Prostheses for Veterans

Veterans’ Prosthetic Panel

Veterans who have lost a limb whilst in military service or whose limb loss is attributable to an injury sustained whilst in service qualify for funding for their prostheses. Funding requests go through the Veterans’ Prosthetics Panel (VPP) which was established in 2012 and is an excellent way of ensuring that veterans can access high quality prostheses regardless of which Disablement Service Centre (DSC) they attend.

Continue to be your best, with the best

Ottobock was founded in 1919 to help those wounded in WWI get back to everyday life. Since then, we’ve maintained close relationships with veterans to research, develop and distribute advanced technology specifically suited to the needs of injured veterans.

Not only do we provide the best prosthetic devices to veterans but we also work alongside BLESMA who offer the best advice and support for limbless veterans. Find out more about this amazing charity here https://blesma.org/

Are you a veteran using an Ottobock prosthesis?

We want to ensure every veteran continues to get the very best in prosthetic technology, so we need your help! Whether you still use your original Ottobock prostheses or have recently received new ones, we would love to hear your story and how your life has changed since 2012. Do you want to be involved in our veteran photo and video shoot and star in our next marketing campaign? Simply email bockuk@ottobock.com with your name and contact number and we'll be in touch.

#TheBestContinued



What you need to know

Ottobock prostheses

All types of prostheses are available to veterans. Here is a selection of our popular Ottobock prostheses.

Empower Ankle

A battery-powered motor coupled with a high energy spring provide powered propulsion that emulates the lost calf muscles.

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Genium/Genium X3

The world’s most technologically advanced microprocessor knee provides a intuitive natural motion even when walking upstairs or backwards and the Genium X3 is even waterproof.

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bebionic Hand

The most lifelike prosthetic hand is comfortable and precise helping make it easy to carry out everyday tasks.

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Socket Tech & Liners

Having a secure interface between your prosthesis and the residual limb and a choice of liners is critical for overal socket comfort.

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Taleo

The Taleo's seamless rollover from heel strike to toe off offers you effortless and comfortable walking without dead spots. It lets you move smoothly when spontaneously changing your speed and direction.

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Triton side flex

Triton side flex easily compensates for side-to-side unevenness and small obstacles, and allows amputees to give their full attention to their surroundings and the people around them when taking a walk outside.

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Michelangelo Hand

The Michelangelo prosthetic hand gives you more ways to move your hand, and make all sorts of everyday tasks easier and more natural.

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Myo Plus

Myo Plus makes it possible to utilise the prosthesis control functions in a unique and entirely natural manner.

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DynamicArm

The DynamicArm Elbow prosthesis gives you the power and speed to get things done! It incorporates a powerful electric motor in combination with the Vario Drive clutch to help you both flex and extend your elbow—while holding up to eleven lbs!

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Sportsline

Along a beach, over a trail, on the track . . . there’s nothing like the satisfaction of a good workout. Ottobock’s sport prostheses for fitness and leisure make it possible to get up and get moving again.

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C-Brace

The C-Brace® is the world’s only orthotronic mobility system that uses sensor technology to control both the stance and swing phase. The user is supported in real time during every walking phase.

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Limb combinations

Be the best, with the best limb combinations from Ottobock

Genium with Empower

Based on human movement as the model, the Genium has been developed even further since its launch in 2011. The result is a noticeably smoother gait and even better support and safety in everyday situations, for instance on ramps, in confined spaces or when changing walking speeds. When combined with Empower, the only powered propulsion foot available, you end up with a powerful intiuitve solution.

Genium X3 with Triton side flex

With the Triton side flex, we have developed a prosthetic foot that provides extraordinary side-to-side flexibility and when combined with Genium X3, offers the ideal agile solution for active amputees.

Myo Plus with bebionic Hand

Myo Plus makes it possible to utilise the prosthesis control functions in a unique and entirely natural manner. When combined with the bebionic hand, it an advanced mind controlled upper limb solution.

Sportsline with QuickChange

The Challenger is the ultimate fitness foot for amputees wishing to take part in high-activity sports at both beginner and professional levels. Whether playing basketball, badminton, netball, hockey or football the Challenger's added stability and excellent control during rapid movement lends itself to high-impact team sports. The Challenger’s superb shock absorption and energy return enables comfortable yet fast movements for field, court and running sports. Plus it's waterproof and has a weight limit of 90kg. By combining with the QuickChange adaptor, amputees can change from sports to everyday feet as easily as putting on shoes.

