i-limb access user manual
Contents
1. biONICs j access N This svmbol signifies important information and is used throughout the manual Table of Contents 1 i limb access 2 Socket Interface 3 my i limb 4 i limb access Coverings 5 Support Information 6 User Information 7 Appendix Part number MA 01165 Issue No 2 October 2014 1 1 1 2 1 3 2 1 2 2 3 1 3 2 4 1 5 1 5 2 5 53 6 1 7 1 72 4 3 7 3 1 74 Product Description Intended Use Know Your Prosthesis Socket Interface and Control Battery Charging my i limb Overview Grips and Gestures Cover Options Troubleshooting Frequently Asked Questions Warnings and Precautions User Details Technical Information i limb access information Component Compatibility EMC and Electrical Information Warranty 1 1 Product Description We are pleased that you and your clinical team have decided that the i limb access is the most appropriate prosthetic hand for your needs You may have discussed your functional goals with your clinical team This manual along with the training and support of your clinical team should help you understand how the i limb access will help you accomplish these goals Each digit of the hand has its own motor This allows the digits to run until they meet the object being grasped so the hand takes the shape of that object compliant grip The power for the hand comes from a battery which has been built into the socket of2. Thumb index and middle fingers will move to provide grip Ring and little fingers automatically close and switch off Thumb in dex and middle fingers will move to provide grip Ring and little fingers remain fully opened and switch off Thumb automatically moves to a partially closed position Only index and middle fingers will move to provide grip against the fixed thumb Ring and little fingers automatically close and switch off Thumb automatically moves to a partially closed position Only index and middle fingers will move to provide grip against the fixed thumb 10 of 19 Allows for larger objects to be grasped using the tripod pinch Can also improve po sitioning May also decrease compensation at shoulder for tasks where closed digits get in the way of the pinch Allows for the wider opening when using this feature with larger objects Tripod grip al lows greater stability for larger or round objects in compari sion to precision pinch For smaller motion but increased accuracy Tripod grip allows greater stability for larger or round objects in comparision to precision pinch Can also decrease elbow compensation when seated Can improve stability and control grasping larger ob jects With thumb in a static position your ability to align an object can improve par ticularly on small objects Can also decrease elbow compen sation when seated 1 Preparing food with ring and little
3. any mandatory driving test using your i limb device to demonstrate your ability to operate a motor vehicle safely if required by local regulations contacting your insurance provider and advise them that you will be using the i limb device to drive a motor vehicle ensuring that the device has a fully charged battery Please note that the i limb device will emit a low battery signal which will alert you if the battery requires to be charged switching off the i limb device This is due to the possibility of involuntary muscle signals being generated and moving the thumb into the lateral position to allow the i limb to be removed from the steering wheel without opening the hand It is entirely the patient s responsibility to seek confirmation that they are physically and legally able to drive using the device and to the fullest extent permitted by law Touch Bionics shall under no circumstances whatsoever be liable to the patient or any other party as a result of or in connection with a patient with an i limb device driving a motor vehicle Part number MA 01165 Issue No 2 October 2014 16 of 19 6 1 User Details Provision of the following basic information will enable easy identification if the prosthesis is returned to Touch Bionics customer service User Name Fitting Date Hand Purchase Date Hand Serial Number Prosthetist Name amp Contact Information Therapist Name amp Contact Information Part
