i-limb access user manual
Contents
1. 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 regulary 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 prevent bacteria After2. OIONICS j access N This symbol 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 1 August 2013 1 1 1 2 2 1 2 2 3 1 3 2 4 1 4 2 4 3 4 4 4 5 4 6 5 1 5 2 5 3 6 1 7 1 7 2 73 Product Description Know Your Prosthesis Socket Interface and Control Battery Charging my i limb Overview Grips and Gestures Cover Options Donning the i limb skin active cover Doffing the i limb skin active cover Donning the i limb skin natural cover Doffing the i limb skin natural cover Wear and Care Guidelines for i limb natural and custom covers Troubleshooting Frequently Asked Questions Warnings and Precautions User Details Technical Information Component Compatibility 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 be
3. 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 1 August 2013 11 of 26 Part number MA 01165 Issue No 1 August 2013 4 1 Cover Options The cover of the i limb access is very important The i limb access hand should not be used without an approved cover that is well maintained A number of options are available to cover the hand All covers require regular checks for wear and tear and some require routine maintenance Covers will need replacement depending on usage The i limb skin active cover is designed for the i limb access hand and will fully cover the hand The palm and inner surface of the cover provide some frictional properties for slip resistance when gripping The back of the glove is smooth to allow the hand to easily move through sleeves of clothing You are eligible to re ceive replacement i limb skin active covers
4. Limited Warranty applies to all components including but not limited to fixtures motors bearings and electronics This Limited Warranty is governed by UK law and is not transferable Warranty Touch Bionics reserves the right to credit repair or replace an in warranty i limb access as its option If required replacements will be new products The wearer shall report any defect claim to Touch Bionics directly or to the facility that provided the i limb accessimmediately upon discovering the defect and in any event within the warranty period The defective i limb access must be returned to Touch Bionics or any other Touch Bionics authorized representative To find the nearest location visit www touchbionics com or call 1 855 MY iLIMB US amp Canada or 44 0 1506 438 556 International The unit must be in assembled condition and include an approved covering when returned The warranty is void if the i limb access is subjected to abuse neglect alteration modification improper repair and or maintenance performed by anyone other than Touch Bionics or a Touch Bionics affiliate Damage as the result of normal wear and tear including the result of fatigue is not covered during the warranty period Damage resulting from installation of parts and accessories not compatible with the i limb access by anyone other than Touch Bionics or an affiliate is not covered including use of non Touch Bionics batteries The warranty is void if damaged
5. against the fixed thumb 10 of 26 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 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
6. 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 4 flat objects Can also use stall clipboard Continuous u i ing out digits to complete 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
7. may cause damage to your i limb access If this does happen then please contact your clinical 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 1 August 2013 Motorized Digit Knuckle Palmar Fairing Manual Thumb Rotator On Off Switch Part number MA 01165 Issue No 1 August 2013 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
8. 8lb Finger Carry Load static limit 32kg 7 1 bs Device Weiaht Weight with QWD 507g small and 515g medium j Weight with WD unit 443g small and 4g medium 7 2 Component Compatibility 1 General Safety 1 1 The i limb access device is an electrical device which under certain circumstances could present an electrical shock hazard to the user Please read the accompanying user manual thoroughly and follow directions stated in the manual to assure maximum safety during charging and operation 1 2 EN 60601 1 2006 1 2 1 Protection against electrical shock Class II 1 2 2 Degree of protection against electrical shock Type BF provides additional protection against electric shock 1 2 3 Degree of protection against ingress of water IEC 60529 2001 IP40 1 2 4 Not suitable for use in the presence of flammable anesthetic mixture with air or with oxygen or nitrous oxide 1 3 EMI EMC 1 3 1 Compliance against standard EN 60601 1 2 2007 1 4 Radio Spectrum Matters ERM Bluetooth 1 4 1 Compliance against standard EN 301 489 1 V1 8 1 1 5 EN 301 489 3 Clause 7 1 1 5 1 EN55022 2006 1 6 Radiation emissions Enclosure 1 6 1 EN 301 489 1 Clause 8 2 Pass 30MHz to 6 000MHz 1 7 Zones of Use 1 7 1 Not recommended in zones 0 1 20 and 21 N B See www touchbionics com for further information on EMC testing carried out on products within this manual Part number MA 01165 Issue No 1 August 2013 24 of 26 Refer to operating instru
