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DynaCox® evolution - Brace Orthopaedic

1. D W 2 e LL t ou e cc O f NEN HEM NM eee NEM NEN DynaCox evolution User manual Contents Mm hWN IN IN IN 17 17 17 18 18 Product Description Indication Contra Indication Function Description Safety Application Adjustment e Taking Measurements e Pre Adjusting the Orthosis Component e Fitting the Orthosis on the Patient Material Comfort Hygiene Compatibility Storage Disposal Product Care Cleaning Maintenance 9 Product Description The DynaCox evolution hip orthosis combines the proximal effect of a bandage proprioception and the integrated stabilising elements of an orthosis working according to the three point principle The elastic fully fashioned knitted fabric ensures an even compression and optimal wearing comfort as well as completing the force system required to limit flexion The ROM Flex joint allows the adjustment of flexion or extension movements in steps of 15 The TRI Flex joint is limited to a maximum flexion of 70 Extension is not limited The modular design allows for quick treatment and full adaptability The DynaCox evolution hip orthosis is approved for clinical and domestic use 9 Indication e After repositioning of luxated hip joint e nstability after Total Hip Replacement THR e Muscle imbalance 9 Contra Indication e Inappropriate bony alignment due to position of prosthesis or acetabulum 9 Function e S
2. www teufel international com l il i 9039509001 2014 05 O Wilhelm Julius Teufel GmbH
3. angle value can be seen on the scale on the joint 4 Place the stop screw in one of the threads so that the desired flexion or extension can be achieved Now tighten the screw again 5 Flexion and extension can be adjusted in increments of 15 6 Unscrew the second stop screw and repeat the process 7 Tighten this stop screw as well to finish the adjustment of the joint TRI Flex Joint The TRI Flex joint is limited to a maximum flexion of 70 Extension is not limited Pre Adjusting the Lateral Bars 1 Hold the orthosis alongside the patient s affected leg for orientation 2 Now insert the upper lateral bar into the Click amp Lock closure on the pelvic panel Adjust the length of the bar so that the upper edge of the femur panel sits directly under the greater trochanter At the same time the pivot point of the orthosis joint should be positioned congruently with the anatomical pivot point of the hip joint 3 Secure the upper bar s position by only pushing the Click amp Lock closure in until it touches the pelvic panel but do not push the latch all the way into the cut out on the panel Do not lock the closure completely yet so it remains possible to make adjustments later on if needed DynaCox evolution User manual 4 Now insert the lower lateral bar into To set the bar to the smallest length the Click amp Lock closure on the femur possible the bar can be pushed into panel The condylar pad at the
4. from the Middle of the Belt Buckle i 1 2 2 3 3 4 4 5 5 6 6 7 I 8 8 g g PrPrPRERPP EE WWDRDNVDN F2 HO O WUJ Please note The numbers in the 2 and 3 column denote the hole in the belt into which the outer peg of the pelvic panel should be locked to achieve a good fit Ideally the adjustment on the right and left end of either belt should be kept symmetrical M DEN ANM DynaCox evolution User manual Pre Assembling the Pelvic Brace 1 The pelvic brace consists of four components e ananterior belt recognisable by the central buckle aposterior belt recognisable by the sticker UP INSIDE e two pelvic panels marked left and right The width of the hip brace can be adjusted by changing the length of the anterior and pos terior belt Take the hip measurement as an orientation when initially adjusting the belts 2 Remove the pads from the pelvic panels and adjust the posterior belt so that the lateral Click amp Lock closures and the lateral bars are positioned on the lateral femoral centre line 3 Detach the posterior belt from the two pegs on the pelvic panel 4 Pullor push the posterior belt to the desired length 5 Snap the pegs on the pelvis panel back into the holes on the belt to secure the adjustment Please make sure to first snap the inner then the outer peg into place 6 Repeat the process on the other end of the posterior belt Now adjust the anter
