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rflex knee cpm user manual
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1. KNEE E_7 ZO NEA USER S MANUAL Pg PATTERSON MEDICAL MMONS PRESTON Sammons Preston 1000 Remington Blvd Ste 210 Bolingbrook IL 60440 A Patterson Company Phone toll free 800 228 3693 Fax 262 387 8749 customersupport patterson medical com TABLE OF CONTENTS ROL WOU aaa ta E E E E E E l CPM 1111 TIO I ee a a AE EE EEE E IRESE EM USE OU O Te 2 5 10010 a O sti EEE 2 4 Produc Desci pi O ssssrergiianrsrn rinrin a aa Ea E a E E a N Eae ra 5 Barain amp Conta nd Oratoria teen 5 SPECIAL tas perdes 6 10 REPELER CEN TUDI oeer E A E E EE E E EE EA E 6 10 NOn a a e i at ati E E E E E E E EE EEE E A eee 11 RELEXC PM APP e O O A 11 Danac o n s 12 AAA A 13 15 REFLEX CPM Unf Se Urmeneta 13 14 Set Up Tor Pediatrics or Short LES eerie a e e a vid denvonsintiadeatetuass 15 H Conor Opera anita 16 18 le ara 11161 IOE e A E E A A E 19 WN cto E pte te wy A A N E E A T A E E EE AE A E TE 20 LTS PATTERSON MEDICAL 01 14 3 0154D amons Preston CPM Unit Thank you for purchasing the Sammons Preston R FLEX Continuous Passive Motion CPM unit This manual contains general safety operating maintenance and care instructions for the owners and operators of the CPM units At the time of publication the information contained herein was current and up to date However due to con tinual technological improvements and increased clinical knowledge in the field of CPM treatment as well as Sammons Preston s pol
2. CPM UNIT THERAPY mmons Preston CPM Unit CAUTION This equipment may cause electromagnetic or other interference between other devices If this occ WARNING A CAUTION urs move the device away from the affected equipment Work in a range of motion as instructed by your healthcare practitioner If you experience increased pain swelling or any adverse reactions while using this product imm ediately consult your health care practitioner Set up and use of this equipment should be in a low traffic location and away from children and pets Make sure the hand control 1s accessible to the operator before starting this equipment The STOP START button on the hand control is the only way of stopping the motion for disabled patients or children using the unit The physician defines the protocol and ensures that it is correctly implemented It 1s important to install and use this equipment in accordance with the instructions to prevent harmful interference to other devices 10 the vicinity If this equipment does cause harmful interfer ence to other devices which can be determined by turning the equipment off and on the user 1s encouraged to try to correct the interference by one or more of the following measures e Reorient or relocate the other device s e Increase the separation between the equipment e Connect this equipment into an outlet on a circuit different from that to which the other device s are connect
3. RANGE OF MOTION RANGE OF MOTION nons Preston CPM Unit Display Change Pause of Flexion Limit Press PAUSE and FLX key to display the pause of flexion limit the value will blink in the Flexion display window Press 4 to reset the pause of flexion limit the new value will blink and be locked in 5 seconds RANGE OF MOTION 4 Display Change Timer Press TIMER key to display timer the value will blink in the Range of Motion display window Press to change the timer setting the new value will blink and be locked in 5 seconds Display Count Down of Timer Press TIMER key twice to display count down of timer Press TIMER key one time to display the time set press TIMER key a second time and the time remaining will be dis played in Range of Motion display window 18 CLEANING AND MAINTENANCE nmons Preston CPM Unit Cleaning Procedure 1 Turn the CPM power switch to Off and unplug the power cord from the socket 2 Dampen a soft cotton cloth with water or a mild cleaning agent and gently wipe the body of CPM unit Do 3 NOT put too much liquid on the cloth where it might drip though the plastic cover and into the machine Let the CPM unit air dry and plug it back in use Maintenance pad Using a 5 32 inch allen wrench disassemble the 8 joints of the CPM bars and inspect the brass bushing inside each joint Replace any bushings that appear to be excessively
