Otto Bock ROBO-WRIST Instructions For Use Manual page 25

ROBO-WRIST Questionnaire
Request authorization using the manufacture contact information below
before sending in your ROBO-WRIST for service or repair. Complete the
following questionnaire and include it with your shipment.
1. How long ago did you get the ROBO?
2. Is the Web Assembly inside the laminating collar
grey colored?
3. Has the Wrist Joint been kept neat & clean?
4. Is there any dust, dirt or grime visible?
5. Does the ball tension change by turning the
Tension Ring clockwise & anti-clockwise?
6. Does the Ball unlock and move freely when
pushing the Actuating Button all the way in?
7. After pushing the Actuating Button all the way in,
does the Actuator Assembly stay down unless
the Actuating Button is depressed again?
8. Does the Ball lock when pushing the Actuating
Button only half way in?
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
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