5. the patient standing or lying The following instructions will point out the differences between these two types of application 9 Taking measurements 1 The starting point in the pelvis area is the greater trochanter 2 Measure the hip circumference about 6 cm above the greater trochanter 3 Note down the measurement 9 Pre Adjusting the Orthosis Component To keep the application time as short as possible for the patient please make all adjustments on the orthosis component without the bandage Only connect the orthosis component with the bandage when all of the following pre adjustments have been completed DynaCox evolution USer manual Checking the Condylar Clasp for Appropriate Fit 1 The DynaCox comes with two different pads for the condylar clasp i e a thicker and a thinner one With the thicker pad attached to the inside of the condylar clasp hold the condylar clasp in position on the patients leg on the affected side and see whether this configuration fits for the patient Should the condylar clasp now be too narrow for your patient s leg replace the pad with the thinner one 5 DynaCox evolution User manual Adjusting the ROM Flex Joint Please note Always only open one of the stop screws at a time 1 Upon delivery the ROM Flex joint is set to 60 flexion and extension Jo change the range of motion completely unscrew one of the Stop screws 3 The current
6. 23 600 990 00 Make sure to cut between the scored lines when shortening the strap Secure the position of the condylar pads by tightening the Allen head screws lake care not to tighten the screws too much 1 Nm 10 Re check the correct fit of the orthosis 11 Once a correct fit has been achieved secure the Click amp Lock closures on the femoral panel and the hip brace Please note Only close the Click amp O Close the condylar brace by feeding Lock closures by pushing against the the hook and loop strap into the strap latch with your thumbs and guide and closing it SIMULTANEOUSLY creating counter i pressure with your fingers This will ensure that neither the leg nor the hip of the patient are subjected to any possibly harmful pressure DynaCox evolution User manual 12 It may be necessary to open the central buckle of the pelvic brace again in order to be able to push the latches of the Click amp Lock closures into position 13 Please note When closed the Click amp Lock closure will only sit flush against the orthosis if the pin on the latch catches one of the holes in the bar In case the Click amp Lock closure cannot be locked completely push or pull the bar up or down a little so the pin can lock into the next hole 14 After pushing the latches flush against the orthosis any unintended opening of the DynaCox evolution will not be possible anymore To open the Click amp Lock closure
7. afeguarding surgical results e Dislocation prophylaxis e Early functional motion therapy i T DynaCox evolution User manual Description The DynaCox evolution has a modular design The orthosis can be fitted individually to each patient and can be combined with any bandage size DynaCox evolution with TRI Flex Joint including Bandage REF left 23 600 101 00 25 OOO 01221910 go 00010500 23 600 104 00 29 O00 105 00 REF right 23 500 20100 23 600 202 00 23 600 203 00 23 600 20400 23 600 205 00 Circumference cm DynaCox evolution with ROM Flex Joint including Bandage REF left 23 OOO TOO ZIC OOO OT 25000700 23 600 104 O1 25 900005 Ol REF right Ze OOO e OHLBHE 23000202 OU 23 00020301 23 600 204 01 23 60020501 Circumference cm Bandage Sizes REFs refer to individual bandages without orthosis components DynaCox evolution Bandage left 23 oUF THO TEIG 22 NOME Ze ORTOS OO 23601 104 00 23 s OHIO OO DynaCox evolution Bandage right 2519 01E 2 09 0 as 00120200 253000 20500 23 601 204 00 215510152 015810 Circumference cm Consider thigh circumference when patient s hip circumference is close to next smaller or larger size 3 DynaCox evolution User manual We recommend the use of a spare bandage REF 23 601 XXX XX and a spare set of pads REF 23 602 020 00 when the DynaCox evolution has to be worn for an extended period of time Safet
8. ce with 4 Close the bandages pelvic hook the Patient Lying and loop closure Please note In order to make the process as simple as possible for both patient and orthotist or experienced orthopaedic technician accurately pre adjusting the DynaCox evolution is especially important when fitting the orthosis on a patient who IS lying 5 Now close the pelvic brace of the 1 During the application the patient orthosis component If necessary should be lying on her his back adjust the length of the anterior and 2 Together with the bandage pass the posterior belt again pelvic brace under the lumbar region of the patient Minimal adjustments can also be made with the straps to the right and the left of the central buckle on the anterior belt eb 3 Position the DynaCox evolution ina way that places the upper edge of the femoral panel directly under the greater trochanter and that the lateral bars are positioned on the lateral femoral centre line DynaCox evolution User manual 6 Now put the condylar section around 9 Close the thigh section of the bandage the patient s leg and check the position of the condylar pads The position of the condylar pads can be adjusted step by Step by pushing the pads further to the front or the back of the condylar brace A The loop strap of the hook and loop closure on the bandage can be shortened with a suitable pair of scissors Part num ber for tool set
