Maestra-hand wrist cpm manual
Contents
1. Possible movements Thumb opposition KINE EC Maestra Possible movements Intrinsic The KINETEC Maestra provides a motion from 0 from 90 5 DI PIP NW program psa KINE EC Maestra _ gt Possibles movements Selective mobilization of the DIP joint The KINETEC Maestra provides a motion from 0 to 70 lub SIEM fhe SH Despite that warning you can continue to use your KINETEC Maestri maintenance operations conducted as soon as possible Eee A motor running time counter is available Simultaneously press keys and the displays shows RESET TIME 924H timit limit Reset limit low this counter can be resetting by pressing the key eve limit Cleanin si 9 program Before conducting any cleaning operation SWITCH the unit OFF and disconnect the power supply Use a DISINFECTANT PROPANOL ISOPROPANOL or ALDEHYDE based solution Spray the disinfectant on the SURFACES plastic shells and metal components In order to ensure optimal hygiene you are advised to clean the covers for each new patient All the consumables enable hazard free disposal Technical specifications Product Weight 8 Kg without case Unit dimensions 35 x 41 x 30cm 14 x 16 x 12 inches Angular limits see page 6 Spedd from 150 to 440 min Patient sizing all hand sizing until 7 years old Electricity Power supply 100 240 V Frequency 50 60 Hz Power consumption 50 VA Device of ty2. KINE EC Maestra
3. 0 0 Upper limit 10 20 60 40 90 50 40 90 40 Speed 2 Force 6 Extension Pause 0 Flexion Pause 0 e Timer 0 E 6 KINE EC Maestra Use of the hand control How to adjust the basic parameters of the movement To stop the unit Prona supination 10 STOP 5 10 Check if the hand control is not blocked See page 5 To choose the movement Prona supination The display shows the new movement selected 10 STOP 5 and the default settings of the upper and lower WRIST limits of this movement EXT flex Successive presses on the keys WRIST MP EXT fl fle or G Ulnar dev Add ab NP O STOP 94 40 ee quat Thumb opposition OMSI R 94 90 Tpm ext fle O STOP 94 50 Intrin ext fle O STOP 94 40 Intrin ext fle O STOP 94 90 dip ext fle O STOP 94 40 allows to select different movements Nip ext fle To display the extension or flexion limit of the movement Fo ce xt 94 40 DG ip extA 20 Flex 944 40 dip ext N S 20 Flex 15 70 The new value blinks The value blinks To change the limit if necessary To validate the new value press another key see PEE MT While he wale blinke press or wait more than 3 seconds the A oi wr key LOAD _ i e No timer to change if necessary Or dip ext fle i i PAUSE HIGH Successive presses on this key selects the pause at the extension or flexion limit Pause low 0 Or to display pause in extension or flexion limit To change the pause if
4. STOP 5 10 Check if the hand control is not blocked See page 5 To choose the movement Prona supination 10 STOP 5 WRIST EXT flex WRIST MP EXT fle Ulnar dev Add ab The display shows the new movement selected and the default settings of the upper and lower limits of this movement Successive presses on the keys DA o e ws Wrist DIP PIP O STOP 94 40 Thumb opposition O STOP Tpm O STOP Intrin O STOP Intrin O STOP 94 90 ext fle 94 50 ext fle 94 40 ext fle 94 90 allows to select different movements ext fle 94 40 dip O STOP Start the session with the original parameters of the LE Lo run The value change at the speed of the movement default setting movement Possible values for each parameter Z 2 _ elel E PRO SUP Waist DIE PIP 18 press 2 press 3 press 13 De 2m press 34 press Lower limit 90 50 50 30 30 0 0 Upper limit 90 90 140 60 jae 225 n 180 70 Speed 1 to 9 from 150 to 440 per minute Force 1to6 Extension Pause 0 to 900 seconds 15 minutes Flexion Pause 0 to 900 seconds 15 minutes e Timer No timer 00H00 to 24H00 Default setting values for each parameter E a e G amp gt ws Ji amp PRO SUP Wrist Thumb Composite pie PIP 1 press 2 4 press 3 press 1 press 2 press 3rd press e Lower limit 10 20 0 0 0 0 0
