TedTest

From the Ted Talk by Amos Winter: The cheap all-terrain wheelchair

Unscramble the Blue Letters

Living with a pcshiayl disability isn't easy anywhere in the world, but if you live in a country like the United States, there's certain atnrepupcneas available to you that do make life easier. So if you're in a bdiilnug, you can take an elevator. If you're crossing the street, you have sidewalk cutouts. And if you have to travel some distance farther than you can do under your own power, there's accessible vehicles, and if you can't afford one of those, there's accessible public transportation. But in the developing world, things are quite different. There's 40 million people who need a wheelchair but don't have one, and the mriatjoy of these ppleoe live in rural aares, where the only connections to community, to employment, to education, are by traveling long distances on rugoh terrain often under their own power. And the devices usually available to these people are not made for that cexntot, break down qilukcy, and are hard to riaepr. I started looking at wheelchairs in devlipnoeg countries in 2005, when I spent the sumemr asiesnssg the state of technology in Tanzania, and I talked to wheelchair users, wheelchair manufacturers, disability groups, and what stood out to me is that there wasn't a device available that was designed for rural areas, that could go fast and efficiently on many types of terrain. So being a maancichel engineer, being at MIT and having lots of rruecoses available to me, I thought I'd try to do something about it. Now when you're talking about trying to travel long distances on rough terrain, I immediately thought of a mountain bike, and a matiounn bike's good at doing this because it has a gear train, and you can shift to a low gear if you have to climb a hill or go through mud or sand and you get a lot of torque but a low speed. And if you want to go faster, say on pavement, you can shift to a high gear, and you get less torque, but heghir speeds. So the logical evolution here is to just make a wheelchair with mountain bike components, which many people have done. But these are two products available in the U.S. that would be dfficuilt to tsnrefar into developing countries because they're much, much too expensive. And the context I'm talking about is where you need to have a product that is less than 200 dollars. And this iadel product would also be able to go about five kilometers a day so you could get to your job, get to shoocl, and do it on many, many different types of terrain. But when you get home or want to go indoors at your work, it's got to be small enough and maneuverable enough to use inside. And furthermore, if you want it to last a long time out in rural areas, it has to be rlapribaee using the local tools, materials and knowledge in those contexts. So the real crux of the prelobm here is, how do you make a system that's a siplme device but gives you a large mechanical advantage? How do you make a mountain bike for your arms that doesn't have the mountain bike cost and ctxeiomlpy? So as is the case with simple solutions, oftentimes the answer is right in front of your face, and for us it was levers. We use levers all the time, in tolos, dooonrbks, bicycle parts. And that moment of israioniptn, that key invention moment, was when I was sitting in front of my design notebook and I started thinking about somebody grabbing a lever, and if they grab near the end of the lever, they can get an effectively long lever and produce a lot of torque as they push back and forth, and effectively get a low gear. And as they slide their hand down the lever, they can push with a smelalr effective lever length, but push through a bigger angle every stroke, which makes a faster rotational speed, and gives you an effective high gear. So what's exciting about this system is that it's really, really mechanically simple, and you could make it using technology that's been around for hundreds of years. So seeing this in practice, this is the Leveraged Freedom Chair that, after a few years of development, we're now going into production with, and this is a full-time wheelchair user — he's paralyzed — in Guatemala, and you see he's able to traverse ptrtey rough terrain. Again, the key innovation of this technology is that when he wants to go fast, he just grabs the levers near the pivots and goes through a big aglne every stroke, and as the going gets tougher, he just sildes his hands up the levers, creates more toqrue, and kind of bench-presses his way out of trouble through the rough terrain. Now the big, important point here is that the person is the complex machine in this system. It's the person that's sldiing his hands up and down the levers, so the mechanism itself can be very simple and composed of bicycle parts you can get anywhere in the world. Because those bicycle ptars are so uluutbiqosiy available, they're super-cheap. They're made by the glzianoils in cihna and India, and we can source them anywhere in the world, build the chair anywhere, and most importantly repair it, even out in a vaiglle with a local bicycle mechanic who has local tools, knowledge and parts available. Now, when you want to use the LFC indoors, all you have to do is pull the levers out of the drivetrain, stow them in the frame, and it converts into a normal wheelchair that you can use just like any other normal wheelchair, and we sized it like a normal wheelchair, so it's narrow enough to fit through a standard dwoaroy, it's low enough to fit under a table, and it's smlal and maneuverable enough to fit in a bathroom and this is important so the user can get up close to a toilet, and be able to transfer off just like he could in a normal wheelchair. Now, there's three important points that I want to stress that I think really hit home in this project. The first is that this product works well because we were etefvcliefy able to combine rigorous enninereigg science and analysis with user-centered design foesucd on the social and