4. individual digit articulation of the human hand and we provide flexible coverings which enable that articulation Our covering solutions include i limb skin active For users who prefer the robotic nature of the uncovered i limb prosthesis i limb skin active is a thin layer of semi transparent or black material that has been designed to conform to every contour of the hand i limb skin active TS In addition to all the benefits of the i limb skin active the i limb skin active TS allows users to use touchscreen devices such as smartphones or tablets with compatible i limb prosthe ses i limb skin natural Providing the user a lifelike silicone covering i limb skin natural is available with 18 different skin shades Benefits include e Donor doff in under a minute without the assistance of a clinician e Improved design optimizes hand power and precision pinch mode i limb skin match For the most realistic covering option possible this is a fully customized silicone covering that exactly matches the user s skin tone and features The cover of the i limb access is very important The i limb should not be used without an approved cover that is well maintained Please consult the Coverings Care Guide for donning and doffing instructions as well as tips on wear and care Coverings Care Guide is available online at www touchbionics com downloads document library Please contact your clinician for ordering informat
5. your prosthesis that your prosthetist has made especially for you Initially you and your clinical team will develop control of opening and closing your hand At this stage you should be able to carry out a wide range of functional daily activities using your i limb access hand It takes time and practice to gain control and master the best way to do tasks with your prosthetic hand The pace at which individuals gain this control varies but we encourage you to be patient and seek training Your i limb access is covered under the Touch Care program The duration of the program varies and you can contact your clinician regarding this program 1 2 Intended Use The i limb access is intended to be used by patients with upper limb loss or deficiency Part number MA 01165 Issue No 2 October 2014 FPI Figure 1 1 3 Know Your Prosthesis Figure 2 Each i limb access has a unique identifying number called the serial number as depicted on the base of the hand near the wrist This is an important piece of information and we recommend that you make a note of it on page 17 of this manual The i limb access will not provide you with sensation and so you will not be able to feel things such as heat and moisture The i limb access cannot absorb any shock as your own body is able to do If high degrees of force are applied you may cause damage to your i limb access If this does happen then please contact your clinica
6. be inserted into the power outlet prior to connecting to the charge port To charge insert the charger lead connector into the charge port A click should be heard on connection If the green light is on when you first plug in the On Off Switch device ensure the hand is off Figure 6 Charging time is approximately 1 300 mAh battery 90 minutes The light display for fig 6 is c Solid Red charging c Solid Green fully charged or idle e Continuous flashing red fault condition e Rapid flashing amber Threshold state between charging and fully charged should only last for 1 2 seconds e Continuous flashing red or green Connection Error Remove charger lead connector from the charge port Ensure charger is plugged in and switched on at the mains Re insert the charger lead connector into the charge port Figure 7 The light display for fig 7 is c Solid Amber on standby e Slow flashing amber pre charge mode e Rapid flashing amber Error Slow flashing green maintenance charge Rapid flashing green rapid charge Figure 8 Solid green fully charged To remove the charger lead connector from the i limb access grip the connector and pull directly away from the port Consult the Warnings and Precautions section for additional information If you intend to travel outside of your home country you will need to ensure that you have a Touch Bionics charger that will work in the country
7. cordance with US European or local regulations Only use the appropriate Touch Bionics charger to charge Touch Bionics batteries CAUTION If the battery has visibly ballooned or swollen discontinue the charging process immediately disconnect the battery remove to a Safe area leave and observe for 15 minutes replace with new battery do not re use dispose of any leaking batteries in an appropriate manner Failure to comply with the above guidelines will invalidate the warranty If you experience technical problems with the i limb access and your clinical team is not available contact Touch Bionics as follows 15 of 19 Driving of Motor Vehicles The i limb access has the functional capability to assist a patient with driving a motor vehicle however due to factors including the differences in world wide driving regulations and the variations in the level of ability between patients Touch Bionics is unable to provide definitive advice in respect of a patient with an i limb device driving a motor vehicle Touch Bionics is aware that individuals have used the i limb to drive a motor vehicle and our recommendations prior to a patient doing so would include the following contacting the driving authority in your home location to obtain and understand the local regulations working with the appropriate authorities to have your car modified to meet the local regulations for your respective disabilities as required re taking
