highly integrated bionic hand with neural control and feedback for use in daily life. Science Robotics 8(83): eadf7360. PMID 37820004. Co-authors include Integrum AB and Prensilia SRL staff; open-access manuscript at research.chalmers.se/publication/537965.",
      "title": "A highly integrated bionic hand with neural control and feedback for use in daily life",
      "url": "https://doi.org/10.1126/scirobotics.adf7360",
      "date": "2023-10-11",
      "written_by": "makers",
      "quote": "Phantom limb pain intensity decreased from 5 to 3, and stump pain vanished entirely compared with 6 of 10 before the intervention."
    },
    {
      "kind": "news report",
      "citation": "Christensen J. / CNN via KEYT (2023). It's not Star Wars-level tech yet, but doctors get a step closer to a bionic hand with special surgery and AI. CNN Health; quotes an independent neurosurgeon, Jorge Gonzalez-Martinez of the University of Pittsburgh.",
      "title": "It's not Star Wars-level tech yet, but doctors get a step closer to a bionic hand with special surgery and AI",
      "url": "https://keyt.com/health/cnn-health/2023/10/11/its-not-star-wars-level-tech-yet-but-doctors-get-a-step-closer-to-a-bionic-hand-with-special-surgery-and-ai",
      "date": "2023-10-11",
      "written_by": "independent",
      "quote": "AI algorithms inside the prosthesis interpret the signal and allow her to move the bionic hand."
    },
    {
      "kind": "press release",
      "citation": "Sant'Anna School of Advanced Studies via Medical Xpress (2023). Bionic hand merges with user's nervous and skeletal systems. Institutional release reprinted by Medical Xpress.",
      "title": "Bionic hand merges with user's nervous and skeletal systems",
      "url": "https://medicalxpress.com/news/2023-10-bionic-merges-user-nervous-skeletal.html",
      "date": "2023-10-11",
      "written_by": "makers",
      "quote": "The robotic hand developed by Prensilia, namely Mia Hand, featured unique motor and sensory components that allowed the user to carry out 80% of the activities of daily living."
    },
    {
      "kind": "news report",
      "citation": "Paul A. / Popular Science (2023). Titanium-fused bone tissue connects this bionic hand directly to a patient's nerves. Popular Science.",
      "title": "Titanium-fused bone tissue connects this bionic hand directly to a patient's nerves",
      "url": "https://www.popsci.com/technology/bionic-hand-phantom-pain",
      "date": "2023-10-12",
      "written_by": "independent",
      "quote": "By combining osseointegration with reconstructive surgery, implanted electrodes, and AI, we can restore human function in an unprecedented way"
    },
    {
      "kind": "news report",
      "citation": "Cara E. / Gizmodo (2023). Woman's Experimental Bionic Hand Passes Major Test With Flying Colors. Gizmodo.",
      "title": "Woman's Experimental Bionic Hand Passes Major Test With Flying Colors",
      "url": "https://gizmodo.com/bionic-mia-hand-prosthetic-amputee-phantom-pain-1850919751",
      "date": "2023-10-12",
      "written_by": "independent",
      "quote": "Karin was the first person with below-elbow amputation who received this new concept of a highly integrated bionic hand that can be used independently and reliably in daily life."
    },
    {
      "kind": "news report",
      "citation": "Thompson B. / New Atlas (2023). Groundbreaking bionic hand restores quality of life to amputee. New Atlas.",
      "title": "Groundbreaking bionic hand restores quality of life to amputee",
      "url": "https://newatlas.com/medical/bionic-hand-restores-life-amputees",
      "date": "2023-10-11",
      "written_by": "independent",
      "quote": "Karin is now using somewhat the same neural resources to control the prosthesis as she did for her missing biological hand."
    },
    {
      "kind": "news report",
      "citation": "ScienceAlert (2023). Revolutionary Bionic Hand Fuses With Woman's Bones, Muscles, And Nerves. ScienceAlert.",
      "title": "Revolutionary Bionic Hand Fuses With Woman's Bones, Muscles, And Nerves",
      "url": "https://www.sciencealert.com/revolutionary-bionic-hand-fuses-with-womans-bones-muscles-and-nerves",
      "date": "2023-10-17",
      "written_by": "independent",
      "quote": "I have better control over my prosthesis, but above all, my pain has decreased. Today, I need much less medication."