usage and economic frtacos iotmarnpt to wheelchair users in the developing countries. So I'm an academic at MIT, and I'm a mechanical eineengr, so I can do things like look at the type of terrain you want to travel on, and figure out how much resistance it should impose, look at the parts we have available and mix and match them to figure out what sort of gear trains we can use, and then look at the power and force you can get out of your upper body to analyze how fast you should be able to go in this chair as you put your arms up and down the lrvees. So as a wet-behind-the-ears student, excited, our team made a prototype, brought that pyrottpoe to tniznaaa, Kenya and Vietnam in 2008, and found it was terrible because we didn't get enough input from uesrs. So because we tested it with wheelchair users, with wheelchair manufacturers, we got that fecdbaek from them, not just articulating their problems, but articulating their solutions, and weokrd together to go back to the drawing broad and make a new design, which we bghurot back to East Africa in '09 that worked a lot better than a normal wheelchair on rough terrain, but it still didn't work well indoors because it was too big, it was heavy, it was hard to move around, so again with that user feedback, we went back to the drawing board, came up with a better design, 20 pounds lighter, as narrow as a regular wheelchair, tested that in a field trial in gemaltaua, and that advanced the product to the point where we have now that it's going into production. Now also being engineering scientists, we were able to quantify the performance betinfes of the lgeareevd Freedom Chair, so here are some shots of our trial in Guatemala where we tested the LFC on village terrain, and tested people's biomechanical outputs, their oxygen consumption, how fast they go, how much power they're putting out, both in their ralegur wheelchairs and using the LFC, and we found that the LFC is about 80 penerct fatser going on these terrains than a normal wheelchair. It's also about 40 percent more efficient than a regular wheelchair, and because of the mechanical advantage you get from the levers, you can produce 50 percent higher torque and really muscle your way through the really, really rough terrain. Now the second lssoen that we learned in this is that the constraints on this design really push the innovation, because we had to hit such a low price point, because we had to make a device that could travel on many, many types of terrain but still be usable indoors, and be simple enough to repair, we ended up with a fundamentally new product, a new product that is an innovation in a space that really hasn't changed in a hundred years. And these are all merits that are not just good in the developing world. Why not in countries like the U.S. too? So we teamed up with Continuum, a laocl product design firm here in Boston to make the high-end viosren, the developed wlord version, that we'll probably sell primarily in the U.S. and Europe, but to higher-income buyers. And the final point I want to make is that I think this project worked well because we engaged all the stakeholders that buy into this project and are important to consider in bringing the thgoolncey from inception of an idea through innovation, validation, commercialization and dissemination, and that cycle has to start and end with end users. These are the people that define the requirements of the technology, and these are the people that have to give the thumbs-up at the end, and say, "Yeah, it actually works. It meets our needs." So people like me in the academic space, we can do things like ivntaone and analyze and test, create data and make bench-level ppotteroys, but how do you get that bench-level prototype to commercialization? So we need gap-fillers like Continuum that can work on commercializing, and we started a whole NGO to bring our chair to market — Global Research Innovation Technology — and then we also teeamd up with a big mauuencfatrr in India, Pinnacle Industries, that's tooled up now to make 500 craihs a month and will make the first batch of 200 next month, which will be dveeielrd in India. And then finally, to get this out to the people in slace, we teamed up with the largest disability organization in the world, Jaipur Foot. Now what's powerful about this model is when you bring together all these skaodltrehes that represent each link in the chain from ipenctoin of an idea all the way to implementation in the field, that's where the magic happens. That's where you can take a guy like me, an acaidemc, but analyze and test and create a new technology and qintaealtuvity determine how much better the performance is. You can connect with stakeholders like the manufacturers and talk with them face-to-face and lrgeaeve their local knowledge of manufacturing peaicctrs and their cilents and combine that knowledge with our engineering knowledge to create something greaetr than either of us could have done alone. And then you can also engage the end user in the design process, and not just ask him what he needs, but ask him how he thinks it can be achieved. And this picture was taken in India in our last field trial, where we had a 90-percent atodopin rate where people switched to using our Leveraged Freedom cihar over their normal wheelchair, and this picture specifically is of Ashok, and Ashok had a spianl injury when he fell out of a tree, and he had been working at a tailor, but once he was ijuenrd he wasn't able to transport himself from his hsuoe over a kilometer to his shop in his normal wheelchair. The road was too rough. But the day after he got an LFC, he hopped in it, rode that kilometer, opened up his shop and soon after lnaedd a ctarocnt to make school uniforms and started mniakg money, started prdiivnog for his famliy again. Ashok: You also encouraged me to work. I rested for a day at home. The next day I went to my shop. Now everything is back to normal. Amos Winter: And thank you very much for having me today. (aplaupse)

