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Developing and deploying design technology for scalable rehabilitative care
Developing and deploying design technology for scalable rehabilitative care


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Omar and Abraheem are working with +Jade Myers and +Adam Arabian to take the LimbForge system to Syrian refugees who have lost limbs

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LimbForge enables health clinicians in developing countries to deliver 3D printed prosthetics to people in need. These low-cost alternatives help reach the estimated 33 million amputees living without prosthetics care.
Read the full story here:

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ECF is adopting new strategy dedicating its resources to developing and deploying a scalable system using 3D technologies to deliver prosthetic rehabilitation to the estimated more than 27 million people living with limb loss in the developing world. There's an announcement ( on our website and there will be more to come very soon.

A letter from Grace Mastalli, Chief Executive Officer and President of ECF:

Dear Friends, Partners, and Supporters:

As may have been apparent to those who follow ECF online, big changes are underway.

Since our inception, as a largely grant funded offshoot of the e-NABLE movement, ECF has experimented, researched, studied, pilot tested and collaborated widely. We have learned much about 3D technology, printing, prosthetics, humanitarian organizations, materials, crowdsourcing and distributed manufacturing. All these experiences have been valuable and have greatly informed the direction ECF is taking.

Now, ECF is dedicating its resources to three major activities:

* design of culturally appropriate, affordable, quality prostheses for individuals living with limb-loss in low income countries;
* development of accessible tools for health care clinicians to configure these devices; and
*training and capacity building of partners - including other NGOs and community based clinicians - to manufacture, fit and maintain the devices as part of rehabilitative care for underserved populations.

As a nonprofit organization, it is our responsibility to pursue the most effective path to improving the lives of those we serve. After careful review, we have determined that crowdsourcing the amateur design and manufacture of 3D printed prosthetic devices is not a scalable strategy for impact. While we set out to scale this methodology 18 months ago, we are now departing from it due to a distinct lack of evidence that this model delivers successful patient outcomes.

We continue to recognize the psycho-social, emotional and developmental benefits children with limb differences may experience from using e-NABLE hands and value development of many specialized adaptive devices for music, sports and specific tasks. However, since there is a very high rejection and abandonment rate of hand devices unless incorporated into a therapeutic, training, or R&D program, ECF is leaving these approaches to others.

In order to achieve greater and lasting mission impact, ECF instead is pursuing development -- in consultation with rehabilitation experts-- of a rapidly deployable and scalable system for providing quality, low cost prosthetic care for those in the developing world who currently have no other access to rehabilitation.

As a result, ECF will no longer evaluate volunteer test hands, match volunteers to individual recipients, or sell hand kits. ECF strongly encourages individual makers and volunteer groups to partner whenever possible with specialists including trained healthcare providers, occupational therapists, physical therapists, prosthetists, hand surgeons, university assistive technology programs and other institutional partners.

Despite this new focus by ECF, the role of the e-NABLE movement in enriching the lives of many, teaching empathy and increasing understanding of people living with disabilities as well as of expanding the reach of 3D technologies and STEAM education continues to be remarkable. Without the contributions of the e-NABLE community’s founding members, ECF would not be on this new path to greater mission impact.

We regret any inconvenience or disappointment this may cause for families who have requested services.


Grace Mastalli
Chief Executive Officer & President

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This year ECF is pleased to offer a paid summer internship for college and graduate students through the Autodesk Student Expert program. Apply today!

Every day people worldwide experience traumatic injuries that result in limb loss. Industrial and car accidents, war, or the land mines, misuse of explosives and electrocution all limit the ability to work and to contribute to society. What helps is comprehensive rehabilitation including low cost, robust upper limb prosthetic. This internship affords an opportunity to help develop quality 3D printed prosthetics to help rehabilitate at risk populations in Africa, Haiti, and the Middle East.

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Our Haiti team has arrived safely at Healing Hands for Haiti and #Haiti2017 is underway! We have a jam-packed schedule this week that includes: fitting prostheses, follow-up rehabilitative care with previous patients, testing new prototypes and full speed ahead on real-time feedback & improvements to our 3D design tool, #LimbForge. Stay tuned for more behind-the-scenes updates.

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In Haiti, very strong stigmas concerning not being “whole” or “complete” exist. People who lose a limb often are rejected—even by family—excluded from work, stores, transportation, school, and other public places.
What would you do if you were rejected from your daily life due to your disability? Here’s what Ebewelleda L. did:

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What is so special about our Ebe Arm model? It matches the user’s appearance by blending in with their skin tone. It’s proportionate to their body. It’s useful—the device can hold the weight of two grocery bags or steady a bicycle. Read more about the features of the Ebe Arm & our other solutions for people with upper limb loss or difference:

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Meet Ebewelleda, our inspiration for the design of the Ebe Arm. Her cosmetic prosthetic is a low cost, 3D printed arm modeled to match her skin tone and frame, which allows her to participate openly in public activities in Haiti.

Thank you, Ebewelleda for your insights and candid feedback. You guided our design team throughout the entire development process.

We are always listening, always improving. Read Ebewelleda’s Story here:

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“I thought the new prosthetic arm was going to be useless, but when I put it on, it felt different from what I thought. I feel comfortable with it. My daughter can actually hold both of my hands now.” —Danis #GivingTuesday
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