Home

Manual Multi-Purpose Device NEURO TRONIC

1. The patient is wearing a shoe to which the orthosis is not adjusted gt Failure of the joint function in Auto mode gt Fall Point out to the patient to only wear a shoe to which the orthosis is adjusted WARNING No gait re education for the patient gt Fall Make sure that the patient can use the orthosis recommend him a physiothera peutic gait re education and explain him the particularities of the joint WARNING The pressure sensor sensitivity is not adjusted correctly gt Failure of the joint function in Auto mode gt Fall Adjust the sensor sensitivity to the patient and the shoe WARNING A not certified technician uses the multi purpose device gt Incorrect adjustments on the orthosis gt Fall Only a certified technician is allowed to use the multi purpose device WARNING Moisture and water gt Failure of function gt Fall Do not expose the multi purpose device to high humidity and do not immerse it in water gt B 39 40 lI lt 4 1 lt 14 lt 1 lt ATTENTION The activation of a remote control with the second controller has failed Using the orthosis is no longer possible Activate the remote control again as described in the manual In case of persistent failure contact our technical support ATTENTION Useful life of the orthosis has shortened gt Failure of the joint function Insert fully charged batteries and carry out the battery qualit
2. e Motion 16 2 Remote Control 16 3 Multi purpose Device 16 4 Controller 16 5 System Knee Joint 17 Software Versions 55 55 56 56 56 58 58 59 59 59 59 59 61 62 62 62 63 63 63 63 64 64 64 68 37 38 1 Declaration of Conformity We declare that our medical devices as well as our accessories for medical devices are in conformity with the requirements of the Medical Devices Directive 93 42 EEC Regarding to these tests all FIOR amp GENTZ products have the CE marking 2 Warranty The warranty applies only if the product has been used under the described conditions and for the intended applications Because we are not able to check the compliance of handling and dealing with rechargeable batteries we cannot assume any liability for any damages or costs caused by batteries 3 Safety Information This manual is addressed to orthopaedic technicians That is why the content basically confines to features of the product It does not contain any notes about dangers which are obvious to orthopaedic technicians For information reasons and for safety of your patients please note all information provided in this manual including notes tables and illustrations Please note especially the safety instructions indicated by ATTENTION CAUTION WARNING and DANGER which are listed and explained in the following paragraph Ignoring this information may lead to patient injuries and property damage In ad
3. piece and or shoe modifications or adjustments Produce the foot piece stiffly enough and shift the rolling off line further forward if necessary Insert a carbon fibre sole into the shoe to strengthen the forefoot lever and shift the rolling off line further forward if necessary Check the placement of the pressure sensor Decrease activity level Problem Joint does not unlock with turned on e Motion Joint unlocks too late Joint unlocks too late with turned on p Motion Joint unlocks too early with turned on p Motion Joint switches unintentionally into Lock mode Joint does a ratching noise during swing phase Cause The patient is treated bilaterally i e he is wearing an orthosis on his left and his right leg with a NEURO TRONIC system knee joint The patient has a non harmonious gait pattern i e he makes one step and then stops so that no repeating pattern can develop The patient s step length is too short The motion sensors integrated in the controller do not detect any movement The patient does not reach the dorsal stop due to short steps during heel off Therefore he cannot apply a knee extension moment to unlock the joint Sensor sensitivity is set too low Pressure sensor placed in the foot piece The pressure sensor is not loaded after heel strike because the heel rests at the edge of the foot piece Only when loading the leg the heel is pressed into the foot piece and applies pr
4. switch on the device You can now see the three modes AUTO FREE and LOCK on the display fig 3 3 You can select the available modes only when the controller is con nected Since the multi purpose device and the controller are not AUTO FREE LOCK connected via cables you have to establish a wireless connection EED ENA Please read paragraph 12 2 for this Re oe 4 Ifyou do not use the multi purpose device for more than 10 minutes Fig 3 it switches off automatically Note When the batteries of the multi purpose device are almost empty you will see the message BATTERIES NEARLY EMPTY on the display fig 4 FIO REG ENTZ ORTHOP DIETECHNIK MIT SYSTEM Fig 4 44 9 Checking the Connection between Controller and Multi purpose Device The second LED at the controller indicates that the controller and the multi purpose device communicate with each other When you select one of the three modes the following signal appears Keypress Light signal Meaning Colour blue Signal duration m as Iti The controller gets a command of the multi purpose device One of the three modes is selected 10 Select a Mode You can select the available modes AUTO FREE and LOCK with the multi purpose device Proceed as follows 1 For Auto mode press the Left arrow button When you can see the word AUTO displayed larger in the multi purpose device the mode is selected and the 0 L
5. you have successfully activated the first remote control as described in paragraph 12 4 1 search the menu item Select other leg in the main menu by browsing with the Left and right arrow buttons When you find the menu item confirm your selection by pressing the amp Set button 2 Search the menu item g Activate again by browsing with the OO Left and right arrow buttons Now pick up the second remote control and repeat point 3 of paragraph 12 4 1 Activating One Remote Control ATTENTION V The activation of a remote control with the second controller has failed Using the orthosis is no longer possible Activate the remote control again as described in the manual In case of persis tent failure contact our technical support 1 To connect the remote control with a second controller you must activate it a second time within 60 seconds after having connected the first controller see paragraph 12 4 1 2 Search the menu item Select other leg in the main menu by browsing with the Left and right arrow buttons When you find the menu item confirm your selection by pressing the Set button 3 Search the menu item Activate again by browsing with the Left and right arrow buttons 4 Repeat point 3 from paragraph 12 4 1 Be sure to press the Auto and Lock button at the same time If the LED of the remote control does not blink yellow for a longer period but instead not at all red or one time yellow the buttons we
6. CEMENT on the display fig 31 The higher you have to set the sensitivity the more likely the sensor is placed incorrectly e g it is uk placed in a space and therefore does not sense any pressure However if you want to set the sensitivity high on purpose select OK with the Set button and increase it by pressing the Right arrow button 57 58 12 8 2 Activity Level You have to adapt the electronics of the orthosis to the patient s activity level To adjust the activity level proceed as follows Go to the menu item Settings as described in paragraph 12 7 2 Search the setting menu l Activity level by browsing with the Left and right arrow buttons 3 When you have found the setting menu confirm your selection by pressing the Set button 2 4 Increase activity level by pressing the Right arrow button There is a plus sign displayed at this point fig 32 SL 5 Decrease activity level by pressing the Left arrow button There is a minus sign displayed at this point fig 32 6 Confirm your selection by pressing the Set button GEO GANE These are the activity levels available Fig 32 1 Indoor walker d e The patient has the ability to make transfers and to walk with an orthosis on even surfaces with low walking speed Ambulation is possible for a very short distance and duration due to the physical condition of the patient 2 Restricted outdoor walke