4. or a Sammons Preston certified service technician Defects or damage caused by labor furnished by someone other than Sammons Preston the selling dealer or a Sammons Preston certified service technician Any malfunction or failure in the R FLEX CPM unit caused by misuse including but not limited to the failure to provide reasonable and required maintenance or any use that is inconsistent with the user s manual Sammons Preston Shall Not be Liable in Any Event For Incidental or Consequential Damages Some states do not allow the exclusion or limitation of incidental or consequential damages so the above limi tation or exclusion may not apply to you To obtain service from Sammons Preston or selling dealer under this warranty 1 A written claim must be made within the warranty period to Sammons Preston or the selling dealer The written claim should be sent to Sammons Preston 1000 Remington Blvd Ste 210 Bolingbrook IL 60440 2 The product must be returned to Sammons Preston or the selling dealer by the owner This warranty gives you specific legal rights and you may also have other rights which vary from state to state Sammons Preston does not authorize any person or representative to create additional obligations or liabilities in connection with the sale of the R FLEX CPM Any representation or agreement not contained in the warranty shall be void and of no effect 20
5. purposes The R FLEX CPM is suitable for use in all establishments other than domestic and Class A those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Voltage fluctuations The R FLEX CPM is suitable for use in all establishments other than domestic and flicker emissions Complies those directly connected to the public low voltage power supply network that supplies IEC 61000 3 3 buildings used for domestic purposes RF emissions CISPR 11 RF emissions CISPR 11 Harmonic emissions IEC 61000 3 2 The R FLEX CPM is suitable for use in all establishments other than domestic and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Table 4 Guidance and manufacturer s declaration electromagnetic immunity The R FLEX CPM is intended for use in the electromagnetic enviroment specified below The customer or the user of the R Flex CPM should assure that it is used 10 such an environment f IEC 60601 Electromagnetic environment Immunity test Compliance level test level guidance Electrostatic 6 kv contact 6 kv contact Floors should be wood concrete or ceramic discharge ESD l l tile If floors are covered with synthetic mate IEC 61000 4 2 8 kv air 8 kv air rial the relative humidity should be at least 30 Electrical fast 2 kv for power 2 kv for power Mains power quality shoul
6. the knee as it goes through its range of motion from full or hyper extension 10 to full flexion 120 with speeds of 55 to 140 degrees per minute Indications Clinical Benefits amp Contraindications Indications e Knee replacement surgery e Fractures patellar tibia plateau femoral etc e Arthrolysis e Hip surgery including hip replacement hip pinning osteotomy etc e Ligament repairs e Arthroscopic surgery meniscetomies patellectomies etc e Burns joints sepsis Clinical Benefits 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 pains 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 Contraindications USE OF CPM THERAPY IN GENERAL SHOULD BE AVOIDED OR DISCONTINUED AT LEAST TEMPORARILY IF SIGNS OF HYPERTHERMIA IRRITATION SWELLING BLEEDING OR IN CREASED OR PERSISTENT PAIN ARE OBSERVED ACUTE INFLAMMATORY CONDITIONS SUCH AS ACUTE ARTHRITIS OR DESTRUCTIVE BONE OR JOINT DISEASES SHOULD NOT BE TREATED WITH CPM PRODUCT IS LATEX FREE PATIENTS WHO HAVE BONE CANCER WARPED J
7. the value will blink in the Extension display window Press 4 amp to reset the extension limit the new value will blink and be locked in 5 seconds Full range is from 10 to 120 16 RANGE OF MOTION HAND CONTROLLER OPERATION nons Preston CPM Unit Display Change Flexion Range Press FLX key to display flexion value the value will blink in the Flexion display window Press Ml Dr to reset the extension limit the new value will blink and be locked in 5 seconds Full range is from 10 to 120 PRANGE OF MOTION Display Change Speed Value Press SPEED key to display speed value the value will blink in the Range of Motion display window Press E Be to reset the speed the new value will blink and be locked in 5 seconds Or press the SPEED key again to validate the setting Display Change Force Range Press FORCE key to display force value the value will blink in the Range of Motion display window Press 1 to reset the force the new value will blink and be locked in 5 seconds Or press FORCE key again to validate setting RANGE OF MOTION A ro Display Change Pause of Extension Limit Press PAUSE and EXT key to display the pause of extension limit the value will blink in the Extension display window Press E to reset the pause of extension limit the new value will blink and be locked 10 5 sec onds 17 HAND CONTROLLER OPERATION