Runner blade with QuickChange

Whether it is used for recreational jogging or competitive running, the Runner 1E91 perfectly serves the needs of amputees with athletic ambition – from beginner to high performance levels. When combined with QuickChange, changing from sports to everyday feet is as easy putting on shoes

Getting your limb solutions

A centralised fund is available through the NHS and administered by the Veterans Prosthetic Panel (VPP). It was created to help support veterans who were injured while serving their country. This fund covers the cost of any prostheses that meet your clinical needs and this includes anything from new sockets, liners and componentry such as Genium or Genium X3.

Once you have been to see your prosthetist and your clinical needs agreed, your prosthetist will process your application for funding and pending approval, will arrange a convenient fitting date for you to get you new limb solutions and continue to be the best with the best.

The great news is, veteran funding can be accessed repeatedly as your prostheses age and the warranties expire.

To find out more about veteran funding, visit https://www.england.nhs.uk/commissioning/armed-forces/veterans-prosthetics/

Veteran Blog

What is the VPP?

The Veterans Prosthetic Programme (VPP) was set up to put into practice the key findings of ‘A better deal for military amputees’, a report by Dr Andrew Murrison MP. What this resulted in was a small number of multidisciplinary centres being tasked with the privilege of providing specialist prosthetic and rehabilitation services to ensure that veterans have access to high-quality care similar to that provided by the armed forces. This program was established in 2012 so that veterans could apply for funding for high-quality prosthetic limbs, regardless of which Disablement Services Centre (DSC) they attend. The big question…who qualifies for the VPP funding for prosthetics? The funding is only available to veterans who have lost a limb during military service or who have left military service, but whose limb loss is attributable to an injury sustained within service.

The process for accessing the funding is as follows:

  • The DSC will assess the veteran and complete the VPP application form and checklist.
  • The Veterans Prosthetic Panel then review the funding request, give approval or seek further information.
  • The Panel will then give permission to the DSC to proceed with treatment.

What are the main benefits of the Genium & Genium X3?

Whilst the sensor technologies built within the Genium & Genium X3 are extremely complex, the end goal is simple – ensuring consistency throughout the entirety of the gait cycle, while not only providing safety within every step but also optimising the end users dynamic mobility. The adaptive nature of these microprocessor knee joints (MPKs) means that they are able to accommodate and adjust to changes within the gait cycle in real-time. What this means is that when footwear is changed, terrain alters or walking speeds vary, the Genium and Genium X3 adapt instantaneously.

The features that end users are able to benefit most from are:

  • Optimized Physiological Gait – a catch all phrase for many sub-functions built within the MPK, all working together to deliver a natural, energy efficient and harmonious gait pattern.
  • Adaptive Swing Phase Control – this ensures the knee is always there for the user. It automatically adapts to walking speeds to precision accuracy. Even allowing users to run.
  • Adaptive Yielding Control – the resistance used for descending slopes and stairs will adapt to increased weight so carrying shopping, rucksack or a child the knee will feel consistent every time.
  • Intuitive Stance – one of the best features of Ottobock MPKs in general. This allows the user to fully weight bear through the prosthesis when in a flexed (bent) position. It’s great for offloading their lower back and contralateral limb.
  • Walk up stairs step-over-step – the integrated sensor package within the Genium and Genium X3 allows end users to walk up stairs step-over-step, setting their own pace.
  • IP rating – ingress protection ratings are commonly applied to a lot of the electronic devices we come in contact with in today’s world. The first number relates to dust and small particles, the second to liquids. One of the biggest differentiating factors between Genium (IP67) and Genium X3 (IP68) is their IP ratings. The Genium X3 is fully dustproof, waterproof and corrosion resistant against salt and chlorinated water, while the Genium is only protected from splashing water, dust or dirt.
  • Stumble recovery – The improved Stumble Recovery has seen the Genium and Genium X3 continue to deliver the upmost of safety to end users throughout those inevitable occasions where a stumble occurs. The entire swing phase is covered with increased resistance designed to catch the user and prevent a fall.
  • Optional increase in stability for slopes and standing – the recent upgrade has allowed for greater customisation especially for bi-lateral users and users requiring more stability.
  • MyModes Plus – This allows total customisation of the knee behaviour for specific activities. 5 MyModes can be programmed and can include Cycling, Brake Knee, Flexed Standing and many more.
  • Cockpit app, now available for both Android and Apple, the Genium and Genium X3 strengthens the options available to end users for improved outcomes. It’s never been easier to interchange between the MyModes, as well as allowing the end user to check the battery level, view step counts and make adjustments to the knee settings.
  • MyOttobock – this new addition to the cockpit app allows for the connectivity of an activity tracker built into the knee.
  • The Genium X3 is the most durable, intuitive and technologically advanced microprocessor knee on the market. With features that support activities like running, swimming and ascending stairs step-over-step, the X3 supports individuals who push the boundaries of mobility.

https://youtu.be/wDv-8hrhqOg

Other products which have been funded through the VPP:

When it is time to renew out of warranty prosthetic componentry, it’s a great opportunity for end users and clinicians to consider the possibility of upgrading from the current prescription in place. Many veterans have already been upgraded from a Genium to a Genium X3, as the Genium X3 wasn’t available when they first encountered their initial prosthetic provision some years ago. It’s also been common for clinicians to utilise this stage to formulate a new prescription regarding feet and other componentry. Below are examples of upgrades Ottobock have seen approved by the VPP in recent times that have allowed for further improvements in overall mobility and quality of life outcomes.

