3D printed hands, tools co-created by Singapore non-profit group plug assistive-tech gaps

“I joined as I feel that there is a place for such services in occupational therapy. Currently, hospitals and clinical services don’t do much 3D printing, and I think this is because there is a lack of understanding on how to do it, and an uncertainty of how to integrate it into clinical processes,” said Dr Yeh.

“When I first joined Salvage Garden, I didn’t know much about it either. But I just felt like with my background in understanding disabilities, biomechanics and ergonomics, I could help engineers better understand the challenges that disabled individuals might encounter.”

After two years of volunteering, a moment that stood out to her was helping to create an assistive tool that allowed a patient with partial paralysis to use chopsticks.

“That day, she was very happy because she hadn’t been able to use chopsticks to eat noodles since she suffered a stroke,” said Dr Yeh, who added that such seemingly small improvements can make a big difference to someone’s quality of life, which drives her to continue her work at Salvage Garden.

“Patients are discharged from hospitals once they can eat – it doesn’t matter whether it is with a fork or spoon.

“But there is a gap to close between being functionally fine from an administrative point of view, and reaching meaningful outcomes for people. That gap is one that the Government doesn’t pay for.”

This holds true for Ms Lim, who continues to occasionally use the tools from Salvage Garden despite receiving a robotic prosthetic arm from a sponsor in August. In the beginning, her arm would become sore quickly, as wielding the arm felt akin to lifting dumbbells.

Although she has grown used to its weight now, she still finds it more convenient to use the 3D-printed tools at home for simple tasks such as eating, as they allow her to avoid fatigue.

“Hospitals helped with my physiotherapy after I was discharged, but they don’t focus as much on assistive devices. A group like Salvage Garden is hard to come by, and helps to fill a gap in the medical sector,” said Ms Lim.

For patients or clients that need it, there isn’t a clear referral path for parties to come together to co-create assistive technology, said Dr Yeh.

“I am hoping that this can become a formalised service in Singapore. If that is the case, then we wouldn’t need a Salvage Garden.”

Though regular nail clippers can be found in stores for just a few dollars, one-handed clippers can cost upwards of $50 on online shops. A low-cost version of this tool was created with 3D-printing filament, cable ties, and a regular nail clipper.

With the finger positioned in front of the clipper, users simply need to press down on the tool to cut their nails.

This tool, which allows users to lock in place a chopping block at the bottom, allows users to cut food items into evenly sized pieces.

Around 30 sets were created for adults with intellectual disabilities, after social service agency Minds reached out to Salvage Garden to co-create these tools.

“Most of our clients do not have strong motor skills, and tend to cut only with their dominant hand,” said Ms Julia Ng, manager of befriending and respite at Minds.

“With this chopping aid, clients can cut food into a consistent size while holding onto the ingredient.”

Ground-up initiatives like Salvage Garden are flexible and responsive to the needs of clients, and the inherent versatility of 3D printing allows for low-cost customisation along with ongoing experimentation, said Ms Ng.

Designed for individuals with grip issues, this 3D-printed pen holder provides stable support for writing and drawing. The pen holder can move in all four directions along metal rods at the side, while keeping the pen fixed in place.

Connect 4 is a popular game won by forming four of the same coloured disks in a line. Salvage Garden worked to 3D print Xs and Os on the sides of black and white tiles respectively, so that visually impaired individuals can rely on their sense of touch to feel the letters, instead of relying on colour to play the game.

This is a coin holder to help users organise their coins by the value – 10 cents, 20 cents, 50 cents and $1.

This was originally designed for someone who often confused 20 cent coins with 50 cent ones because of their similar size. She had avoided using coins for a long time, as she felt stressed by the thought of people watching her in a line, said Mr Chinoy.

This 3D-printed holder helped her to tell the difference between coins at a glance.