8. er for i limb access devices is a A with a 4 digit alpha numeric number WEEE Compliance Catalogue number Manufacturer Date of Manufacture Keep Dry Customer Service Contact Information Touch Bionics Unit 3 Ashwood Court Touch Bionics 35 Hampden Road Oakbank Park Way Livingston EH53 OTH UK Mansfield MA 02048 USA Tel Customer Service 44 0 1506 438 556 Tel 1 855 MY iLIMB 694 5462 www touchbionics com Part number MA 01165 Issue No 2 October 2014 19 of 19 73 touch OIONICS North American Customers Canada Mexico amp US Touch Bionics 35 Hampden Road Mansfield MA 02048 USA Tel 1 855 MY iLIMB 694 5462 International Customers Touch Bionics Unit 3 Ashwood Court Oakbank Park Way Livingston EH53 OTH Scotland Tel 44 1506 438 556 Email info touchbionics com For address details and further information please visit www touchbionics com Third party products and brand names may be trademarks or registered trademarks of their respective owners ce Copyright 2014 Touch Bionics Inc and Touch Bionics Limited All rights reserved Issue No 2 October 2014 Part number MA 01165
9. er you hear this warning If the battery used to last all day and no longer does you should talk to your pros thetist Sometimes your signals have gotten stronger resulting in greater usage If signal is present even when you are not using the hand that will drain the battery You could try turning the hand off when you are not using it to save battery life Your prosthetist may be able to discuss other options My battery does not seem to last all day what can do The signals you are giving may have gotten stronger over time since you have been using them more Now even a small muscle contraction may make the hand move If you connect to my i limb you may see your signals on the graph reach the top very easily as opposed to in the past Contact your prosthetist had good control when first got the hand but now it seems like drop items more easily why is that You should dry it off as soon as you can and always ensure your cover is free from What if the device gets wet in the rain holes You do not want water to get under the cover and sit on the electronics Treat the hand like you would a cell phone and protect it from water You should clean your prosthesis and the cover over your i limb access regularly Discuss with your prosthetist the best method based on the material of your socket Often times a damp cloth with a dish soap without any lotions is used to clean the cover You can also use alcohol to clean any stains or
10. finger clear such as slicing cucumber or carrot 2 Holding cell phone would manually rotate thumb laterally based on size of phone or setup custom grip 1 Open bag of chips 2 Pull up socks 1 Grab spices from cupboard 1 Repetitive fac tory type work moving pieces 2 Grasp pen for writing 3 Laundry 4 Pack bag Additional Grip and Gesture Options With these additional grip patterns and gestures consider how often you perform different tasks and if having a program for that activity would make it easier faster for you to perform Since each digit has its own motor you can put pressure against any digit to stop it from moving called stalling the digit Many of these additional grips can be performed by stalling one or more digits If itis a task that is not performed often maybe using index point to press the Shift key on a keyboard then you may prefer to just stall the digit However if you frequently perform the task or want to go into the position without needing to put the hand against the table or your other hand then programming the grip may be the better option All four fingers remain fully For longer dressing period 1 Put on jacket open and switch off that will require more than 2 Grasp flat objects the 1 5 seconds of thumb park such as a book or a 3 quick or grasping light weight tablet computer or Thumb Park jA flat objects Can also use stall clipboard Continuous G ing out digits to co
11. g on how you want the other digits to perform while doing the pinch The most popular is Thumb Precision Pinch Closed Standard Precision Pinch Open Thumb Precision Pinch Open Standard Preci sion Pinch Closed Thumb Precision Pinch Closed Part number MA 01165 Issue No 2 October 2014 Middle ring and little fingers remain fully opened and switch off Manually move thumb parallel to index finger to provide grip Middle ring and little fingers remain fully opened and switch off Only index finger will move to provide grip against the fixed thumb Middle ring and little fingers automatically close and switch off Both index finger and thumb will move to provide grip Middle ring and little fingers automatically close and switch off Thumb automatically moves to a partially closed position Only index finger will move to provide grip against the fixed thumb Allows for a wider open ing than thumb precision Aids with visualization or for pinching objects where the non active digits may get in the way Accuracy is improved when picking up an object by allow ing you to place the thumb against the object to be pinched Only the index finger moves to grasp the object Ideal for repetitive tasks Will allow for better visualiza tion in some tasks especially when the working surface is not at eye level Can improve accuracy for picking an object by allow ing you to place the thumb against t