    },
    {
      "kind": "press release",
      "citation": "DeTOP project (2019). The first dexterous and sentient hand prosthesis has been successfully implanted. News item on the EU Horizon 2020 consortium site (coordinator Scuola Superiore Sant'Anna; partners include Integrum AB and Prensilia).",
      "title": "The first dexterous and sentient hand prosthesis has been successfully implanted",
      "url": "https://www.detop-project.eu/2019/02/05/the-first-dexterous-and-sentient-hand-prosthesis-has-been-successfully-implanted/",
      "date": "2019-02-05",
      "written_by": "makers",
      "quote": "A female Swedish patient with hand amputation has become the first recipient of an osseo-neuromuscular implant to control a dexterous hand prosthesis."
    }
  ],
  "replication": {
    "produced_by": [
      "Osseointegrated titanium implants giving skeletal attachment and a wired path from implanted electrodes to the hand",
      "Surgical reconstruction that transfers severed nerves to free muscle grafts, adding myoelectric sites and treating neuropathic pain",
      "A self-contained prosthesis with an embedded controller and battery that needs no external equipment, so it can be worn all day"
    ],
    "must_hold": [
      "The fixtures must osseointegrate. Here the radial fixture failed, was removed after 5 months and reimplanted with a larger diameter",
      "Implanted electrodes must stay within working range for years. One e-abutment screw broke after 3.5 years and was replaced",
      "Outcomes are from one patient with no control group, so the effect size is not established beyond this case"
    ],
    "echoes": []
  },
  "paired_incident": null,
  "headline": "Bone-anchored Mia Hand cuts Karin's phantom pain from 5 to 3",
  "metric": "her phantom limb pain fell from 5 to 3, stump pain vanished",
  "comparator": {
    "against": "her own phantom limb pain and stump pain before the neuromusculoskeletal prosthesis (also a conventional prosthesis for grip precision)",
    "before": "phantom pain level 5",
    "after": "phantom pain level 3; stump pain vanished entirely",
    "basis": "measured",
    "quote": "Her phantom pain level dropped from a 5 to a 3, the study said, and her stump pain vanished entirely. She said she’s also been able to sleep better.",
    "url": "https://keyt.com/health/cnn-health/2023/10/11/its-not-star-wars-level-tech-yet-but-doctors-get-a-step-closer-to-a-bionic-hand-with-special-surgery-and-ai"
  },
  "later": {
    "status": "unknown",
    "date": null,
    "note": "The October 2023 coverage reports more than three years of daily use up to publication; nothing dated after the paper was found.",
    "quote": null,
    "url": null
  },
  "value": null,
  "developer_country": "Sweden",
  "deployer_country": "Sweden",
  "unrated_because": null,
  "brief_notes": null,
  "brief": null,
  "revisions": [
    {
      "date": "2026-10-20",
      "change": "Record drafted from the OECD Monitor entry and the cited sources.",
      "source": "https://oecd.ai/en/incidents/2023-10-09-84b0",
      "editor": "AIBD"
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    {
      "date": "2026-10-21",
      "change": "Benefit type set to Improved Physical Health under Trustible's full taxonomy of 23 types; it was Improved Accessibility among the six first used.",
      "source": "https://trustible.ai/post/a-framework-for-measuring-the-benefits-of-ai/",
      "editor": "AIBD"
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      "date": "2026-10-21",
      "change": "Added what the benefit is measured against, the model version from the cited sources.",
      "source": "https://keyt.com/health/cnn-health/2023/10/11/its-not-star-wars-level-tech-yet-but-doctors-get-a-step-closer-to-a-bionic-hand-with-special-surgery-and-ai; https://medicalxpress.com/news/2023-10-bionic-merges-user-nervous-skeletal.html",
      "editor": "AIBD"
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    {
      "date": "2026-10-21",
      "change": "Country of the developer and the deployer added from the organization's own site or a registry.",
      "source": "https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=AFF:%22Center%20for%20Bionics%20and%20Pain%20Research%22&resultType=core&format=json&pageSize=5; https://en.wikipedia.org/wiki/Sahlgrenska_University_Hospital",
      "editor": "AIBD"
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    {
      "date": "2026-10-21",
      "change": "Prose pass: a rating reason, account, purpose, the replication conditions, the system's part rewritten in shorter sentences with abbreviations expanded; facts, figures and quotations unchanged.",
      "source": null,
      "editor": "AIBD"
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  ],
  "confidence": "reported",
  "shade": "medium",
  "claim_status": "Independently reported",
  "claim_basis": "Sources: five independent news reports, the makers' peer-reviewed study and two press releases from the makers. The cited evidence includes no independent study or report and no finding by a regulator or court.",
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          "answer": "her phantom limb pain fell from 5 to 3, stump pain vanished",
          "editor_note": ""
        }
      },
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        "state": "not_assessed",
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        "display": {
          "answer": "The paper does not identify a learned model or describe the method as AI. The institutions’ announcement and CNN supply that description. The reported benefit cannot be attributed to a learned decoder alone.",
          "editor_note": ""
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          "kind": "record_fields",
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        },
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          "text": "The patient controlled the hand through signals from her implanted electrodes."