Open Cloze

Living with a ________ disability isn't easy anywhere in the world, but if you live in a country like the United States, there's certain _____________ available to you that do make life easier. So if you're in a ________, you can take an elevator. If you're crossing the street, you have sidewalk cutouts. And if you have to travel some distance farther than you can do under your own power, there's accessible vehicles, and if you can't afford one of those, there's accessible public transportation. But in the developing world, things are quite different. There's 40 million people who need a wheelchair but don't have one, and the ________ of these ______ live in rural _____, where the only connections to community, to employment, to education, are by traveling long distances on _____ terrain often under their own power. And the devices usually available to these people are not made for that _______, break down _______, and are hard to ______. I started looking at wheelchairs in __________ countries in 2005, when I spent the ______ _________ the state of technology in Tanzania, and I talked to wheelchair users, wheelchair manufacturers, disability groups, and what stood out to me is that there wasn't a device available that was designed for rural areas, that could go fast and efficiently on many types of terrain. So being a __________ engineer, being at MIT and having lots of _________ available to me, I thought I'd try to do something about it. Now when you're talking about trying to travel long distances on rough terrain, I immediately thought of a mountain bike, and a ________ bike's good at doing this because it has a gear train, and you can shift to a low gear if you have to climb a hill or go through mud or sand and you get a lot of torque but a low speed. And if you want to go faster, say on pavement, you can shift to a high gear, and you get less torque, but ______ speeds. So the logical evolution here is to just make a wheelchair with mountain bike components, which many people have done. But these are two products available in the U.S. that would be _________ to ________ into developing countries because they're much, much too expensive. And the context I'm talking about is where you need to have a product that is less than 200 dollars. And this _____ product would also be able to go about five kilometers a day so you could get to your job, get to ______, and do it on many, many different types of terrain. But when you get home or want to go indoors at your work, it's got to be small enough and maneuverable enough to use inside. And furthermore, if you want it to last a long time out in rural areas, it has to be __________ using the local tools, materials and knowledge in those contexts. So the real crux of the _______ here is, how do you make a system that's a ______ device but gives you a large mechanical advantage? How do you make a mountain bike for your arms that doesn't have the mountain bike cost and __________? So as is the case with simple solutions, oftentimes the answer is right in front of your face, and for us it was levers. We use levers all the time, in _____, _________, bicycle parts. And that moment of ___________, that key invention moment, was when I was sitting in front of my design notebook and I started thinking about somebody grabbing a lever, and if they grab near the end of the lever, they can get an effectively long lever and produce a lot of torque as they push back and forth, and effectively get a low gear. And as they slide their hand down the lever, they can push with a _______ effective lever length, but push through a bigger angle every stroke, which makes a faster rotational speed, and gives you an effective high gear. So what's exciting about this system is that it's really, really mechanically simple, and you could make it using technology that's been around for hundreds of years. So seeing this in practice, this is the Leveraged Freedom Chair that, after a few years of development, we're now going into production with, and this is a full-time wheelchair user — he's paralyzed — in Guatemala, and you see he's able to traverse ______ rough terrain. Again, the key innovation of this technology is that when he wants to go fast, he just grabs the levers near the pivots and goes through a big _____ every stroke, and as the going gets tougher, he just ______ his hands up the levers, creates more ______, and kind of bench-presses his way out of trouble through the rough terrain. Now the big, important point here is that the person is the complex machine in this system. It's the person that's _______ his hands up and down the levers, so the mechanism itself can be very simple and composed of bicycle parts you can get anywhere in the world. Because those bicycle _____ are so ____________ available, they're super-cheap. They're made by the __________ in _____ and India, and we can source them anywhere in the world, build the chair anywhere, and most importantly repair it, even out in a _______ with a local bicycle mechanic who has local tools, knowledge and parts available. Now, when you want to use the LFC indoors, all you have to do is pull the levers out of the drivetrain, stow them in the frame, and it converts into a normal wheelchair that you can use just like any other normal wheelchair, and we sized it like a normal wheelchair, so it's narrow enough to fit through a standard _______, it's low enough to fit under a table, and it's _____ and maneuverable enough to fit in a bathroom and this is important so the user can get up close to a toilet, and be able to transfer off just like he could in a normal wheelchair. Now, there's three important points that I want to stress that I think really hit home in this project. The first is that this product works well because we were ___________ able to combine rigorous ___________ science and analysis with user-centered design _______ on the social and usage and economic _______ _________ to wheelchair