Prosthetics

Ottobock Microprocessor Knees: Trust, Move, Live.

Prosthetics

Ottobock Microprocessor Knees: Trust, Move, Live.

Prosthetics

Ottobock Microprocessor Knees: Trust, Move, Live.

Introduction

Why Choose a Microprocessor Knee?

What’s the difference between a microprocessor knee and a mechanical knee prosthesis? How do MPKs work exactly? And what sets Ottobock solutions apart? Here’s a quick overview to answer your most pressing MPK questions.

The Ottobock Difference.

Ottobock launched the first fully microprocessor-controlled knee in 1997 and remains the world’s leading manufacturer of MPKs to this day. Over the last 25 years, we have continually updated our systems based on both scientific research and feedback from users about what they really need.

For example, your prosthetist will program your microprocessor knee to match your walking pattern. Many systems won’t vary from this programmed pattern until they’re checked again. But Ottobock MPKs continually monitor the phases of your gait, adjusting in real time to support you as you speed up or slow down.

Michael walks down a grassy hill in his Kenevo Microprocessor Knee with his prosthetist’s guidance.
Michael walks down a grassy hill in his Kenevo Microprocessor Knee with his prosthetist’s guidance.

Stance, Swing, and Everything in Between.

All prosthetic knees are designed to mimic two phases of your natural walking pattern or “gait cycle”:

During stance phase, your foot is in contact with the ground. Your leg is slightly bent, acting as a shock absorber while providing enough resistance to support your weight.

During swing phase, your foot is in the air and swinging forward. Your knee flexes more so that your foot can clear the floor as it swings forward into the next step.

But it’s the way they recreate these phases of gait that separates one type of prosthetic knee from another.

An amputee wearing his Ottobock Genium X4 while walking over a dune by the beach.
An amputee wearing his Ottobock Genium X4 while walking over a dune by the beach.

Mechanical vs. Microprocessor.

Mechanical knees are usually controlled by a mechanical lock, friction, or pneumatic or hydraulic fluids. Often only body weight is used to activate the stance control mechanism, leading to a less natural walking pattern.

Microprocessor knees use sensors, software, and a built-in computer to adjust fluid-based resistance to your unique gait. This makes it easier to walk at varying speeds and safely descend ramps and stairs.

The bottom line? MPKs empower you to walk with a more stable, natural, and efficient gait.

A C-Leg 4 user plugs his microprocessor knee in to charge.
A C-Leg 4 user plugs his microprocessor knee in to charge.

The Ottobock Difference.

Ottobock launched the first fully microprocessor-controlled knee in 1997 and remains the world’s leading manufacturer of MPKs to this day. Over the last 25 years, we have continually updated our systems based on both scientific research and feedback from users about what they really need.

For example, your prosthetist will program your microprocessor knee to match your walking pattern. Many systems won’t vary from this programmed pattern until they’re checked again. But Ottobock MPKs continually monitor the phases of your gait, adjusting in real time to support you as you speed up or slow down.

Michael walks down a grassy hill in his Kenevo Microprocessor Knee with his prosthetist’s guidance.
Michael walks down a grassy hill in his Kenevo Microprocessor Knee with his prosthetist’s guidance.

Stance, Swing, and Everything in Between.

All prosthetic knees are designed to mimic two phases of your natural walking pattern or “gait cycle”:

During stance phase, your foot is in contact with the ground. Your leg is slightly bent, acting as a shock absorber while providing enough resistance to support your weight.

During swing phase, your foot is in the air and swinging forward. Your knee flexes more so that your foot can clear the floor as it swings forward into the next step.

But it’s the way they recreate these phases of gait that separates one type of prosthetic knee from another.

An amputee wearing his Ottobock Genium X4 while walking over a dune by the beach.
An amputee wearing his Ottobock Genium X4 while walking over a dune by the beach.
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Products.

The Ottobock Portfolio of Microprocessor-Controlled Knees.

