1 00:00:00,790 --> 00:00:03,598 I'm an MIT professor, 2 00:00:03,598 --> 00:00:06,789 but I do not design buildings or computer systems. 3 00:00:07,169 --> 00:00:09,895 Rather, I build body parts: 4 00:00:10,269 --> 00:00:13,868 bionic legs that augment human walking and running. 5 00:00:14,035 --> 00:00:16,892 In 1982, I was in a mountain climbing accident, 6 00:00:16,892 --> 00:00:21,180 and both of my legs had to be amputated due to tissue damage from frostbite. 7 00:00:21,180 --> 00:00:23,273 Here you can see my legs: 8 00:00:23,273 --> 00:00:28,870 24 censors, six microprocessors, and muscle-tendon-like actuators. 9 00:00:28,870 --> 00:00:31,739 I'm basically a bunch of nuts and bolts from the knee down. 10 00:00:32,092 --> 00:00:34,417 But with this advanced bionic technology, 11 00:00:34,417 --> 00:00:37,137 I can skip, dance, and run. 12 00:00:38,883 --> 00:00:40,345 Thank you. 13 00:00:40,345 --> 00:00:42,985 (Applause) 14 00:00:42,985 --> 00:00:47,494 I'm a bionic man, but I'm not yet a cyborg. 15 00:00:47,494 --> 00:00:53,164 When I think about moving my legs, 16 00:00:53,164 --> 00:00:56,413 neural signals from my central nervous system 17 00:00:56,413 --> 00:00:58,133 pass through my nerves 18 00:00:58,133 --> 00:01:01,993 and activate muscles within my residual limbs. 19 00:01:01,993 --> 00:01:06,266 Artificial electrodes sense these signals, 20 00:01:06,266 --> 00:01:08,754 and small computers in the bionic limb 21 00:01:08,754 --> 00:01:13,140 decode my nerve pulses into my intended movement patterns. 22 00:01:13,140 --> 00:01:16,630 Stated simply, 23 00:01:16,630 --> 00:01:20,015 when I think about moving, that command is communicated 24 00:01:20,015 --> 00:01:22,721 to the synthetic part of my body. 25 00:01:22,721 --> 00:01:26,619 However, those computers can't input information into my nervous system. 26 00:01:26,838 --> 00:01:30,003 When I touch and move my synthetic limbs, 27 00:01:30,003 --> 00:01:33,049 I do not experience normal touch and movement sensations. 28 00:01:34,108 --> 00:01:36,176 If I were a cyborg 29 00:01:36,176 --> 00:01:38,599 and could feel my legs 30 00:01:38,599 --> 00:01:43,502 via small computers inputting information into my nervous system, 31 00:01:43,502 --> 00:01:48,866 it would fundamentally change, I believe, my relationship 32 00:01:48,866 --> 00:01:49,550 to my synthetic body. 33 00:01:49,550 --> 00:01:51,404 Today I can't feel my legs, 34 00:01:51,404 --> 00:01:55,137 and because that, my legs are separate tools 35 00:01:55,137 --> 00:01:56,861 from my mind and my body. 36 00:01:56,861 --> 00:01:59,279 They're not part of me. 37 00:01:59,279 --> 00:02:03,035 I believe that if I were a cyborg and could feel my legs, 38 00:02:03,035 --> 00:02:06,202 they would become part of me, part of self. 39 00:02:06,202 --> 00:02:10,424 At MIT, we're thinking about neural and body design. 40 00:02:10,424 --> 00:02:13,468 In this design process, 41 00:02:13,468 --> 00:02:16,756 the designer designs human flesh and bone, 42 00:02:16,756 --> 00:02:18,851 the biological body itself 43 00:02:18,851 --> 00:02:20,842 along with synthetics 44 00:02:20,842 --> 00:02:23,844 to enhance the bidirectional communication 45 00:02:23,844 --> 00:02:26,813 between the nervous system and the built world. 46 00:02:27,621 --> 00:02:31,935 Neuron body design is a methodology to create cyborg function. 