7. ED mode indicator at the controller blinks green Keypress Display after pressing key Light signal Colour green Signal duration every 5 sec ri OPADIETECHNIK MIT SYSTEM ORTHOP DIETECHNIK MIT SYSTEM 2 For Free mode press the GD Set button When you can see the word FREE displayed larger in the multi purpose device the mode is selected and the 0 LED mode indicator at the controller blinks yellow Note If the signal function is deactivated the LED mode indicator at the controller blinks green For information about the signal function please read paragraph 11 Keypress Display after pressing key Light signal Colour yellow Signal duration every 5 sec ORTHOPADIETECHNIK MIT SYSTEM IT SYSTEM 3 For Lock mode press the Right arrow button When you can see the word LOCK displayed larger in the multi purpose device the mode is selected and there is no signal at the o LED mode indicator at the controller Keypress Display after pressing key Light signal No signal ORTHOPADIETECHNIK MIT 8 ORTHOP DIETECHNIK MIT SYSTEM 11 Signal Function for Training Purposes ATTENTION The volume of the signal tone for the signal function is still switched on after the patient has finished gait re education V Failure of the joint function Set the volume of the signal tone for the signal function to O after finishing gait re education In order f
8. HOPADIETECHNIK MIT SYSTEM Meaning Test has been interrupted e g because the batteries have become loose from the holder or the battery quality is too bad to continue the test Further action Please insert fully charged batteries in the controller and select TRY AGAIN with the Set button Please disconnect one solenoid Wait for 2 hours and look again at the display Further action Exchange the rechargeable batteries for new ones und make sure that the controller orthosis is stored so that the batteries cannot become loose from the holder Repeat the test Message Display TEST FINISHED THE BATTERIES ARE DEFECT PLEASE CHANGE Ele lee ee Ne BACK GIER CENNA ORTHOPADIETECHNIK MIT SYSTEM TESTING BATTERIES BATTERY QUALITY IS SUFFICIENT EEHEHE O JJL CANCEL GIER EEE ORTHOPADIETECHNIK MIT SYSTEM TEST FINISHED BATTERY QUALITY IS SUFFICIENT BACK GEN EEE ORTHOP DIETECHNIK MIT SYSTEM Meaning Test is finished after 2 hours maximum The quality of the rechargeable batteries is bad Test lasts more than 2 hours The battery quality is sufficient Test is finished after 5 hours The quality of the rechargeable batteries is good Further action Exchange the rechargeable batteries for new ones You can cancel the test and use the rechargeable batteries or wait until the test is finished The test h
9. R THE SECOND CONTROLLER on the display Select the required leg by Left arrow button for the left leg or the Right arrow button for the right leg fig 12 pressing the 11 Now repeat the points 5 to 8 to connect the second controller Note If you have connected two controllers you can switch between the left and right leg To do so search the menu item Select other leg in the main menu and press the Set button of the multi purpose device Now you can see the currently selected leg on the display fig 13 12 3 Controller Update When updating the multi purpose device see paragraph 14 the controller update is downloaded simultaneously if there is an update At the menu item Controller update you can then see if there is an update II Q bo If there is an update you can now update the chosen controller by selecting the menu item Controller update If there is no update this menu item cannot be selected Always keep all controllers in use up to date 12 4 Activate Putting into Operation Remote Control In the menu item Activate you put the remote control for the patient into operation i e you connect the controller with the remote control using the multi purpose device 12 4 1 For One Orthosis To activate the remote control proceed as follows 1 To go to the main menu ress the Ga Set button for three seconds 2 Search the menu item g Activate by browsing with the oo Left and right ar
10. Systemen mbH Dorette von Stern Stra e 5 D 21337 L neburg 49 4131 24445 0 amp 49 4131 24445 57 f www fior gentz de amp info fior gentz de PB3800 SK T 02 2015
11. as not pressed C11 Read user manual C12 Contact tech support C21 Read user manual C91 Contact tech support Meaning The cable connection from controller to pressure sensor is correct Either you have not pushed the sensor when you were asked to or the cable connection from controller to pressure sensor is incorrect Short circuit in the cable from controller to pressure sensor You have not pressed the sensor when you were asked to Controller BILATERAL is only connected to one solenoid Controller UNILATERAL is connected with two solenoids Sensor is under pressure Device internal error 12 6 Le Sensor Test only with p Motion Further action If you do not have pressed the sensor carry out the test again by pressing the sensor when you are asked to If you have pushed the sensor check the cable connection from controller to pressure sensor see manual NEURO TRONIC system knee joint paragraph 11 Check the cable joints at the controller If you cannot find a solution contact technical support Carry out the test again and press the sensor when you are asked to Check if the cable connections to the solenoids see manual NEURO TRONIC system knee joint paragraph 11 are correct Contact technical support During the test the sensor should not be under pressure Make sure that the pressure sensor is not assembled deformed and that no outsole material is adhered under ten
12. as shortened the useful life of rechargeable batteries Charge the batteries completely before using them again 9 If you want to cancel the test press the Ga Set button There is the word CANCEL displayed at this point 12 10 Step Counter The controller counts the patient s steps with the orthosis You can check the number of steps of the leg with orthosis with the multi purpose device For the total number of steps double the indicated value Proceed as follows 1 To go to the main menu press the 2 Search the menu item Step counter by browsing with the the amp Set button Set button for three seconds 4 You can see the message STEPS WALKED on the display fig 34 Exit the menu by pressing the BACK displayed at this point Set button There is the word Left and right arrow buttons 3 When you find the menu item confirm your selection by pressing STEPS WALKED X BACK Fig 34 61 2ni Device Info The menu item il Device info informs you about the version of the multi purpose device and of the controller To display this information proceed as follows 1 Togo to the main menu press the Ga Set button for three seconds 2 Search the menu item Device info by browsing with the MULTI PURPOSE DEVICE V3 14 CONTROLLER V2 18 XXXX Left and right arrow buttons 3 When you have found the menu item confirm your selection by BACK pressing the amp Set button 4 There ar
