Innovative Device Research Articles

Developing and Testing High-Performance SHM Sensors Mounting Low-Noise MEMS Accelerometers.

Recently, there has been increased interest in adopting novel sensing technologies for continuously monitoring structural systems. In this respect, micro-electrical mechanical system (MEMS) sensors are widely used in several applications, including structural health monitoring (SHM), in which accelerometric samples are acquired to perform modal analysis. Thanks to their significantly lower cost, ease of installation in the structure, and lower power consumption, they enable extensive, pervasive, and battery-less monitoring systems. This paper presents an innovative high-performance device for SHM applications, based on a low-noise triaxial MEMS accelerometer, providing a guideline and insightful results about the opportunities and capabilities of these devices. Sensor nodes have been designed, developed, and calibrated to meet structural vibration monitoring and modal identification requirements. These components include a protocol for reliable command dissemination through network and data collection, and improvements to software components for data pipelining, jitter control, and high-frequency sampling. Devices were tested in the lab using shaker excitation. Results demonstrate that MEMS-based accelerometers are a feasible solution to replace expensive piezo-based accelerometers. Deploying MEMS is promising to minimize sensor node energy consumption. Time and frequency domain analyses show that MEMS can correctly detect modal frequencies, which are useful parameters for damage detection. The acquired data from the test bed were used to examine the functioning of the network, data transmission, and data quality. The proposed architecture has been successfully deployed in a real case study to monitor the structural health of the Marcus Aurelius Exedra Hall within the Capitoline Museum of Rome. The performance robustness was demonstrated, and the results showed that the wired sensor network provides dense and accurate vibration data for structural continuous monitoring.

The effects of vibrating shoe insoles on standing balance, walking, and ankle-foot muscle activity in adults with diabetic peripheral neuropathy

BackgroundPeripheral neuropathy is one of the most common complications of type 2 diabetes, which can lead to impaired balance and walking. Innovative footwear devices designed to stimulate foot sensory receptors, such as vibrating insoles, could offer a new route to improve motor impairments in people with diabetic peripheral neuropathy (DPN). Research questionDoes wearing vibrating insoles for the first time alter measures of balance, walking, and ankle-foot muscle activity, in people with DPN? MethodsA randomised cross-over study was conducted with 18 ambulant men and women with a diagnosis of DPN. Participants performed tests of standing balance (Bertec® force platform) under four conditions (foam/firm surface, eyes open/closed) and level-ground walking (GAITRite® instrumented walkway), whilst wearing vibrating and non-vibrating (control) insoles on two separate occasions (one insole/session). Electromyography (EMG) was used to assess soleus, medial gastrocnemius, tibialis anterior, peroneus longus activity during balance tests. Outcomes included centre of pressure (CoP) sway, EMG amplitude, spatiotemporal gait patterns, and Timed Up and Go test. One sample t-tests were used to explore %differences in outcomes between insole conditions. ResultsWearing vibrating insoles led to a reduction (improvement) in CoP elliptical area, when standing on a foam surface with eyes closed, relative to non-vibrating insoles (P=0.03). Applying perceptible vibrations to the soles of the feet also reduced the EMG amplitude in soleus (P=0.01 and P=0.04) and medial gastrocnemius (P=0.03 and P=0.09) when standing with eyes closed on firm and foam surfaces. SignificanceOur findings of signs of improved balance and altered muscle activity with suprasensory vibrating insoles provides new insights into how these devices can be used to inform innovative rehabilitation approaches in individuals with DPN. This will be strengthened by further research into possible clinical benefits of these devices – given that the effects we detected were small with uncertain clinical meaning.

Antimicrobial action and cytotoxicity of hypochlorous acid obtained from an innovative electrolytic device – An in vitro study

ObjectiveThis study evaluated the antimicrobial effect and cytotoxicity of hypochlorous acid(HClO) obtained from an innovative electrolytic device. DesignThe root canals of fifty extracted human teeth were inoculated with Enterococcus faecalis and divided into 5 groups (n = 10): DW (control); 2% chlorhexidine gel(CHX); 2.5% sodium hypochlorite(NaOCl); 250 ppm HClO and 500 ppm HClO. The counting of colony forming units evaluated the decontamination potential of each group. Cytotoxicity was evaluated after inoculation of tested protocols in fibroblastic cells for 3 min, calculating the cell viability. Specific statistical analysis was performed (α = 5%). ResultsThe highest bacterial reduction was observed in experimental groups, with no statistical differences from each other (p > 0.05). The highest number of viable cells was observed in control group, followed by 250 ppm HClO and 500 ppm HClO groups, with statistical differences from each other (p < 0.05). ConclusionsIt could be concluded that HClO presented high antimicrobial activity and low cytotoxicity at both tested concentrations.

