{"id":454,"date":"2011-07-10T15:45:18","date_gmt":"2011-07-10T13:45:18","guid":{"rendered":"http:\/\/www.swisswuff.ch\/tech\/?p=454"},"modified":"2013-12-10T14:53:34","modified_gmt":"2013-12-10T12:53:34","slug":"prosthetic-arms-components-price-price-per-month-of-service-free-operation-functional-value-economical-considerations","status":"publish","type":"post","link":"https:\/\/www.swisswuff.ch\/tech\/?p=454","title":{"rendered":"Prosthetic arms &#8211; components, price, price per month of service free operation, functional value [economical considerations]"},"content":{"rendered":"<p>In terms of prosthetic arms, long term costs are a real issue. If a prosthetic arm is built right, long term cost also means long term income.<\/p>\n<p>However, there are some unidentified obstacles. As this is a biased website &#8211; I would like you to assume it just represents my personal views and opinions, and if you somehow believe that I share views with others you may well think that bu I would not really comment &#8211; I will not address all of the underlying real issues. There are very good reasons for that. But the cost &#8211; performance issue is an interesting problem anyone can sit down and study.<\/p>\n<p>With that I am not just talking about long term costs of overuse. I recently learned that prosthetic component manufacturers usually are more than happy to have their clients suffer their prosthetic components &#8211; but if you do want to get rich you need to provide a minimal amount of true support.<\/p>\n<p>Obviously that is mostly the case only in a very limited fashion. Most overpriced items &#8211; which include the whole myoelectric option as well as some other parts &#8211; are *particularly* un-functional. They are built to malfunction, they are built to frustrate, they are built to fail, they are even built to look weird.<\/p>\n<p>My <a href=\"http:\/\/www.swisswuff.ch\/tech\/?p=416\" target=\"_blank\">sharp eyes googling a pre-demo &#8220;performance&#8221; of a Michelangelo hand<\/a> adds to that impression. How rigid and awkward any prosthetic arm &#8211; including the iLimb pulse &#8211; look, and how little the industry representative Bertolt Meyer actually acknowledges that, is shown in a <a href=\"http:\/\/www.swisswuff.ch\/tech\/?p=448\" target=\"_blank\">recent panel discussion<\/a>.<\/p>\n<p>Price, performance and function do not add up. Market rules do not just not work within the extremely skewed market of prosthetic components &#8211; they are not even going anywhere, no, this is a completely reversed world.<\/p>\n<p>And that then warrants the type of questions that are somewhat uncomfortable.<\/p>\n<p><!--more--><\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.swisswuff.ch\/tech\/?p=454\/#Prosthetic_arm_gripping_solutions_and_cost\" >Prosthetic arm \/ gripping solutions and cost<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.swisswuff.ch\/tech\/?p=454\/#Prosthetic_components_that_I_would_buy_again_cost_less_per_month_A_lot_less\" >Prosthetic components that I would buy again cost less per month. A lot less.<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.swisswuff.ch\/tech\/?p=454\/#Cut-off_value_for_price_per_month_of_service_free_operation\" >Cut-off value for price per month of service free operation<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.swisswuff.ch\/tech\/?p=454\/#Function_does_not_mean_the_part_costs_much_Conversely_if_it_costs_too_much_it_is_probably_not_worth_it\" >Function does not mean the part costs much. Conversely if it costs too much it is probably not worth it.<\/a><\/li><\/ul><\/nav><\/div>\n<h1><span class=\"ez-toc-section\" id=\"Prosthetic_arm_gripping_solutions_and_cost\"><\/span>Prosthetic arm \/ gripping solutions and cost<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<table width=\"100%\">\n<tbody>\n<tr>\n<td>Method<\/td>\n<td>One time cost<\/td>\n<td>Annual maintenance<\/td>\n<td>10 y est.<\/td>\n<td>20 y est.