Hybrid assisted limbs

Grader A: partial

HAL had 300 suits in 130 Japanese medical and care facilities by 2012, EU medical CE mark in 2013, later Japanese medical approval and FDA clearance (2017). Routine niche use, far below 5% of rehab facilities or patients.

Test: D37 health: share of relevant patients, providers or procedures using it by 2022 (hit >=5%; partial <5% real use by 2022 or 5% in 2023-2025; miss no real use by 2025); relevant: rehabilitation facilities/patients

• Hybrid Assistive Limb (2025): 300 HAL suits in 130 facilities in Japan (2012); EC certification 2013

Grader B: partial

HAL received EU medical certification in 2013, Japanese medical-device approval with insurance coverage for neuromuscular diseases in 2015, and FDA clearance in 2017; it is used in a few hundred facilities. Real routine use, small share of rehab patients.

Test: D37 health: >=5% of relevant rehabilitation patients or facilities use HAL-type suits by 2022 = hit; real use below 5% = partial; none by 2025 = miss.

• Hybrid Assistive Limb (Wikipedia) (2026): EC medical certificate Aug 2013; over 300 suits in 130 Japanese facilities by 2012; niche institutional rental use.