Concomitant Light-Reversible Magnetic Response in Multiferroic Oxide Heterostructures for Multiphysics Applications.

The concept of multiphysics, where materials respond to diverse external stimuli, such as magnetic fields, electric fields, light irradiation, stress, heat, and chemical reactions, plays a fundamental role in the development of innovative devices. Nanomanufacturing, especially in low-dimensional systems, enhances the synergistic interactions taking place on the nanoscale. Light-matter interaction, rather than electric fields, holds great promise for achieving low-power, wireless control over magnetism, solving two major technological problems: the feasibility of electrical contacts at smaller scales and the undesired heating of the devices. Here, we shed light on the remarkable reversible modulation of magnetism using visible light in epitaxial Fe3O4/BaTiO3 heterostructure. This achievement is underpinned by the convergence of two distinct mechanisms. First, the magnetoelastic effect, triggered by ferroelectric domain switching, induces a proportional change in coercivity and remanence upon laser illumination. Second, light-matter interaction induces charged ferroelectric domain walls' electrostatic decompensations, acting intimately on the magnetization of the epitaxial Fe3O4 film by magnetoelectric coupling. Crucially, our experimental results vividly illustrate the capability to manipulate magnetic properties using visible light. This concomitant mechanism provides a promising avenue for low-intensity visible-light manipulation of magnetism, offering potential applications in multiferroic devices.

Colorectal Cancer Diagnosis through Breath Test Using a Portable Breath Analyzer-Preliminary Data.

Screening methods available for colorectal cancer (CRC) to date are burdened by poor reliability and low patient adherence and compliance. An altered pattern of volatile organic compounds (VOCs) in exhaled breath has been proposed as a non-invasive potential diagnostic tool for distinguishing CRC patients from healthy controls (HC). The aim of this study was to evaluate the reliability of an innovative portable device containing a micro-gas chromatograph in enabling rapid, on-site CRC diagnosis through analysis of patients' exhaled breath. In this prospective trial, breath samples were collected in a tertiary referral center of colorectal surgery, and analysis of the chromatograms was performed by the Biomedical Engineering Department. The breath of patients with CRC and HC was collected into Tedlar bags through a Nafion filter and mouthpiece with a one-way valve. The breath samples were analyzed by an automated portable gas chromatography device. Relevant volatile biomarkers and discriminant chromatographic peaks were identified through machine learning, linear discriminant analysis and principal component analysis. A total of 68 subjects, 36 patients affected by histologically proven CRC with no evidence of metastases and 32 HC with negative colonoscopies, were enrolled. After testing a training set (18 CRC and 18 HC) and a testing set (18 CRC and 14 HC), an overall specificity of 87.5%, sensitivity of 94.4% and accuracy of 91.2% in identifying CRC patients was found based on three VOCs. Breath biopsy may represent a promising non-invasive method of discriminating CRC patients from HC.

Near-infrared fluorescence lymph node template region dissection plus backup lymphadenectomy in open radical cystectomy for bladder cancer using an innovative handheld device: A single center experience.

The extent of pelvic lymphadenectomy (PLND) as part of radical cystectomy (RC) for bladder cancer (BC) remains unclear. Sentinel-based and lymphangiographic approaches could lead to reduced morbidity without sacrificing oncologic safety. To evaluate the feasibility and diagnostic value of fluorescence-guided template sentinel region dissection (FTD) using a handheld near-infrared fluorescence (NIRF) camera in open radical cystectomy. After peritumoral cystoscopic injection of indocyanine green (ICG) 21 patients underwent open RC with FTD due to BC between June 2019 and June 2021. Intraoperatively, the FIS-00 Hamamatsu Photonics® NIRF camera was used to identify and resect fluorescent template sentinel regions (FTRs) followed by extended pelvic lymphadenectomy (ePLND) as oncological back-up. Descriptive analysis of positive and negative results per template region. FTRs were identified in all 21 cases. Median time (range) from ICG injection to fluorescence detection was 75 (55-125) minutes. On average (SD), 33.4 (9.6) lymph nodes were dissected per patient. Considering template regions as the basis of analysis, 67 (38.3%) of 175 resected regions were NIRF-positive, with 13 (7.4%) regions harboring lymph node metastases. We found no metastatic lymph nodes in NIRF-negative template regions. Outside the standard template, two NIRF-positive benign nodes were identified. The concept of NIRF-guided FTD proved for this group all lymph node metastases to be found in NIRF-positive template regions. Pending validation in a larger collective, resection of approximately 40% of standard regions may be sufficient and may result in less morbidity.