9. and to function optimally if the cover is pulled too tight it will negatively affect hand function Part number MA 01165 Issue No 1 August 2013 13 of 26 4 3 Doffing removing the i limb skin active Cover To position the i limb access to doff the active skin cover you will need to manually position your i limb access The 4 fingers should be fully open and the thumb closed with a 15mm space between thumb and index finger The hand should then be switched off to ensure this position is maintained Gently maneuver the i limb skin active cover from the wrist up and over the base of the thumb taking care not to cause any undue downward pressure on the thumb Pull the fingertips of the cover upwards on each finger in turn to loosen the cover Once loosened the cover can be gently pulled up and off the i limb access hand to remove Part number MA 01165 Issue No 1 August 2013 14 of 26 4 4 Donning putting on the i limb skin natural Cover It is highly recommended that you visit your clinician to don and doff your i limb skin natural cover If your clinician is not available it is highly recommended that you seek assistance To position the i limb access to don the natural skin cover you will need to manually position your i limb access The 4 fingers should be fully open and the thumb closed with a 15mm space between thumb and index finger The hand should then be switched off to ensure this position is mai
10. arger that was supplied with the your i limb access On Off Switch If you intend to travel outside of your home country please ensure you have a Touch Bionics charger that will work in the country to which you are traveling Additional chargers are available from Touch Bionics Please contact your clinician for details on how to obtain them Figure 4 For customers residing in the United States the charger pictured to the right fig 4 is used The light display is either Red rapid charge Green fully charged Charging time is approximately 1 300 mAh battery 90 minutes Note If the green light is on when you first plug in your device ensure that the hand is off Insert the charger into the power outlet To charge insert the charger lead connector into the charge port A click should be heard on connection To remove the charger lead connector from the i limb access grip the connector and pull directly away from the port Consult Warnings and Precautions for additional information DO NOT PULL THE CABLE TO REMOVE THE LEAD To ensure the i limb access is continually functional charge at the end of each day Switch the hand OFF to preserve battery power when not in use Replace the battery annually for optimal performance aa all Contact your clinical team to order new batteries Part number MA 01165 Issue No 1 August 2013 3 1 my i limb Overview The i limb access is equipped wit
11. cover wear and care guidelines 18 of 26 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 1 August 2013 Action Ensure the prosthesis is switched on at the switch on the hand and on any addition 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 19 of 26 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 have individual control
12. covers are not replaced or repaired in a timely manner by a Touch Bionics cosmesis facility or another facility authorized by Touch Bionics or if an approved cosmetic covering is not worn at all times when the i limb access is being worn This is the exclusive remedy under this warranty any and all other remedies that may otherwise be applicable are excluded including but not limited to incidental or consequential damage or punitive damage to the maximum extent permitted by law This is the only warranty made by Touch Bionics on the i limb access and components and there are no warranties which extend beyond the description herein Any warranties that may otherwise be implied by law including but not limited to any implied warranty of merchantability or fitness for a particular purpose are extended This Limited Warranty gives the consumer specific legal rights The consumer may also have other legal rights which vary from country to country from state to state in the U S from province to province in Canada and from state to state in Mexico Some countries and states may not allow the exclusion or limitation of incidental or consequential damages or warranties so the above limitations or exclusions may not apply to you If it is determined by a court of competent jurisdiction that a certain provision of this limited warranty does not apply such determination shall not affect any other provision of this limited warranty and all other provisions shal
13. ctions 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 Batch Lot ID Number For i limb access devices Each device has a guaranteed unique id number example 0001 2012 The unique serial number for i limb access devices is a R with a 4 digit aloha numeric number The year of manufacture of the device is then added WEEE Compliance Catalogue number Manufacturer Keep Dry 1 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 1 855 MY iLIMB 694 5462 Tel Customer Service 44 0 1506 445 415 Tel General Enquiries 44 0 1506 438 556 www touchbionics com www touchbionics com Part number MA 01165 Issue No 1 August 2013 25 of 26 7 3 Warranty Limited Warranty for i limb access Touch Bionics warrants that the i limb access will conform to its specifications and be free of defects in material and or workmanship for twelve 12 months depending on package purchased from the date of Touch Bionics invoice for the i limb access This Limited Warranty applies only to an i limb access provided by Touch Bionics or an affiliate authorized by Touch Bionics to provide the i limb access This
14. e battery remove to a Safe area leave and observe for 15 minutes replace the 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 21 of 26 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 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 mo
15. ere 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 1 August 2013 Ring and little fingers remain fully opened and switch off 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
