This depends on the level of damage and which component. The Amparo lower limb system is modular so individual components can be repaired/replaced as required. If the Koalaa soft prosthetic is damaged parts can be replaced or a new item provided. The sleeve is modular so it is easy to swap out components. For example, if the dock becomes faulty this can be replaced: likewise for a faulty sleeve or attachment. Minimal (often zero) clinician involvement is needed for swapping out components.
In the traditional process a new prosthetic socket would be required to maintain the fit, which is costly and may take weeks or even months. Faced with this situation patients may be reluctant to go through that process and may stop using their prosthetic. This is a frequent challenge especially when patients may be malnourished or an infection leads to swelling. The Amparo Socket is a unique technology that can be remolded up to 5 times to accommodate any residual limb volume changes. Adjustments can also be undertaken anywhere: in a large van, tent, room of a house etc. the patient does not need to be in a hospital or clinic. Importantly, the sockets provide 100% contact with the residual limb. The Koalaa sleeve adapts easily to changes in size or shape of the stump both during a short period (fluid shifts, oedema etc) and over the longer term: this is done through loosening or tightening the bands and covers.
Specialist training courses have been developed with the Royal Medical Services and it is hoped to adapt this approach to enable amputees themselves to become supporting technicians.
The MASU approach could have a transformational impact on patient outcomes, the scalability and cost effectiveness of patient services. The approach is being evaluated in a clinical trial with the University of Jordan. There is already interest in replicating such a service in other parts of the region recovering from conflict and with a high prevalence of amputees.
No public transport for patients to reach clinics, and no pathways for wheelchair users, so MASU in the medium term will be able to provide community outreach services facilitating access and patient follow up.
This will depend on the operational constraints that the RMS MASU are faced with, when they deploy to the Jordanian field hospitals. RMS will then be able to provide details on patient follow up and the rehabilitation process for amputees, medication and the antibiotics needed, and provide additional support that patients may need.