Is read-across for chemicals comparable to medical device equivalence and where to use it for conformity assessment?

Novel medical devices must conform to medical device regulation (MDR) for European market entry. Likewise, chemicals must comply with the Registration, Evaluation, Authorization and Restriction of Chemicals (REACh) regulation. Both pose regulatory challenges for manufacturers, but concordantly provide an approach for transferring data from an already registered device or compound to the one undergoing accreditation. This is called equivalence for medical devices and read-across for chemicals.Although read-across is not explicitly prohibited in the process of medical device accreditation, it is usually not performed due to a lack of guidance and acceptance criteria from the authorities. Nonetheless, a scientifically justified read-across of material-based endpoints, as well as toxicological assessment of chemical aspects, such as extractables and leachables, can prevent failure of MDR device equivalence if data is lacking. Further, read-across, if applied correctly can facilitate the standard MDR conformity assessment.The need for read-across within medical device registration should let authorities to reconsider device accreditation and the formulation of respective guidance documents. Acceptance criteria like in the European Chemicals Agency (ECHA) read-across assessment framework (RAAF) are needed. This can reduce the impact of the MDR and help with keeping high European innovation device rate, beneficial for medical device patients.

Vacancy-Engineered Nickel Ferrite Forming-Free Low-Voltage Resistive Switches for Neuromorphic Circuits.

Innovations in resistive switching devices constitute a core objective for the development of ultralow-power computing devices. Forming-free resistive switching is a type of resistive switching that eliminates the need for an initial high voltage for the formation of conductive filaments and offers promising opportunities to overcome the limitations of traditional resistive switching devices. Here, we demonstrate mixed charge state oxygen vacancy-engineered electroforming-free resistive switching in NiFe2O4 (NFO) thin films, fabricated as asymmetric Ti/NFO/Pt heterostructures, for the first time. Using pulsed laser deposition in a controlled oxygen atmosphere, we tune the oxygen vacancies together with the cationic valence state in the nickel ferrite phase, with the latter directly affecting the charge state of the oxygen vacancies. The structural integrity and chemical composition of the films are confirmed by X-ray diffraction and hard X-ray photoelectron spectroscopy, respectively. Electrical transport studies reveal that resistive switching characteristics in the films can be significantly altered by tuning the amount and charge state of the oxygen vacancy concentration during the deposition of the films. The resistive switching mechanism is seen to depend upon the migration of both singly and doubly charged oxygen vacancies formed as a result of changes in the nickel valence state and the consequent formation/rupture of conducting filaments in the switching layer. This is supported by the existence of an optimum oxygen vacancy concentration for efficient low-voltage resistive switching, below or above which the switching process is inhibited. Along with the filamentary switching mechanism, the Ti top electrode also enhances the resistive switching performance due to interfacial effects. Time-resolved measurements on the devices display both long- and short-term potentiation in the optimized vacancy-engineered NFO resistive switches, ideal for solid-state synapses achieved in a single system. Our work on correlated oxide forming-free resistive switches holds significant potential for CMOS-compatible low-power, nonvolatile resistive memory and neuromorphic circuits.

