Harmony® User's Guide
Contents
1. the liner 2 5 cm of the liner must be left exposed see arrow so that it can seal with the sleeve as shown 5 Slide your limb into the socket making sure you are stable and stand up Your Prosthetist will have placed marks on the sides of the liner to help you determine the correct fit Make sure these marks are visible If the mark on the liner is below the top of the socket add a spot or half sock to raise the mark above the socket edge See the Adding Spots and Socks section of this brochure for directions on how to add the spot or half sock Slightly bend your knee and roll up the gaiter over the edge of the socket to protect the sleeve from the socket edge Apply a small amount of hand lotion to the exposed 2 5 cm of the liner and thigh so they seal better with the sleeve Roll sleeve over gaiter and liner and onto the thigh to complete the seal After about 20 steps you should begin to see and feel the system functioning although it may take up to 40 steps to attain full linkage Taking off Your System 1 After a short period of use the gaiter will normally adhere to the sleeve They can be pulled down together to make it easier to put on later or pulled down separately N Remove your limb from the system Place the Harmony System where it can not be easily knocked down or tripped over Maintaining Vacuum Vacuum check Make sure you have vacuum eve2. Limb pressure or discomfort section in this table Red marks Leave the top 2 5 cm of the liner uncovered by the sheath Vacuum extended to thigh around thigh i u e not use a cloth covered liner Lostvacuum vacuum See the Lost vacuum section in this table Limb has lost volume See the Adding Spots and Socks section of this brochure Roll down the sleeve Bend your knee slightly Lightly pull the liner Bunching behind my knee Liner and sleeve have slid down the thigh up the thigh to remove any pucker behind the knee With the knee still slightly bent roll the sleeve up the thigh Take off your Harmony System Use a towel and dry the inside of the liner Put your Harmony system back on Strona odor tener er Wash the liner daily described in this brochure Clean with hydrogen peroxide 3 y if the odor persists Wash and rinse thoroughly 14 15 Limb slides in liner Excessive sweat or lubricant in the liner Ottobock P 800 328 4058 F 800 962 2549 www ottobockus com 2012 Otto Bock HealthCare LP 12072403 1 8 12
3. ges Sleeve Seals the vacuum air space Tubing Connects the pump to the socket s air space Pump Creates an elevated vacuum in the socket so your limb stays connected Brochure This Harmony User s Guide Fit Kit This kit helps you manage volume fluctuations in your residual limb Limb Sleeve Liner Tubing Socket Gaiter Pump gt Brochures Fit Kit Putting on Your System 1 First turn the liner inside out invert Next spray a small amount of water or skin friendly lotion inside it and rub the inner walls together to spread it around This lubrication will make it much easier to apply the liner Line up the front of the liner with the front of the limb Place the inverted liner snugly onto the end of the limb Slightly bend your knee and gently roll the liner over your limb Important The liner gaiter and sleeve must be rolled up NOT pulled up Place your open hands on opposing sides of the inverted liner gaiter or sleeve By lightly pressing your hands against the liner gaiter or sleeve and sliding your hands up the liner gaiter or sleeve will unroll Do not grab the top edge and pull This will stretch and potentially damage the liner gaiter or sleeve To remove any trapped air bubbles place your hands on the sides of the liner and lightly slide them from the bottom of the liner to the top a few times Roll the sheath over all but the top 2 5 cm of
4. kly seasonal fluctuations due to such things as alterations in your diet or the weather The Fit Kit will help you to adjust for these fluctuations Finally most people observe a slow volume loss over several months or years as the tissues gradually shrink So after a number of months or years you may find you need to use an extra spot sheath and or sock on a permanent basis Contact your Prosthetist to discuss getting a new socket when you have to routinely wear more than three of these fillers sheaths spots or socks to keep the liner marks visible and maintain a snug comfortable fit 11 Caring for the Harmony System 12 Caring for your skin Your skin is the most important element in the Harmony System To keep it healthy check