Feet:

Taleo 1C50: Suited to active individuals (K3 activity level) who navigate varied indoor & outdoor environments and place a high value on effortless walking and the ability to go wherever life takes them. Features include:

  • Smooth rollover due to no dead spots and easy rollover from heel strike to toe off.
  • Energy efficient walking that returns the energy suited to every varying step.
  • Terrain conformance to navigate on uneven and rising terrain safely and comfortably.
  • Waterproof incl. salt and chlorine water
  • Drainage holes in footshell
  • User weight limit up to 150kg / 330 lbs.

https://youtu.be/mBa1rrCnOhA

Triton side flex 1C68:

The Triton side flex was designed for active individuals (K3-K4) who navigate varied indoor and outdoor environments, and place a high value on uncompromised response and control even when performing high-impact activities.

Features include:

  • Unique side-to-side flexibility of +/- 10° for immediate and full-ground contact while walking and standing, including on uneven surfaces.
  • An interconnected, linear spring design provides the level of mid-stance support needed for activities where responsiveness is essential.
  • For users with limited clearance/build height.
  • Waterproof incl. salt and chlorine water.
  • Robust and maintenance-free technology.
  • Suitable for a broad range of application, from everyday life to demanding professions and even leisure sports

https://youtu.be/VRvAjQgIAJg

Challenger 1E95: The Challenger is a multi-purpose foot developed for the varying demands from everyday walking to recreational sports. High deflection of the curved main spring along with the shock absorbing wedge unit provides excellent vertical shock absorption, which is desired for court sports like tennis or basketball, and energy return for activities such as sprinting and long distance running.

The base spring and interchangeable Vertical Shock Heel wedge unit allows for stability and control during rapid movements, while walking and standing.

Features include:

  • Two Vertical Shock Heel wedges for different functional dynamics included (total of 4 stiffness’s of vertical shock wedge units available).
  • No footshell required for more secure fit in shoe.
  • Waterproof incl. salt and chlorine water.
  • Shoehorn included to simplify changing shoes.
  • Shock absorption and energy return for dynamic performance.
  • Stable standing and walking due to base spring.

https://youtu.be/SlgQ-vfESoo

Microprocessor Feet:

Meridium 1B1: Where conventional mechanical prosthetic feet have always represented a compromise between flexibility and stability, electronically controlled ankle joints have until now enabled primarily slight, gradual adjustments to the user’s current gait behaviour. The Meridium is completely different, featuring an impressive range of advantages that offer the user a significantly more precise adjustment to the current situation. As a result, the user feels extremely safe and enjoys a more natural pattern of movement.

Features include:

  • Intelligent, real-time control.
  • 36.5 degrees range of motion.
  • 4-axis design adjusts itself immediately to the user’s walking speed and ground conditions, whether on slopes, stairs or varying terrain.
  • Improved ground clearance.

https://youtu.be/U5Ckjaxlpv0

Empower 1A1-1: The Empower is an innovation in the field of prosthetic feet. It is equipped with an active ankle joint, making it the only prosthetic foot with powered propulsion.

Features include:

  • Emulates the function and power of lost muscles and tendons in the anatomical foot.
  • Provides energy instead of taking it away – even up ramps, hills and stairs.
  • Life-like ankle movement that normalises users walking gait.
  • Reduces joint forces which may result in less pain and fewer long-term orthopaedic problems.
  • Adjusts ankle power, resistance, and flexion in real time.
  • Provides balance on variable terrain.

https://youtu.be/fjeYGf9lojA

When it comes to additional components that go hand-in-hand when upgrading prosthetic prescription, the below stand out above all the rest when we’re concerned about providing even further adjustability and independence for end users.

Quickchange Adapter 4R10=111: This lightweight, low profile and waterproof component allows the user to easily and quickly remove the foot from the prosthesis or be able to switch to a secondary foot for specialty applications, such as but not limited to shower feet, swim feet, sports feet, different heel height shoes, etc. Removing the foot can also help in tight situations or when changing clothes. The self-aligning design allows the user to change components without affecting alignment.

