RequirementSpecificationJustification
1.The device must monitor the motion of the knee within a clinically acceptable range of motion (ROM) for rehabilitation.The device must be able to achieve ROM between 0 and 105 degrees with an accuracy of 土 1.5 degreesFull knee range of motion is defined as 0 degrees extension to 105 degrees flexion, with electrogoniometers measuring ROM accurately within ±1.7 degrees3.
2.The device must be assistive.A) The device should exert forces from 5-60N, with a tolerance of 土 5% on the knee.  

B)  Bending moments should stay within 4 N⋅m ± 1 N⋅m in sagittal plane within the specified force range.
In a study on a rehabilitative knee brace, a force of 58.86 N was applied to reduce posterior lag of the posterior cruciate ligament (PCL). The bending moment stayed below 4 N·m, varying by no more than 1 N·m during activity 4.
3.The device must provide thermal energy.The temperature of the skin surrounding the site of injury will be maintained at a temperature between 38-42°C.When local heat application between 40-42°C was applied, knee stiffness significantly decreased5. Another study, found that there was a decrease in knee stiffness between the ranges of 38-40 °C when heat was applied6.
4.The device must be able to maintain therapeutic temperature for a specified amount of time.A)  The device should reach therapeutic temperature within 5 minutes.

B)  The device is able to maintain therapeutic temperature for up to 30 minutes.
A study found applying local heat to the site of injury for 20 minutes lead to a decrease in knee stiffness and pain5. Another study found that knee stiffness decreased when patients had 15-30 minutes of local heat application6.
5.The device must measure temperature.The device should measure the temperature of the surrounding skin with an accuracy of ± 0.5°C.An accuracy of ±0.5°C reduces the risk of burn injuries.
6.The device must track data.A) Repetitions: 1-100
B) Duration: 10-30 minutes
C) ROM: 0-105°
D) Temperature: 38-42°c
Tracking data allows healthcare professionals to monitor progress and input certain parameters to enhance the patient’s outcome7.
7. The device must store data.The device will store all data collected in a online database.Using a web-based storage system allows unlimited storage capacity, real-time backup and accessibility for users and healthcare providers, supporting long-term data tracking.
8. The device must transmit data.The device will transmit all collected data through the ArthroRecover WebsiteData collected will be transmitted at a rate of 0.5 seconds through the Arthro Recover Website, ensuring real-time data transfer, and multiple data points without delays or loss.
9. The device must allow user input.The users should be able to input and select the desired parameters.Allowing user input ensures the device can be customized to meet the specific needs of patients and healthcare providers, enabling more effective and personalized therapy.
10. The device must have adjustable straps.A) The device must have adjustable straps to accommodate different thigh circumferences, ranging from 40-70 cm.
B) The device must have adjustable straps to accommodate different knee circumferences, ranging from 30-50cm.
C) The device must have adjustable straps to accommodate different calf circumferences, ranging from 30-50 cm.   
Sources emphasize the importance of a comfortable fit by accommodating various leg circumferences, ensuring the device fits securely and provides effective support, which is crucial for preventing patient discomfort8,9.
11. The device must automatically shut off in case of malfunction.The device must automatically shut off when a temperature of 43°C is reached.The temperature should not exceed 43°C as pain will be introduced10.
12. The device must have a functional manual shut-off button.The manual shut-off button should be easily accessible.The device will have a manual shut-off button to allow users to easily disable it in case of emergency, ensuring user safety and control.
13. The device must follow IEC 60601-1 standard for electrical safety. Within the device the leakage current should be less than or equal to 100 µA.IEC 60601-1 ensures the device meets electrical safety standards for medical devices, minimizing risks of electrical shock and enhancing user trust.