13. ctivate the signal function by downloading the latest update and updating the multi purpose device as well as the controller for updates see paragraph 14 and 12 3 By transferring the current software version to the controller of your NEURO TRONIC knee joint system the signal function will also be activated automatically 11 2 Switching off the Signal Function Switch off the signal tone by setting the volume to O see paragraph 12 7 4 12 Main Menu In the main menu of the multi purpose device you can adjust the orthosis and get information about potential problems To go to the main menu press the Set button for three seconds You see the following menu items on the display m Pairing g Activate of Battery quality Se Cable connection test le Sensor test only with p Motion A settings Step counter l FIORBEGENTZ CA Language ORTHOP DIETECHNIK MIT SYSTEM 1 Device info MULTI PURPOSE DEVICE VXX XX Q Controller update CONTROLLER VXX XX BACK Fig 5 You can exit a menu item in two ways If a menu item has more options exit via Back arrow fig 5 If a menu item has no other option and you want to cancel your selection exit by selecting BACK with the a amp Set button fig 6 Fig 6 Note R If you have connected two controllers the menu item 25 Select other leg i 5 additionally appears in the main menu fig 7 Furthermore under th
14. device refer to a possible malpositioning of the sensor that is explained more detailed in the production technique of the NEURO TRONIC system knee joint Result message Display Meaning Further action The pressure sensor is placed Sensor placement OK correctly When walking no pressure is applied to the sensor e g because the shoe is The pressure sensor is placed narrower than the orthosis shell and C22 Read user manual ee therefore a hollow space results between these two This problem can e g develop because of a too narrow formed heel part at the C23 Read user manual Sensor is under pressure ale Oar MOEN TEN EN OT the sensor test with unlaced open shoes or other shoes If you cannot find a solution contact technical support 12 7 5 Settings of e Motion In the menu item a Settings you can adjust the orthosis The following setting menus are available with turned on e Motion Calibrate I LO Turn on p Motion mi Volume aM Signal selection q Select other leg only with two connected controllers see paragraph 12 7 6 Tone selection sE To enter a setting menu proceed as follows 1 To go to the main menu press the D Set button for three seconds 2 Search the menu item q Settings by browsing with the Left and right arrow buttons 3 When you have found the menu item confirm your selection by pressing the Set button Now you can 53 54 se
15. dition please read the manual of the NEURO TRONIC system knee joint as well as the patient information 4 Safety Instructions 4 1 Classification of the Safety Instructions DANGER Important information about a possible dangerous situation which if not avoided leads to death or irreversible injuries WARNING gt Important information about a possible dangerous situation which if not avoided leads to reversible injuries that need medical treatment CAUTION Important information about a possible dangerous situation which if not avoided leads to light injuries that do not need medical treatment ATTENTION Important information about a possible dangerous situation which if not avoided leads to damage of the product TORO 4 2 Structure of the Safety Instructions The following example demonstrates the structure of the safety instructions Attention symbol Signal word ATTENTION Type of danger Mechanical load is too high Possible consequences s Wear of the joint parts for components l Possible consequences gt Maintenance intervals shorten for the patient Explain the patient correct use of the joint and possible dangers 4 3 Overview of all Safety Instructions for the NEURO TRONIC Multi purpose Device There is detailed information to some of the safety instructions in the course of this manual Respect the following safety instructions to avoid patient injuries and property damage WARNING
16. e Signal Function 12 Main Menu 12 1 SAD Language 12 2 m Pairing Putting into Operation Controller 12 3 Q Controller Update 12 4 g Activate Putting into Operation Remote Control 12 4 1 For One Orthosis 12 4 2 For Two Orthoses 12 5 Cable Connection Test 12 5 1 Cable Connection Test Result Messages and Further Action 12 6 Sensor Test only with p Motion 12 6 1 Le Sensor Test Result Messages and Further Action 12 7 Settings of e Motion 12 7 1 gt Calibrate 12 7 2 lO Turn on p Motion 12 7 3 N Tone Selection Page 38 38 38 38 38 39 39 41 41 42 42 43 43 43 43 44 44 45 45 46 46 47 47 48 49 49 50 51 51 52 53 53 54 54 55 12 7 4 12 7 5 12 7 6 d J PR Le Volume Signal Selection Select other Leg 12 8 ay Settings of p Motion 12 8 1 12 8 2 12 8 3 12 8 4 12 8 5 12 8 6 12 8 7 A pa 5 Ai a En PR Le Sensor Sensitivity Activity Level Turn on e Motion Tone Selection Volume Signal Selection Select other Leg 12 9 QQ Battery Quality 12 10 Step Counter 12 11 il Device Info 13 Indication of Battery Status in Multi purpose Device 14 Replacing the Batteries of the Multi purpose Device 15 Updating the NEURO TRONIC Multi purpose Device 16 Advices for an Optimal Functioning of the Orthosis 16 1 Walking with Orthosis in Auto Mode with
17. e e g the words MULTI PURPOSE DEVICE V3 14 and CONTROLLER V2 18 XXXX on the display fig 35 5 Exit the menu item by pressing the ED Set button There is the GER ENNEA ORTHOPADIETECHNIK MIT SYSTEM word BACK displayed at this point Fig 35 13 Indication of Battery Status in Multi purpose Device There is a battery status indicator in the upper right corner of the multi purpose device It shows the status of the rechargeable batteries of the controller View Meaning o Rechargeable batteries full AUTO FREE LOCK Q Rechargeable batteries half full UER GENE Rechargeable batteries almost HNIK MIT SYSTEM empty 14 Replacing the Batteries of the Multi purpose Device ATTENTION Batteries of the multi purpose device were not replaced correctly V Failure of function Replace the batteries of the multi purpose device properly and as described in this manual ATTENTION V When replacing the batteries of the multi purpose device an incorrect battery type is used gt Failure of function Use the battery type specified in this manual for the multi purpose device The multi purpose device has two batteries of the type CR2450 You can replace the batteries by yourself when they are empty To do so proceed as follows 62 1 Carefully remove the four grey cover caps on the back of the multi purpose device There are four screws underneath 2 Unscrew the four screws with a PH1 screwdriv
18. e single gs SELECT OTHER LEG en menu items the name of the menu item itself and the chosen leg are blinking alternately exception Back R Select other leg Pairing and LY Language EED E 1 2 1 Lang uage ORTHOP DIETECHNIK MIT SYSTEM Fig 7 In the menu item Language you can choose between English and German The German language is preset in the multi purpose device To change the language proceed as follows 5 1 To go to the main menu press the amp Set button for three seconds 2 Search the menu item Language by browsing with the oo Left and right arrow buttons 3 4 You are now in the language menu where you are offered the languages German and English EN When you find the menu item confirm your selection by pressing the Set button Select a language by browsing with the Left and right arrow buttons and confirm your selec tion by pressing the Set button By confirming your selection you will automatically go back to the main menu 12 2 Pairing Putting into Operation Controller To connect the controller with the multi purpose device proceed as follows ee R ze To go to the main menu press the E Set button for three seconds Search the menu item Pairing by browsing with the Left and right arrow buttons When you find the menu item confirm your selection by pressing the Gap Set button Now you can see the options SEARCH and BACK on the display Furthermore the multi pu