47 00:02:34,090 --> 00:02:36,242 In this design process, 48 00:02:36,242 --> 00:02:39,877 designers contemplate a future in which technology 49 00:02:39,877 --> 00:02:41,535 no longer compromises separate, 50 00:02:41,535 --> 00:02:44,632 lifeless tools from our minds and our bodies, 51 00:02:44,632 --> 00:02:48,657 a future in which technology has been carefully integrated 52 00:02:48,657 --> 00:02:50,309 within our nature, 53 00:02:50,309 --> 00:02:53,234 a world in which what is biological and what is not, 54 00:02:53,234 --> 00:02:55,343 what is human and what is not, 55 00:02:55,343 --> 00:02:57,479 what is nature and what is not, 56 00:02:57,479 --> 00:02:59,645 will be forever blurred. 57 00:02:59,645 --> 00:03:04,458 That future will provide humanity new bodies. 58 00:03:04,458 --> 00:03:09,123 Neuron body design will extend our nervous systems 59 00:03:09,123 --> 00:03:09,713 into the synthetic world, 60 00:03:09,713 --> 00:03:11,959 and the synthetic world into us, 61 00:03:11,959 --> 00:03:15,177 fundamentally changing who we are. 62 00:03:15,177 --> 00:03:18,254 By designing the biological body to better communicate 63 00:03:18,254 --> 00:03:21,104 with the built design world, 64 00:03:21,104 --> 00:03:24,371 humanity will end disability in this 21st century 65 00:03:24,371 --> 00:03:27,944 and establish the scientific and technological basis 66 00:03:27,944 --> 00:03:30,351 for human augmentation, 67 00:03:30,351 --> 00:03:34,751 extending human capability beyond innate, physiological levels, 68 00:03:34,751 --> 00:03:38,543 cognitively, emotionally, and physically. 69 00:03:38,543 --> 00:03:42,665 There are many ways in which to build new bodies across scale, 70 00:03:42,665 --> 00:03:46,835 from the biomolecular to the scale of tissues and organs. 71 00:03:46,835 --> 00:03:50,003 Today, I want to talk about one area of neural and body design 72 00:03:50,003 --> 00:03:52,298 in which the body's tissues 73 00:03:52,298 --> 00:03:54,226 are manipulated and sculpted 74 00:03:54,226 --> 00:03:58,434 using surgical and regenerative processes. 75 00:03:58,434 --> 00:04:02,422 The current amputation paradigm hasn't changed fundamentally 76 00:04:02,422 --> 00:04:04,709 since the US Civil War 77 00:04:04,709 --> 00:04:08,131 and has grown obsolete in light of dramatic advancements 78 00:04:08,131 --> 00:04:10,672 in actuators, control systems, and neural interfacing technologies. 79 00:04:10,672 --> 00:04:17,644 A major deficiency is the lack of dynamic muscle interactions 80 00:04:17,644 --> 00:04:20,969 for control and proprioception. 81 00:04:20,969 --> 00:04:22,914 What is proprioception? 82 00:04:22,914 --> 00:04:26,320 When you flex your ankle, muscles in the front of your leg contract, 83 00:04:26,320 --> 00:04:29,105 simultaneously stressing muscles in the back of your leg. 84 00:04:29,105 --> 00:04:31,721 The opposite happens when you extend your ankle. 85 00:04:31,721 --> 00:04:35,626 Here, muscles in the back of your leg contract, 86 00:04:35,626 --> 00:04:35,893 stretching muscles in the front. 87 00:04:35,893 --> 00:04:37,577 When these muscles flex and extend, 88 00:04:37,577 --> 00:04:39,839 biological sensors within the muscle tendons 89 00:04:39,839 --> 00:04:42,458 send information through nerves to the brain. 90 00:04:42,458 --> 00:04:46,555 This is how we're able to feel where our feet are without seeing them 91 00:04:46,555 --> 00:04:48,266 with our eyes. 92 00:04:48,266 --> 00:04:52,667 The current amputation paradigm breaks these dynamic muscle relationships, 93 00:04:52,667 --> 00:04:56,958 and in so doing eliminates normal proprioceptive sensations. 