Electronic phase transformations and energy gap variations in uniaxial and biaxial strained monolayer VS[formula omitted] TMDs: A comprehensive DFT and beyond-DFT study

In the rapidly evolving field of 2D materials, transition metal dichalcogenides (TMDs) have emerged as compelling candidates for electronic applications. This study investigates the electronic structure of the H-phase monolayer VS2 belonging to TMD family and the influence of strain on its band structure through Density Functional Theory (DFT). We employ two different pseudopotential approximations and a suite of computational methods including DFT+U, GAUPBE, G0W0, and self-GW to provide a nuanced understanding of its electronic band structure. A highlight of the study is its focus on how both uniaxial and biaxial strains, ranging from -5% to +5%, affect the electronic properties of the H-phase monolayer VS2. Our comprehensive analysis reveals that these tensile strains significantly widen the energy gap, with uniaxial strains having a more pronounced effect than their biaxial counterparts. Additionally, we identify an intriguing phase transition from a semiconducting to a metallic state under compressive strains, this transition is attributed to both symmetry breaking and bond length variation in the uniaxial case, the bond length in biaxial. These key findings not only enrich our understanding of the intricate electronic behavior of monolayer VS2 under different strains but also pave the way for the design of innovative electronic devices using strain engineering.

Nanotechnological Research for Regenerative Medicine: The Role of Hyaluronic Acid.

Hyaluronic acid (HA) is a linear, anionic, non-sulfated glycosaminoglycan occurring in almost all body tissues and fluids of vertebrates including humans. It is a main component of the extracellular matrix and, thanks to its high water-holding capacity, plays a major role in tissue hydration and osmotic pressure maintenance, but it is also involved in cell proliferation, differentiation and migration, inflammation, immunomodulation, and angiogenesis. Based on multiple physiological effects on tissue repair and reconstruction processes, HA has found extensive application in regenerative medicine. In recent years, nanotechnological research has been applied to HA in order to improve its regenerative potential, developing nanomedical formulations containing HA as the main component of multifunctional hydrogels systems, or as core component or coating/functionalizing element of nanoconstructs. This review offers an overview of the various uses of HA in regenerative medicine aimed at designing innovative nanostructured devices to be applied in various fields such as orthopedics, dermatology, and neurology.

Innovative detection mechanism for deltamethrin based on a dual-emitting Fluoroprobe and its application in a smartphone-based photoelectric conversion device

Pyrethroids are widely used insecticides worldwide, while their on-site and rapid detection still faces technological challenges. Herein, an innovative detection mechanism was designed for deltamethrin, a typical kind of type II pyrethroids, based on a dual-emitting fluoroprobe consisting of NH2-SiQDs and Eu3+. Deltamethrin can rapidly hydrolyze into 3-phenoxybenzaldehyde (3-PBD) and react specifically with fluoroprobe, causing fluorescence quenching of SiQDs while maintaining the fluorescent stability of Eu3+. Building upon the above fluorescence-responsive principle, SiQDs@Eu3+ provided satisfactorily dual-emitting signals, realizing the highly-selective and sensitive detection of deltamethrin. Correlation between the surface structure of SiQDs and their absorption spectra was in-depth unraveled by TD-DFT calculation and FT-IR analysis. As for the analytical performance, the recovery and LOD of deltamethrin in lettuce, provided by SiQDs@Eu3+, were comparable or even superior over conventional chromatographic analysis. Meanwhile, an innovative smartphone-based optical device was developed, which greatly decreased errors caused by the previously reported smartphone-based fluorescence detection.

Focus on device innovation in interventional cardiology and on trials in cardiovascular prevention.

Focus on device innovation in interventional cardiology and on trials in cardiovascular prevention.

Technology Focus: Completions (April 2024)