5. any of following positions e Dorsal flexion e ZERO position e Palmer flexion The joints also permit the forearm support to be tilted up or down However if this is done the angle of tilt should be taken into account when setting the range of motion on the display Setting up the driving mechanism The driving mechanism should be attached to the motor axis In order to facilitate the setting up of the driving mechanism use the intrinsic movement and to stop the unit at 0 LEFT Hand RIGHT hand CAUTION Make sure that when the driving mechanism is inserted on the motor axis the cable 4 is ABOVE the groove of the cam 5 The driving mechanism should then be locked in place by tightening the screw 6 with the Allen key included in the accessory case gt 12 KINE EC Maestra Start up Adjusting the length finger To better fit individual hand lengths and polar radii depending on the fingers or thumb to be mobilized the guide will be oriented as follows by unscrewing the nut 8 and lifting the guide 7 in position A or in position B Guide in position A Guide in position B KINE EC Maestra D Possible movements Pronation Supination KINE EC Maestra Possible movements Extension Flexion of the wrist and the MP joints of the fingers The KINETEC Maestra provides a motion from 50 to 140 fu program KINE EC Maestra
6. necessary SAPI El EXxt K The new pause value blinks ow lt j To validate the new value press another key or wait more than 3 seconds The display shows the selected mode 4 dip ext id The unit is ready to start with the new 20 STOP 94 7O parameters Comments e The values shown in the Display column are examples KINE EC Maestra 5 CGB Use of the hand control How to modify programs PROGRAM MODE To switch off the unit Press the two keys at the same time and switch the unit ON KINETEC maestra V01 0 Welcome text during 3 seconds Then Der Program Set EMPTY X The program number blinks To change the program if necessary Program ay ae 25 kinetec DM The new program number blinks To choose the movement To display the extension or flexion limit of the movement Program 10 Prona supination Program 10 WRIST Program 10 WRIST MP Program 10 Ulnar dev Add ab Program 10 Thumb opposition Program 10 Tpm ext fle Program 10 Intrin ext fle Program 10 Intrin ext fle Program 10 dip ext fle vABrogram 10 a gt Ext 94 40 VISTEGEANO sig 20 Fle eae The display shows the new movement selected Successive presses on the keys os G ws Wrist DIP PIP allows to select different movements The value blinks To change the limit of movement if necessary Program The new value blinks To validate the new value press another ke
7. Page e Definition 2 e Description 3 e Safety 4 e Electrical connection 4 e Use of the hand control Select your language 5 Locking the hand control setting 5 START STOP REVERSE function 5 Quick Start 6 Possible values for each parameter 6 How to adjust the basic parameters of the movement 7 How to modify programs PROGRAM MODE 8 9 Using Programs 10 Reading the values of a program 10 How to define the upper and lower movement limits 11 e Start up Setting up the forearm support 12 Setting up the driving mechanism 12 Adjusting the length finger 13 e Possible movements Pronation Supination 14 Extension Flexion of the wrist 14 Extension Flexion of the wrist and the MP joints of the fingers 15 Ulnar deviation 15 Thumb opposition 16 Complete fist 16 Intrinsic 17 Intrinsic 17 Selective mobilization of the DIP joint 18 Product information Maintenance 18 Cleaning 18 Technical specifications 18 Troubleshooting 19 Symbols used 19 Warranty 19 Maintenance sheet 20 SAFETY RECOMMENDATIONS e The physician defines the protocol and ensures that it is correctly implemented adjustments session time and frequency of use e We recommend that you lock the hand control when you give it to the patient e For optimum safety always give the hand control to the patient before starting the system e Explosion hazard KINETEC Maestra is not designed for use in the presence of flammable
8. anaesthetics e Check that the electrical socket is in good condition and is suitable for the splint power supply cord The latter complies with current standards and has a grounding socket The plug may be connected to any standard socket The socket must however have a grounded pin To connect the power supply only use the original cable supplied with the machine Check that the cables remain free around the device so that they do not get damaged Manuel N 467896276 Update 16 07 09 KIN E EC Maestra The KINETEC Maestra is used for passive mobilization of the hand and wrist and permits a wide range of possible joint movements for The forearm The wrist The thumb The long fingers Indications