94 00:04:56,958 --> 00:04:59,664 Consequently, a standard artificial limb 95 00:04:59,664 --> 00:05:02,362 cannot feed back information into the nervous system 96 00:05:02,362 --> 00:05:05,129 about where the prosthesis is in space. 97 00:05:05,129 --> 00:05:06,441 The patient therefore 98 00:05:06,441 --> 00:05:11,210 cannot sense and feel the positions and movements of the prosthetic joint 99 00:05:11,210 --> 00:05:14,068 without seeing it with their eyes. 100 00:05:14,068 --> 00:05:18,888 My legs were amputated using a Civil War-era methodology. 101 00:05:18,888 --> 00:05:21,405 I can feel my feet, I can feel them right now 102 00:05:21,405 --> 00:05:23,287 as a phantom awareness, 103 00:05:23,287 --> 00:05:25,199 but when I try to move them, I cannot. 104 00:05:25,199 --> 00:05:29,056 It feels like they're stuck inside rigid ski boots. 105 00:05:29,056 --> 00:05:31,363 To solve these problems at MIT, 106 00:05:31,363 --> 00:05:35,296 we invented the Agonist-antagonist Myoneural Interface, 107 00:05:35,296 --> 00:05:37,092 or AMI for short. 108 00:05:37,092 --> 00:05:40,293 The AMI is a method to connect nerves within the residuum 109 00:05:40,293 --> 00:05:43,405 to an external, bionic prosthesis. 110 00:05:43,405 --> 00:05:47,184 How is the AMI designed, and how does it work? 111 00:05:47,184 --> 00:05:51,338 The AMI comprises two muscles that are surgically connected, 112 00:05:51,338 --> 00:05:54,203 an agonist linked to an antagonist. 113 00:05:54,203 --> 00:05:57,146 When the agonist contracts upon electrical activation, 114 00:05:57,146 --> 00:05:59,574 it stretches the antagonist. 115 00:05:59,574 --> 00:06:02,224 This muscle dynamic interaction causes biological sensors 116 00:06:02,224 --> 00:06:04,610 within the muscle tendon 117 00:06:04,610 --> 00:06:08,700 to send information through the nerve to the central nervous system, 118 00:06:08,700 --> 00:06:13,074 relating information on the muscle tendon's 119 00:06:13,074 --> 00:06:15,226 length, speed and force. 120 00:06:15,226 --> 00:06:15,987 This is how muscle tendon proprioception works, 121 00:06:15,987 --> 00:06:17,825 and it's the primary way we, as humans, 122 00:06:17,825 --> 00:06:22,609 can feel and sense the positions, movements and forces on our limbs. 123 00:06:22,609 --> 00:06:26,900 When a limb is amputated, the surgeon connects these opposing muscles 124 00:06:26,900 --> 00:06:29,487 within the residuum to create an AMI. 125 00:06:29,487 --> 00:06:32,121 Now, multiple AMI constructs can be created 126 00:06:32,121 --> 00:06:36,516 for the control and sensation of multiple prosthetic joints. 127 00:06:36,516 --> 00:06:39,937 Artificial electrodes are then placed on each AMI muscle, 128 00:06:39,937 --> 00:06:42,297 and small computers within the bionic limb 129 00:06:42,297 --> 00:06:43,475 decode those signals 130 00:06:43,475 --> 00:06:47,212 to control powerful motors on the bionic limb. 131 00:06:47,212 --> 00:06:49,203 When the bionic limb moves, 132 00:06:49,203 --> 00:06:51,217 the AMI muscles move back and forth, 133 00:06:51,217 --> 00:06:53,213 sending signals through the nerve to the brain, 134 00:06:53,213 --> 00:06:56,085 enabling a person wearing the prosthesis 135 00:06:56,085 --> 00:06:58,856 to experience natural sensations 136 00:06:58,856 --> 00:07:00,819 of positions and movements of the prosthesis. 