19. e the above mentioned setting menus on the display This will be described more detailed in the following 12 7 1 Calibrate In order for the motion sensors in the controller to detect the position of the lower leg you have to calibrate the orthosis before fitting 1 Go to the menu item Settings as described in paragraph 12 7 2 Search the setting menu Calibrate by browsing with the Left and right arrow buttons 3 When you have found the setting menu confirm your PLACE THE ORTHOSIS IN VERTI selection by pressing the Set button CAL POSITION AND THEN PRESS 4 You can see the message PLACE THE ORTHOSIS IN lt CONTINUE gt VERTICAL POSITION AND THEN PRESS lt CONTINUE gt FONNNLIERSSERBEIT on the display fig 19 This corresponds to the basic alignment see paragraph 7 1 Follow the instruction and make sure that the orthosis is placed on an even surface and hold it in this position Select CONTINUE by pressing the Set button Fig 19 Fig 20 5 You can see the message PLACE THE ORTHOSIS IN HORIZONTAL POSITION THEN PRESS lt CONTINUE gt on the display fig 21 Follow the instruction and make sure that the orthosis is lying on an even surface with the foot piece pointing upwards and hold it in this position Select CONTINUE by pressing the Ga Set button 6 You can see the message CALIBRATION PROCEDURE COMPLETED on the display fig 23 The orthosis has been calibrated successfully and can now be used 7 Exit the settin
20. er 3 Take off the cover of the multi purpose device 4 Remove the two batteries 5 Insert two new batteries of the type CR2450 with the positive pole facing up 6 Put on the cover again turn in the screws and place the grey cover caps above them Note If you want to save battery power you can connect the multi purpose device via USB cable to a PC or to a mobile phone charger The multi purpose device uses no battery power while it is connected We recommend to connect the multi purpose device while doing an update in order to increase the batteries lifespan 15 Updating the NEURO TRONIC Multi purpose Device The multi purpose device can be updated with the included USB cable at www fior gentz com updates for controller updates see paragraph 12 3 Proceed as follows 1 Download the update and open the file 2 Connect the multi purpose device to the computer with the USB cable 3 Turn on the multi purpose device 4 You must not turn off the multi purpose device during the updating procedure 5 If an update is available you can see the message Connected with version XXX The device can be updated to version XXX Click on Start Update When the updating process was successful you can see the mes sage Ihe device was successfully updated to version XXX Enter each update with the version number on the back page of this manual 16 Advices for an Optimal Functioning of the Orthosis 16 1 Walking with Orthosis i
21. eset signal tone Choose amp Left or Right arrow button and confirm by pressing the ED Set button fig 27 The following settings are available COMPLETED lt TURN ON P MOTION FIORBIGENTZ ORTHOP DIETECHNIK MIT SYSTEM Fig 24 2 CONFIRM CONFIRM CONFIRM 55 1 A beep is emitted as long as the joint is free moving 2 A beep is emitted as long as the joint is locked 3 A short beep is emitted when the joint switches from free moving to locked and when it switches from locked to free moving 4 Two short beeps are emitted when the joint switches from locked to free moving and one short beep is emit ted when the joint switches from free moving to locked If you do not have the menu item oth Signal selection in your multi purpose device proceed as described in paragraph 11 1 AR 12 7 6 Select other Leg This additional setting menu makes it quick to switch between the left and SELECT OTHER LEG gt right leg when you have connected two controllers and want to calibrate the orthosis or turn on the pressure sensor Switch the leg by pressing the Set button of the multi purpose device Now you can see the currently selected leg on the display fig 28 Furthermore under the single setting menus the name of the setting menu itself and the choosen leg are blinking alternately 12 8 Settings of p Motion I
22. essure to the sensor Sensor sensitivity is set too high In stance phase at low body weight relief activity level is adjusted too low Rechargeable batteries are empty Rechargeable batteries are defect Short circuit in cable Strong shocks when orthosis is in Free or Auto mode Washer for the plunger of the solenoid is not assembled Solution e Motion is not suitable for patients who are treated bilaterally Switch the orthosis to p Motion Switch the orthosis at first to p Motion Gait re education The patient needs to feel more secure After a few days you can switch to the e Motion Switch the orthosis at first to p Motion Gait re education Teach the patient a harmonious and natural swing phase After a few days you can switch to the e Motion KAFO with ankle joint Adjust the dorsal stop at the system ankle joint in such a way that the forefoot lever can apply a knee extension moment KAFO without ankle joint The necessary forefoot lever can be applied through the foot piece and or shoe modifications or adjustments Produce the forefoot piece stiffly enough and shift the rolling off line further forward if necessary Increase sensor sensitivity Change the foot piece in such a way that the heel fits well and loads the sensor already at low pressure Decrease sensor sensitivity Increase activity level Insert a new battery set and charge empty batteries Insert a new battery set a
23. g ltig ab Version et Die Produktbeilage 15 Kae i ual is valid from V un Iler V2 64 inheit Contro Steuereinheit device V4 01 03 Multifunktionsgerat Multi purpost Multifunktionsgerat und Einstellen der Orthese Multi Purpose Device and Adjusting the Orthosis NEURO TRONIC ORTHOr DIETECHNIK MIT SYSTEM Druckdatum 2015 02 Der Inhalt dieser Produktbeilage wird regelm ig aktualisiert und ist beim Einsatz des Produktes unbedingt zu beachten Seite 2 Weitere Informationen zu diesem Produkt finden Sie unter www fior gentz com neuro tronic de Date printed 2015 02 This manual is regularly updated and should be strictly followed Page 35 You will find further information at www fior gentz com neuro tronic gb 36 Table of Contents 1 Declaration of Conformity 2 Warranty 3 Safety Information 4 Safety Instructions 4 1 Classification of the Safety Instructions 4 2 Structure of the Safety Instructions 4 3 Overview of all Safety Instructions for the NEURO TRONIC Multi purpose Device 5 Application 6 Scope of Delivery 7 Adjusting the Orthosis 7 1 Checking the Basic Alignment of the Orthosis 7 1 1 On the Workbench 7 1 2 Statically on the Patient 7 1 3 Dynamically on the Patient 8 Putting into Operation the Multi purpose Device 9 Checking the Connection between Controller and Multi purpose Device 10 Select a Mode 11 Signal Function for Training Purposes 11 1 Activating the Signal Function 11 2 Switching off th
24. g menu Vs Calibrate by selecting EXIT with the amp Set button pe PLACE THE ORTHOSIS IN HORI CALIBRATION PROCEDURE ZONTAL POSITION THEN PRESS COMPLETED lt CONTINUE gt CONTINUE CANCEL lt EXIT Fig 21 Fig 22 12 7 2 Turn on p Motion WARNING No gait re education for the patient AN gt Fall Make sure that the patient can use the orthosis recommend him a physiothera peutic gait re education and explain him the particularities of the joint The p Motion is recommended for patients who are treated bilaterally and for those who have an atactic gait pattern Even in patients who do not yet walk that harmonious or do not feel secure in using the orthosis you should turn on the p Motion With this sensor technology the system knee joint is controlled only by pressure and not by motion To activate the pressure sensor proceed as follows 1 Search the setting menu LO Turn on p Motion by browsing with the Left and right arrow buttons 2 When you have found the setting menu confirm your selection by pressing the Set button 3 You can see the message COMPLETED on the display fig 24 The pressure sensor has been successfully turned on and the orthosis is switched to the p Motion 12 7 3 Tone Selection Here you can choose the tone for the signal that sounds when you want to use the signal function for training purposes for the patient for information about the