Kenevo: Build More Confidence.

For activity levels 1 & 2

Looking to feel safe, secure, and supported with every step? Whether you need more stability for day-to-day activities or are striving to reclaim your independence during rehab and recovery, Kenevo is ideal for those with moderate or changing mobility needs.

The C-Leg 4 Microprocessor-Controlled Knee from Ottobock

C-Leg: Choose Proven Performance.

For activity levels 2 – 4

Live your healthy, active life on the world’s most trusted and preferred microprocessor knee.(*1) C-Leg dynamically adapts to a wide variety of situations, and delivers next-level personalisation and user experience.

The C-Leg 4 Microprocessor-Controlled Knee from Ottobock

Genium X4: Experience Life in Effortless Motion.

For activity levels 2 – 4

Get ready to free your mind and unlock your true potential with the Genium X4: a
next-gen Ottobock microprocessor knee that sets a new standard of
performance, durability, and customizability.

Genium X4. The newest mechatronical knee joint from Ottobock.
Benefits at a glance.

Key Features of Ottobock MPKs.

A woman wearing her Ottobock Genium X4 while strolling through the city with her friends.

Gait Optimisation

Enjoy a smooth walking pattern regardless of terrain, walking speed, footwear or carried weight. Our MPKs enable harmonious, fluid movement via: adaptive yielding control, which enables the right amount of flexion resistance; adaptive swing phase control to ensure the ideal flexion angle; and other innovative features.

Kenevo user Robert and his wife are playing boccia in their garden

Stumble Recovery.

Ottobock Microprocessor Knees sense when you trip or stumble and boost resistance so you can catch yourself before you fall. The result? Significantly lower risk of stumbling, falling and fear of falling.² Whether you’re walking fast or slow, taking big steps or small ones, or traversing stairs or slopes, you can trust your Ottobock MPK.

An amputee leaning against a wall, drinking his juice and wearing his Ottobock C-Leg 4.

Safe, Intuitive Standing.

Whether you’re standing relaxed or ready to take your next step, Intuitive Stance adapts to your needs. Even on inclines or uneven surfaces, it allows you to stand and then move safely without thinking twice. Plus, you can distribute weight evenly between both legs, so you’re less prone to harmful compensating movements.

A male surfer riding the waves while wearing his Ottobock Genium X4.

Durability in the Elements.

An Ingress Protection (IP) rating refers to a device’s ability to withstand dust, water, and other substances. Our IP67-rated, weatherproof C-Leg and Genium can easily handle rain showers. And our water and corrosion-proof IP68-rated Genium X3 can be fully submerged in fresh, salt, or chlorinated water.

An Ottobock MPK user switches MyModes from the Cockpit app while working out.

MyModes.

Get the support you need for activities that fit your lifestyle with MyModes. These additional settings are programmed by your prosthetist to suit everything from your favorite sports to recurring work tasks. Plus, you can easily switch between them via the Cockpit app (iOS or Android) or specific movement patterns.

A bilateral Ottobock Genium X4 user walking on the beach with his daughter.

Benefits for Bilateral Users.

Ottobock MPKs can help bilateral users lead largely independent, self-determined lives. Intelligent sensor technology, Intuitive Stance, Stumble Recovery, and other advancements provide targeted support for everyday activities as well as advanced detection and assistance for critical situations.

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User Stories

Microprocessor Knees to Fit Any Lifestyle.

Kenevo kept Michael moving through his rehabilitation.

Michael used the Kenevo to make the most of his therapy. “Gaining confidence was the hardest thing,” he said.

Although it took some time for him to trust the knee joint, he worked with his physiotherapist and learned to navigate stairs, uneven surfaces, and more.

Now, Michael wears a Genium X3, works as a logistics specialist, and regularly plays sports with his wife and friends.

Robert feels confident with his Kenevo.