137 00:07:00,819 --> 00:07:05,310 Can these tissue design principles be used in an actual human being? 138 00:07:05,310 --> 00:07:08,865 A few years ago, my good friend Jim Ewing 139 00:07:08,865 --> 00:07:11,991 of 34 years reached out to me for help. 140 00:07:11,991 --> 00:07:14,931 Jim was in an a terrible climbing accident. 141 00:07:14,931 --> 00:07:17,346 He fell 50 feet in the Cayman Islands, 142 00:07:17,346 --> 00:07:21,705 and his rope failed to catch him, hitting the ground's surface. 143 00:07:21,705 --> 00:07:24,095 He suffered many, many injuries: 144 00:07:24,095 --> 00:07:28,497 punctured lungs and many broken bones. 145 00:07:28,497 --> 00:07:32,325 After his accident, he dreamed of returning to his chosen sport 146 00:07:32,325 --> 00:07:33,611 of mountain climbing, 147 00:07:33,611 --> 00:07:36,219 but how might this be possible? 148 00:07:36,219 --> 00:07:40,226 The answer was Team Cyborg, 149 00:07:40,226 --> 00:07:43,759 a team of surgeons, scientists and engineers 150 00:07:43,759 --> 00:07:48,878 assembled at MIT to rebuild Jim back to his former climbing prowess. 151 00:07:48,878 --> 00:07:52,698 Team member Dr. Matthew Carney amputated Jim's badly damaged leg 152 00:07:52,698 --> 00:07:55,374 Brigham and Women's Hospital in Boston using the AMI surgical procedure. 153 00:07:55,374 --> 00:08:01,310 Tendon pulleys were created and attached to Jim's tibia bone 154 00:08:01,310 --> 00:08:03,786 to reconnect the opposing muscles. 155 00:08:03,786 --> 00:08:07,392 The AMI procedure reestablished the neural link 156 00:08:07,392 --> 00:08:10,291 between Jim's ankle-foot muscles and his brain. 157 00:08:10,291 --> 00:08:12,945 When Jim moves his phantom limb, 158 00:08:12,945 --> 00:08:15,675 the reconnected muscles move in dynamic pairs, 159 00:08:15,675 --> 00:08:20,284 causing signals to pass through nerves of proprioception to the brain, 160 00:08:20,284 --> 00:08:23,264 so Jim experiences normal sensations with ankle-foot positions and movements 161 00:08:23,264 --> 00:08:25,842 even when blindfolded. 162 00:08:25,842 --> 00:08:29,492 Here's Jim at the MIT laboratory after his surgeries. 163 00:08:29,492 --> 00:08:31,930 We electrically linked Jim's AMI muscles 164 00:08:31,930 --> 00:08:33,902 via the electrodes to a bionic limb, 165 00:08:33,902 --> 00:08:36,927 and Jim quickly learned how to move the bionic limb 166 00:08:36,927 --> 00:08:40,326 in four distinct ankle-foot movement directions. 167 00:08:40,326 --> 00:08:42,358 We were excited by these results, but then Jim stood up, 168 00:08:42,358 --> 00:08:46,243 and what occurred was truly remarkable. 169 00:08:46,243 --> 00:08:50,230 All the natural biomechanics mediated by the central nervous system 170 00:08:50,230 --> 00:08:53,830 emerged via the synthetic limb 171 00:08:53,830 --> 00:08:57,286 as an involuntary, reflexive action. 172 00:08:57,286 --> 00:08:59,374 All the intricacies of foot placement, 173 00:08:59,374 --> 00:09:01,092 thank you, during stair ascent 174 00:09:01,092 --> 00:09:04,613 (Applause) 175 00:09:04,613 --> 00:09:07,708 emerged before our eyes. 176 00:09:07,708 --> 00:09:10,152 Here's Jim descending steps, 177 00:09:10,152 --> 00:09:12,866 reaching with his bionic toe to the next stair tread, 178 00:09:12,866 --> 00:09:15,337 automatically exhibiting natural motions 179 00:09:15,337 --> 00:09:18,095 without him even trying to move his limb. 180 00:09:18,095 --> 