12. have individual control of each digit There are several options of how to hold utensils The more contact points on the utensil the more stability you will have with the utensil Try rotating the thumb dow choudihoda okor kale out to the side to grasp the handle of the utensil between the thumb and side of the index digit To get different angles you can slide the utensil between different digits such as the index and middle or middle and ring It varies from person to person You should anticipate a learning curve You have probably compensated to do activities without a prosthesis or learned to use a different device in the past You must now train to best utilize the i limb access and fully understand all the functional benefits This process can take several months before use of the device feels natural If you are struggling with specific tasks talk to your clinical team or go to www touchbionics com to see if there are any videos demonstrating the activity you are struggling to complete How long will it take to learn to use the i limb access Depending on the activity you are performing the i limb access may or may not be Can use the i limb access for sporting tasks the most appropriate tool Talk with your prosthetist about your goals and what device may be best to help accomplish your goals My hand is beeping at me what does that Three beeps in a row is the low battery warning signal You should charge your mean hand soon aft
13. he object to be pinched and only the index finger moves to grasp the ob ject Ideal for repetitive tasks 1 Returning cards or money to wallet 2 Picking up napkins 3 Folding laundry 1 Pick up pencil or slim long objects 2 Thread needle 3 Sort Pick up medica tions 1 Slide small object from shelf over head 2 Pick up small object from floor 1 Pick up and open sugar packet from a coffee stand 2 Pick up coins 3 Alternative way to tie shoes also see lateral grip Tripod Grip Options Tripod Grip Options provide a grip where the thumb is meeting up with the index and middle digits Typically the thumb is manually rotated between the index and middle to provide more stability when gripping slightly larger objects than those with the precision pinch grips As a result of having a motor in each digit and the hand conforming to the shape of the object being held the hand will automatically form a tripod grip when the object is small enough to only be gripped between the thumb index and middle digits The advantage of using the tripod grip options is if you want the ring and small digits to stay either fully open or fully closed when gripping Standard 3 Jaw Chuck Tripod Open Standard 3 Jaw Chuck Tripod Closed Thumb 3 Jaw Chuck Tripod Open Thumb 3 Jaw Chuck Tripod Closed Part number MA 01165 Issue No 2 October 2014 Ring and little fingers remain fully opened and switch off
14. ion Part number MA 01165 Issue No 2 October 2014 12 of 19 5 1 Troubleshooting Problem Does not operate Stops midway through an action Difficult to operate Battery charge does not last a full day Battery is not working Digits open when a closed signal is activated Part number MA 01165 Issue No 2 October 2014 Action Ensure the prosthesis is switched on at the switch on the hand and on any additional power switch you may have on your prosthesis Ensure the battery is charged Ensure the electrodes are making good contact with your skin Ensure the hand is engaged at the wrist Check that the i limb access device is engaged at the wrist Ensure battery has good charge Review with your clinical practitioner Fully charge the battery This may take up to 2 hours Ensure that you are not holding excessive sustained muscle signals Consult with your prosthetist to review proper signal control of the i limb access device Ensure the battery charger is working correctly and the appropriate lights are shown on your charger when charging Refer to section 2 2 for proper charging Check that battery is charged Contact your prosthetist 13 of 19 5 2 Frequently Asked Questions No while there are a number of customized grip patterns that will allow you to just Will be able to move each digit individually move certain digits for pinching an object or making a certain gesture you will not