e Flexor and extensor tenolysis e Aponeurectomies for Dupuytren disease e Metacarpophangeal arthrolysis e Open reduction and internal fixation of intra articular diaphyseal metaphyseal and epiphyseal fractures of the phalanges Prosthetic replacement of the MCP PIP and DIP joints Rheumatoidal neurological or after burn stiffness Capsulotomies arthrolysis and tenolysis for post traumatic stiffness of MCP PIP and SIP joints Synovectomies Clinical Benefits Breaks the cycle of trauma inflammation and the loss of range of motion Prevents joint stiffness Speeds the recovery of post operative range of motion Maintains the quality of the joint surface Reduces pain and edema Promotes joint cartilage healing Redu
9. ce with standards in force IEC 601 1 2 electromagnetic compatibility standard for medical devices Please do not touch the moving parts while the unit is running pinching risk Electrical Connection KINETEC Maestra is a type B class device Before connecting the device to the power supply check that the mains voltage matches that shown on the identification plate 100 240 V 50 60Hz Connect the hand control 1 Connect the power supply cable 2 IMPORTANT Check that the electrical socket is in good condition and is suitable for the splint power supply cord The latter complies with current standards and has a grounding socket The plug may be connected to any standard socket The socket must however have a grounded pin To connect the power supply only use the original cable supplied with the machine Check that the cables remain free around the device so that they do not get damaged Starting the unit Switch on 3 While the unit begins an auto diagnostic the display shows the following KINETEC KINETEC Maestra V01 0 gt Please wait gt Maestra V01 0 Your KINETEC Maestra is ready to be used Ce 4 KINE EC Maestra Use of the hand control Select your language KINETEC Maestra V01 0 Check if the hand control is not blocked Please wait See page 5 PRONA S supination 10 STOP 5 Language i i speed force a i indi Press the 2 keys in the same time a glist The display indicates the langua
10. ces hospitalization time Reduces the need for pain medication Provides immediate post operative continuous passive motion Digital ROM readout on the patient hand control for positive reinforcement Maintains desired positions for stretching and muscular rest e Contraindications Bone Cancer Warped joint surfaces Spastic paralyses Unstable fractures Uncontrolled infection CD 2 KINE EC Maestra The KINETEC Maestra is a portable machine single unit device that can be used on a table It consists of the following components M e am e e 3 e nro OON DUO HBRWPhM e Cy 235 18 Wrist key 19 Pronation supination key 20 Upper limits setting 21 Lower limits setting 22 Increase decrease keys 23 START key 24 STOP key 25 e FORCE key 26 SPEED key 27 PAUSE key 28 TIMER key 29 PROGRAM access key KINE EC Maestra The physician defines the protocol and ensures that it is correctly implemented adjustments session duration and frequency of use The patient must know the start stop reverse function on the control handle Hand control must be accessible to patient at all times See page 7 KINETEC Maestra complies with Directive 93 42 CEE EXPLOSION HAZARD KINETEC Maestra is not designed for use in the presence of flammable anaesthetics In case of electromagnetic interference with other devices move the device KINETEC Maestra is in complian
11. en on and started it by pressing START Symbols used e TYPE B device FIR K protection against electric shocks speed Speed Upper limit limit Caution consult the accompanying timer Timer Pronation supination movement documents PRO SUP A O STOP power off force Force TA Wrist movement Wrist ON power on pause Pause ES Thumb movement Thumb start Start movement A Increase E Complete fist movement Composite Stop movement y7 Decrease G Selective movement De PIP program Program access Lower limit Alternative current limit Warranty The KINETEC warranty is strictly limited to the replacement free of charge or repair in the plant of the component or components found to be defective KINETEC guarantees its joint passive mobilization systems for 1 year against all defects of manufacture from the date of purchase by the consumer KINETEC is the only organization able to assess the application of the warranty to its systems The warranty will be considered null and void if the device has been used abnormally or under conditions of use other than those indicated in the user s manual The warranty will also be considered null and void in the event of deterioration or an accident due to negligence inappropriate surveillance or inappropriate maintenance or due to transformation of the equipment or an attempt to repair the equipment KINE EC Maestra CGB 19
