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Reha Technology Armotion User Manual

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Armotion™
User Manual

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Summary of Contents for Reha Technology Armotion

  • Page 1 Armotion™ User Manual...

  • Page 2: Table Of Contents

    FCC compliance ......................12 Components ................. 13 Overview ........................13 Operation of Armotion ..............20 Switching on the Armotion ..................20 Starting the Armotion ....................21 The Armotion Software ..............23 Starting the Software ....................23 Navigation in ARMOTION Software ................24 Patient File .........................
  • Page 3 Exercise “Coins” ....................34 7.4.4 Exercise “Car racing” ..................36 7.4.5 Exercise “Memory” .................... 37 7.4.6 Exercise “Dish Washing” ..................39 7.4.7 Scoring and results ..................... 41 Maintenance ................47 Cleaning the Armotion ....................47 Annual Maintenance Check ..................48 Disposal ..................48...

  • Page 4: Introduction

    The manual contains all the information necessary in order to ensure the safe use of the Armotion. This manual is intended for the use of the software version 1.2 and its subversions. In case there are software updates performed new user manuals are distributed if required.

  • Page 5: Explanation Of Symbols

    The symbols and signal words are used in order to point to hazards that can cause accidents, injuries or property damage. The instructions must be observed in order to ensure the safe use of the Armotion. This combination of symbol and signal word points to an imminent danger that may lead to death or serious injury if not avoided.

  • Page 6: Warranty And Liability

    • impedes the installation and commissioning of the device by physical or legal persons certified by the manufacturer of the device or the manufacturer itself, • does not contact Reha Technology AG to provide assistance and repairs in case of defect and/or does not take actions to minimize damage, •...

  • Page 7: Copyright Protection

    Changes or modifications to this unit not expressly approved by the party responsible for compliance could void the user’s authority to operate the equipment. Defects which cannot be traced directly to Reha Technology by means of improper material quality, faulty construction or assembly as well as defects caused by factors outside the control of Reha Technology are excluded from warranty and liability regulations.

  • Page 8: The Armotion

    The substantial reduction in size, its portable and compact design and state of the art technology makes the Armotion an easy to use device for the rehabilitation of the upper extremities. The wireless connection to the computer, the rechargeable batteries and the short and simple setup and quick start of therapy further contribute to an optimized allocation of the hospitals resources on a daily routine.

  • Page 9: Manufacturing And Optimization

    Armotion™ Patients exhibiting deficits in the range of motion and strength of the shoulder and elbow with or without minor cognitive deficits related to recognition, find the use of Armotion an innovative solution for a prompt functional recovery. 2.2 Manufacturing and Optimization The Armotion was designed and developed by Humanware S.r.l.

  • Page 10: Safety Instructions

    The Armotion is a medical device according to CE class 2a and therefore it shall be used with a prescribed physical therapy.

  • Page 11: Contraindications

    Accidents and injuries due to ignorance and misuse • Read the user manual NOTICE Any additional and / or different use of the Armotion is prohibited and is considered to be improper. 3.2 Contraindications As it is the case with any other therapy, the treating physician is responsible for compliance with the indications.

  • Page 12: Spasticity Management

    (i.e conventional muscle stretching, muscle reinforcement, physical agent and pain management techniques) prior to the training on Armotion. When spams or alteration of the tone are observed during the therapy on Armotion, it is recommended to stop the therapy by pressing one of the emergency stop.

  • Page 13: General Hazards

    To guarantee the safety of the patient of the operator and the device itself, and in order to guarantee safe and successful therapy on the patient, the use of Armotion is allowed only after having carefully read this instruction manual.

  • Page 14: Specifications

    15°, + 40 °C Humidity: 0% - 75 % relative humidity NOTICE The stationing of the device is limited to clean, dry rooms. NOTICE The Armotion may only be under the supervision of a medical specialist. Page 11 of 49...

  • Page 15: Fcc Compliance

    Explosion hazard when used in areas of danger of explosion! The Armotion can provoke explosion by means of electric power supply components. • The Armotion may not be used in areas of danger of explosion, zones AP and APG according to IEC 60601-1:1990.