<\/td>\n<\/tr>\n<tr>\n<td>No prosthetic<\/td>\n<td>0 CHF<\/td>\n<td>200 CHF<\/td>\n<td>2000 CHF<\/td>\n<td>4000 CHF<\/td>\n<\/tr>\n<tr>\n<td>Body powered<\/td>\n<td>7000 CHF<\/td>\n<td>1000 CHF<\/td>\n<td>20000 CHF<\/td>\n<td>60000 CHF<\/td>\n<\/tr>\n<tr>\n<td>Myoelectric<\/td>\n<td>70000 CHF<\/td>\n<td>10000 CHF<\/td>\n<td>350000 CHF<\/td>\n<td>600000 CHF<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>The cost of prosthetic arms is only one aspect to consider. The actual comfort and <a href=\"http:\/\/www.swisswuff.ch\/tech\/?p=2360\" target=\"_blank\">function <\/a>(including their appearance if at all) play into the determination of their value, or, value against price.<\/p>\n<h1><span class=\"ez-toc-section\" id=\"Prosthetic_components_that_I_would_buy_again_cost_less_per_month_A_lot_less\"><\/span><strong>Prosthetic components that I would buy again cost less per month. A lot less.<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p>The below diagram shows the price per month in CHF (Swiss Francs) to get service free operation out of the product mentioned [y-axis]. I distinguish two groups of items &#8211; the ones I will buy again (&#8216;y&#8217;, right side on x-axis) and the ones I will not buy again (&#8216;n&#8217;, left side on x-axis) .<\/p>\n<p><img decoding=\"async\" class=\"alignnone\" alt=\"\" src=\"http:\/\/www.swisswuff.ch\/images\/price\/prostheticparts-price-versus-buyagain.png\" width=\"100%\" \/><\/p>\n<p><em>Details regarding the above diagram: <\/em><\/p>\n<p><span style=\"text-decoration: underline;\">Sockets<\/span> (carbon fiber, epoxy) are the most expensive part I am using that I will get replaced, or recommend buying again. Socket making indeed seems to be the art that keeps the prosthetic industry alive as long as body powered arms are being built.<\/p>\n<p>However, sockets compete only with a new and risky method to anchor prostheses, osseointegration, and with 80&#8217;000 CHF for the operation and an average of 30 months of operation until a bolt breaks or is getting infected, monthly cost will be absolutely\u00a0gargantuan\u00a0(about 2600 CHF \/ month, not considering the huge amount of daily babysitting of a chronic wound that is constantly oozing). With that, sockets still are more affordable by a factor of 10-100, pending complications of osseointegration implants &#8211; not at all a cheap option, particularly as arm stumps are exposed to a lot &#8211; toilet cleaning, kitchen work, garden work, et cetera, the exposure to bacteria and fungi is usually extensive so 2600 CHF \/ month is an extremely conservative estimate. More expensive sockets thus are the most promising method to make more money for the prosthetic technician selling body powered arms.<\/p>\n<p><span style=\"text-decoration: underline;\">Silicone liners<\/span> are expensive, but only moderately so. If a prosthetic technician manages to sell custom liners they can increase their monthly income by quite a bit. However, the amount of money spent on Ossur liners that are made so they fail after about 1-2 years is considerable.<\/p>\n<p>The <span style=\"text-decoration: underline;\">V2P Prehensor<\/span> is a product that grips nicely but has failing parts &#8211; the sliding mechanism is the part that fails there. Also, this part is built to be used up and not to last permanently.<\/p>\n<p>Compared to that, <span style=\"text-decoration: underline;\">Hosmer hooks and Becker hands<\/span> are functionally superb and they have a cheap monthly rate &#8211; simply because their quality is great. As for the wrist units, our <span style=\"text-decoration: underline;\">Puppchen wrist<\/span> has been built with the same quality \/ price ratio in mind.<\/p>\n<p>It is interesting to note that <span style=\"text-decoration: underline;\">conventionally set up cables<\/span> (left side) can be extremely expensive if they are used too often or to much. Only a <span style=\"text-decoration: underline;\">revised and modified cable setup<\/span> (right side) is worthwhile getting, wearing and buying. Still, cables are a wear-down product that simply requires some new parts every now and then.<\/p>\n<p>Luxury products that are extremely expensive contain <span style=\"text-decoration: underline;\">myoelectric components and sockets<\/span>, as well as <span style=\"text-decoration: underline;\">hand painted cosmetic arms<\/span>. You could buy these but be aware that you do waste considerable amounts of money.