12. es with current movement During the session D but Appuyer sur Affichage Commentaires touches Prona supination Check if the hand control is not blocked he unit is runnin g start 10 STOP 5 10 See page 5 A Prona supi ign RE o select the BY PASS MODE continuous ress AN 7 he unit exceeds the recorded upper limit 10 BYPASS 0 pa Dy o set the new pain level when reached immediately Prona su pi nation he new upper value limit of the movement is press 10 Bypass 40 recorded Imi RIC g Prona supi ign he unit is moving to the lower limit of the o select the BY PASS mode for lower limits continuous press i 30 Bypa 39 ARIA V o set the new pain level when reached immediately Prona supination he new lower value limit of the movement is press 30 Bypass 30 recorded Prona supigAtion i i Continue the session with the new movement limits p he angie display changes with curtent 30 RU movement D Comments e The values shown in the Display column are examples KIN E EC Maestra __ gt Start up Setting up the forearm support The forearm support should be attached on the RIGHT hand for the Left hand on the LEFT for the RIGHT hand For Pronation supination of the wrist the support should be attached to the base directly IN FRONT of the motor axis The support is set on a telescopic rod 1 which has two notched joints 2 and 3 These joints enable placement of the wrist in
13. ge selected he English language is selected Switch the unit ON English To change the language A or V ia si talian Spanish Ok o exit and confirm the new language switch To validate the new language Switch on off OFF and Switch ON the unit Locking the hand control setting The hand control allows the patient to control the machine as appropriate Simultaneously press the A SZ keys to lock the hand control The display reads LOCK you can not change the parameters if you try the display reads LOCK To unlock the hand control simultaneously press the A and keys The display reads UNLOCK We recommend that you lock the hand control when you give it to the patient Comment The hand control is unlocked when you switch the unit ON OFF START STOP REVERSE function As with all KINETEC systems KINETEC Maestra is equipped with a START STOP REVERSE function When the unit is running the display reads RUN Press the Sj eJe l key of the hand control The movement stops The display reads STOP Press the key of the hand control The movement starts in the opposite direction and the display reads RUN start Caution For optimum safety always give the hand control to the patient before starting the system KINE EC Maestra 5 CGB Use of the hand control Quick Start Set up the patient and proceed as below Switch the unit ON KINETEC Maestra V01 0 Please wait Prona supination 10
14. pe B class IP 20 Fuse T 750mA 250V 6 3x32mm KINETEC order 4610007434 Environment Storage transport conditions Temperature 40 to 70 C 40 to 160 F Relative humidity up to 907 Operating conditions Room temperature 10 to 40 C 50 to 105 F Relative humidity up to 80 KINEIEC Maestra Product information Troubleshooting A spare parts list and technical catalog are available to you on request from your KINETEC distributor If after connecting the power supply cable to the power supply and switching on KINETEC Maestra e The display does not indicate any information Check that the electrical socket is live using another device Replace the fuse s 32 of the connector with fuses of the same type and calibre 2 fuses T 750 mA 250V 6 3 x 32 KINETEC order 4610007434 If the display still does not indicate any information contact your nearest KINETEC technician e Your KINETEC Maetsra does not work and the display indicates 50 STOP 25 115 Press START again Your KINETEC Maestra still does not function Contact your nearest KINETEC technician e Your KINETEC Maestra does not function and the display indicates ANGULAR POSI angle measurement function failure or NO MOVEMENT no movement or BAD WAY motor rotation failure or LOAD MAXI abnormal consumption or POWER SUPPLY power failure Contact your nearest KINETEC technician if the same message is displayed after having switched the device off th