Robert enjoys the simple but important things in life. Being able to plan his day, make breakfast or enjoy the afternoon in the garden. His Kenevo gives him support with adjusting to new situations and mastering everyday challenges.

Günter experiences stability in every step with the Kenevo.

Günter has loved classic cars since his young age. After the amputation, he knew he didn’t want to give it up. With his Kenevo, he feels stable and secure, which enables him to enjoy his everyday life and follow his passion for cars.

Georg is more active than ever with his C-Leg 4.

After suffering with a long-term condition, Georg’s amputation has actually created new possibilities for him. He has realized his childhood dream of skiing, discovered a passion for the javelin, and even became a para-athlete. The C-Leg 4 supports him as he plays sports, stays active in his father’s fitness studio, and goes about his daily routines.

Rebecca puts a personal touch on her C-Leg 4.

Fashion student Rebecca loves to express creativity in every facet of her life. With the C-Leg 4, she was able to customize her shield insert, and now her unique style and personality shine through with each step she takes.


“I’m still the same person,” says Rebecca, “just with a special accessory.”

Family man Aaron never misses a beat with his Geniums

There’s nothing more important to Aaron than being able to keep up with his fast-paced family. And as a bilateral amputee, there’s no challenge too great. Whether he’s at work, on a weekend getaway with his kids, or out fishing, Aaron is ready — and excited — for anything.

Hamed uses his Genium to seize every opportunity

Hamed’s leg was amputated when he was only six years old — but never let it keep him from leading an active life filled with family, friends, and sports. Always seeking new challenges and setting new goals for himself, Hamed loves how his prosthesis takes him on new journeys and adventures every single day.

Kerstin does it all with her Genium X3

As a dedicated mother of two, Kerstin’s life pulls her in every direction imaginable. With her Genium X3, she can keep up at home, in her workouts, playing with her kids, in the water, and wherever else everyday life may lead.

The sky is the limit for Réka with her Genium X3

As a student, blogger, and influencer, Réka leads a fast-paced life. She loves being active and feels most free when she’s running or swimming. After starting out on a Genium, which supported a natural gait for her everyday life and sports, she switched to the Genium X3, and now enjoys even more freedom and versatility while doing what she loves.

Genium X3 takes John places he never thought he’d go

As John takes his Genium X3 to new heights, the prosthesis adapts and supports his every move — both on land and in water. Watch the video to follow John and his best friend on an adventure through Croatia to see just how powerful and versatile the Genium X3 can be.

Marije is always on the go with her Genium X3

Whether she’s at work, enjoying free time in the park, or cruising around the canals of Amsterdam on a boat, Marije embraces every chance to explore her surroundings. Thanks to her waterproof Genium X3 Microprocessor Knee, this vibrant young woman can keep her mind on where she wants to go and trust her prosthesis to get her there.

Kenevo kept Michael moving through his rehabilitation.

Michael used the Kenevo to make the most of his therapy. “Gaining confidence was the hardest thing,” he said.

Although it took some time for him to trust the knee joint, he worked with his physiotherapist and learned to navigate stairs, uneven surfaces, and more.

Now, Michael wears a Genium X3, works as a logistics specialist, and regularly plays sports with his wife and friends.

Robert feels confident with his Kenevo.

Robert enjoys the simple but important things in life. Being able to plan his day, make breakfast or enjoy the afternoon in the garden. His Kenevo gives him support with adjusting to new situations and mastering everyday challenges.

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Proven MPK Technology.

Clinical Study Support.

Clinical Research Drives Everything We Do.

Every Ottobock microprocessor knee is supported by the highest levels of clinical data. Our MPKs are extensively tested on different types of terrain, slopes, stairs, ramps, and hills. They’re tested for safety, mobility levels, efficiency, ease of use, preference, satisfaction, and more. With dozens of top-quality studies at the heart of your mobility, you can truly trust your MPK to meet your unique needs as you move through life.

Someone typing on their laptop
FAQs.

Answers to Common MPK Questions.

Activity Levels.