15. l team who will contact Touch Bionics customer care team to resolve the matter as quickly as possible To best protect the hand when carrying objects the weight should be distributed evenly across the digits as close to the knuckles and palm of the hand as possible rather than out on the tips of the digits The image to the right fig 2 is an example of how to correctly carry objects The i limb access is like any other electrical device so do not immerse in water and do not pour water over the device When you have to clean the covering then use a damp cloth to remove any dirt If you have any specific questions about your hand then please contact your clinical team or visit the Touch Bionics web site www touchbionics com for the latest information and news Part number MA 01165 Issue No 2 October 2014 Motorized Digit Knuckle Palmar Fairing Manual Thumb Rotator On Off Switch Part number MA 01165 Issue No 2 October 2014 2 1 Socket Interface and Control To fit the i limb access you have had a socket especially made for you by your clinical team They will have made this to ensure it is comfortable and fits directly onto your residual limb You may experience some redness but this should not last for very long after you remove the socket If the socket is causing you discomfort or affecting you using your i limb access then we recommend that you contact your clinician As part of the fitting pr
16. mplete 3 Allows readjustment i putting pressure against of the object open index to little and closing ing letters or sorting thumb in to hand paperwork All four fingers fully open Dressing or putting on a coat 1 Put on jacket or shirt and switch off You can achieve this position by using the stall out capabil Thumb Park Quick l ity of digits against a table if you do not want to program Manually rotate thumb Holding onto plate papers 1 Hold plate while into lateral position CD or other flat objects serving food Thumb will partially close Improved stability with use of 2 Hold clipboard All four fingers fully close the side of the index finger 3 Get card from ATM Lateral Grip and switch off Only 5 Open ziplock bag thumb will move 6 Tie Shoe Laces Manually rotate thumb Used for pushing buttons 1 Keyboarding hitting into lateral position typing on computer or simply shift key CTRL ALT Thumb will fully close and pointing Can be achieved DEL general typing Index Point switch off Middle ring and with stall out 2 Push Button for i little fingers fully close and elevator switch off Index finger remains open and active Part number MA 01165 Issue No 2 October 2014 11 of 19 4 1 Cover Options Coverings are an important part of the appearance and durability of upper limb prostheses The Touch Bionics i limb products are the first prosthetic hands and fingers to imitate the
17. number MA 01165 Issue No 2 October 2014 17 of 19 7 1 Technical Information i limb access Voltage 7 4V nominal Max Current Battery Capacity Rechargeable lithium polymer ite nominal 1 300 mAh capac Max hand load limit static limit 90kg 198lb Finger Carrv Load static limit 32kg 71 bs Weight with QWD 507g small and 515g medium Dove dot Weight with WD unit 443g small and 451g medium 7 2 i limb access Information Hazardous Area Classification The i limb access device is not intended for use outside the boundaries of the environments listed below The customer or user of the i limb access device should assure that it it not used in such environments Condition Level 7 3 Component Compatibility 7 3 1 EMC and Electrical Information Please refer to www touchbionics com downloads document library for Electro Magnetic Compatibility EMC and Electrical Information for i limb products 7 4 Warranty Refer to www touchbionics com downloads document library to review warranty information Part number MA 01165 Issue No 2 October 2014 18 of 19 Consult instructions for use Class Il equipment provides double Isolation to protect against electric shock Degree of protection IP40 Protection against penetration by solid particles with diameters larger than 1 mm No special protection against penetration by water Serial Number For i limb access devices The unique serial numb
18. ocess your prosthetist selected the best method for you to provide control of your device This tells the processor the brains of the hand whether you want the hand to open or close The most common control option is called an electrode fig 3 To the right you will see two examples of the type of electrode that may have been used to build your prothesis Electrodes pick up on the electrical activity that your body gives off when you contract a muscle While gaining good control may take time and practice your method of input should not cause pain Talk with your prosthetist if you do not understand how your input control is working or if it is causing discomfort There are also other potential control options that your prosthetist may have determined to be the best option for you If so they will describe to you how that option works Part number MA 01165 Issue No 2 October 2014 Figure 3 Electrode Options 2 2 Battery Charging Please review the below instruction for proper battery charging Only use supplied Touch Bionics charger to charge the battery Depending on your location you will receive one of the below chargers fig 6 or fig 7 Figure 5 You will need to remove the socket from your residual limb and turn the i limb device off The on off switch is pictured in fig 5 i limb device is off when switch is in left position Insert the charger fig 6 or fig 7 into the power outlet The charger will need to