8. worn 3 Lubricate all joints lightly with lubricating oil Any class of oil can be used GN SD Using a 5 32 inch allen wrench remove the top cover of each ball bearing set at the ends of the threaded screw Perform a visual inspection and replace 1f necessary Apply grease to the ball bearings With the bearing cover still removed inspect the rubber track seal on each side of the threaded screw guide Replace if necessary Inspect the threaded screw and apply new grease for lubrication Perform a visual inspection of the coupling between the gearbox and the threaded screw Ensure that set screws in each coupling hub are still tight Replace the coupling rubber piece if excessive wear is present 8 Inspect all adjustment knobs and replace 1f necessary 19 WARRANTY mmons Preston CPM Unit Sammons Preston warrants that the the R FLEX CPM units are free of defects 10 material and workmanship This warranty shall remain in effect for 1 year or 2000 operation hours from the date of original consumer pur chase If the R FLEX CPM unit fails to function during the warranty due to a defect in material or workmanship Sam mons Preston will repair or replace the product without charge Sammons Preston is the only organization able to assess the application of the warranty to its CPM units This Warranty Does Not Cover Replacement parts or labor furnished by anyone other than Sammons Preston the selling dealer
9. Adjustment Knobs 11 ON OFF Switch and Fuses 12 Potentiometer Housing R FLEX CPM LED Display 1 LED Screen 2 Indicator Light gt 3 INCREASE DECREASE Function Key 4 EXTENSION Setting Key 4 5 FLEXION Setting Key 5 6 TIMER Function Key 7 PAUSE Function Key 1 8 SPEED Function Key 9 FORCE Function Key 8 10 STOP START Function Key 11 USB Communication Port 11 UNPACKING nons Preston CPM Unit Package Contents 1 R FLEX CPM Assembly 1 Foot Cradle Assembly 1 Bedmount Adjustment Device 1 Users Manual 1 Service Manual Optional Accessories 1 R FLEX Managment Software and Drive Installation CD 1 USB Cable Unpacking instructions 1 Remove R FLEX CPM assembly from the box 2 Slide the foot cradle out and place it in the upper right position Ensure that all required components and parts are present Refer to the previous page Eh WwW Check the CPM unit and container for damage Report any substantial damage to the shipper O1 Save packaging and preserve the integrity of the packaging in case the unit is ever returned for servicing 6 Connect the hand controller to the CPM unit IMPORTANT Check that the electrical socket is in good condition and is suitable for the power supply cord The plug may be connected to any standard socket with a grounded pin Use the original cable supplied with the machine ONLY when connecting to the power supply Ensure that the cable remain f
10. MHz to 800MHz 800 MHz to 2 5GHz of transmitter For transmitters rated at a maximum output power not listed above the recommended separation distance d in metres m can be estimated using the equation applicable to the frequency of the transmitter where P 1s the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people CPM UNIT SPECIFICATIONS mons Preston CPM Unit Table 7 R FLEX CPM Accessories List Accessory Cable Model Xuan Hua Electric Manufacturing Co 10A250V Potentiometer Cable Ya Sheng Cable Factory SP20260 Hand Controller Cable Ya Sheng Cable Factory SP20350 Steward snap on ferrite Steward A Unit of Laird Technologies 28A2026 0A2 WARNING Use of the accessory or cable with R FLEX CPM unit other than those specified may result in increased emis sions or decreased immunity of the R FLEX CPM 10 NOMENCLATURE ons Preston_CPM Unit R FLEX CPM Unit Components Calf Support l Thigh Support 2 11 8 Foot Cradle Hand Controller Thigh Length Adjustment Knobs Calf Length Adjustment Knobs Foot Cradle Adjustment Knobs Transport Handle O 0 1D nA BPW Nh Bedmount Adjustment Device 10 Bedmount
11. OINT SURFACES SPASTIC PARALYSES UN STABLE FRACTURES AND UNCONTROLLED INFECTION SHOULD NOT BE TREATED WITH CPM R FLEX CPM UNIT IS NOT ADAPTED FOR PATIENTS WHO ARE TALLER THAN 67 2m OR SHORTER THAN 47 1 40m CPM UNIT SPECIFICATIONS ammons Preston CPM Unit Table 1 Physical and Electrical Specifications Size Setup for Use Length Width Height Weight Without accessories 27 5 lbs With accessories 28 5 lbs Fully packaged 32 0 Ibs Electrical Specifications Input 110 VAC 60Hz 30W Fuse 2 5 A 250V Enviromental Requirements Temperature Operating 14 F to 104 F 10 C to 40 C Transport amp Storage 22 F to 140 F 30 C to 60 C Humidity Operating Up to 80 Transport amp Storage Up to 90 non condensing Atmospheric Pressure 700 hPa to 1060 hPa Electromagnetic Compatibility In accordance with IECB 1 1 2 Water Enclosure Protection IPXO Safe Work Load No more than 45 Ibs Classification Class Type B Grounding Instructions This product should be grounded In the event of an electrical short circuit grounding reduces the risk of elec tric shock by providing an escape wire for the electric current This product is equipped with a cord having a grounding wire with a grounding plug The plug must be plugged into an outlet that is properly installed and grounded DANGER Improper use of the grounding plug can result in a risk of electric shock Check with a qualified electrician or serviceman 1f th