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        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
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      "outcomes[].beneficiaries": {
        "state": "not_assessed",
        "review_state": "not_assessed",
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        "review_state": "not_assessed",
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        "state": "not_assessed",
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          "kind": "record_fields",
          "fields": {
            "ratings": [
              {
                "group": "personal",
                "depth": 3,
                "reason": "The paper reports phantom limb pain down from 5 to 3, stump pain from 6 to 0 and sleep interference gone. EQ-5D-5L is up from 0.23 to 0.63 and daily use tops three years. Karin says the research “has given me a better life” and that she needs much less medication. Life-changing for one identifiable person, from a single-patient study without a control group."
              }
            ]
          }
        },
        "provenance": {
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        "review_state": "record_mapped",
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      },
      "outcomes[].status": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
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      "outcomes[].tradeoffs": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
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        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
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            "purpose": "The prosthesis was built to give reliable control, feedback and attachment after amputation, with surgical reconstruction to add myoelectric sites and treat neuropathic pain. The reported function and pain outcomes were that purpose."
          }
        },
        "provenance": {
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        },
        "review_state": "record_mapped",
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      },
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        "state": "value_present",
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          "kind": "record_fields",
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            "location": "Mölndal, Sweden",
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            "deployer_country": "Sweden"
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
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            "developer_country",
            "deployer_country"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
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      },
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        "value": {
          "kind": "record_fields",
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          }
        },
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                "source": "https://oecd.ai/en/incidents/2023-10-09-84b0",
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              },
              {
                "date": "2026-10-21",
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              },
              {
                "date": "2026-10-21",
                "change": "Added what the benefit is measured against, the model version from the cited sources.",
                "source": "https://keyt.com/health/cnn-health/2023/10/11/its-not-star-wars-level-tech-yet-but-doctors-get-a-step-closer-to-a-bionic-hand-with-special-surgery-and-ai; https://medicalxpress.com/news/2023-10-bionic-merges-user-nervous-skeletal.html",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-21",
                "change": "Country of the developer and the deployer added from the organization's own site or a registry.",
                "source": "https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=AFF:%22Center%20for%20Bionics%20and%20Pain%20Research%22&resultType=core&format=json&pageSize=5; https://en.wikipedia.org/wiki/Sahlgrenska_University_Hospital",
                "editor": "AIBD"
              },
              {
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              }
            ]
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        },
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        "review_state": "record_mapped",
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      "replication.attempts[]": {
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        "review_state": "not_assessed",
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          "kind": "record_fields",
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                "Osseointegrated titanium implants giving skeletal attachment and a wired path from implanted electrodes to the hand",
                "Surgical reconstruction that transfers severed nerves to free muscle grafts, adding myoelectric sites and treating neuropathic pain",
                "A self-contained prosthesis with an embedded controller and battery that needs no external equipment, so it can be worn all day"
              ],
              "must_hold": [
                "The fixtures must osseointegrate. Here the radial fixture failed, was removed after 5 months and reimplanted with a larger diameter",
                "Implanted electrodes must stay within working range for years. One e-abutment screw broke after 3.5 years and was replaced",
                "Outcomes are from one patient with no control group, so the effect size is not established beyond this case"
              ],
              "echoes": []
            }
          }
        },
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          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
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              },
              {
                "date": "2026-10-21",