00:09:20,665 Because Jim's central nervous system 181 00:09:20,665 --> 00:09:22,695 is receiving the proprioceptive signals, 182 00:09:22,695 --> 00:09:27,635 it knows exactly how to control the synthetic limb in a natural way. 183 00:09:27,635 --> 00:09:32,425 Now, Jim moves and behaves as if the synthetic limb is part of him. 184 00:09:32,425 --> 00:09:35,571 For example, one day in lab, 185 00:09:35,571 --> 00:09:39,082 he accidentally stepped on a roll of electric tape. 186 00:09:39,082 --> 00:09:41,520 Now, what do you do when something's stuck to your shoe? 187 00:09:41,520 --> 00:09:44,480 You don't reach down like this. It's way too awkward. 188 00:09:44,480 --> 00:09:45,919 Instead you shake it off, 189 00:09:45,919 --> 00:09:47,632 and that's exactly what Jim did after being neurally connected to the limb 190 00:09:47,632 --> 00:09:51,548 for just a few hours. 191 00:09:51,548 --> 00:09:55,256 What was most interesting to me is what Jim was telling us 192 00:09:55,256 --> 00:09:56,592 he was experiencing. 193 00:09:56,592 --> 00:10:00,544 He said, "The robot became part of me." 194 00:10:00,544 --> 00:10:03,956 Jim Ewing: The morning after the first time I was attached to the robot, 195 00:10:03,956 --> 00:10:05,912 my daughter came downstairs 196 00:10:05,912 --> 00:10:09,843 and asked me how it felt to be a cyborg, 197 00:10:09,843 --> 00:10:13,681 and my answer was that I didn't feel like a cyborg. 198 00:10:13,681 --> 00:10:17,636 I felt like I had my leg, 199 00:10:17,636 --> 00:10:22,380 and it wasn't that I was attached to the robot 200 00:10:22,380 --> 00:10:24,943 so much as the robot was attached to me, 201 00:10:24,943 --> 00:10:26,766 and the robot became a part of me. 202 00:10:26,766 --> 00:10:29,617 It became my leg pretty quickly. 203 00:10:29,617 --> 00:10:31,210 Hugh Herr: Thank you. 204 00:10:31,210 --> 00:10:34,425 (Applause) 205 00:10:34,425 --> 00:10:37,512 By connecting Jim's nervous system bidirectionally 206 00:10:37,512 --> 00:10:39,356 to his synthetic limb, 207 00:10:39,356 --> 00:10:42,303 neurological embodiment was achieved. 208 00:10:42,303 --> 00:10:47,859 I hypothesized that because Jim can think and move his synthetic limb, 209 00:10:47,859 --> 00:10:52,057 and because he can feel those movements within his nervous system, 210 00:10:52,057 --> 00:10:55,293 the prosthesis is no longer a separate tool 211 00:10:55,293 --> 00:10:57,730 but an integral part of Jim, 212 00:10:57,730 --> 00:11:00,410 an integral part of his body. 213 00:11:00,410 --> 00:11:02,535 Because of this neurological embodiment, 214 00:11:02,535 --> 00:11:05,541 Jim doesn't feel like a cyborg. 215 00:11:05,541 --> 00:11:07,871 He feels like he just has his leg back, 216 00:11:07,871 --> 00:11:09,875 that he has his body back. 217 00:11:09,875 --> 00:11:13,580 Now I'm often asked when I'm going to be neurally linked 218 00:11:13,580 --> 00:11:14,667 to my synthetic limbs bidirectionally, 219 00:11:14,667 --> 00:11:16,383 when I'm going to become a a cyborg. 220 00:11:16,383 --> 00:11:20,174 The truth is, I'm hesitant to become a cyborg. 221 00:11:20,174 --> 00:11:23,497 Before my legs were amputated, I was a terrible student. 222 00:11:23,497 --> 00:11:26,343 I got D's and often F's in school. 223 00:11:26,343 --> 00:11:28,238 And then after my limbs were amputated, 224 00:11:28,238 --> 00:11:30,920 I suddenly became an MIT professor. 