12. d be that of a typi transient burst supply lines supply lines cal commercial or hospital enviorment IEC 61000 4 4 1 kv for input output 1 kv for input output lines lines Surge kv differential kv differential Mains power quality should be that of a typi IEC 61000 4 5 mode mode cal commercial or hospital enviorment 2 kv common mode 2 kv common mode CPM UNIT SPECIFICATIONS ammons Preston CPM Unit Table 4 continue lt 5 U lt 5 U Voltage dips short gt 95 dip in U 295 dip in U Mains power quality should be that of a typical commer interruptions and for 0 5 cycles for 0 5 cycles cial or hospital environment If the user of the R FLEX voltage variations CPM requires continued operation during power mains on power supply 40 U 40 U interruptions it is recommended that the R FLEX CPM input lines 60 dip in lt 60 dip in U be powered from an uninterruptible power supply or a IEC 61000 4 11 for 5 cycles for 5 cycles battery 70 U 70 U 30 dip in U 30 dip in lt for 25 cycles for 25 cycles lt I U lt 5 U gt 95 dip in U 295 dip in U for 5 sec for 5 sec Power frequency 50 60 Hz Power frequency magnetic fields should be at levels char magnetic field acteristic of a typical location in a typical commercial or hospital environment IEC 61000 4 8 NOTE U is the a c mains voltage prior to application of the test level Table 5 Guidance and manufacturer s declaratio
13. e grounding instructions are not completely understood or 1f in doubt as to whether the product is properly grounded This product is factory equipped with a specific power supply to permit connection to a proper electric circuit Make sure that the product is connected to an outlet having the same configuration as the plug No adaptor should be used with this product Do not modify the plug provided f it will not fit the outlet have the proper outlet installed by a qualified electrician Grounded Qe i Grounded Outlet Outlet Box MONS PRESTON C PM U NIT S PE C IF 6 ATI O N S Sammons Preston CPM Unit Table 2 Cable List Max Length inch Potentiometer Communication Cable Hand Controller Communication Cable Power Cord USB Cable Table 3 Guidance and manufacturer s declaration electromagnetic emissions The R FLEX CPM is intended for use in the electromagnetic enviroment specified below The customer or the user of the R Flex CPM should assure that it is used 10 such an environment Electromagnetic enviroment guidance The R FLEX CPM uses RF energy only for its internal function Therefore its RF Group 1 emissions are very low and are not likely to cause any interference in nearby electronic equipment The R FLEX CPM is suitable for use in all establishments other than domestic and Class A those directly connected to the public low voltage power supply network that supplies buildings used for domestic
14. ed e Consult the manufacturer or field service technician for help EXPLOSION HAZARD R FLEX CPM NOT SUITABLE FOR USE IN THE PRESENCE OF A FLAMMABLE ANAESTHETIC MIXTURE WITH AIR OXYGEN OR NITROUS OXIDE C p M U N IT T H E R A PY nmons Preston CPM Unit A vane R FLEX CPM needs special precautions regarding EMC and needs to be installed and put into service accord ing to the EMC information provided in this manual Portable and mobile RF communications equipment can affect R FLEX CPM The use of accessories transducers and cables other than those specified by the manufacturer may result in increased emissions or decreased immunity of the CPM The CPM should not be used adjacent to or stacked with other equipment If adjacent or stacked use is neces sary the CPM should be observed to verify normal operation in the configuration in which it will be used AA vane Use of accessories transducers and cables other than those specified such as transducers and cables sold by the manufacturer as replacement parts for internal components may result in increased emissions or decreased im munity of the equipment or system CPM UNIT THERAPY ammons Preston CPM Unit Product Description The purpose of the R F LEX CPM unit is to provide continuous passive motion to the knee joint to increase cir culation range of motion and to prevent scarring in the joint The R F LEX is an anatomically aligned CPM which mirrors the path of