users in the developing countries. So I'm an academic at MIT, and I'm a mechanical ________, so I can do things like look at the type of terrain you want to travel on, and figure out how much resistance it should impose, look at the parts we have available and mix and match them to figure out what sort of gear trains we can use, and then look at the power and force you can get out of your upper body to analyze how fast you should be able to go in this chair as you put your arms up and down the ______. So as a wet-behind-the-ears student, excited, our team made a prototype, brought that _________ to ________, Kenya and Vietnam in 2008, and found it was terrible because we didn't get enough input from _____. So because we tested it with wheelchair users, with wheelchair manufacturers, we got that ________ from them, not just articulating their problems, but articulating their solutions, and ______ together to go back to the drawing _____ and make a new design, which we _______ back to East Africa in '09 that worked a lot better than a normal wheelchair on rough terrain, but it still didn't work well indoors because it was too big, it was heavy, it was hard to move around, so again with that user feedback, we went back to the drawing board, came up with a better design, 20 pounds lighter, as narrow as a regular wheelchair, tested that in a field trial in _________, and that advanced the product to the point where we have now that it's going into production. Now also being engineering scientists, we were able to quantify the performance ________ of the _________ Freedom Chair, so here are some shots of our trial in Guatemala where we tested the LFC on village terrain, and tested people's biomechanical outputs, their oxygen consumption, how fast they go, how much power they're putting out, both in their _______ wheelchairs and using the LFC, and we found that the LFC is about 80 _______ ______ going on these terrains than a normal wheelchair. It's also about 40 percent more efficient than a regular wheelchair, and because of the mechanical advantage you get from the levers, you can produce 50 percent higher torque and really muscle your way through the really, really rough terrain. Now the second ______ that we learned in this is that the constraints on this design really push the innovation, because we had to hit such a low price point, because we had to make a device that could travel on many, many types of terrain but still be usable indoors, and be simple enough to repair, we ended up with a fundamentally new product, a new product that is an innovation in a space that really hasn't changed in a hundred years. And these are all merits that are not just good in the developing world. Why not in countries like the U.S. too? So we teamed up with Continuum, a _____ product design firm here in Boston to make the high-end _______, the developed _____ version, that we'll probably sell primarily in the U.S. and Europe, but to higher-income buyers. And the final point I want to make is that I think this project worked well because we engaged all the stakeholders that buy into this project and are important to consider in bringing the __________ from inception of an idea through innovation, validation, commercialization and dissemination, and that cycle has to start and end with end users. These are the people that define the requirements of the technology, and these are the people that have to give the thumbs-up at the end, and say, "Yeah, it actually works. It meets our needs." So people like me in the academic space, we can do things like ________ and analyze and test, create data and make bench-level __________, but how do you get that bench-level prototype to commercialization? So we need gap-fillers like Continuum that can work on commercializing, and we started a whole NGO to bring our chair to market — Global Research Innovation Technology — and then we also ______ up with a big ____________ in India, Pinnacle Industries, that's tooled up now to make 500 ______ a month and will make the first batch of 200 next month, which will be _________ in India. And then finally, to get this out to the people in _____, we teamed up with the largest disability organization in the world, Jaipur Foot. Now what's powerful about this model is when you bring together all these ____________ that represent each link in the chain from _________ of an idea all the way to implementation in the field, that's where the magic happens. That's where you can take a guy like me, an ________, but analyze and test and create a new technology and ______________ determine how much better the performance is. You can connect with stakeholders like the manufacturers and talk with them face-to-face and ________ their local knowledge of manufacturing _________ and their _______ and combine that knowledge with our engineering knowledge to create something _______ than either of us could have done alone. And then you can also engage the end user in the design process, and not just ask him what he needs, but ask him how he thinks it can be achieved. And this picture was taken in India in our last field trial, where we had a 90-percent ________ rate where people switched to using our Leveraged Freedom _____ over their normal wheelchair, and this picture specifically is of Ashok, and Ashok had a ______ injury when he fell out of a tree, and he had been working at a tailor, but once he was _______ he wasn't able to transport himself from his _____ over a kilometer to his shop in his normal wheelchair. The road was too rough. But the day after he got an LFC, he hopped in it, rode that kilometer, opened up his shop and soon after ______ a ________ to make school uniforms and started ______ money, started _________ for his ______ again. Ashok: You also encouraged me to work. I rested for a day at home. The next day I went to my shop. Now everything is back to normal. Amos Winter: And thank you very much for having me today. (________)