                "change": "Benefit type set to Improved Physical Health under Trustible's full taxonomy of 23 types; it was Improved Accessibility among the six first used.",
                "source": "https://trustible.ai/post/a-framework-for-measuring-the-benefits-of-ai/",
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              },
              {
                "date": "2026-10-21",
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                "source": "https://keyt.com/health/cnn-health/2023/10/11/its-not-star-wars-level-tech-yet-but-doctors-get-a-step-closer-to-a-bionic-hand-with-special-surgery-and-ai; https://medicalxpress.com/news/2023-10-bionic-merges-user-nervous-skeletal.html",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-21",
                "change": "Country of the developer and the deployer added from the organization's own site or a registry.",
                "source": "https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=AFF:%22Center%20for%20Bionics%20and%20Pain%20Research%22&resultType=core&format=json&pageSize=5; https://en.wikipedia.org/wiki/Sahlgrenska_University_Hospital",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-21",
                "change": "Prose pass: a rating reason, account, purpose, the replication conditions, the system's part rewritten in shorter sentences with abbreviations expanded; facts, figures and quotations unchanged.",
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            ]
          }
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      },
      "sector": {
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        "value": {
          "kind": "record_fields",
          "fields": {
            "domain": "Healthcare (upper-limb prosthetics and phantom limb pain)",
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          }
        },
        "provenance": {
          "kind": "legacy_record",
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        },
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      },
      "sources[].access_version": {
        "state": "not_assessed",
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      },
      "sources[].citation_locator": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "evidence": [
              {
                "kind": "peer-reviewed study",
                "citation": "Ortiz-Catalan M., Zbinden J., Millenaar J., et al. (2023). A highly integrated bionic hand with neural control and feedback for use in daily life. Science Robotics 8(83): eadf7360. PMID 37820004. Co-authors include Integrum AB and Prensilia SRL staff; open-access manuscript at research.chalmers.se/publication/537965.",
                "title": "A highly integrated bionic hand with neural control and feedback for use in daily life",
                "url": "https://doi.org/10.1126/scirobotics.adf7360",
                "date": "2023-10-11",
                "written_by": "makers",
                "quote": "Phantom limb pain intensity decreased from 5 to 3, and stump pain vanished entirely compared with 6 of 10 before the intervention."
              },
              {
                "kind": "news report",
                "citation": "Christensen J. / CNN via KEYT (2023). It's not Star Wars-level tech yet, but doctors get a step closer to a bionic hand with special surgery and AI. CNN Health; quotes an independent neurosurgeon, Jorge Gonzalez-Martinez of the University of Pittsburgh.",
                "title": "It's not Star Wars-level tech yet, but doctors get a step closer to a bionic hand with special surgery and AI",
                "url": "https://keyt.com/health/cnn-health/2023/10/11/its-not-star-wars-level-tech-yet-but-doctors-get-a-step-closer-to-a-bionic-hand-with-special-surgery-and-ai",
                "date": "2023-10-11",
                "written_by": "independent",
                "quote": "AI algorithms inside the prosthesis interpret the signal and allow her to move the bionic hand."
              },
              {
                "kind": "press release",
                "citation": "Sant'Anna School of Advanced Studies via Medical Xpress (2023). Bionic hand merges with user's nervous and skeletal systems. Institutional release reprinted by Medical Xpress.",
                "title": "Bionic hand merges with user's nervous and skeletal systems",
                "url": "https://medicalxpress.com/news/2023-10-bionic-merges-user-nervous-skeletal.html",
                "date": "2023-10-11",
                "written_by": "makers",
                "quote": "The robotic hand developed by Prensilia, namely Mia Hand, featured unique motor and sensory components that allowed the user to carry out 80% of the activities of daily living."
              },
              {
                "kind": "news report",
                "citation": "Paul A. / Popular Science (2023). Titanium-fused bone tissue connects this bionic hand directly to a patient's nerves. Popular Science.",
                "title": "Titanium-fused bone tissue connects this bionic hand directly to a patient's nerves",
                "url": "https://www.popsci.com/technology/bionic-hand-phantom-pain",
                "date": "2023-10-12",
                "written_by": "independent",
                "quote": "By combining osseointegration with reconstructive surgery, implanted electrodes, and AI, we can restore human function in an unprecedented way"
              },
              {
                "kind": "news report",
                "citation": "Cara E. / Gizmodo (2023). Woman's Experimental Bionic Hand Passes Major Test With Flying Colors. Gizmodo.",
                "title": "Woman's Experimental Bionic Hand Passes Major Test With Flying Colors",
                "url": "https://gizmodo.com/bionic-mia-hand-prosthetic-amputee-phantom-pain-1850919751",
                "date": "2023-10-12",
                "written_by": "independent",
                "quote": "Karin was the first person with below-elbow amputation who received this new concept of a highly integrated bionic hand that can be used independently and reliably in daily life."