To start a text for high-level readers with a cliché is always a risk, but I will take it: “Data is the new oil.” When British mathematician Clive Humby coined this clever sentence in 2006, the thought-provoking idea behind it was that both oil and data need to be refined and processed to have value. Time and repetition eventually shaped the new, more common-sense meaning that data is as valuable as oil. And when the data refers to oil exploration and production, Humby’s statement becomes resounding, especially in its original meaning. The oil and gas industry, notably the completion activity, with its distributed sensors, optical fibers, permanent downhole gauges, sealed-wellbore pressure monitoring (SWPM), and microseismic, has generated a fantastic amount of data, which has increasingly been properly refined and processed, producing more information—and more oil. A quick search of OnePetro shows the number of papers that deal with the use of artificial intelligence with massive amounts of data that are being made available in the cloud to solve everything from the most prosaic completion decisions to the automatic design of stimulations in naturally fractured reservoirs. A good example of the use of data is shown in paper SPE 212922, which provides an in-depth analysis of interventions in the UK sector of the North Sea. Most of the conclusions, although mostly based on the UK Stewardship Survey, can be easily extrapolated to other regions of the world. And one of them puts its finger on the wound: the fear of asset managers of conducting interventions, even though they appear to be highly effective and economically viable. Paper SPE 212367 discusses the automation of SWPM data analysis for automatic volume-to-first-response matching, a great evolution in the design of refractures in the legendary Eagle Ford shales. And, if the evolution of completing unconventionals led the US to its historic production record in 2023, with more than 16 million BOE/D, in Argentina, shale gas has been a driver of development. The evolution of completions in the most famous unconventional prospect, Vaca Muerta, can be followed in paper SPE 212574. All of these great readings prove the cliché that “data is the new oil.” To complement the reading, a paper that will bring a discreet smile to a generation that breathlessly watched spaceships and even planets being destroyed by lasers, paper SPE 215016, details the industrial use of lasers in perforation. The future has finally arrived. To close the selections, two papers present current and important topics: completion options for carbon capture, use, and storage (SPE 216187) and innovations in autonomous inflow control devices, with the ingenious activation of the apparatus with chemical devices (SPE 216041). Recommended additional reading at OnePetro: www.onepetro.org. SPE 215016 First Industrial High-Power Laser Perforation Deployment by Sameeh I. Batarseh, Saudi Aramco, et al. SPE 216187 Improving Injection Efficiency in CCUS Wells: A Comparative Analysis of Different Completion Designs by Prakasa Bona, Halliburton, et al. SPE 216041Configurable Adaptive Chemical Inflow Control Device Eliminates Intervention by P. Asthana, Saudi Aramco, et al.

Ultra-confined controllable cyclic peptides as supramolecular biomaterials

The capacity to design molecules capable of orchestrated movements in response to specific stimuli could yield functional biomaterials suitable for diverse innovative materials and devices. However, the rational design of molecules capable of precisely orchestrated movements remains exceedingly difficult. As a stepping-stone toward this goal, we have developed a method for manufacturing precisely designed cyclic peptide molecules with a single degree of freedom. We demonstrate that the structural configuration of these molecules can be precisely determined under different external stimuli and explore the mechanism by which these molecules form supramolecular self-assemblies. Our experimental analysis of these assemblies reveals that our constrained cyclic peptides form nanotube structures through sheet-like hydrogen bonding. Unexpectedly, these higher-order structures can achieve remarkably rigid (∼10 GPa) and stable architectures at high temperatures—comparable to the most rigid proteinaceous materials in nature. The design strategy described here could facilitate the development of molecular machines, smart materials, and other applications that require fine-tuned regulation of biomolecular behavior.

Seashell-inspired polarization-sensitive tonotopic metasensor

Bioinspiration has widely been demonstrated to be a powerful approach for the design of innovative structures and devices. Recently, this concept has been extended to the field of elasticity, dynamics, and metamaterials. In this paper, we propose a seashell-inspired metasensor that can simultaneously perform spatial frequency mapping and act as a polarizer. The structure emerges from a universal parametric design that encompasses diverse spiral geometries with varying circular cross sections and curvature radii, all leading to tonotopic behavior. Adoption of an optimization process leads to a planar geometry that enables us to simultaneously achieve tonotopy for orthogonally polarized modes, leading to the possibility to control polarization as well as the spatial distribution of frequency maxima along the spiral axis. We demonstrate the versatility of the device and discuss the possible applications in the field of acoustics and sensing.

Biomechanical MEMS Electrostatic Energy Harvester for Pacemaker Application: A Study of Optimal Interface Circuit.

The leadless pacemaker is the most recent pacemaker concept, developed to overcome conventional pacemakers' limitations. This technology offers better comfort to the patients, lower risk from implantation, and higher reliability. However, these devices suffer from limited battery lifetime due to the extreme miniaturization required for implantation inside the heart cavities. This work proposes extending the battery lifetime by converting biomechanical heartbeat energy into electricity using an innovative electrostatic MEMS energy harvesting device. Based on theoretical models and experiments, we propose a general approach to choosing the optimal interface circuit which considers the parasitic capacitance of the circuit, as it is an imperfection that significantly affects the power performance. According to the energy consumed by the last generation commercial leadless pacemakers, the proposed MEMS solution with optimal interface circuit experimentally showed the possibility of extending the pacemaker battery lifetime by up to 44%.

Women in Plastic Surgery Innovation: A 10-Year Review of Gender Representation in Mammary Device Patents.