9. ior belt Detach the belt on one side from the two pegs on the pelvic panel 8 Pull or push the anterior belt to the desired length 9 Snap the pegs on the pelvic panel back into the holes on the belt to secure the adjustment Please make sure to first snap the inner then the outer peg into place 10 Repeat the process on the other end of the anterior belt 11 If the patient is very slender it can be helpful to shorten the posterior and an terior belt after attaching them on the pelvic panels To do so cut the belts with a suitable pair of scissors Part number for tool set 23 600 990 00 Please make very sure that the pelvic brace has been adjus ted properly before shortening the belts 12 Now put the pads back into the pelvic panels Attaching the Orthosis Component to the Bandage 1 Open the central buckle on the anterior belt 2 Attach the orthosis component to the bandage by pushing the pelvic brace through the loop on the back of the bandage Start by feeding the end of the pelvic brace that will later be placed on the unaffected side of the patient into the loop 2 3 Now insert the femoral panel into the pocket on the bandage 4 Close the zipper of the bandage over the lower lateral Dar DynaCox evolution USer manual 5 Close the hook and loop fastener on the upper end of the pocket on the bandage Fitting the Orthosis on the Patient Applying the Brace with the Patient Sta
10. lower the femoral panel until it touches the end of the bar should sit laterally upper inner edge of the panel above the patient s condyles 5 Now secure the lower bar s position Dy Do not close the Click amp Lock closure only pushing the Click amp Lock closure in completely yet However please be aware until it touches the femoral panel but do that when later closed the Click amp Lock not push the latch all the way into the closure will only sit flush against the cut out on the panel Do not lock the orthosis if the pin on the latch catches closure completely yet so it remains one of the holes in the bar possible to make adjustments later on In case the Click amp Lock closure cannot if needed be locked completely later on try to push 6 Please note The adjustment area of or pull the bar up or down a little while the the lateral bars is defined by the holes Click amp Lock closure is already closed so the in the bar At all settings short or pin can lock into the next hole long one of the holes in the bar still 7 Now adjust the position of the condylar must be caught by the pin on the latch pads Do so by pushing the pads along the of the Click amp Lock closure Do not tongue and groove joint between condylar extend the bar to a length that will not clasp and condylar pad This way the pads allow the pin of the closure to lock into can be moved into a more anterior or one of the holes Please make sure posterior position Secure the
11. nding Please note The patient should be standing with slightly abducted legs to allow for easier adjustment of the DynaCox evolution 1 When putting the brace on the patient the upper edge of the femoral panel should be placed directly below the greater trochanter and lateral bars should be positioned on the lateral femoral centre line 2 Close the bandages pelvic hook and loop closure DynaCox evolution User manual 3 Now put the condylar brace around the 5 Now close the pelvic brace of the patients leg and check the position of orthosis component If necessary the condylar pad The position of the adjust the length of the anterior and condylar pads can be adjusted step by posterior belt again Minimal Step by pushing the pads further to the adjustments can also be made with front or the back of the condylar clasp the straps to the right and the left of the central buckle on the anterior belt 6 Close the condylar clasp by feeding the hook and loop strap into the strap guide and closing it 4 Secure the position of the condylar pads by tightening the Allen head screws lake care not to tighten the screws too much 1 Nm Close the thigh section of the bandage n NE oO 3 I BEEN MEN l g DynaCox evolution User manual The loop strap of the hook and loop bar up or down a little so the pin can closure on the bandage can be lock into the next hole shortened with a suitable pair of 13 Afte
12. position Dy that the assembly is accurate before tightening the hexagon socket screw putting the orthosis on the patient DynaCox evolution User manual 8 In case your patient s leg circumference Is very wide it may be necessary to tilt the condylar brace in order to achieve a good fit To do this loosen the hexagon socket screw connecting the lateral bar with the condylar clasp Take care to loosen but to not remove the screw It is now possible to tilt the condylar brace upwards by seven degrees After the position of the condylar brace has been adjusted tighten the screw again Please do not lock the position of the condylar pads for the time being so it remains possible to make adjustments later on if needed The condylar pads should be positioned medially and laterally above the patient s condyles 9 The position of the condylar pads can be adjusted step by step by pushing the pads further to the front or the back of the condylar brace DynaCox evolution User manual Please refer to the table below as a guide when adjusting the width of the pelvic brace as described in the following steps However the exact adjustment should always be defined by the orthotist or experienced orthopaedic technician who is fitting the brace Size Adjustment Pelvic Brace Hip Cirmumference Hole on Posterior Belt cm Orthosis Counted from the Middle WITH Bandage of the Belt Hole on Anterior Belt Counted