19. prevent bacteria After using the restroom you can wash your hands using a damp paper towel with the soap rather than running the hand under the water How should I clean it how often Some people like to use the pinch mode where the index finger and thumb come together but often times individuals feel they get a better grip and better ability to see the shoe lace if they pinch with the thumb against the side of the hand called a lateral pinch What is the best way to tie my shoes To make the hand as slim line as possible you can put pressure against the index middle ring and small finger while giving a close signal or alternatively use the thumb park feature Both of these will bring the thumb into the palm of the hand so it does not catch inside the coat sleeve Some people put the prosthetic hand through the sleeve first and use their other hand to move up the coat sleeve to the hand to guide it down the sleeve without sticking Others will put a grocery bag or other slick material over the hand and then just slide on the coat sleeve normally with the bag decreasing the friction making it easier How can put a coat on if my device is already on Part number MA 01165 Issue No 2 October 2014 14 of 19 Part number MA 01165 Issue No 2 October 2014 5 3 Warnings and Precautions i limb access Do not use without an approved cover Do not use under water Do not use to operate heavy industrial machinery Do not u
20. se with machinery with moving parts that may cause personal injury or damage Users must comply with local regulations on the operation of automobiles aircraft sailing vessels of any kind and any other motorized vehicle or device Do not use for extreme activities that may cause injury to a natural hand e g rock climbing Do not expose to excessive moisture liquid dust vibration or shock Do not expose to high temperatures Do not expose to flames Do not use or expose to explosive atmospheres Do not disassemble componentry or modify in any way Maintenance repairs and upgrades may only be performed by qualified Touch Bionics technicians and technical partners Do not use with a damaged cover Damaged covers must be replaced or repaired by a qualified Touch Bionics technician or technical partner Do not use an i limb device to operate your mobile device whilst it is connected to a mains outlet as this can affect EMG signal Only approved Touch Bionics accessories and tooling may be used with the i limb access If utilizing a muti flex wrist the i limb device should be locked if carrying an object Batteries Do not bend or exert excessive pressure on the battery Do not pierce the battery Do not disassemble the battery Do not expose to high temperatures Do not incinerate batteries Do not alter battery terminal wires Do not short circuit the battery Do not store batteries inside a vehicle Dispose of batteries in ac
21. to which you are traveling Additional chargers are available from Touch Bionics As an alternative to charging directly from domestic power a car charger fig 8 is provided with your i limb access To ensure the i limb access is continually N functional charge at the end of each dav N Do not pull cable to remove the lead Replace the battery annually for optimal performance Switch the hand OFF to preserve battery power when not in use Part number MA 01165 Issue No 2 October 2014 3 1 my i limb Overview The i limb access is equipped with a bluetooth receiver enabling it to communicate with the my i limb application my i limb is available to download through the Apple app store for your iPod Touch iPhone 4s iPhone 5 iPad with retina display or iPad mini my i limb allows you to customize your prosthesis utilizing such features as setting favorites Download the my i limb Quick Reference Guide from www touchbionics com downloads document library for more information 3 2 Grips and Gestures The i limb access is equipped with 12 grip patterns and gestures These grip patterns and gestures can be programmed onto your i limb access and assigned to your triggers which are the muscle signals you give in order to enter the feature Precision Pinch Grip Options Precision pinch grip options are best for picking up small items between and the thumb and index finger There are 4 options available dependin
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