              },
              {
                "kind": "news report",
                "citation": "Thompson B. / New Atlas (2023). Groundbreaking bionic hand restores quality of life to amputee. New Atlas.",
                "title": "Groundbreaking bionic hand restores quality of life to amputee",
                "url": "https://newatlas.com/medical/bionic-hand-restores-life-amputees",
                "date": "2023-10-11",
                "written_by": "independent",
                "quote": "Karin is now using somewhat the same neural resources to control the prosthesis as she did for her missing biological hand."
              },
              {
                "kind": "news report",
                "citation": "ScienceAlert (2023). Revolutionary Bionic Hand Fuses With Woman's Bones, Muscles, And Nerves. ScienceAlert.",
                "title": "Revolutionary Bionic Hand Fuses With Woman's Bones, Muscles, And Nerves",
                "url": "https://www.sciencealert.com/revolutionary-bionic-hand-fuses-with-womans-bones-muscles-and-nerves",
                "date": "2023-10-17",
                "written_by": "independent",
                "quote": "I have better control over my prosthesis, but above all, my pain has decreased. Today, I need much less medication."
              },
              {
                "kind": "press release",
                "citation": "DeTOP project (2019). The first dexterous and sentient hand prosthesis has been successfully implanted. News item on the EU Horizon 2020 consortium site (coordinator Scuola Superiore Sant'Anna; partners include Integrum AB and Prensilia).",
                "title": "The first dexterous and sentient hand prosthesis has been successfully implanted",
                "url": "https://www.detop-project.eu/2019/02/05/the-first-dexterous-and-sentient-hand-prosthesis-has-been-successfully-implanted/",
                "date": "2019-02-05",
                "written_by": "makers",
                "quote": "A female Swedish patient with hand amputation has become the first recipient of an osseo-neuromuscular implant to control a dexterous hand prosthesis."
              }
            ]
          }
        },
        "provenance": {
          "kind": "legacy_record",
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        },
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        "review_state": "record_mapped",
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        "state": "not_assessed",
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        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "evidence": [
              {
                "kind": "peer-reviewed study",
                "citation": "Ortiz-Catalan M., Zbinden J., Millenaar J., et al. (2023). A highly integrated bionic hand with neural control and feedback for use in daily life. Science Robotics 8(83): eadf7360. PMID 37820004. Co-authors include Integrum AB and Prensilia SRL staff; open-access manuscript at research.chalmers.se/publication/537965.",
                "title": "A highly integrated bionic hand with neural control and feedback for use in daily life",
                "url": "https://doi.org/10.1126/scirobotics.adf7360",
                "date": "2023-10-11",
                "written_by": "makers",
                "quote": "Phantom limb pain intensity decreased from 5 to 3, and stump pain vanished entirely compared with 6 of 10 before the intervention."
              },
              {
                "kind": "news report",
                "citation": "Christensen J. / CNN via KEYT (2023). It's not Star Wars-level tech yet, but doctors get a step closer to a bionic hand with special surgery and AI. CNN Health; quotes an independent neurosurgeon, Jorge Gonzalez-Martinez of the University of Pittsburgh.",
                "title": "It's not Star Wars-level tech yet, but doctors get a step closer to a bionic hand with special surgery and AI",
                "url": "https://keyt.com/health/cnn-health/2023/10/11/its-not-star-wars-level-tech-yet-but-doctors-get-a-step-closer-to-a-bionic-hand-with-special-surgery-and-ai",
                "date": "2023-10-11",
                "written_by": "independent",
                "quote": "AI algorithms inside the prosthesis interpret the signal and allow her to move the bionic hand."