This study aims to pioneer in evaluating women's representation in plastic surgery innovations, focusing on mammary prosthesis devices' inventorship. Despite growing gender parity in the field, women's involvement in innovation remains underexplored. This is especially crucial, as the predominant recipients of these innovative technologies are women, urging a necessity for broader female engagement in pioneering surgical advancements. Patents under the "A61F2/12: Mammary prostheses and implants" classification between the dates January 1, 2011, to December 31, 2020, were identified using Google Patents Advanced. Inclusion criteria included patents (not designs) in English and applications (not grants), with no litigation limitations. Data collected included ID, title, assignee (categorized as industry, academic, private, individual), inventors, and dates (priority, filing, and publication). Sex of inventors was identified with the literature validated gender API, with manual resolution of unresolved genders or with ga_accuracy scores of less than 75%. Data were analyzed using 2-tailed Student t tests, χ2 analysis, and Pearson correlation coefficient (significance set at P ≤ 0.05). Of the more than 130,000 plastic surgery patents in English identified between the 10-year period, 1355 were classified as A61F2/12. A total of 374 unique patents were included for analysis (841 duplicates were removed, and 140 patents were excluded because of non-English character author names). There was a significant increase in patents over the decade (from 15 in 2011 to 88 in 2020, R2 = 0.74, P < 0.05), with a decrease in number of inventors per patent (R2 = 0.12, P < 0.05). Of the 1102 total inventors, 138 were female (11.2%), with a 4-fold increase in representation over the decade (R2 = 0.58, P < 0.05), including increase in patents filed with a woman first inventor (0%-14.8%). Women were equally likely to be first 3 inventors versus middle to last inventors (12.8% vs 11.1%, respectively). Over a decade, mammary device innovations rose significantly. Although women inventors' representation improved, it remains disproportionate compared with women in residency/practice. Hence, interventions should aim to align inventor representation with training ratios, through institutional optimization, reducing gender segmentation, and enhancing funding opportunities.

Development and Fabrication of Locust Control System

Abstract: Locusts, known for their destructive swarms, pose a major threat to agriculture. Their ability to change behavior and become gregarious leads to devastating crop loss. Our solution addresses this challenge with an innovative locust control device. The device utilizes ultraviolet light to attract locusts into a containment box. A high-voltage system within the box eliminates the trapped insects. Security measures are integrated to protect the device. Additionally, the remains of the locusts can be easily decomposed, providing potential benefits.

The architectural spaces of a children's rehabilitation center based on adaptive technologies

The architectural spaces of children's rehabilitation centers that use adaptive technologies are reviewed. The spatial characteristics of modern hospital premises in which innovative adaptive devices are used for the rehabilitation of children with disabilities are identified. Several rehabilitation centers employing adaptive technologies were reviewed to determine the main types of devices used in the treatment and their impact on the space in which they are located. Based on this review, zoning specifics and scenarios of movement in the premises with adaptive technologies have been identified, and the functional and planning features of the architectural space in rehabilitation premises are formulated.

Use of an innovative device to improve the efficiency of the posterior quadriceps muscle of the man after the anterior cruciate ligament injury of advanced soccer players

Objective of the research This study aimed to manufacture an innovative device that enables the player to walk after the operation and improves functional efficiency through improvement in the range of motion as well as improvement in the size of the muscles working on the knee joint Imposing research There are statistically significant differences between the pre and posttests of the experimental and control groups, there are Statistically significant differences between the post-tests between the experimental group and the control group in favor of the experimental group of the research sample. The researchers used the experimental approach by designing the control and experimental groups with a test (pre-post) for the suitability of the approach to the research problem. The study population consisted of players with severed anterior cruciate ligaments for advanced soccer players, and the number of the research sample was (5) injured for the control sample and (5) for the experimental sample. The researchers concluded that the use of the innovative device showed good results in accelerating the rehabilitation process, and the development of body parts was In line with the progress of bending and stretching in the innovative device. There is no delay for one part of the body at the expense of another part, the most important recommendations. The necessity of using partial movement braces in the rehabilitation of the anterior cruciate ligament injury of the knee in advanced soccer players, the use of the number of walking steps and the pressure applied to the ground as a criterion for the progress of rehabilitation and recovery, the researcher recommends using the device early after the operation.