16. h 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 Consult the my i limb Quick Start Guide included with your kit or downloaded from www touchbionics com 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 depending 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 1 August 2013 Middle ring and little fingers remain fully opened and switch off Manually move thumb paralell 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 t
17. humb 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 the 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 wh
18. i limb access then we recommend that you contact your clinician As part of the fitting process 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 1 August 2013 Figure 3 Electrode Options 2 2 Battery Charging As the i limb access is powered by a battery you will need to charge it How often you need to charge it will depend on how much you use the i limb access each day You do not have to worry about over charging your battery First remove the the socket from your arm and turn the hand off The on off switch is pictured on the image to the right Hand is off when switch is in left position Only use the wall ch
19. if you are covered un der the Touch Care program The i limb skin natural cover is designed to be close to natural human anatomy A color swatch is available to select the closest color match between your natural skin color and the color of your i limb skin natural cover There are ten color options for the i limb skin natural cover the glove may not be an exact match but will be very close For individuals who desire the most realistic covering option pos sible i limb skin match is available which is a fully customized silicone covering that is hand painted and exactly matches the skin tone and features 12 of 26 4 2 Donning putting on the i limb skin active Cover To position the i limb access to don the active skin cover you will need to manually position your i limb access The 4 fingers should be fully open and the thumb closed with a 15mm space between thumb and index finger The hand should then be switched off to ensure this position is maintained Align the i limb skin active cover with the digits and pull the cover down over the digits Gently pull up and over the thumb taking care not to cause any undue downward pressure on the thumb Pull the i limb skin active cover over the hand to the wrist Individually maneuver the fingers of the i limb skin active cover over the fingers until they are fully aligned Itis important not to pull the cover too tightly the cover is designed to allow the h
20. ing grasped so the hand takes the shape of that object compliant grip Fig 1 is an example of a hand holding a ball with compliant grip The power for the hand comes from a battery which has been built into the socket of 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 Part number MA 01165 Issue No 1 August 2013 Figure 1 1 2 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 34 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
21. l remain in effect Part number MA 01165 Issue No 1 August 2013 26 of 26 k 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 Z Copyright 2013 Touch Bionics Inc and Touch EMAS Ltd All rights reserved Issue No 1 August 2013 Part number MA 01165
22. mb access D Slide the covering gently up and over the thumb and continue over the digits Remove the covering entirely by continuing to gently draw the fingers of the cover off the digits and off the i limb access Part number MA 01165 Issue No 1 August 2013 17 of 26 Part number MA 01165 Issue No 1 August 2013 4 6 Wear and Care Guidelines for i limb skin natural and custom covers Care of the covers is very important in order to maintain its use long term The following are some guidelines for wear and care Cleaning the Cover Use warm water and plain soap regularly to clean the outside of the cover Using the correct soap is very important plain brand liquid dish washing soaps such as Dawn or Ivory are recommended Clean the cover with medical grade rubbing alcohol once a week to help with disinfection When cleaning you should not run the hand under the water but instead use a damp cloth with the water and soap Some soaps contain additives such as oil perfume hand lotion glycerin or aloe and should be avoided Cleaning Precautions Oils and oily substances alone may not damage the cover However oily substances attract and create an adherence of dirt grime and other chemicals which can lead to damage of the cover if it is not washed and cleaned regularly as described above Many hair and body products contain oil and should only be used when the prosthesis is not being worn Exposure to oil
23. ng 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 Only approved Touch Bionics accessories and tooling may be used with the i limb access 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 accordance 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 th
24. ntained 2 Spray the Silicone outside of the covering generously with the IPA Isopropyl Alcohol lubricant cleaner supplied Roll the covering back on itself from wrist to fingers until the opening for the fingers is showing Push the bat provided into each of the fingers and thumb in turn to straighten the lining While doing this ensure the fingers of the cover align side by side and are not folding or overlapping each other This will help the covering slide onto the extended i limb access fingers Part number MA 01165 Issue No 1 August 2013 15101 26 Spray into the opening at the wrist and on the outside of the inverted cover generously with the IPA lubricant cleaner supplied Ensure the IPA does not contact the fabric lining it should only be sprayed onto the silicone Slide the covering onto the four fingers of the hand until only the aluminium knuckle is visible Place the thumb hole of the covering over the thumb tip Hold the wrist section of the covering and pull on either side In one motion pull over the thumb ensuring it does not cause any undue pressure on the thumb Once the covering is over the digits and roughly half way down the thumb take a firm hold of the cover at the wrist end and gently maneuver over the thumb and hand take care not to cause undue pressure on the thumb Once glove is fully donned massage cover to ensure the lining has no folds or tightness which may affect