13. r pushing the latches flush scissors REF 60 O11 000 00 Make against the orthosis any unintended sure to cut between the scored lines opening of the DynaCox evolution when shortening the strap will not be possible anymore To open 8 Re check the correct fit of the the Click amp Lock closures insert an orthosis Allen key into the opening on the 9 Once acorrect fit has been achieved backside of the closure and push the secure the Click amp Lock closures on the latch open femoral panel and the hip brace Please note Only close the Click amp Lock closures by pushing against the latch with your thumbs and SIMULTANEOUSLY creating counter pressure with your fingers This will ensure that neither the leg nor the hip of the patient are subjected to any possibly harmful pressure Technician s advice 10 It may be necessary to open the In case there is a high degree of atrophy central buckle of the pelvic brace doubling the padding may be helpful again in order to be able to push the to achieve a proper fit Additional pads latches of the Click amp Lock closures can be ordered with the part number into position c 3 602 020 00 11 Please note When closed the Click amp Lock closure will only sit flush against the orthosis if the pin on the latch catches one of the holes in the bar 12 In case the Click amp Lock closure cannot be locked completely push or pull the 3 DynaCox evolution User manual Applying the Bra
14. s insert an Allen key into the opening on the backside of the closure and push the latch open 9 Material Bandage Orthosis Component 48 Polyester steel splints 36 CoolMax PAS 16 Spandex PE Comfort Hygiene An undershirt or T Shirt should be worn under the DynaCox evolution Underwear should be worn over the DynaCox evolution Compatibility The DynaCox evolution may not be combined with products other than those mentioned in this instruction manual DynaCox evolution User manual 9 Storage Disposal 9 Product Care Cleaning Maintenance This product does not contain any environmentally hazardous substances We recommend the use of a spare bandage It can be disposed of with household when the DynaCox evolution is worn for an refuse extended period of time REF 23 601 XXX XX e Hand wash e Do not iron e Do not tumble dry e Do not bleach e Do not dry clean e Wipe orthosis component with a damp cloth to clean a oa e DynaCox evolution User manual Notes DynaCox evolution User manual Notes Distributed by brace ORTHOPAEDIC Unit 8 Evans Business Centre Orion Way North Shields Tyne amp Wear NE29 7SN Tel Order Line 0191 258 8944 Fax Order Line 0191 258 8946 Email Orders sales braceorthopaedic co uk www braceorthopaedic co uk Manufactured by Wilhelm Julius Teufel GmbH Robert Bosch Stra e 15 73117 Wangen Germany Tel 49 0 7161 15684 0
15. y Before using this device an individual adaptation of the orthosis and a familiarisation in its use by an orthostist or experienced orthopaedic technician according to the medical instructions is essential Incorrect selection adaptation application and or failure to monitor the correct fit of this device can cause health damage Never wear the orthosis on broken skin Check orthosis for damage such as loose connections fasteners belts etc each time it is put on Should any performance malfunctions like an apparent reduction in or lack of corrective action be suspected immediately call an orthotist or experienced orthopaedic technician The orthosis must be checked for function correct fit and possible damage by an orthotist or orthopaedic technician at regular intervals Should the product have been subject to disproportionately strong forces it must be checked for possible damages by an orthopaedic technician before further use Sharp edges or the like which may occur when machining the product must be deburred in order to avoid skin injuries Intolerable pressure caused by the orthosis may cause skin injuries or a disturbance in the blood supply and must be avoided Due to the required individual adaptation product dependent forming and or machining of the orthosis it is not suitable for reuse by other persons o BRT Il nh NI 9 Application Adjustment Please note The DynaCox evolution can be applied either with

DynaCox® evolution - Brace Orthopaedic

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DynaCox&reg; evolution - Brace Orthopaedic

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DynaCox® evolution - Brace Orthopaedic