Solution

guatemala
innovate
delivered
leveraged
spinal
inception
complexity
regular
tanzania
transfer
higher
local
doorknobs
difficult
mountain
summer
tools
quickly
mechanical
academic
appurtenances
engineer
repair
prototype
providing
stakeholders
small
assessing
landed
board
leverage
making
developing
brought
version
benefits
focused
faster
building
rough
practices
clients
smaller
ideal
parts
contract
engineering
scale
users
gazillions
greater
repairable
people
effectively
percent
chairs
house
context
physical
worked
doorway
world
inspiration
manufacturer
village
chair
resources
family
ubiquitously
applause
majority
china
pretty
technology
slides
problem
lesson
angle
teamed
important
factors
prototypes
levers
quantitatively
feedback
areas
simple
school
sliding
torque
adoption
injured

Original Text

Living with a physical disability isn't easy anywhere in the world, but if you live in a country like the United States, there's certain appurtenances available to you that do make life easier. So if you're in a building, you can take an elevator. If you're crossing the street, you have sidewalk cutouts. And if you have to travel some distance farther than you can do under your own power, there's accessible vehicles, and if you can't afford one of those, there's accessible public transportation. But in the developing world, things are quite different. There's 40 million people who need a wheelchair but don't have one, and the majority of these people live in rural areas, where the only connections to community, to employment, to education, are by traveling long distances on rough terrain often under their own power. And the devices usually available to these people are not made for that context, break down quickly, and are hard to repair. I started looking at wheelchairs in developing countries in 2005, when I spent the summer assessing the state of technology in Tanzania, and I talked to wheelchair users, wheelchair manufacturers, disability groups, and what stood out to me is that there wasn't a device available that was designed for rural areas, that could go fast and efficiently on many types of terrain. So being a mechanical engineer, being at MIT and having lots of resources available to me, I thought I'd try to do something about it. Now when you're talking about trying to travel long distances on rough terrain, I immediately thought of a mountain bike, and a mountain bike's good at doing this because it has a gear train, and you can shift to a low gear if you have to climb a hill or go through mud or sand and you get a lot of torque but a low speed. And if you want to go faster, say on pavement, you can shift to a high gear, and you get less torque, but higher speeds. So the logical evolution here is to just make a wheelchair with mountain bike components, which many people have done. But these are two products available in the U.S. that would be difficult to transfer into developing countries because they're much, much too expensive. And the context I'm talking about is where you need to have a product that is less than 200 dollars. And this ideal product would also be able to go about five kilometers a day so you could get to your job, get to school, and do it on many, many different types of terrain. But when you get home or want to go indoors at your work, it's got to be small enough and maneuverable enough to use inside. And furthermore, if you want it to last a long time out in rural areas, it has to be repairable using the local tools, materials and knowledge in those contexts. So the real crux of the problem here is, how do you make a system that's a simple device but gives you a large mechanical advantage? How do you make a mountain bike for your arms that doesn't have the mountain bike cost and complexity? So as is the case with simple solutions, oftentimes the answer is right in front of your face, and for us it was levers. We use levers all the time, in tools, doorknobs, bicycle parts. And that moment of inspiration, that key invention moment, was when I was sitting in front of my design notebook and I started thinking about somebody grabbing a lever, and if they grab near the end of the lever, they can get an effectively long lever and produce a lot of torque as they push