Rotation Adapter 4R57=WR: A must have waterproof component that fits above-the-knee to allow the flexed lower leg to be easily rotated out of the way. The rotation adapter makes everyday activities like driving a car, sitting at an office desk, putting on socks and shoes, or even checking on the battery status of your MPK effortless.

What are the biggest differences you’ve seen in patient outcomes?

When I think about improved outcomes, those who have seen the biggest benefits from being fitted with Genium and Genium X3 knees are bilateral end users. To witness their strength and resilience first hand is awe-inspiring. The progression from walking on stubbies, to living life to the absolute fullest on their MPKs is nothing short of a miracle. Over time, and after experience on their new legs, this group of end users really take it to a new level – walking on all types of terrain at varied speeds, it takes courage and confidence in the prosthesis to achieve this. The cohort of end users also have the ability of taking full advantage of the range of prosthetic feet options available – everyday microprocessor feet through to waterproof carbon fibre. Through the use of the waterproof Quickchange adapter, they can easily interchange between what feet they need for the next activity they’re to conquer, independent of needing to worry about alignment changes.

What would your message be to Veterans who use prostheses?

If you’re a veteran whose Genium or Genium X3 is coming to the end of its 6 year warranty, act now! Make contact with your prosthetist or DSC and get the ball rolling for your new upgraded prescription. You deserve the BEST! The Ottobock UK Academy is here to support end users and clinicians throughout the entire process to ensure that optimum results are maintained and achieved.

What would your message be to Clinicians who look after Veterans?

For clinicians – prosthetists and physiotherapists, the Ottobock UK Academy is here to not only certify clinicians in the use of these incredible cutting edge prosthetic components but also available to attend to provide update trainings, assisted fittings and user gait training. We’re always only a phone call or email away!

FAQs

  • How do I get the latest prostheses?

    Information on the very latest technology and limb solutions to suit a variety of lifestyles and clinical needs can be found on this website. If you would like to receive information on cutting edge solutions, simply email your name and contact number to bockuk@ottobock.com. Once you are well informed and have a good idea of the limb solutions you would like, simply speak to your prosthetist and discuss the options with them.

  • Where can I get financial, employment and emotional support?

    BLESMA are the only national Service charity that supports limbless veterans for the duration of their lives, offering financial and emotional support to them and their families. Since WW1 they have worked tirelessly to guarantee that their limbless veterans are not failed, forgotten or left to fend for themselves.

  • How do I find my local Disablement Service Centre (DSC)?

    A full list of Disablement Service Centres is available on the NHS Website.

  • Who qualifies for VPP funded prostheses?

    The funding is available to veterans who have lost a limb whilst in military service. A veteran who has left military service, but whose limb loss is attributed to an injury sustained whilst in service, also qualifies.

    Veterans who lose limbs after they leave the military or during an accident not related to the military do not qualify.

  • Why should I upgrade?

    Ottobock are constantly improving and redeveloping its limb solutions, much like other devices such as phones and audio technology. Warranties on products such as Genium and Genium X3 only last for 6 years, so if you were fitted in 2012/2013, your device will be approaching the end of its warranty period. As a result, any faults are no longer covered so it is advised to upgrade to a newer model.

  • My end user has a Genium nearing the end of its 6 year warranty, what do I do?

    For those clinicians out there reading this – the Panel no longer requires servicing quotations for Genium or Genium X3 knee units that are outside their 6 year warranty. Instead, they have been offering a direct replacement or upgrade where appropriate. This goes a long way at reducing visits of attendance and financial burdens on local Trusts and the VPP.

    The important thing to note is that in terms of feet, it has come to our attention that these are often not routinely thought about when replacing the MPK units. It should be noted that most feet only have a 2 year warranty and quite often haven’t been replaced throughout the lifetime of the initial limb build. Ideally, these components should be replaced at the same time to that of the MPK. Think about it in terms of your car – it’s all well and good to upgrade to four new tyres, but if you don’t get a wheel alignment completed at the same time, the overall performance of the vehicle is compromised and undue wear and tear will occur over time.

  • What role does the Ottobock UK Academy play throughout the renewal and refitting process?

    Naturally, a member of the Ottobock UK Academy is always available to offer support at any stage of the process – prescription planning, fitting and review. The team are well equipped with the latest training received and are eager to pass on their knowledge from Ottobock Headquarters to ensure that both the end user and clinician achieve their respective optimal outcomes.

  • Which warranty do I choose?

    In terms of choosing a warranty upon formulating a new prescription, the standard 3 year warranty can be extended to 6 years. A 6 year warranty on the Genium or Genium X3, will provide 6 years peace of mind from manufacturing defects. It also includes a service package, for the Genium X3 this is yearly service interval. With this warranty package, support for the components can be accessed worldwide. So it’s a no brainer!


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