Maestra Table Top Hand/Wrist CPM Owner`s Manual
Contents
1. Check if the hand control is not blocked To stop the unit See page 5 To access the program mode f The program number blinks To change the program if necessary The new program number blinks i The current parameters have been To exit and validate the selected program recorded in program 3 To exit without validation of selected program j Back to the starting parameters The value change at the speed of the Start the unit i movement i OUO OUO Remarks Check if the hand control is not blocked 1 See page 5 To stop the unit To access the program mode The program number blinks To change the program if necessary To change the program if necessary To read the speed value Displays the speed value After 5 seconds or after pressing on another key The current parameters have been To exit and validate the selected program recorded in program 3 4 The value change at the speed of the Start the unit q movement Comments The values shown in the Display column are examples They actually depend on the stored programs The current movement parameters 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 KINEIEC maestra Use of the hand control The MANUAL MODE is a way to set within the tolerance of a patient at the beginning of a sess2. 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 Switch on 3 While the unit begins an auto diagnostic the display shows the following Your KINETEC Maestra is ready to be used KINE E Maestra a rrr Use of the hand control a eee ee st eee LLL ene tb K 5 to press Beginning eys fo Check if the hand control is not blocked See page 5 Switch the unit ON The display indicates the language selected EET OREO The Engish language is selected English French German 1 Italian Spanish To exit and confirm the new language switch OFF and Switch ON the unit ERR XE 8 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 Wyf keys The display reads UNLOCK 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 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 an
3. JENY A M MMM Me M eijsoeryw co Cc o Uu 2 o gt or 5 LS DU 26 s a d n M a r eme an ET 467896276 07 2003 tans ficat ical mod o effect techn please read this document nt anana htt ng a aha a erves the tec res E TERES tyOne K il Before use Abili User manual re ee Page Definition 2 Description 3 Safety 4 Electrical connection 4 Use of the hand control Select your language 5 Locking the hand control setting 5 START STOP REVERSE function 5 6 6 7 Quick Start Possible values for each parameter How to adjust the basic parameters of the movement 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 Start up Setting up the forearm support 12 Setting up the driving mechanism 12 Adjusting the length finger 19 Possible movements Pronation Supinat
4. Driving mechanism Hand control Liquid crystal display 2 lines of 16 characters Selective movement of long fingers key Complete fist key Thumb opposition key Wrist key Pronation supination key Upper limits setting Lower limits setting Increase decrease keys START key STOP key FORCE key SPEED key PAUSE key TIMER key PROGRAM access key 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 It consists of the following components Case Wrist mobilization accessories Thumb mobilization accessories Long fingers mobilization accessories Spare parts 10 Miscellaneous textiles 11 Ulnar deviation mobilization accessories 12 Power supply cable transport position O on C O1 KINEIEC maestra i 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 In case of electromagnetic interference with other devices move the device KINETEC Maestra is in compliance 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
5. 2i allows to select different movements To display the extension or flexion limit of the movement The value blinks To change the limit if necessary d The new value blinks Y ye o DUIS To validate the new value press another key Wh alue pes r wait more than 3 seconds 8 58 the or to change if necessary Or Successive presses on this key selects the Or to display pause in extension or flexion limit pause at the extension or flexion limit To change the pause if necessary i The new pause value blinks To validate the new value press another key or wait more than 3 seconds The display shows the selected mode The unit is ready to start with the new parameters Comments The values shown in the Display column are examples KINEIEC maestra Beginning To switch off the unit Press the two keys at the same time and switch the unit ON Then To change the program if necessary allows to select different movements To choose the movement To display the extension or flexion limit of the movement The value blinks To change the limit of movement if necessary The new value blinks To validate the new value press another key or wait more than 3 seconds While the value blinks 5 the or key to change if necessary To record the program 10 The program 10 has been recorded
6. and the Then display indicates the next program so you can change another program OR The program 10 has been cancelled and the display indicates the next program so To cancel the program you can change another program To exit program mode switch OFF and switch ON the unit To use the modified program see page 10 KINEIEC maestra C D 0 F or y D F 9 e O m r um o Program Movement type Lower limit Upper Limit Speed Force Pause on upper Pause on lower Timer number limit limit t pose posite e o 3 3 D 3 rme 7 zr D 5 E o a e 3 gt fo e c e D 5 o D D r D 3 rt gt D E 77 o e lt cn gt e 8 081 ue1BoJd RS ERRARE EEEERERERRRRE ERRARE EECEEEPREREEEREEEEEREEREEEE MINIME IRE EET taataan PEPPER 3 1 p p 15 16 2 2 mi 11 0 1 1 Use of the hand control 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 values can be modified and recorded at any time see How to enter a program page 10 ER NELLO PEENE EEESTIS IISI IISI ERE EORR RR E ER ERR ROG TOR RI RRM MEC
7. 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 Ki N E E Maestra ERAS AES to NS APRA RESUS SER SNAPE ON AE dea S MORE 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 PARR AA ae Guide in position B KINE E Adis MMs u The KINETEC Maestra provides a motion from 90 of pronation to 90 of supination Rake T M NN Choice of the 1st movement of the wrist see page 13 KINEIEC maestra Possible movements Choice of the 254 movement of the wrist D D KJ w aA D Or select a program progra 1 program Eoo ZS AMD hee i HH Choice of the 30 movement of the wrist Y Press 3 times see page 9 Wrist Or select a program Possible movements ate pP ES Choice of the complete fist movement M Ge GE KINEIEC maestra Possible movements SRS SSR es SN 3 ee Tv NEST E ETRA AR Sr 2s REY 7 RIS STIS SSS Choice of the
