Authors:
            
                    James Andrew Smith
                    
                        
                    
                     and
                
                    André Seyfarth
                    
                        
                    
                    
                
        
        
            Affiliation:
            
                    
                        
                    
                    Locomotion Laboratory (Lauflabor), Institute for Sports Science, University of Jena, Germany
                
        
        
        
        
        
             Keyword(s):
            Orthosis, prothesis, implanted medical device, insurance, risk, control, adaptability.
        
        
            
                Related
                    Ontology
                    Subjects/Areas/Topics:
                
                        Biomedical Engineering
                    ; 
                        Biomedical Equipment
                    ; 
                        Biomedical Instruments and Devices
                    ; 
                        Emerging Technologies
                    ; 
                        Implantable Electronics
                    ; 
                        Telecommunications
                    ; 
                        Wireless and Mobile Technologies
                    ; 
                        Wireless Information Networks and Systems
                    
            
        
        
            
                Abstract: 
                End-users of biomedical devices, like many patients undergoing treatment in healthcare systems, often demonstrate an active interest in their therapy. Patient-specific customization of medical devices, such as orthoses, prostheses and implants, is an expensive, time-consuming process. Given how many of these patients are pro-active and 
self-motivated it seems appropriate to the authors that these characteristics be harnessed to make the adaptation of the device to the patient more cost effective. In short, it is proposed that the device end-user – the patient – play an active role in the tuning and adaptation of the device, especially in the out-patient context. However, the perceived risk associated with a more pro-active and independent role for the patient is a barrier to this possibility. These factors are examined and a proposal for a practical approach to a patient-controlled device optimization process is put forward.