25. ically on the patient see paragraph 7 1 2 Checking the basic alignment dynamically on the patient see paragraph 7 1 3 e Motion p Motion Calibrate see paragraph 12 7 1 Sensor sensitivity see paragraph 12 8 1 Activity level see paragraph 12 8 2 7 1 Checking the Basic Alignment of the Orthosis WARNING The patient is wearing a shoe to which the orthosis is not adjusted AN gt Failure of the joint function in Auto mode gt Fall Point out to the patient to only wear a shoe to which the orthosis is adjusted 42 7 1 1 On the Workbench Regardless of the plantar flexion in automatic system knee joints it is obligatory to adjust the dorsal stop systematically for an optimal function of the orthosis The dorsal stop influences the unlocking moment of the NEURO TRONIC system knee joint during mid stance Furthermore it causes an extension moment that applies to the orthosis and the system knee joint respectively Such an extension moment is necessary to unlock the system knee joint Fix the foot piece of the orthosis firmly in the patient s shoe and put the orthosis on the workbench The ankle joint s dorsal stop must be adjusted in such a way that the line of gravity passes through the middle of the femoral shell and ventrally ahead of the ankle joint see also leaflet Basic alignment NEURO MATIC or NEURO TRONIC KAFO article no PR2500 DE GB 7 1 2 Statically on the Patient For checking the correct static alignment of the or
26. l stance fig 29 Please read paragraph 6 1 2 of the manual NEURO TRONIC system knee joint for this To change the pressure sensor s sensitivity for unlocking proceed as follows Go to the menu item Settings as described in paragraph 12 7 Search the setting menu Afsensor sensitivity by browsing with the oo Left and right arrow buttons When you have found the setting menu confirm your selection by pressing the Set button The preset unlocking value is 60 since this corresponds to the unlocking moment in natural gait a a i I ae If it is necessary to make the pressure sensor more sensitive e g because the patient does not step firmly increase the sensitivity by pressing the Right arrow button There is a plus sign displayed at this 60 point fig 30 The solenoid releases the locking mechanism earlier CONFIRM 6 Ifitis necessary to make the pressure sensor less sensitive e g because the patient does step very firmly decrease the sensitivity by pressing o the Left arrow button There is a minus sign displayed at this point fig 30 The solenoid releases the locking mechanism later GrE ENA 7 Confirm your selection by pressing the E Set button ORTHOPADIETECHNIK MIT SYSTEM Fig 30 Note If you want to set the pressure sensor sensitivity above 81 you can _ _ _ _ _ _ _ ________ see the message WARNING SENSITIVITY VERY HIGH CHECK SENSOR cuec SENGOR PLACEMENT G PLA
27. n Auto Mode with e Motion ATTENTION Orthosis remains locked when starting to walk V Danger of falling Point out to the patient to make the first step with the leg with orthosis especially in Auto mode when e Motion is turned on For safety reasons the NEURO TRONIC system knee joint remains locked at the first step When the patient starts to walk from a standing position he should make the first step with the leg with orthosis The electronics need a stride to switch from standing mode to walking mode in order to avoid disturbed gait or stumbling when starting to walk 16 2 Remote Control Problem Further action LEDs do not blink after pressing a button Device does not always react when pressinga Contact technical support button 63 64 16 3 Multi purpose Device Problem Display is blank Device does not always react when pressing a button 16 4 Controller Problem LEDs do not blink after inserting the rechargeable batteries No devices found during m Pairing the controller 16 5 System Knee Joint Problem Joint does not lock Problem Joint does not lock batteries Further action Contact technical support Further action Check the polarity and quality of the rechargeable If the problem remains contact the technical support Connect the multi purpose device with the controller within 30 seconds Check the polarity and quality of the rechargeable batteries If the p
28. n the menu item Settings you can adjust the orthosis The following setting menus are available with turned on p Motion Ji Sensor sensitivity Activity level LO turn on e Motion aft Tone selection cf Volume UN Signal selection ns Select other leg only with two connected controllers see paragraph 12 7 6 12 8 1 Sensor Sensitivity WARNING The pressure sensor sensitivity is not adjusted correctly AN gt Failure of the joint function in Auto mode gt Fall Adjust the sensor sensitivity to the patient and the shoe 56 The pressure sensor s sensitivity is adjusted for unlocking the joint You can change the sensitivity from 3 to 99 in steps of three with the multi purpose device You determine the exact point when the solenoid releases the locking mechanism so that the joint in fact unlocks right in time before pre swing directly after terminal stance fig 29 It is important that the solenoid releases the locking mechanism before the extension moment of the forefoot lever causes the actual unlocking E aim a E E E free moving locked locked locked free moving free moving free moving Initial contact Loading response ET EE Swing phase Fig 29 Note If the solenoid does not release the locking mechanism right in time the extension moment of the forefoot lever cannot cause the actual unlocking Therefore the joint would remain locked in pre swing directly after termina
29. n upper and lower part of the system knee joint directly at heel off Proximal dorsal upper thigh band transmits flexion load when putting the leg backwards Extension stop damper is too long Therefore the extension stop damper is compressed so high that the necessary extension moment to unlock the joint is greater than the patient can apply The patient does not reach the dorsal stop due to short steps during heel off Therefore he cannot apply a knee extension moment to unlock the joint Forefoot lever of the foot piece does not achieve its effect on the knee extension Pressure sensor Is not freed of load the sensor is probably placed too far in front Walking speed lower as expected activity level adjusted too high Solution Cut the extension stop damper Gait re education Teach the patient a harmonious and natural swing phase As in natural gait the heel should touch the floor directly in terminal swing phase To increase the flexion mount the 5 joint s upper part to the NEURO TRONIC system knee joint as well as the 5 extension stop to the medial support and check the basic alignment Remove material from the upper thigh band Cut the extension stop damper KAFO with ankle joint Adjust the dorsal stop at the system ankle joint in such a way that the forefoot lever can apply a knee extension moment KAFO without ankle joint The necessary forefoot lever can be applied through the foot