              },
              {
                "kind": "press release",
                "citation": "Sant'Anna School of Advanced Studies via Medical Xpress (2023). Bionic hand merges with user's nervous and skeletal systems. Institutional release reprinted by Medical Xpress.",
                "title": "Bionic hand merges with user's nervous and skeletal systems",
                "url": "https://medicalxpress.com/news/2023-10-bionic-merges-user-nervous-skeletal.html",
                "date": "2023-10-11",
                "written_by": "makers",
                "quote": "The robotic hand developed by Prensilia, namely Mia Hand, featured unique motor and sensory components that allowed the user to carry out 80% of the activities of daily living."
              },
              {
                "kind": "news report",
                "citation": "Paul A. / Popular Science (2023). Titanium-fused bone tissue connects this bionic hand directly to a patient's nerves. Popular Science.",
                "title": "Titanium-fused bone tissue connects this bionic hand directly to a patient's nerves",
                "url": "https://www.popsci.com/technology/bionic-hand-phantom-pain",
                "date": "2023-10-12",
                "written_by": "independent",
                "quote": "By combining osseointegration with reconstructive surgery, implanted electrodes, and AI, we can restore human function in an unprecedented way"
              },
              {
                "kind": "news report",
                "citation": "Cara E. / Gizmodo (2023). Woman's Experimental Bionic Hand Passes Major Test With Flying Colors. Gizmodo.",
                "title": "Woman's Experimental Bionic Hand Passes Major Test With Flying Colors",
                "url": "https://gizmodo.com/bionic-mia-hand-prosthetic-amputee-phantom-pain-1850919751",
                "date": "2023-10-12",
                "written_by": "independent",
                "quote": "Karin was the first person with below-elbow amputation who received this new concept of a highly integrated bionic hand that can be used independently and reliably in daily life."
              },
              {
                "kind": "news report",
                "citation": "Thompson B. / New Atlas (2023). Groundbreaking bionic hand restores quality of life to amputee. New Atlas.",
                "title": "Groundbreaking bionic hand restores quality of life to amputee",
                "url": "https://newatlas.com/medical/bionic-hand-restores-life-amputees",
                "date": "2023-10-11",
                "written_by": "independent",
                "quote": "Karin is now using somewhat the same neural resources to control the prosthesis as she did for her missing biological hand."
              },
              {
                "kind": "news report",
                "citation": "ScienceAlert (2023). Revolutionary Bionic Hand Fuses With Woman's Bones, Muscles, And Nerves. ScienceAlert.",
                "title": "Revolutionary Bionic Hand Fuses With Woman's Bones, Muscles, And Nerves",
                "url": "https://www.sciencealert.com/revolutionary-bionic-hand-fuses-with-womans-bones-muscles-and-nerves",
                "date": "2023-10-17",
                "written_by": "independent",
                "quote": "I have better control over my prosthesis, but above all, my pain has decreased. Today, I need much less medication."
              },
              {
                "kind": "press release",
                "citation": "DeTOP project (2019). The first dexterous and sentient hand prosthesis has been successfully implanted. News item on the EU Horizon 2020 consortium site (coordinator Scuola Superiore Sant'Anna; partners include Integrum AB and Prensilia).",
                "title": "The first dexterous and sentient hand prosthesis has been successfully implanted",
                "url": "https://www.detop-project.eu/2019/02/05/the-first-dexterous-and-sentient-hand-prosthesis-has-been-successfully-implanted/",
                "date": "2019-02-05",
                "written_by": "makers",
                "quote": "A female Swedish patient with hand amputation has become the first recipient of an osseo-neuromuscular implant to control a dexterous hand prosthesis."
              }
            ]
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "evidence"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "sources[].upstream_sources": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "strategic_assessments[]": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial",
        "family": "strategic assessments"
      },
      "summary": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "summary": "Swedish amputee Karin uses a bone-anchored, nerve-linked Mia Hand daily; phantom pain fell 5 to 3, stump pain gone (Sci. Robotics 2023).",
            "account": "Karin, a Swedish woman born in 1973, lost her right hand below the elbow in a farming accident. She received a neuromusculoskeletal prosthesis at Sahlgrenska University Hospital. It comprises titanium implants in the radius and ulna and severed nerves transferred to muscle grafts. Implanted electrodes feed an embedded controller and a Prensilia Mia Hand. The study ran from September 2018 to April 2021, and the EU DeTOP consortium announced the implantation on 5 February 2019. The case report (Science Robotics, 11 October 2023) states her phantom limb pain fell from 5 to 3 and stump pain vanished. Quality of life rose, and she had used the hand in daily life for more than three years and continues to."