back and forth, and effectively get a low gear. And as they slide their hand down the lever, they can push with a smaller effective lever length, but push through a bigger angle every stroke, which makes a faster rotational speed, and gives you an effective high gear. So what's exciting about this system is that it's really, really mechanically simple, and you could make it using technology that's been around for hundreds of years. So seeing this in practice, this is the Leveraged Freedom Chair that, after a few years of development, we're now going into production with, and this is a full-time wheelchair user — he's paralyzed — in Guatemala, and you see he's able to traverse pretty rough terrain. Again, the key innovation of this technology is that when he wants to go fast, he just grabs the levers near the pivots and goes through a big angle every stroke, and as the going gets tougher, he just slides his hands up the levers, creates more torque, and kind of bench-presses his way out of trouble through the rough terrain. Now the big, important point here is that the person is the complex machine in this system. It's the person that's sliding his hands up and down the levers, so the mechanism itself can be very simple and composed of bicycle parts you can get anywhere in the world. Because those bicycle parts are so ubiquitously available, they're super-cheap. They're made by the gazillions in China and India, and we can source them anywhere in the world, build the chair anywhere, and most importantly repair it, even out in a village with a local bicycle mechanic who has local tools, knowledge and parts available. Now, when you want to use the LFC indoors, all you have to do is pull the levers out of the drivetrain, stow them in the frame, and it converts into a normal wheelchair that you can use just like any other normal wheelchair, and we sized it like a normal wheelchair, so it's narrow enough to fit through a standard doorway, it's low enough to fit under a table, and it's small and maneuverable enough to fit in a bathroom and this is important so the user can get up close to a toilet, and be able to transfer off just like he could in a normal wheelchair. Now, there's three important points that I want to stress that I think really hit home in this project. The first is that this product works well because we were effectively able to combine rigorous engineering science and analysis with user-centered design focused on the social and usage and economic factors important to wheelchair users in the developing countries. So I'm an academic at MIT, and I'm a mechanical engineer, so I can do things like look at the type of terrain you want to travel on, and figure out how much resistance it should impose, look at the parts we have available and mix and match them to figure out what sort of gear trains we can use, and then look at the power and force you can get out of your upper body to analyze how fast you should be able to go in this chair as you put your arms up and down the levers. So as a wet-behind-the-ears student, excited, our team made a prototype, brought that prototype to Tanzania, Kenya and Vietnam in 2008, and found it was terrible because we didn't get enough input from users. So because we tested it with wheelchair users, with wheelchair manufacturers, we got that feedback from them, not just articulating their problems, but articulating their solutions, and worked together to go back to the drawing board and make a new design, which we brought back to East Africa in '09 that worked a lot better than a normal wheelchair on rough terrain, but it still didn't work well indoors because it was too big, it was heavy, it was hard to move around, so again with that user feedback, we went back to the drawing board, came up with a better design, 20 pounds lighter, as narrow as a regular wheelchair, tested that in a field trial in Guatemala, and that advanced the product to the point where we have now that it's going into production. Now also being engineering scientists, we were able to quantify the performance benefits of the Leveraged Freedom Chair, so here are some shots of our trial in Guatemala where we tested the LFC on village terrain, and tested people's biomechanical