30. nd dispose defect batteries according to regulations Carry out the So Cable connection test and change cables if necessary Due to shocks the magnetic field is interrupted and the orthosis locks automatically Switch to other mode and then back to the desired Assemble the washer If the problem remains contact the technical support 67 17 Software Versionen Software Versions Von der Firma FIOR amp GENTZ auszuf llen To be filled out by the company FIOR amp GENTZ Ausgelieferte Version Datum Unterschrift Delivered version Date Signature Multifunktionsgerat Steuereinheit Multi purpose device Controller Vom Orthop dietechniker auszuf llen To be filled out by the orthopaedic technician Aktualisiert auf Version Durch Mitarbeiter Datum Unterschrift Updated to version Orthopaedic technician Date Signature Multifunktionsgerat Steuereinheit Multi purpose device Controller Der Qualit tsstandard der Firma FIOR amp GENTZ ist durch eine unabh ngige Zertifizierungsgesellschaft nach den internationalen Normen ISO 9001 und ISO 13485 gepruft und bescheinigt worden The quality standard of the FIOR amp GENTZ company has been controlled and certified by an independent certification organisation according to the international standards ISO 9001 and ISO 13485 FIOR S amp GENTZ ORTHOP DIETECHNIK MIT SYSTEM FIOR amp GENTZ Gesellschaft f r Entwicklung und Vertrieb von orthop dietechnischen
31. nsor under the foot piece several times To get a result of the SE Cable connection test select CONTINUE by pressing the Ga Set button Note When you start the Cable connection test the orthosis switches automatically into Lock mode and remains in this mode after the test To change the mode use the remote control or multi purpose device 12 5 1 Cable Connection Test Result Messages and Further Action The following test results displayed on the multi purpose device refer to components that are explained more detailed in the manual of the NEURO TRONIC system knee joint Result message Display Meaning Further action Connection of one solenoid The cable connection from OK controller to solenoid is correct The cable connection from both Connection of two solenoids er OK controllers to both solenoids is correct The cable connection from Check the cable connection from Solenoid not connected ee controller to solenoid is incorrect controller to solenoid Short circuit in the cable from Check the cable joints at the controller Solenoid short circuited controller to solenoid and at the solenoid Please connect solenoid and pressure sensor again see manual NEURO TRONIC system knee joint paragraph 11 The solenoid is connected to the Cables mixed up sensor cable joints and the other way round 51 52 Result message Display Sensor connection OK Sensor not connected Sensor short circuited Sensor w
32. off and the orthosis is COMPLETED switched to the e Motion Z TURN ON E MOTION gt 12 8 4 J Tone Selection Please read paragraph 12 7 3 for the tone selection FIORBIGENTZ 12 8 5 moy Volume ORTHOPADIETECHNIK MIT SYSTEM Fig 33 Please read paragraph 12 7 4 for the volume selection 12 8 6 ath Signal Selection Please read paragraph 12 7 5 for the signal selection PR 12 8 7 Select other Leg This additional setting menu makes it quick to switch between the left and right leg when you have connected two controllers and want to adjust the pressure sensor s sensitivity or the patient s activity Switch the leg as described in paragraph 12 7 6 12 9 Battery Quality ATTENTION Useful life of the orthosis has shortened V gt Failure of the joint function Insert fully charged batteries and carry out the battery quality test In case of persistent failure contact our technical support You can check the quality of the rechargeable batteries in the controller with the multi purpose device The battery quality test cannot be carried out with two solenoids at the same time If you have connected two NEURO TRONIC system knee joints to the controller you have to disconnect one solenoid to carry out the test Note With new rechargeable batteries the test can last up to five hours Select an appropriate time for it Rechar geable batteries have to be fully charged for the
33. or the patient to get used to walking with orthosis you have the possibility to switch on the signal function It is meant for training purposes and gives you and your patient better control on when the joint is locked or free moving The controller sends out a signal and thus informs about the state of the joint locked or free moving You can set tone volume and signal with the multi purpose device For the different setting possibilities read paragraphs 12 7 3 12 7 4 and 12 7 5 11 1 Activating the Signal Function At all controllers that have been delivered with version V2 64 or higher the signal function is already activated At controllers with versions lower than V2 64 this function can be activated subsequently To do so proceed as follows 1 Switch on the controller and connect it with the multi purpose device see paragraph 12 2 2 Go to the menu item Device info 45 3 Now press both arrow buttons at the same time for 6 seconds until you see the message COMPLETED The signal function is activated At e Motion the signal function is now activated with signal tone 1 being preset at maximum volume and with all other signal tone options available At p Motion there is only signal tone 2 available up to version V2 60 You have the possibility to make all signal tones available for p Motion by doing a software update at multi purpose devices with USB port If you have a multi purpose device with USB port you can alternatively a
34. plied to the sensor Pressure sensor placed in the foot piece The pressure sensor is not loaded directly after heel strike because the heel does not entirely rest in the foot piece due to a too tight fitted distal dorsal leg band Pressure sensor placed under the foot piece The pressure sensor is not loaded directly after heel strike because the patient has changed his shoes and is now wearing one whose insole form does not fit with the underside of the foot piece The pressure sensor is thus placed in a space Pressure sensor placed under the foot piece The pressure sensor is not loaded directly after heel strike because the heel rests at the edge of the insole or the upper So the heel loads the sensor only after compression of these areas Solution Correct the integrated leg length compensation Gait re education The patient needs to get greater safety until he dares to put his own body weight on the affected leg Place the pressure sensor in such a way that it is entirely loaded A partial sensor load causes failure A pressure sensor that is placed in a space between foot and foot piece or between foot piece and shoe can only lead to partial loads Change the foot piece in such a way that the heel fits well and loads the sensor already at low pressure Change the leg band in such a way that the heel touches the entire foot piece and loads the sensor already at low pressure Let the patient wear a shoe
35. r BS The patient has the ability to ambulate with low walking speed and is able to overcome small obstacles such as curbs single steps or uneven surfaces K 3 Unrestricted outdoor walker gt The patient has the ability to move with low high or variable walking speed and overcome environmental limitations Additionally the patient can walk on open terrain and perform other activities which do not apply an above average load on the orthosis e g therapy work 4 Unrestricted outdoor walker with high demands fe The patient has the ability or the potential to walk like the unrestricted outdoor walker Additionally the increased functional ability can generate high impact tension and or deformation loads on the orthosis These patients are mainly athletes and children 12 8 3 Turn on e Motion If the patient already has a harmonious gait pattern or has improved it through a gait re education you can turn off the integrated pressure sensor and turn on the e Motion With this sensor technology the orthosis reacts to movements and changes in position and no longer to pressure To turn off the pressure sensor proceed as follows 1 Search the setting menu tum on e Motion by browsing with the OQO and right arrow buttons 2 When you have found the setting menu confirm your selection by pressing the Gap Set button 3 You can see the message COMPLETED on the display fig 33 The pressure sensor has been successfully turned