15. ediatric Setup HAND CONTROLLER OPERATION amons Preston CPM Unit Before Starting the Machine Follow the hand controller operation instructions to set flexion extension speed pause duration and force Run the CPM unit for a full range cycle to ensure the patient s involved leg 1s aligned correctly The machine should now be fitted to begin the rehabilitation If the knee joint does not mirror the movement of the machine joint adjust the calf or thigh adjustment knobs to keep the knee in the proper alignment R FLEX CPM Unit Technical Parameter Parameter Value Range Treatment Mode Normal Extension Limit 10 120 Degrees Flexion Limit 10 120 Degrees Extension Pause Duration 0 999 Seconds Flexion Pause Duration 0 999 Seconds Timer 0 999 Minutes Speed 1 9 55 140 min Force 1 9 Hand Controller Operation Instruction 1 Turn on the power switch located at the base of the machine 2 Default parameters are preset after the CPM unit is turned on 3 Press STOP START key to initiate the CPM unit 4 To change the parameter setting follow the instructions below Indicator Light START STOP the unit Press START STOP key once to start the unit and press it again to stop the unit Green indicator light shows on status and comes off when the unit 16 stopped HER 7 mE Hi TIMER IB FORCE Ezi Display Change Extension Range Press EXT key to display extension value
16. et the femur scale to this mesurement using thigh length adjustment knobs Adjust the thigh support to the corresponding value on the scale Femur Scale 6 Position the CPM unit so that the hip pivot is 1 5 to 2 from the patient s rear end The knee axis should align with the axis of the knee pivot 7 Adjust the calf support by moving the foot cradle so that it meets the sole of the foot To ad just the calf support loosen the adjustment knobs and slide the foot cradle to the proper length Secure by tightening the two adjustment knobs 8 R FLEX CPM Unit has a unique feature with its bedmount adjustment device It is used to prevent migration of the unit during operation To adjust the device loosen the two bedmount knobs and extend the device until it is firm against a solid barrier such as a foot board Secure the two knobs to lock the position Note Do not use this as a carry handle or lifting point 14 SET UP FOR PEDIATRICS OR SHORT LEGS nons Preston CPM Unit 1 Loosen Calf Adjustment Knobs and remove the Foot Cradle DO NOT REMOVE THIGH ADJUST MENT KNOBS 2 Loosen both Foot Cradle Adjustment Knobs and rotate both Foot Tubes 180 degrees so that the Foot Cradle is in the location shown in the photo below Relocate the Foot Cradle 3 Slide the Foot Cradle back into the CPM unit Secure by tightening the Ca f Adjustment Knobs adjust the Foot Cradle angle and tighten the Foot Cradle Adjustment Knobs P
17. icy of continual improvement Sammons Preston reserves the right to make periodic changes and improvements to our equipment and documentation without any obligation on the part of Sammons Preston Read understand and follow the information contained in this manual Stay current with the latest clinical developments in the field of CPM treatment and observe all applicable pre cautionary measures for treatment Keep informed on appropriate indications and contraindications for the use of CPM therapy CPM UNIT THERAPY Sammons Preston CPM Unit Precautionary Instructions The precautionary instructions found in this section and throughout this manual are indicated by specific symbols Understand these symbols and their definitions before operating this equipment The definition of these symbols are as follows CAUTION Text with a CAUTION indicator will explain possible safety infractions that could have the potential to cause minor to moderate injury or damage to equipment WARNING Text with a WARNING indicator will explain possible safety infractions that could potentially cause serious injury and equipment damage DANGER Text with a DANGER indicator will explain possible Safety infractions that are immi nently hazardous situations that could result 10 death or serious injury EXPLOSION HAZARD Text with an Explosion Hazard indicator will explain possible safety infractions if this equipment is used i