outputs, their oxygen consumption, how fast they go, how much power they're putting out, both in their regular wheelchairs and using the LFC, and we found that the LFC is about 80 percent faster going on these terrains than a normal wheelchair. It's also about 40 percent more efficient than a regular wheelchair, and because of the mechanical advantage you get from the levers, you can produce 50 percent higher torque and really muscle your way through the really, really rough terrain. Now the second lesson that we learned in this is that the constraints on this design really push the innovation, because we had to hit such a low price point, because we had to make a device that could travel on many, many types of terrain but still be usable indoors, and be simple enough to repair, we ended up with a fundamentally new product, a new product that is an innovation in a space that really hasn't changed in a hundred years. And these are all merits that are not just good in the developing world. Why not in countries like the U.S. too? So we teamed up with Continuum, a local product design firm here in Boston to make the high-end version, the developed world version, that we'll probably sell primarily in the U.S. and Europe, but to higher-income buyers. And the final point I want to make is that I think this project worked well because we engaged all the stakeholders that buy into this project and are important to consider in bringing the technology from inception of an idea through innovation, validation, commercialization and dissemination, and that cycle has to start and end with end users. These are the people that define the requirements of the technology, and these are the people that have to give the thumbs-up at the end, and say, "Yeah, it actually works. It meets our needs." So people like me in the academic space, we can do things like innovate and analyze and test, create data and make bench-level prototypes, but how do you get that bench-level prototype to commercialization? So we need gap-fillers like Continuum that can work on commercializing, and we started a whole NGO to bring our chair to market — Global Research Innovation Technology — and then we also teamed up with a big manufacturer in India, Pinnacle Industries, that's tooled up now to make 500 chairs a month and will make the first batch of 200 next month, which will be delivered in India. And then finally, to get this out to the people in scale, we teamed up with the largest disability organization in the world, Jaipur Foot. Now what's powerful about this model is when you bring together all these stakeholders that represent each link in the chain from inception of an idea all the way to implementation in the field, that's where the magic happens. That's where you can take a guy like me, an academic, but analyze and test and create a new technology and quantitatively determine how much better the performance is. You can connect with stakeholders like the manufacturers and talk with them face-to-face and leverage their local knowledge of manufacturing practices and their clients and combine that knowledge with our engineering knowledge to create something greater than either of us could have done alone. And then you can also engage the end user in the design process, and not just ask him what he needs, but ask him how he thinks it can be achieved. And this picture was taken in India in our last field trial, where we had a 90-percent adoption rate where people switched to using our Leveraged Freedom Chair over their normal wheelchair, and this picture specifically is of Ashok, and Ashok had a spinal injury when he fell out of a tree, and he had been working at a tailor, but once he was injured he wasn't able to transport himself from his house over a kilometer to his shop in his normal wheelchair. The road was too rough. But the day after he got an LFC, he hopped in it, rode that kilometer, opened up his shop and soon after landed a contract to make school uniforms and started making money, started providing for his family again. Ashok: You also encouraged me to work. I rested for a day at home. The next day I went to my shop. Now everything is back to normal. Amos Winter: And thank you very much for having me today. (Applause)