your limb every time you use and remove the system Talk to your Prosthetist if you see any signs that the skin is irritated such as red marks To maintain skin health we recommend applying a small amount of lubricant such as Derma Prevent 453H12 each day before putting on your system Use a dollop about the size of a nickel Caring for your liner Create a routine by picking a time of day such as right before you go to bed to thoroughly examine and wash your liner Carefully inspect your liner for tears or abrasions that may allow air to escape If you see such problems you may be losing vacuum Use a replacement liner and contact your Prosthetist See the Maintaining Vacu
5. n 3 fillers sheaths spots and or socks How to Add a Spot or Sock Place all spots half socks and full socks between the liner and the sheath The sheath prevents the spot from blocking the hole in the bottom of the socket and prevents lint from the socks from clogging the filter located in the hole Steps 1 Remove the sheath 2 Place the spots socks over the end of the liner 3 Roll the sheath over the spots socks and liner It is perfectly normal for your limb to lose volume when you first begin using the Harmony System Expect it to take 2 6 weeks for your residual limb to stabilize and lose excess fluids As volume is lost you may need to add spots and socks to keep the two marks on the liner visible at the edge of the socket and to restore the snug comfortable fit At the end of this 2 6 week volume stabilization period your Prosthetist will switch you to a permanent socket With a stable limb volume you will discover that the Harmony System will minimize daily volume loss This means that the two marks on the liner will stay even with the edge of the socket and the snug comfortable fit will last all day If the limb noticeably loses volume during the day your system probably has a vacuum leak Use the Troubleshooting table A Note about Volume Loss in this brochure to eliminate the leak This is usually just a matter of replacing the sleeve Another change you may occasionally see is wee
6. ost vacuum in the system or had volume changes in your residual limb To improve fit 1 First make sure you have vacuum and restore it if needed To determine whether you have vacuum see the previous Vacuum Check section If you don t have vacuum use the Troubleshooting table or contact your Prosthetist to restore it If you re sure you have vacuum but still don t have proper fit you may have lost volume in your residual limb When your residual limb loses volume it creates a void between the limb and socket which can create a sensation of pressure To resolve this issue you may have to fill the void with socks or polyurethane spots Fit Kit Items OS Spots small 1 medium 2 Sheaths 2 half 2 full To compensate for limb volume loss e Begin by adding just an Ottobock Spot to the end of your liner If this improves the fit but not completely remove the spot and try a half sock You may try other combinations of spots and half socks e If adding the spots and half socks made the pressure or discomfort worse try using a full sock instead If this improves the fit but not completely try a combination of 1 spot and 1 full sock or 1 half sock and 1 full sock Feel free to experiment using other combinations of spots and socks until the marks on your liner are Adding Spots and Socks visible and your limb feels snug and comfortable Contact your Prosthetist if you have to use more tha
7. ottobock User s Guide Welcome Welcome to the Harmony System The Harmony System provides a superb connection to the prosthetic socket maintains limb volume to limit pressure points on the limb and offers you outstanding proprioception or feel for the prosthesis To keep the Harmony System working as well as possible it s important that you take appropriate care ofthe Harmony System and also maintain limb and skin health Table of Contents This User s Guide will take you step by step through several aspects of Harmony System care including putting the system on and taking the system off caring for your skin liner and sleeve maintaining vacuum and fit and troubleshooting any other issues that may arise If you have any questions or concerns not addressed in this brochure please contact your Prosthetist Putine om Your VSC ii rs rasa dado aa 4 Taking Off Your SV Merece rr esa 6 Maintaining Vacuum xx liana dais MIR gear seen enter har 8 EIER lee errar ee a ee ee een 9 Adding Spots and SOCKs 0 4 0004 4 000 iaia de ei 10 A Note about Volume LOSS 2240444 respirar aaa eisen 11 Caring for the Harmony System 0 ccc cc cece cece eee eeaee 12 Troubleshooting cepas arenas Ed aiii aes 14 Liner Protects your limb Sheath Makes it easy to slide into socket and creates an airspace for the vacuum Socket Your connection to the prosthesis Gaiter Protects the sleeve from the socket ed