  • Page 16: Components

    • One height adjustable table • One rubber working surface with encoded optical tracks • An emergency stop “fungus” (connected to the Armotion) • Three different handles • One PC and monitor (or all-in-one PC depending on the country of use) •...
  • Page 17 User Manual - Version 1.7 Armotion™ The working surface provides an optical encoding allowing the Armotion to find its position at any time. The working surface is also equipped with safety edges to prevent accidental falls of the Armotion. Main Switch...
  • Page 18 For safety reason, the robot is equipped with an acoustic indicator that emits a variety of sounds when in use The picture above shows the Armotion as a whole. The Armotion interacts with a PC using dedicated software. Communication with the PC is done via Bluetooth.
  • Page 19 • Evaluate the progresses out of the overall therapies sessions • Retrieve logged data for off-line analysis The Armotion system can be used with three different handles, depending on the needs and capabilities of the patient. • 2 horizontal handles, i.e. parallel to the work surface •...
  • Page 20 User Manual - Version 1.7 Armotion™ • Page 17 of 49...
  • Page 21 User Manual - Version 1.7 Armotion™ Page 18 of 49...
  • Page 22 User Manual - Version 1.7 Armotion™ To replace a handle just extract it from its seat - pull up perpendicular to the floor until you pass the seals - and replace with the desired handle. Possibly you can prevent rotation of the hand pieces with respect to support for the patient's arm, where this is more convenient for the patient.

  • Page 23: Operation Of Armotion

    When pressed these switches cut off power to the motors, blocking the motion of the device. The emergency stops are mounted on the sides of the Armotion, and the user can stop the motion of the device at any time.

  • Page 24: Starting The Armotion

    2. Make sure that one of the emergency shutdown system is pressed 3. Launch the software 4. Do not touch or load the handle and then turn on the Armotion through the main switch 5. Release the emergency switch (i.e. make sure they are all released)
  • Page 25 Restart the procedure using the following order: - Press the Emergency Button on the Armotion - Make sure that the Armotion is still turned on (acoustic signal sound active) - Close the Hydra Pronta Window by pressing the small x is the top right...

  • Page 26: The Armotion Software

    NOTICE The Armotion is delivered with the software already installed. Risk of injury to the patient The Armotion and the ARMOTION software may only be started if the device is set up in a stable position. 7.1 Starting the Software Launch the application by double-clicking on the desktop icon of the Armotion software.

  • Page 27: Navigation In Armotion Software

    User Manual - Version 1.7 Armotion™ Once started, the Armotion software opens the patient file. You can create a new patient file or select a patient who is already stored in the database. Once the patient file is selected or created, the therapy can start.

  • Page 28: Patient File

    User Manual - Version 1.7 Armotion™ Each tab is associated to a specific command, making it easy to navigate through the functions that the software provides. • Patient File: allows to manage the patient database and patient selection • Exercises: allows to define the training mode •...
  • Page 29 User Manual - Version 1.7 Armotion™ Use the “patient search” button to search and select an existing patient file. Enter search values such as name, surname or place of birth. Page 26 of 49...
  • Page 30 User Manual - Version 1.7 Armotion™ Create a new patient by clicking on the button “new patient” and insert the patient information. Page 27 of 49...

  • Page 31: Exercises

    User Manual - Version 1.7 Armotion™ 7.4 Exercises After having selected the patient click on “Exercises” and select the training mode: • Tracks: it requires the patient to follow the given trajectories • Coins: it requires the patient to grab the coins and bring them back to the centre of the work plan •...

  • Page 32: Parameters Common To All Exercises

    7.4.1 Parameters common to all exercises 7.4.1.1 Auto mode: passive therapy option Continuous passive movement. Speed: choose from the options Slow, Normal or Fast to determine the speed of the armotion when in auto mode. 7.4.1.2 Normal Mode: active assistive therapy option Active-assistive mode compensates the difficulties of the patient by a self-initiation of the movement.

  • Page 33: Exercise "Tracks

    Armotion NOTICE When in Auto mode the Armotion leads the patient passively over the given trajectory. When in auto mode the setting stiffness, weight and viscosity cannot be adjusted.Run the Armotion in auto mode and show the patient how to do the exercise correctly.
  • Page 34 User Manual - Version 1.7 Armotion™ A counter shows the number of the remaining laps, the partial lap time being, the best lap time among those made during the therapy session and the time elapsed since the beginning of the training.
  • Page 35 User Manual - Version 1.7 Armotion™ Position: mirror the trajectories -letter D and track-, taking them from the right or to the left of the patient. Even the trajectories - eight and oval - have variants side designed to facilitate their execution with the right or left arm.
  • Page 36 User Manual - Version 1.7 Armotion™ Page 33 of 49...