Frequently Occurring Word Combinations

ngrams of length 2

collocation	frequency
normal wheelchair	5
rough terrain	4
developing countries	3
mountain bike	3
bicycle parts	3
leveraged freedom	3
long distances	2
freedom chair	2

ngrams of length 3

collocation	frequency
leveraged freedom chair	2

Important Words

academic
accessible
achieved
adoption
advanced
advantage
afford
africa
amos
analysis
analyze
angle
answer
applause
appurtenances
areas
arms
articulating
ashok
assessing
batch
bathroom
benefits
bicycle
big
bigger
bike
biomechanical
board
body
boston
break
bring
bringing
brought
build
building
buy
buyers
case
chain
chair
chairs
changed
china
clients
climb
close
combine
commercialization
commercializing
community
complex
complexity
components
composed
connect
connections
constraints
consumption
context
contexts
continuum
contract
converts
cost
countries
country
create
creates
crossing
crux
cutouts
cycle
data
day
define
delivered
design
designed
determine
developed
developing
development
device
devices
difficult
disability
dissemination
distance
distances
dollars
doorknobs
doorway
drawing
drivetrain
easier
east
easy
economic
education
effective
effectively
efficient
efficiently
elevator
employment
encouraged
ended
engage
engaged
engineer
engineering
europe
evolution
excited
exciting
expensive
face
factors
family
fast
faster
feedback
fell
field
figure
final
finally
firm
fit
focused
foot
force
frame
freedom
front
fundamentally
gazillions
gear
give
global
good
grab
grabbing
grabs
greater
groups
guatemala
guy
hand
hands
hard
heavy
high
higher
hill
hit
home
hopped
house
hundreds
idea
ideal
immediately
implementation
important
importantly
impose
inception
india
indoors
industries
injured
injury
innovate
innovation
input
inspiration
invention
jaipur
job
kenya
key
kilometer
kilometers
kind
knowledge
landed
large
largest
learned
length
lesson
lever
leverage
leveraged
levers
lfc
life
lighter
link
live
living
local
logical
long
lot
lots
machine
magic
majority
making
maneuverable
manufacturer
manufacturers
manufacturing
market
match
materials
mechanic
mechanical
mechanically
mechanism
meets
merits
million
mit
mix
model
moment
money
month
mountain
move
mud
muscle
narrow
ngo
normal
notebook
oftentimes
opened
organization
outputs
oxygen
paralyzed
parts
pavement
people
percent
performance
person
physical
picture
pinnacle
pivots
point
points
pounds
power
powerful
practice
practices
pretty
price
primarily
problem
problems
process
produce
product
production
products
project
prototype
prototypes
providing
public
pull
push
put
putting
quantify
quantitatively
quickly
rate
real
regular
repair
repairable
represent
requirements
research
resistance
resources
rested
rigorous
road
rode
rotational
rough
rural
sand
scale
school
science
scientists
sell
shift
shop
shots
sidewalk
simple
sitting
sized
slide
slides
sliding
small
smaller
social
solutions
sort
source
space
specifically
speed
speeds
spent
spinal
stakeholders
standard
start
started
state
states
stood
stow
street
stress
stroke
student
summer
switched
system
table
tailor
talk
talked
talking
tanzania
team
teamed
technology
terrain
terrains
terrible
test
tested
thinking
thinks
thought
time
today
toilet
tooled
tools
torque
tougher
train
trains
transfer
transport
transportation
travel
traveling
traverse
tree
trial
trouble
type
types
ubiquitously
uniforms
united
upper
usable
usage
user
users
validation
vehicles
version
vietnam
village
wheelchair
wheelchairs
work
worked
working
works
world
years