8. intrinsic movement Press 1 time Choice of the intrinsic movement Press 2 times Or select a program KINE E Maestra Possibles movements After 2 000 hours of operation KINETEC Maestra requires a few lubrication and maintenance operations lubrication of the joints pointer stops and ball screws The need for maintenance is indicated by display of the message SERV MOTOR when the system is switched on Despite that warning you can continue to use your KINETEC Maestra by pressing START but you should contact your nearest KINETEC technician to have the maintenance operations conducted as soon as possible A motor running time counter is available Simultaneously press the displays shows limit limit this counter can be resetting by pressing thek 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 Product l Electricity Environment Weight 8 Kg without case Power 0 100 240 V Storage transport conditions Unit dimensions Frequency 50 60 Hz Temperature 40 to 70 C 40 to 160 F 35 x 41 x 30cm Power consumption 50 VA Relative humidity
9. up to 90 14 x 16 x 12 inches Angular limits see page 6 50600 from 150 to 440 min Patient sizing all hand sizing until 7 years old Operating conditions Room temperature 10 to 40 C 50 to 105 F Relative humidity up to 80 ne of type B class Fuse T 750mA 250V 6 3x32mm KINETEC order 4610007434 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 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 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 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 then on and started i
10. ble joint movements for The forearm The wrist The thumb The long fingers e Flexor and extensor tenolysis _ e Aponeurectomies for Dupuytren disease e Metacarpophangeal arthrolysis i e Open reduction and internal fixation of intra articular diaphyseal metaphyseal and epiphyseal fractures of the phalanges u e Prosthetic replacement of the MCP PIP and DIP joints Rheumatoidal neurological or after burn stiffness e Capsulotomies arthrolysis and tenolysis for post traumatic stiffness of MCP PIP and SIP joints synovectomies e Breaks the cycle of trauma inflammation and the loss of range of motion e Prevents joint stiffness e Speeds the recovery of post operative range of motion e Maintains the quality of the joint surface e Reduces pain and edema e Promotes joint cartilage healing e Reduces hospitalization time e Reduces the need for pain medication _ e Provides immediate post operative continuous passive motion e Digital ROM readout on the patient hand control for positive reinforcement e Maintains desired positions for stretching and muscular rest Bone Cancer Warped joint surfaces Spastic paralyses Unstable fractures Uncontrolled infection KINEIEC maestra Description The KINETEC Maestra is a portable machine single unit device that can be used on a table 1 Casing encloses the motor and the power PCB 2 Forearm support 3 Transport handle 4
11. d the display reads RUN i KINE E Maestra 0232220078 IRE Switch the unit ON Check if the hand control is not blocked See page 5 86 5 Fi H H E H The display shows the new movement selected and the default settings of the j upper and lower limits of this movement Successive presses on the keys SE o PEME allows to select different movements To choose the movement The value change at the speed of the movement Start the session with the original parameters of the movement default setting oo ere 37 press 3 press Lower limit Upper limit Speed 1 to 9 from 150 to 440 per minute Force 1 to 6 Extension Pause Flexion Pause Timer 0 to 900 seconds 15 minutes 0 to 900 seconds 15 minutes No timer 00H00 to 24H00 a ae Ny 2 nn cores Wis Sume A AERE ETE Lower limit Upper limit Speed Force Extension Pause Flexion Pause Timer Ki NE E Maestra Use of the hand control Beg EES T stop the unit Check if the hand control is not blocked See page 5 To choose the movement 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 ee
12. e 18 Exchange parts Date Technician Running time see page 18 Exchange parts
13. he movement is recorded 5 1 1 1 E 1 1 E The unit is moving to the lower limit of the To select the BY PASS mode for lower limits movement continuous pres The new lower value limit of the movement To setthe new pain level when reached immediately is recorded press The angle display changes with current wW 0 Continue the session with the new movement limits movement Comments The values shown in the Display column are examples KINEIEC maestra 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 any of following positions Dorsal flexion ZERO position The forearm support should be attached on the RIGHT hand for the Left hand 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 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
14. ion Set up the patient and proceed as below EE E EE ETE ee P EES m TES CORR ER RR RRL UMOR TOR TUR TUER UR UR RR RIO ERU ERE RRS DRE CR GRE CECE EEE CREE ECE eee eee ERE eee ee eee ee ee eee eee Check if the hand control is not blocked Switch the unit on See page 5 The unitis moving to the upper limit of the movement To select the MANUAL MODE for upper limits by continually holding pressure on the key continuous pres The new upper value limit of the movement is recorded To set the pain level when reached immediately press The unit is moving to the lower limit of the d continuous press cT x5 movement To select the manual mode for lower limits The new lower value limit of the movement f is recorded To set the pain level when reached immediately press The angle display changes with current movement To 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 Commentaires Check if the hand control is not blocked The unit is running See page 5 To select the BY PASS MODE continuous pres The unit exceeds the recorded upper limit To set the new pain level when reached immediately press The new upper value limit of t
15. ion 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 1 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 The physician defines the protocol and ensures that it is correctly implemented adjustments session time and frequency of use We recommend that you lock the hand control when you give it to the patient For optimum safety always give the hand control to the patient before starting the system Explosion hazard KINETEC Maestra is not designed for use in the presence of flammable anaesthetics 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 25 02 08 KI N E EC Maestra n tn The KINETEC Maestra is used for passive mobilization of the hand and wrist and permits a wide range of possi
16. t by pressing START m 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 TYPE B device protection against electric shocks Upper limit Caution consult the accompanying documents Pronation supination movement Wrist movement Thumb movement Complete fist movement Selective movement Alternative current KIN E EC Maestra NE UOS EE IS M Los a RR K NE E Maestra Operations done Operations done Operations done Serial number Purchasing date Product information Date Technician Running time see page 18 Exchange parts Date Technician Running time see pag
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