25. 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 after you hear this warning
26. s and oily substances may make the prosthesis look shiny Do not use oil control cleansers to manage the shine these are abrasive and will give the cover a tarnished appearance Body perspiration contains oils which can accumulate and damage the prosthesis if not removed by appropriate cleaning Do not attempt to repair the i limb skin natural or custom cover If the cover is damaged do not attempt to fix it Contact your prosthetist Damage can often be repaired rendering the damage almost undetectable Cutting gluing or altering your cover may make it irreparable and will invalidate the warranty Staining Although the cover is made of a durable material it is possible for it to become stained Some substances to avoid include blue Woolite permanent markers some pens and inks newspaper ink will not stain unwashed blue jeans and fabrics bleach chronic exposure to cigar and cigarette smoke carbon paper and carbonless carbon paper other products may also stain your cover The list provides examples of products that can damage the cover when using new products for the first time use with caution If the cover is stained washing quickly with warm water and plain soap and then cleaning with alcohol is most likely to remove the stain Failure to keep the cover clean as instructed above will invalidate the warranty on the cover If cleaning does not remove the stain contact your clinician or Touch Bionics for an evalua
27. the hand function Position the thumb in opposition and open hand fully Check if the thumb is able to fully open or if there is tightness in the web space restricting it Close the hand and ensure a tip to tip grip can be achieved with the index finger Then position the thumb in the lateral position and ensure it can open and close fully without restriction Fully close the fingers You will notice the little finger does not close as far as the others it should close within 25mm of the palm If the hand does not perform optimally in any of these positions massage the cover and lining further Note When using the i limb natural cover adjustments may be required in biosim pro by your clinician to ensure that digit alignment during functional tasks is not sacrificed Contact your clinician or Touch Bionics with questions regarding these adjustments Part number MA 01165 Issue No 1 August 2013 16 of 26 4 5 Doffing removing the i limb skin natural Cover To position the i limb access to doff the natural skin cover you will need to manually position your i limb access The 4 fingers should be fully open and the thumb closed with a 15mm space between thumb and index finger The hand should then be switched off to ensure this position is maintained Start by gently pulling the i limb skin natural cover from the i limb access You should begin to feel the finger tips of the i limb skin natural cover begin to loosen from the i li
28. tion and repair Refer to the back page for contact information Accessing the Battery or Switch If you need to access the charge port or switch and it is covered by a glove or sleeve spray the outside with medical rubbing alcohol to reduce friction this will aid partial removal and will also help prevent damage caused by friction Nails The nails of the i limb skin natural cover are made of silicone and cannot be polished or painted as this will damage the cover Attaching acrylic nails will invalidate the warranty If you have a custom high definition cover the nails may either be silicone or acrylic Acrylic fingernails may be polished as usual Use only non acetone nail polish remover Silicone nails should not be polished Jewelry and Gloves Jewelry is not recommended to be worn with Touch Bionics covers A silk or smooth fabric lined glove will be easily put on and taken off the hand Gloves should not have bleeding dyes when damp or wet General Precautions e The i limb access hand must be used with an approved Touch Bionics cover e Never put more than one cover on your i limb access hand Always use the correct size cover and the correct orientation left or right e Ensure the cover is fitted properly e Only use IPA provided as directed in the manual The i limb access warranty may be invalid if used outside of the recommendations Please consult the Cover Care Guide supplied for a complete overview of
29. tor 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 1 August 2013 22 of 26 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 number MA 01165 Issue No 1 August 2013 23 of 26 7 1 Technical Information i limb access Voltage 7 AV nominal o m OA Battery Capacity Rechargeable lithium PE f 4V nominal 1 300 mAh capac Max hand load limit static limit 90kg 19
30. 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 1 August 2013 20 of 26 Part number MA 01165 Issue No 1 August 2013 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 use with machinery with movi
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