18. n electromagnetic immunity The R FLEX CPM is intended for use in the electromagnetic enviroment specified below The customer or the user of the R Flex CPM should assure that it is used 10 such an environment Immunity test al nay Compliance level Electromagnetic enviroment guidance Portable and mobile RF communications equipment should be used no closer to any part of the R FLEX CPM including cables than the recommended separa tion distance calculated from the equation applicable to the frequency of the transmitter Recommended Separation Distance d Y 3 3 Conducted RF 3 Vrms IEC 61000 4 6 150 kHz to 80 MHz dE Ne 80 MHz to 800 MHz 1 7 d Fava 800 MHz to 2 5 GHz Radiated RF 3 V m IEC 61000 4 3 80 MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacture and d is the recommended separation dis tance in metres m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol Kd CPM UNIT SPECIFICATIONS ammons Preston CPM Unit Table 5 continue NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflectio
19. n from structures objects and people Field strengths from fixed transmitters such as base station for radio cellular cordless telephone and land mobile radios amateur radio AM and FM radio bradcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic enviroment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the R FLEX CPM is used exceeds the applicable RF compliance level above the R FLEX CPM should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating the R FLEX CPM gt Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m Table 6 Recommended separation distances between portable and mobile RF communications equipment and the R FLEX CPM The R FLEX CPM is intended for use 10 the electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the R FLEX CPM can help prevent electromegnetic interference by maintaining a minimum distance be tween portable and mobile RF communications equipment transmitters and the R FLEX CPM as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter m Rated maximum output power 150 kHz to 80 MHz 80
20. n the presence of flammable anesthetics IMPORTANT SAFEGUARDS When using electrical products especially when children are present basic safety precautions should always be followed including the following DANGER TO REDUCE THE RISK OF ELECTROCUTION Always unplug this product immediately after using A Do not use while bathing Do not place or store product where it can fall or be pulled into a tub or sink Do not place in or drop into water or other liquid Do not reach for a product that has fallen into water Unplug immediately WARNING TO REDUCE THE RISK OF BURNS ELECTROCUTION FIRE OR INJURY Use indoors only A product should never be left unattended when plugged in Close supervision is necessary when this product is used by on or near children or invalids Use this product only for its intended use as described in this manual Do not use attachments not recommended by the manufacturer Never operate this product if it has a damaged cord or plug If it is not working properly has been dropped or damaged or dropped into water return it to a service center for examination and repair Keep the cord away from heated surfaces Never use while sleeping or drowsy Never drop or insert any object into any opening Do not use outdoors or operate where aerosol spray products are being used or where oxygen is being administered Connect this product to a properly grounded outlet only See grounding instructions
21. ree around the device to prevent damage Power Cord Connection Hand Controller Connection 12 SET UP INSTRUCTIONS reston CPM Unit R FLEX CPM Unit Set Up 1 Unpack and place the CPM unit where it is to be used 2 Attach the soft goods pads on the CPM unit Pads need to be purchased separately Foot Pad slips over the Foot Plate attach the straps onto the Calf and Thigh Supports i Th a r A MN d BO E Foot Pad Straps Calf and Thigh Pad 3 Plug the power cord into a 110 120V AC wall outlet close to the machine Locate the power switch to OFF position 4 Automatically calibrate the R FLEX CPM a Adjust the Thigh Support to the maximum reading on the Femur Scale which is 18 b Turn on the power and hold down EXT key and FLX key simultaneously The code SEL and CAL will blink in the Extension and Flexion display windows on the hand controller c Stop pressing the EXT and FLX keys The unit is now automatically calibrated d The R Flex CPM unit should be observed traveling to full extension The reading on the hand controller in the Range of Motion display window should read ZERO when the calibration procedure is completed e After the unit is calibrated the hand controller can be set and operated as normal 13 SET UP INSTRUCTIONS 10ns Preston CPM Unit 5 Measure the patient s involved leg in centimeters or inches from the hip joint to the midline of the knee joint s
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