Your activity level (or “mobility grade”) is a number between 1 and 4 that indicates your overall physical condition and potential for benefiting from various prosthesis options. Your prosthetist will assess your activity level and use it to set therapy goals and determine which solution is most likely to maximize your mobility and quality of life.

Activity Level 4.

Description: Users are generally able to walk outdoors with little or no restriction, for any amount of time or distance. Due to high functional demands, significant shock, tension, and distortion can occur.


Therapy Goal: Restore the ability to stand, walk, and move both indoors and outdoors without any limitations.


Ottobock MPK Options: C-Leg, Genium X4

Zainab is shopping with her friend using her Genium X3.
Zainab is shopping with her friend using her Genium X3.

Activity Level 1.

Description: Those with Level 1 mobility typically use their prosthesis only for transfers or moving slowly on level floors. Walking time and distance are likely very limited due to overall physical condition.


Therapy Goal: Restore the ability to stand and walk indoors for short periods.


Ottobock MPK Options: Kenevo

Kenevo user Robert is standing in the kitchen preparing coffee
Kenevo user Robert is standing in the kitchen preparing coffee

Activity Level 2.

Description: Users can typically walk slowly with their prosthesis and negotiate low obstacles, such as curbs, single steps, and uneven surfaces. Walking time and distance are still limited.


Therapy Goal: Restore the ability to stand and walk both indoors and outdoors.


Ottobock MPK Options: Kenevo, C-Leg, Genium X4

Kenevo user Günter is walking down the stairs in front of his house
Kenevo user Günter is walking down the stairs in front of his house

Activity Level 3.

Description: Users can walk with their prosthesis at medium-to-high speeds, vary their speed, and overcome most natural obstacles. They can typically engage in professional, therapeutic, and other activities that don’t put too much strain on their prosthesis. And while there may be an increased need for safety (perhaps due to additional disability or special living conditions) combined with medium-to-high mobility demands, walking time and distance are only slightly restricted.


Therapy Goal: Restore the ability to stand and walk, both indoors and outdoors, with only mild restrictions.


Ottobock MPK Options: C-Leg, Genium X4

Genium user Axel is standing in the park with his dog.
Genium user Axel is standing in the park with his dog.

Activity Level 4.

Description: Users are generally able to walk outdoors with little or no restriction, for any amount of time or distance. Due to high functional demands, significant shock, tension, and distortion can occur.


Therapy Goal: Restore the ability to stand, walk, and move both indoors and outdoors without any limitations.


Ottobock MPK Options: C-Leg, Genium X4

Zainab is shopping with her friend using her Genium X3.
Zainab is shopping with her friend using her Genium X3.

Activity Level 1.

Description: Those with Level 1 mobility typically use their prosthesis only for transfers or moving slowly on level floors. Walking time and distance are likely very limited due to overall physical condition.


Therapy Goal: Restore the ability to stand and walk indoors for short periods.


Ottobock MPK Options: Kenevo

Kenevo user Robert is standing in the kitchen preparing coffee
Kenevo user Robert is standing in the kitchen preparing coffee
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Discover More

Microprocessor Knee Features.

A Genium X4 microprocessor knee (MPK) user is surfing during sunset

IP Rating

A C-Leg 4 user watering a potted plant using a watering can.

Intuitive Stance

kenevo ; relative p seminar _JA-JP

Stumble Recovery

A user switches her C-Leg 4 setting to Cycling via MyMode Plus in the Cockpit app

MyModes

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1. Wismer, N., Mileusnic, M., Sreckovic, I., & Hahn, A. (2016). First results on next generation C-Leg. Poster presentation at OTWorld, Leipzig, Germany.
2. Mileusnic M, Hahn A, Reiter S. Effects of a novel microprocessor-controlled knee, Kenevo, on the safety, mobility, and satisfaction of lower-activity patients with transfemoral amputation. J Prosthet Orthot 2017;29(4):198-205.