36. re not pressed at the same time and the remote control cannot be activated In this case repeat the paragraphs 12 4 1 and 12 4 2 Note If you do not connect the remote control with the first and second controller within 60 seconds the con nection with the first controller will be deleted and only the second controller is activated i e the remote control is still connected with only one controller In this case repeat the paragraphs 12 4 1 and 12 4 2 Mind the given time 12 5 se Cable Connection Test Depending on the sensor technology selected you can check the cable connections to the solenoid and pressure sensor on the orthosis with this test Carry out the test with the orthosis on the workbench and not when the patient is wearing it Proceed as follows 1 Togoto the main menu press the amp Set button for three seconds PRESS SENSOR SEVERAL TIMES AND 2 To start the test first search the menu item So Cable connection THEN PRESS lt CONTINUE gt test by browsing with the Left and right arrow buttons CONTINUE 3 When you have found the menu item confirm your selection by pres sing the ED Set button 4 If you have selected the e Motion you will get the result of the Se Cable connection test already at this point 5 If you have selected the p Motion you can see the message PRESS SENSOR SEVERAL TIMES AND THEN PRESS lt CONTINUE gt on the dis Fig 16 play fig 16 Follow the instruction and press the se
37. roblem remains contact the technical support Cause The patient touches the floor first with his toes and not with his heel because the foot lifting is not strong enough to keep the foot in 90 position Cause The patient touches the floor first with his toes and not with his heel because of a broad bending forward of the upper part of the body which compensates the flexed position of the knee Typical gait characteristics in patients who depend on orthopaedic appliances such as crutches walking frames or parallel bars Solution Enhance foot lifting Solution Gait re education Ask the patient to walk as upright as possible Problem Joint does not lock with turned on p Motion Joint does not lock with turned on p Motion after heel strike Joint does not lock with turned on p Motion after heel strike Cause The patient touches the floor first with his toes and not with his heel because of an insufficient integrated leg length compensation Therefore no load can be applied to the pressure sensor The patient applies not enough or no pressure to the sensor because he depends on orthopaedic appliances such as crutches walking frames or parallel bars Pressure sensor Is not entirely or not at all loaded after heel strike Pressure sensor placed in the foot piece The pressure sensor is not loaded after heel strike because the heel rests at the edge of the foot piece and therefore no pressure is ap
38. row buttons 3 Press the Auto and Lock button of the remote control at the same time for about four seconds fig 14 3 1 When the LED of the remote control blinks red the buttons were not pressed at the same time The remote control cannot be activated Press the Auto and Lock button again at the same time fig 14 press 4 sec blinks red Fig 14 3 2 When the LED blinks yellow the remote control can be activated Connect the controller with the remote control by pressing the ED Set button of the multi purpose device within ten seconds fig 15 press 4 sec 10 seconds yellow Fig 15 49 50 4 The remote control is activated successfully as soon as you can see the message COMPLETED on the multi purpose device display and the LED of the remote control blinks green once Display Light signal remote control Meaning Colour green Signal duration mm The remote control is activated successfully EEH EEN Ma ORTHOP DIETECHNIK MIT SYSTEM 12 4 2 For Two Orthoses When treating both legs you can decide to connect the controllers with one or two remote controls If you activate two remote controls you can change the mode separately on each controller and system knee joint respectively If you activate only one remote control you change the mode at the same time on both controllers and system knee joints respectively Activating Two Remote Controls 1 When
39. rpose device shows you that there are not found any devices yet fig 8 Insert the rechargeable batteries into the battery compartment of the controller If you have already inser ted the rechargeable batteries into the controller briefly remove one battery and reinsert it The LEDs at the controller are blinking yellow blue and orange from left to right The controller is ready to connect Light signal Signal Insert rechargeable batteries pew Colour duration Meaning Yellow E Controller is now ready for Blue o ee connection within 30 sec Orange u Select SEARCH at the multi purpose device by pressing the ED Set button fig 8 When the device has found the controller in the upper left corner you can see FOUND VER XXXX and left of SEARCH you can confirm by selecting CONFIRM fig 9 Connect the multi purpose device with the controller within 30 seconds Select CONFIRM by pressing the Left arrow button for this fig 9 The connection has been successfully established as soon as you can see the message COMPLETED on the 47 48 multi purpose device display fig 10 9 Now you can see the message WOULD YOU LIKE TO CONNECT A SECOND CONTROLLER on the display as well as the options YES and NO To connect a second controller select YES by pressing the Left arrow button Otherwise select NO by pressing the Right arrow button 10 If you have pressed YES you can see the message SELECT SIDE FO
40. signal function see paragraph 11 You have the choice between two frequencies which help to distinguish between the two controllers at an orthotic fitting of both legs 1 stands for the lower frequency and 2 for the higher one The preset tone is tone 1 Choose the Left or confirm by pressing the ser Set button fig 25 desired frequency with the Right arrow button and If you do not have the menu item N Tone selection in your multi purpose device proceed as described in paragraph 11 1 12 7 4 Volume You can also set the volume in which the signal tone should sound when using the signal function for information about the signal function see paragraph 11 You can select a volume from 0 5 with 5 being the maximum volume To switch off the tone you have to select 0 If you have activated the signal function yourself the volume is preset on 5 If the controller was delivered to you with the signal function already activated the volume is preset on 0 Choose the desired volume with the Left or Right arrow button and confirm by pressing the Set button fig 26 If you do not have the menu item cf Volume in your multi purpose device proceed as described in paragraph 11 1 12 7 5 Signal Selection When using the signal function you can decide between four different settings regarding the sound of the signal tone for information about the desired signal with the the signal function see paragraph 11 1 is the pr