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "summary",
            "account"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "systems[].autonomy_permissions": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "systems[].component_role": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "systems[].deployment_configuration": {
        "state": "value_present",
        "value": {
          "kind": "text",
          "text": "The participant used a Mia Hand."
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Separated the model, software, hardware, or operation already described in the existing record. No new source review is claimed.",
          "record_fields": [
            "model_version",
            "system",
            "ai_role"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "systems[].inputs_outputs": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "systems[].model_name": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "systems[].model_version": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "model_version": "Mia Hand"
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
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          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial",
        "display": {
          "answer": "Exact release not established.",
          "editor_note": ""
        }
      },
      "systems[].product_name": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "system": "Transradial neuromusculoskeletal prosthesis: osseointegrated titanium implants with implanted muscle and nerve electrodes, an embedded controller, and the Prensilia Mia Hand"
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "system"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "systems[].provider": {
        "state": "value_present",
        "value": {
          "kind": "structured",
          "data": {
            "application_developer": "Center for Bionics and Pain Research (Chalmers University of Technology and Sahlgrenska University Hospital, Mölndal) with Integrum AB; hand by Scuola Superiore Sant'Anna and Prensilia SRL, under the EU DeTOP project"
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Mapped from the existing case description without a new external source review.",
          "record_fields": [
            "developer"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "taxonomy_crosswalks[]": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "title": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "title": "Karin's bone-anchored, nerve-connected Mia Hand: after more than three years of daily use her phantom pain fell from 5 to 3 and her stump pain vanished (Science Robotics case report)",
            "headline": "Bone-anchored Mia Hand cuts Karin's phantom pain from 5 to 3"
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "title",
            "headline"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
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      "version": {
        "state": "value_present",
        "value": {
          "kind": "identifiers",
          "identifiers": [
            "fd19527eb4eddf2f9fda28092351bc634dbfca0de59759b028f74b4c07b0463f"
          ],
          "role": "SHA-256 of normalized original case data"
        },
        "provenance": {
          "kind": "curatorial",
          "basis": "Deterministic content version assigned by the local migration.",
          "record_fields": [],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "complete"
      },
      "workflow": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "account": "Karin, a Swedish woman born in 1973, lost her right hand below the elbow in a farming accident. She received a neuromusculoskeletal prosthesis at Sahlgrenska University Hospital. It comprises titanium implants in the radius and ulna and severed nerves transferred to muscle grafts. Implanted electrodes feed an embedded controller and a Prensilia Mia Hand. The study ran from September 2018 to April 2021, and the EU DeTOP consortium announced the implantation on 5 February 2019. The case report (Science Robotics, 11 October 2023) states her phantom limb pain fell from 5 to 3 and stump pain vanished. Quality of life rose, and she had used the hand in daily life for more than three years and continues to.",
            "replication": {
              "produced_by": [
                "Osseointegrated titanium implants giving skeletal attachment and a wired path from implanted electrodes to the hand",
                "Surgical reconstruction that transfers severed nerves to free muscle grafts, adding myoelectric sites and treating neuropathic pain",
                "A self-contained prosthesis with an embedded controller and battery that needs no external equipment, so it can be worn all day"
              ],
              "must_hold": [
                "The fixtures must osseointegrate. Here the radial fixture failed, was removed after 5 months and reimplanted with a larger diameter",
                "Implanted electrodes must stay within working range for years. One e-abutment screw broke after 3.5 years and was replaced",
                "Outcomes are from one patient with no control group, so the effect size is not established beyond this case"
              ],
              "echoes": []
            }
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "account",
            "replication"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      }
    },
    "summary": {
      "total": 91,
      "addressed": 91,
      "known": 32,
      "reviewed": 0,
      "record_mapped": 32,
      "not_assessed": 59,
      "complete": false,
      "by_state": {
        "value_present": 32,
        "not_reported": 0,
        "unresolved": 0,
        "not_assessed": 59,
        "not_applicable": 0,
        "withheld": 0,
        "source_unavailable": 0
      }
    }
  }
}