225 00:11:30,920 --> 00:11:34,181 (Laughter) 226 00:11:34,181 --> 00:11:37,527 (Applause) 227 00:11:37,527 --> 00:11:42,530 Now I'm worried that once I'm neurally connected to my legs once again, 228 00:11:42,530 --> 00:11:46,958 my brain will remap back to its not-so-bright self. 229 00:11:46,958 --> 00:11:51,432 But you know what, that's okay, because at MIT I already have tenure. 230 00:11:51,432 --> 00:11:53,868 (Laughter) (Applause) 231 00:11:53,868 --> 00:11:58,683 I believe the reach of neural and body design 232 00:11:58,683 --> 00:12:00,994 will extend far beyond limb replacement 233 00:12:00,994 --> 00:12:02,816 and will carry humanity 234 00:12:02,816 --> 00:12:07,041 into realms that fundamentally redefine human potential. 235 00:12:07,041 --> 00:12:09,005 In this 21st century, 236 00:12:09,005 --> 00:12:13,288 designers will extend the nervous system 237 00:12:13,288 --> 00:12:14,313 into powerfully strong exoskeletons 238 00:12:14,313 --> 00:12:18,544 that humans can control and feel with their minds. 239 00:12:18,544 --> 00:12:21,795 Muscles within the body can be reconfigured 240 00:12:21,795 --> 00:12:25,213 for the control of powerful motors, 241 00:12:25,213 --> 00:12:28,732 and to feel and sense exoskeletal movements, 242 00:12:28,732 --> 00:12:33,173 augmenting humans' strength, jumping height, and running speed. 243 00:12:33,173 --> 00:12:36,016 In this 21st century, I believe humans 244 00:12:36,016 --> 00:12:38,511 will become superheroes. 245 00:12:38,511 --> 00:12:42,401 Humans may also extend their bodies 246 00:12:42,401 --> 00:12:45,980 into non-anthropomorphic structures, such as wings, 247 00:12:45,980 --> 00:12:51,050 controlling and feeling each wing movement within the nervous system. 248 00:12:51,050 --> 00:12:54,467 Leonardo da Vinci said, "When once you have tasted flight, 249 00:12:54,467 --> 00:12:57,721 you will forever walk the earth with your eyes turned skyward, 250 00:12:57,721 --> 00:13:03,554 for then you have been and there you will always long to return." 251 00:13:03,554 --> 00:13:07,173 During the twilight years of this century, 252 00:13:07,173 --> 00:13:10,095 I believe humans will be unrecognizable in morphology and dynamics 253 00:13:10,095 --> 00:13:12,179 from what we are today. 254 00:13:12,179 --> 00:13:16,021 Humanity will take flight and soar. 255 00:13:16,021 --> 00:13:19,135 Jim Ewing fell to earth and was badly broken, 256 00:13:19,135 --> 00:13:23,544 but his eyes turned skyward where he always longed to return. 257 00:13:23,544 --> 00:13:26,264 After his accident, he not only dreamed to walk again, 258 00:13:26,264 --> 00:13:30,014 but also to return to his chosen sport of mountain climbing. 259 00:13:30,014 --> 00:13:34,675 At MIT, Team Cyborg built Jim a specialized limb for the vertical world, 260 00:13:34,675 --> 00:13:40,129 a brain-controlled leg with full position and movement sensations. 261 00:13:40,129 --> 00:13:43,584 Using this technology, Jim returned to the Cayman Islands, 262 00:13:43,584 --> 00:13:45,514 the site of his accident, 263 00:13:45,514 --> 00:13:47,645 rebuilt as a cyborg 264 00:13:47,645 --> 00:13:50,659 to climb skyward once again. 265 00:13:52,243 --> 00:13:55,930 (Crashing waves) 266 00:14:17,260 --> 00:14:25,832 (Applause) 267 00:14:31,801 --> 00:14:33,614 Thank you. 268 00:14:33,614 --> 00:14:36,358 (Applause) 269 00:14:36,358 --> 00:14:40,292 Ladies and gentlemen, Jim Ewing, the first cyborg rock climber. 270 00:14:40,292 --> 00:14:44,368 (Applause)