How much water can your microprocessor knee handle?

How much water can your microprocessor knee handle?

In today’s climate of advancing prosthetic technology, the range of knees, feet, hands and other componentry that are available for amputees is ever-growing. With such large numbers of these products, it can be difficult to distinguish which activities each individual one is suitable for. As we described in our January 2016 blog Making a Splash with your Prosthetic Limbs, prostheses with specific components can be manufactured and fitted with some of these activities in mind.

Going to the beach or local pool, camping, fishing and taking the boat out are just some of the many recreational activities which many amputees may wish to enjoy in their spare time. It is for this reason that many prosthetic components are now classified as being either waterproof or water-resistant. Amazingly, this even includes most microprocessor knees technology.

Just like the latest smartphones and your GoPro camera, each microprocessor knee will be labelled with what is referred to as an Ingress Protection, or IP rating. This IP rating is important in defining just how protected a microprocessor knee is against water and dust getting into its electrical circuitry and potentially causing damage to its operation. It is most commonly made up of two numbers. The first number can range from 0 to 6, indicating the level of protection against dust and foreign objects, while the second digit can range from 0 to 8, indicating just how protected the knee is from water penetrating into its inner workings. With a few exceptions, the higher the number, the greater the level of protection.

Here are just a few examples of different microprocessor knee joints with varying levels of protection against penetration of water and dust:

Ossur Rheo Knee 3 and Rheo Knee XC: IP34

Ossur Rheo XC and Rheo3

The new Rheo Knee 3 and Rheo Knee XC both have been classified with an IP34 rating. This rating indicates that both knees are protected against foreign objects thicker than 2.5mm and also against splashing water coming from any direction. This means that you shouldn’t be too concerned if you got stuck in the rain with your Rheo Knee 3 or Rheo knee XC for a few minutes. That being said, showering with the Rheo Knee 3 or Rheo Knee XC is not recommended. Soapy, chlorinated and saltwater could still potentially cause harm and should be avoided. Should your Rheo be exposed to any conditions outside the IP rating, it must be reviewed by your prosthetist.

Otto Bock C-Leg 4 and Freedom Innovations Plié 3: IP67

Freedom Innovations Plie3

Otto Bock Cleg4

The Ottobock C-Leg 4 and Freedom Innovations Plié 3 both have a high level of protection against both foreign objects and water, with an IP67 rating. They have complete protection against dust particles for up to 8 hours of heavy exposure and can even be temporarily (no more than 30 minutes) submerged in fresh water up to 15cm deep. As such, an incidental splash of water while playing with your kids at the lake is nothing to be too worried about. However, like the Rheo Knee 3 and Rheo Knee XC, they are not designed to be routinely used whilst showering with soapy water or around salt or chlorinated water. If it is exposed to saltwater or chlorinated water, it should be rinsed off with fresh water straight away. It is also important to note that just because they may be submersible, it does not guarantee that they are protected against water jets, such as those projected from a powerful hose. Once again should these knees be exposed to any conditions outside this IP rating, you should inform your prosthetist quickly.

Ottobock Genium: IP54

Otto Bock Genium

The Ottobock Genium is also considered weatherproof, but not completely waterproof. It has an IP54 rating, which indicates that it is for the most part protected against penetration of dust, however, large quantities of dust may trigger complications. It also indicates that it is protected against splashing water, as is the Rheo Knee 3 and Rheo Knee XC. A bit of rain is nothing to worry about, but the Genium will be at risk of damage if it is submerged or sprayed with any hose or jet and most certainly should not come into contact with any soapy, salty or chlorinated water. If it does, it should gently be rinsed with fresh water, but may also need to be inspected by Ottobock technicians in Germany to make sure everything is still running smoothly.

Ottobock Genium X3: IP68

Otto Bock Genium X3

The Ottobock Genium X3 microprocessor knee unit offers functions very similar to that of the Genium, yet has the highest possible level of resistance to both dust and saltwater with an IP68 rating. This means it can is 100% protected from penetration of dust and can be submerged in water at least 1m deep for over 30 minutes and still remain operational at the same time. Furthermore, unlike other microprocessor knees, its parts have been designed with a corrosion-resistant coating which allows it to be used in saltwater and chlorinated water as well as freshwater, making it perhaps the most versatile of microprocessor knee units. However, it is still always recommended that the knee be rinsed off with fresh water after being exposed to saltwater or chlorinated water. It also must be recognised that while this IP rating permits the knee unit to be submerged in water, it does not guarantee that water will not be able to penetrate into the inner workings of the knee unit when projected in powerful jets or hoses.

It is important to recognise that the above information only applies to the microprocessor knee units mentioned and not necessarily other components that may be fitted to your prosthesis. As such although your knee may be used in or around water, it is possible that your foot or connecting components should not be. For this reason, it is always essential that you check with your Prosthetist what type of activities are safe to take part in if they potentially involve getting wet or simply being around water or dusty environments. If your current prosthesis is not suitable to use when heading to the pool or launching the dinghy, speak with them about different options that can keep you doing the things you love.

If you’re interested in learning more about the IP ratings and how they are determined, take a look at the link below:

Written by Mitch Farrar
Prosthetist, ProMotion Prosthetics 

Making a Splash with your Prosthetic Limbs

Making a Splash with your Prosthetic Limbs

Prosthetic Limbs

There are a lot of activities out there that you as a prosthetic user shouldn’t feel limited in doing, just because your prosthetic limbs don’t allow it. Did you know that we as prosthetists can design and manufacture limbs especially for you to take part in these activities? Gone are the days where you have to sit back and miss out on all the fun! Some of the activities when having a specialised prosthesis would be useful include:


Some people avoid the beach all together, because in the past sand and sea water haven’t gone well with prosthetic limbs, but now days there are a lot of components that have been rated as waterproof, and can make walking to/from the beach and enjoying the water with friends and family possible.


Clients have commented that having a waterproof prosthesis opens up a lot of opportunities when traveling or camping, when you don’t have to be restricted to hotel rooms or cabins with disable shower facilities. Having a prosthetic leg that you can wear in the shower makes this so much easier.


If you want to improve your fitness in the pool, a specialised swimming arm or leg can help you build strength and technique while you swim laps.


Perhaps running is more your way of keeping up your cardio fitness, so a specially design running leg can be made, purely made for running and running and running!


Historically, prosthetic legs have used shoes with cleat attachments in them, on their prosthetic foot, however direct attachment of the cleat to the prosthetic leg has been preferred by some cyclists, as it allows a more direct transfer of power when peddling. And for prosthetic arms, there are ways to attach directly to the handle bars, to help control the bike when riding, but with a quick release function, in the case of the rider coming off the bike.


There are plenty of terminal devices for prosthetic arms that can be used for working out at the gym, which help hold on to weights and bars like this type of attachment. I Am Adaptive is an organisation that has a facebook page that posts pictures and videos of prosthetic users of all shapes and sizes coming up with creative ways of working out. There are some amazing ways to achieve results from people out there, so it is well worth a look.


The way your prosthesis looks is up to you. There are endless ways to make your sockets colourful, as well as covers for your limb to help tie in your individual image of yourself with your limb. These days, we as Prosthetists can incorporate pretty much any design into your socket and limb, so if you have an idea of how you want your prosthetic limb to look, share them with your Prosthetist.