  • Page 37: Exercise "Coins

    If the patient fails to achieve the goal or crashes or is still too slow is therefore helped by the Armotion. When on auto mode the exercise is passively driven by the Armotion. Page 34 of 49...
  • Page 38 User Manual - Version 1.7 Armotion™ The following settings can be adjusted according to the patient’s clinical condition and the intended outcome of the therapy session: Number of repetitions: allows defining the number of rounds in order to complete the exercise...

  • Page 39: Exercise "Car Racing

    User Manual - Version 1.7 Armotion™ 7.4.4 Exercise “Car racing” In this therapy mode the patient is required to chase the computer along one of the given trajectories. The controls and the scoring is otherwise equivalent to the tracks exercise.

  • Page 40: Exercise "Memory

    In this therapy mode the patient is required to make an association between two objects The exercise starts when the Armotion is brought to the centre of the work plan. At this point, after a brief countdown, the patient can go to any of the icons and pausing for 1 second the cursor circle pencil icon to indicate that it has been selected.
  • Page 41 User Manual - Version 1.7 Armotion™ At the end of the therapy session, a scoring system is shown as previously described. Page 38 of 49...

  • Page 42: Exercise "Dish Washing

    User Manual - Version 1.7 Armotion™ 7.4.6 Exercise “Dish Washing” The “dish washing” therapy mode simulates the movement of the daily life of washing the dishes. Click on the icon “dishes” and set the following: Page 39 of 49...
  • Page 43 User Manual - Version 1.7 Armotion™ Number of repetitions: allows defining the number of rounds in order to complete the exercise Side: select left or right arm In this exercise, the patient is requested to accomplish the following tasks: • Move the first dirty plate from the stack of plates on the right shelf to the sink- central •...

  • Page 44: Scoring And Results

    User Manual - Version 1.7 Armotion™ 7.4.7 Scoring and results All exercise offer a score at the end of the game and detailed results are available directly after the game has been finished or at a later point from the results overview.
  • Page 45 User Manual - Version 1.7 Armotion™ Finally, the weighted sum is multiplied by a factor of 10 to obtain a score between 0 and 10. • between 0 and 4, the test is considered NOT sufficient • above 4 and up to 6, the test is considered to be sufficient •...
  • Page 46 • Power Consumption: shows the distribution of energy consumed between patient and robot • Trajectory : shows the trajectory of the armotion while performing the exercise • Forces : Shows the forces of interaction between patient and the armotion as recorded during the exercise Page 43 of 49...
  • Page 47 User Manual - Version 1.7 Armotion™ • Jobs: shows the work done by the patient and by the robot , in the direction tangent to the path and in the perpendicular Page 44 of 49...
  • Page 48 User Manual - Version 1.7 Armotion™ • Time alone: shows a box plot relative to the time when the user has been active (time not spent in automode ) • Distance in autonomy: shows a box plot on the distance travelled by patient autonomy (...
  • Page 49 User Manual - Version 1.7 Armotion™ • Scores: multiplication table summarizing the numerical values of the results o  degree of autonomy of the patient calculated on time o  degree of autonomy of the patient calculated on the job o ...

  • Page 50: Maintenance

    Improper maintenance can cause serious damage on the device or injury to the patient and therapist. • Repairs and maintenance, beside the procedures described in this manual, may only be performed by staff of Reha Technology AG or personnel trained and authorized by Reha Technology AG. 8.1 Cleaning the Armotion If not requested, carry out the cleaning in regular intervals by a moistened cloth and hot water or disinfectant.

  • Page 51: Annual Maintenance Check

    User Manual - Version 1.7 Armotion™ The Armotion consists of parts made aluminium, PVC and delrin covered by paint. To clean and disinfect them (after every therapy session) please always use agents which are tolerated by the finish (see notice above).
  • Page 52 User Manual - Version 1.7 Armotion™ Reha Technology AG Industriestrasse 78 4600 Olten SWITZERLAND E-Mail: info@rehatechnology.com Internet: www.rehatechnology.com Published December, 2014 Original language: English Page 49 of 49...

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