15. rameters can be changed while using that program but no data will be stored in the original program See the programming mode p 8 to modify programs KINE EC Maestra Use of the hand control How to define the upper and lower movement limits The MANUAL MODE is a way to set within the tolerance of a patient at the beginning of a session Set up the patient and proceed as below e At the start of a session KINETEC maestra V01 0 Switch the unit on x Please wait Prona supination 10 STOP 5 10 Check if the hand control is not blocked See page 5 ose lect the MANUAL MODE for upper limits by continuous press Prona supi continually holding pressure on the key 10 Manuak15 he unit is moving to the upper limit of the movement Prona supination o set the pain level when reached immediately press 10 Manual 15 limit he new upper value limit of the movement is recorded Prona supi ign 10 Manu 5 A5 74 o select the manual mode for lower limits continuous press 7 he unit is moving to the lower limit of the movement Prona supination 5 Manual 5 o set the pain level when reached immediately press o start the session with the new movement limits This function The BY PASS MODE is a way to address the pain threshold of a patient during a session IMPORTANT Can be used only when the machine RUN he new lower value limit of the movement is recorded he angle display chang
16. values can be modified and recorded at any time see How to enter a program page 10 To stop the unit Prona supination 10 STOP 5 Q heck if the hand control is not blocked See page 5 To access the program mode program PROGRAM Prona supin a The program number blinks To change the program if necessary To exit and validate the selected program AT PROGRAM cal WRIST EXT Mex WRIST EXT flex Please wait The new program number blinks The current parameters have been recorded in program 3 To exit without validation of selected program Prona supination 10 Back to the starting parameters Start the unit Reading the values of a program example SPEED The value change at the speed of the movement To stop the unit sa RR ae ees di if the hand control is not blocked page 5 To access the program mode program AES y The program number blinks To change the program if necessary A or ee pone ise To change the program if necessary To read the speed value speed E RSS 5 3 Displays the speed value After 5 seconds or after pressing on another key is fa o naar start oe Ri a parameters have been recorded in Start the unit start The value change at the speed of the movement Comments WRIST flex 25 RUN 2 90 V e The values shown in the Display column are examples They actually depend on the stored programs e The current movement pa
17. y 6 20 Fle 94 V7 rad or wait more than 3 seconds Program 10 SPEEd 2 While the value blinks press FORCE mEi Aso VS No timer Pause low O to change if necessary Program 10 rogram To record the program 10 prog Save clear Program 10 Save The program 10 has been recorded and the Then Program 11 display indicates the next program so you can EMPTY change another program Program 10 OR The program 10 has been cancelled and the To cancel the program clearing Program 11 EMPTY display indicates the next program so you can change another program To exit program mode switch OFF and switch ON the unit amp KINETEC Maestra V01 0 To use the modified program see page 10 KINE EC Maestra Use of the hand control 11 EMPTY Program e When a program has been deleted the display shows Comments Program table Jew Jawi esned NWI Jamo UO asneg esned yw saddn uo asneg 8010 20104 poeds paads ywl ywn Jaddn ywl ywi JOMO 91 GI vl el cl LI OL did dia dW KINEIEC Maestra alisoduio9 RI EEMU anso we 6ojd Ca Ia 396 Joquinu adh uawanop weiBold Use of the hand control Using Programs program The KINETEC Maestra allows you to store up to 16 programs including the type of movement ROM speed load pauses and timer The original parameter values of the program are empty These
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