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Cut-off_value_for_price_per_month_of_service_free_operation\"><\/span><em>Cut-off value for price per month of service free operation<\/em><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>If you are buying a prosthetic component, evaluate the price using the following rates:<\/p>\n<p>200 CHF \/ month &#8211; sockets and cosmetic arms as well as consumables (cable setup) range there. If you get a prosthetic hand that costs that much you should expect superior performance. Not good, not very good, but superior.<\/p>\n<p>10-20 CHF \/ month &#8211; this is the cost range of well built prosthetic parts &#8211; Becker hands, Hosmer hooks, Puppchen wrist. You can go and refurbish your house, shovel snow, get your hands real dirty and still keep trucking service free.<\/p>\n<p>Over 300 CHF \/ month &#8211; you are probably getting reamed. Check again. If it is ever possible, buy something else for your ego, like, a house or a car.<\/p>\n<h1><span class=\"ez-toc-section\" id=\"Function_does_not_mean_the_part_costs_much_Conversely_if_it_costs_too_much_it_is_probably_not_worth_it\"><\/span><strong>Function does not mean the part costs much. Conversely if it costs too much it is probably not worth it. <\/strong><span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p><img decoding=\"async\" class=\"alignnone\" alt=\"\" src=\"http:\/\/www.swisswuff.ch\/images\/price\/prostheticparts-price-versus-function.png\" width=\"100%\" \/><\/p>\n<p>Function and price (write off per service free month) actually correlate\u00a0negatively.\u00a0That means that if you are wearing a piece of heavy junk, chances are good it also cost too much.<\/p>\n<p>Now for the questions that arise.<\/p>\n<p>I&#8217;ll post these later. I think they are obvious. But let&#8217;s give that time to settle here.<\/p>\n\n<div class=\"twitter-share\"><a href=\"https:\/\/twitter.com\/intent\/tweet?via=swisswuff\" class=\"twitter-share-button\" data-size=\"large\">Tweet<\/a><\/div>\n<a rel=\"nofollow\" href=\"http:\/\/www.swisswuff.ch\/worms.php\" style=\"display: none;\" title=\"h dOV iLVY\"><!-- h dOV iLVY --><\/a>","protected":false},"excerpt":{"rendered":"<p>In terms of prosthetic arms, long term costs are a real issue. If a prosthetic arm is built right, long term cost also means long term income. However, there are some unidentified obstacles. As this is a biased website &#8211; I would like you to assume it just represents my personal views and opinions, and&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[95,8,61],"tags":[],"class_list":["post-454","post","type-post","status-publish","format-standard","hentry","category-legal-aspects","category-prosthetics","category-specifications-comparisons","wpcat-95-id","wpcat-8-id","wpcat-61-id"],"publishpress_future_action":{"enabled":false,"date":"2026-04-24 05:05:54","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/www.swisswuff.ch\/tech\/index.php?rest_route=\/wp\/v2\/posts\/454","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.swisswuff.ch\/tech\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.swisswuff.ch\/tech\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.swisswuff.ch\/tech\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.swisswuff.ch\/tech\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=454"}],"version-history":[{"count":3,"href":"https:\/\/www.swisswuff.ch\/tech\/index.php?rest_route=\/wp\/v2\/posts\/454\/revisions"}],"predecessor-version":[{"id":2612,"href":"https:\/\/www.swisswuff.ch\/tech\/index.php?rest_route=\/wp\/v2\/posts\/454\/revisions\/2612"}],"wp:attachment":[{"href":"https:\/\/www.swisswuff.ch\/tech\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=454"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.swisswuff.ch\/tech\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=454"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.swisswuff.ch\/tech\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=454"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}