41. sion onto the sensor Contact technical support With this test you can check the assembly of the pressure sensor into the orthosis Carry out the test only after Proceed as follows the Cable connection test was successful The patient is wearing the orthosis during the Le Sensor test vA A 1 Togo to the main menu press the ED Set button for three seconds 2 To start the test first search the menu item sing with the 3 When you have found the menu item confirm your selection by Set button 4 You can see the message ASK PATIENT TO WALK TWO STEPS THEN PRESS lt CONTINUE gt on the display Follow the instruction and let the patient walk two steps To get a result of the le Sensor test select CONTINUE by pressing the Ga pressing the Left and right arrow buttons Set button fig 17 Le Sensor test by brow ASK PATIENT TO WALK TWO STEPS THEN PRESS lt CONTINUE gt CONTINUE 5 After getting the result of the sensor test exit the menu item le Sensor test by selecting EXIT with the Set button fig 18 SENSOR PLACEMENT OK EXIT Note When you start the Le Sensor test the orthosis switches automatically into Lock mode and remains in this mode after the test To change the mode use the remote control or multi purpose device Fig 18 12 6 1 le Sensor Test Result Messages and Further Action The following test results displayed on the multi purpose
42. test To carry out the test proceed as follows The patient is not allowed to wear the orthosis during the test Insert fully charged batteries into the battery compartment of the controller To go to the main menu press the Set button for three seconds Search the menu item oa Battery quality by browsing with the Left and right arrow buttons When you have found the menu item confirm your selection by pressing the ED Set button Now you can see the message THIS WILL TEST CAPACITY OF YOUR BATTERIES THE TEST CAN TAKE UP TO 5 HOURS on the display 7 To start the test select CONTINUE by pressing the ser Set button The following messages can be displayed oe eS Se e 59 60 Message Display ERROR PLEASE PUT IN FULLY CHARGED BATTERIES TRY AGAIN CANCEL FIO RIG ENTZ ORTHOP DIETECHNIK MIT SYSTEM BATTERY TEST IMPOSSIBLE WITH TWO SOLENOIDS PLEASE DISCONNECT ONE SOLENOID TRY AGAIN CANCEL GIER Een ORTHOP DIETECHNIK MIT SYSTEM TESTING BATTERIES CANCEL FIO RG ENTZ ORTHOPADIETECHNIK MIT SYSTEM Meaning Batteries in the controller are not fully charged You have mounted two NEURO TRONIC system knee joints to the orthosis Battery quality is being tested 8 The following messages can be displayed during or after the test Message Display BATTERY TEST INTERRUPTED iS Se EAS Se Se Se BACK GEN EEE ORT
43. thosis the patient must wear the orthosis and stand upright with parallel feet When viewed from the side the line of gravity must run from the centre of gravity through one half of the distance between the mechanical pivot point at ankle height and the metatarsal joints Usually this is already given by the correct basic alignment since the orthosis itself and soft tissue may be deformed when wearing the orthosis and the line of gravity therefore moves automatically into the desired position If this is not the case the dorsal stop must be readjusted If the dorsal stop is adjusted correctly a lever arm between forefoot and lower leg is formed which brings the patient into a stable balance and applies the necessary knee extension moment 7 1 3 Dynamically on the Patient For checking the correct dynamic alignment of the orthosis the patient must wear the orthosis and walk a few steps with it The dorsal stop must be adjusted in such a way that a heel off can be clearly seen in mid stance Due to this a lever arm between forefoot and lower leg is formed which brings the patient into a stable balance and applies the necessary knee extension moment If the heel does not lift you must limit the ankle joint s range of motion in dorsiflexion 8 Putting into Operation the Multi purpose Device 1 The multi purpose device is delivered with integrated rechargeable batteries and can immediately be put into operation 2 Press the ED Set button to
44. to which the orthosis is adjusted or adapt the shoe of his choice in such a way that the pressure sensor is placed correctly and loaded directly after heel strike Change the foot piece in such a way that the underside fits in the shoe in the best way Ideally the underside of the foot piece should directly have contact with the shoe s insole Spaces between foot piece and insole have to be compensated in such a way that the foot piece loads the sensor already at low pressure If this is not possible take a shoe with more inside volume 65 66 Problem Joint locks unintentionally in slightly flexed position Joint does not unlock Joint does not unlock Joint does not unlock with turned on p Motion Cause Extension stop damper is too long You can see ventrally viewed a clearly visible opening between upper and lower part of the system knee joint directly before heel strike The patient gets into extension with a strong momentum If the leg comes into full extension before the heel touches the floor the lower leg bounces off the extension stop into a slightly flexed position You can see ventrally viewed a Clearly visible opening between upper and lower part of the system knee joint directly before heel strike Leg was put into cast too extended Therefore the patient cannot apply the necessary extension moment to the orthosis to unlock the joint You can see ventrally viewed a clearly visible opening betwee
45. wing articles fig 1 NEURO TRONIC system knee joint NEURO TRONIC component set including controller NEURO TRONIC remote control for the patient including microprocessor controlled quick charger NEURO TRONIC multi purpose device for the technician including batteries The system knee joint and the controller are mounted to the patient s orthosis You need the multi purpose device to put the orthosis into operation and to adjust all settings The patient needs the remote control to use the orthosis PATIENT TECHNICIAN Remote control Multi purpose device a System knee joint Controller Microprocessor controlled quick charger Fig 1 41 The NEURO TRONIC multi purpose device is delivered in a case The case includes the following fig 2 Fig 2 Item Article number Description Unit Quantity 1 ET3830 T Multi purpose device for the technician with batteries Set 1 2 ET0710 USB cable Piece 1 ae ET0830 2450 Coin cells CR2450 Piece 2 7 Adjusting the Orthosis Respect a proper alignment before putting the orthosis into operation Depending on the sensor technique you can make further adjustments of the orthosis with the multi purpose device afterwards The following parameters influence the functionality of the orthosis and must be adjusted Alignment of the orthosis Checking the basic alignment on the workbench see paragraph 7 1 1 Checking the basic alignment stat
46. y test In case of persistent failure contact our technical support ATTENTION Orthosis remains locked when starting to walk Danger of falling Point out to the patient to make the first step with the leg with orthosis especially in Auto mode when e Motion is turned on ATTENTION The multi purpose device is soiled gt Incorrect reading of the display and probable failure of the joint function Clean the display with an unsoiled soft and dry cloth ATTENTION The volume of the signal tone for the signal function is still switched on after the patient has finished gait re education gt Failure of the joint function Set the volume of the signal tone for the signal function to O after finishing gait re education ATTENTION Batteries of the multi purpose device were not replaced correctly gt Failure of function Replace the batteries of the multi purpose device properly and as described in this manual ATTENTION When replacing the batteries of the multi purpose device an incorrect battery type is used gt Failure of function Use the battery type specified in this manual for the multi purpose device 5 Application The multi purpose device is used to adjust the knee joint system NEURO TRONIC With the multi purpose device you can adjust orthoses in which a NEURO TRONIC system knee joint is mounted 6 Scope of Delivery You purchased the knee joint system NEURO TRONIC It consists of the follo

Manual Multi-Purpose Device NEURO TRONIC

Contents

Download Pdf Manuals

Related Search

Related Contents