8. ry time you put on your system Take 20 40 steps to create vacuum in your system After about 10 minutes check the following issues 1 Is the sleeve pulled in sharply at the socket edge 2 Do you feel well connected to the socket 3 Does your leg feel relatively light in weight If you answer Yes to all three questions and a snug comfortable fit is maintained all day you probably have good vacuum If you lose the snug comfortable fit within the first hour you probably have lost vacuum If you think you may have lost vacuum look through the Troubleshooting section of this pamphlet or contact your Prosthetist Socket No vacuum h Vacuum Avoiding leaks The most important thing you can do to avoid leaks is to protect your sleeve If you bump your sleeve against a hard object such asa chair or table leg it can create a hole in the sleeve and the system will leak Avoid kneeling on hard surfaces and bumping against hard objects If this is difficult to do for example if you have a job that requires kneeling contact your Prosthetist for advice on how to protect the sleeve such as having a protective slip cover made Sleeve Sleeve Pulled Down by Vacuum Maintaining Fit If you notice any changes in the fit of your Harmony System that your leg feels heavy that the liner marks are not visible or that you have unusual pressure on your residual limb you may have l
9. the tapered gaiter over the top of the socket Confirm that the gaiter is approximately 1 2 5 cm below the two dips on the back of the socket Affix the gaiter to the socket by using vinyl or electrical tape Tape circumferentially around the entire socket Installing a new sleeve 1 Pull the narrow end of the tapered sleeve over the gaiter and socket It should extend at least 2 5 cm below the bottom of the gaiter Attach sleeve to socket with a Velcro band or with vinyl or electrical tape making sure the connection is tight to attain a good seal Step 2 Attach Velcro band Step 1 gt Troubleshooting Problem Reason Solution Leave the top 2 5 cm of the liner uncovered by the sheath Apply a thin layer of lubricant to the top 2 5 cm of the liner You didn t use Velcro strap or tape p p Apply Velcro strap or tape around the bottom of the sleeve around bottom of sleeve Make sure you have vacuum before taking the following steps Limb pressure or discomfort Add a spot If it helps but doesn t resolve the issue try two spots or a combination of spots and half socks and or The limb has lost volume If the spots half socks made the problem worse try a full sock Liner marks are below with a spot or half sock top of socket If the problem isn t resolved contact your Prosthetist for assistance Red marks on stump The limb has lost volume See
10. um and Fit sections of this brochure or contact your Prosthetist Clean the liner inside and out with a non allergenic skin friendly soap such as Ottobock Derma Clean 453H10 and a clean cloth Do not use alcohol or bleach and avoid scented soaps You can clean the liner in the shower with your normal soap if it is non allergenic and unscented Dry your liner with a towel When ordering a new liner it s a good idea to keep your old liner as a back up d Caring for your sleeve and gaiter 1 vir Check the smooth side of your sleeve every day for tears or holes Stretch the sleeve to make holes more visible If you see a hole contact your Prosthetist to obtain a replacement sleeve Hand or machine wash the inside and outside of your sleeve as well as your liner on a weekly basis Use water and a non allergenic soap such as Ottobock Derma Clean 453H10 if washing by hand or normal laundry soap if washing by machine The sleeve can be dried in a clothes dryer or left to air dry If the inside of the sleeve feels tacky you may dust it lightly with baby powder You should have at least 2 good sleeves on hand since sleeves need to be washed and dried weekly and replaced when damaged Also keep a replacement gaiter Contact your Prosthetist to order sleeves or gaiters Step 1 Tape BEN Steps 2 amp 3 Installing a new gaiter Remove old gaiter and tape Pull the narrow end of
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