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Summary of Contents for THERA-Trainer LYRA
- Page 1 THERA-TRAINER LYRA USER MANUAL English translation of original user manual 0297...
- Page 2 THERA-Trainer lyra – User manual Art. No.: A006-242_Rev 03 – Last update: CW26/2019...
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Page 3: Thera-Trainer Lyra Overview
THERA-Trainer lyra – User manual THERA-Trainer lyra overview Right Left Plate binding Light barrier Screen Screen power button Left wing Sliding doors to step length settings (left and right) Handrail Cable Handwheel Crank Display Main switch Release button Wheelchair button... -
Page 4: Foreword
Further information about the intended use of the THERA-Trainer lyra can be found in chapter 13 of this user manual. Carefully reading this user manual and taking part in the product training given by our expert suppliers are conditions for starting up the Thera-Trainer lyra. -
Page 5: About This User Manual
THERA-Trainer lyra – User manual About this user manual To ensure safe and optimum use of the THERA-Trainer lyra, this user manual refers to the following symbols: A warning is an important safety measure that you must follow. Ignoring warnings may cause significant damage to health. - Page 6 The personal needs of patients must be clarified in advance with the relevant medical professional, who also assumes all responsibility for the patient’s use of the THERA-Trainer lyra. The therapy parameters must be established by the medical professional.
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Page 7: Table Of Contents
THERA-Trainer lyra – User manual Contents THERA-Trainer lyra overview ................3 Foreword ......................4 About this user manual .................5 Contents ......................7 1. Important operating instructions .............9 2. Safety and dangers ................10 3. Overview of the training process ............14 4. Switching on the THERA-Trainer lyra ............15 5. Settings....................17 Step length ..................17 Handrail .....................18 Body weight support .................19... - Page 8 16.2 Functional testing ................56 16.3 Maintenance and repairs ..............57 16.4 Safety checks ..................58 16.5 Electromagnetic compatibility ............59 16.6 Economic life of the THERA-Trainer lyra..........59 16.7 Disposal of the THERA-Trainer lyra ...........59 Appendix A: Technical data ................60 Appendix B: Symbols ..................68 Appendix C: Warranty ..................71 Appendix D: List of accessories ..............72...
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Page 9: Important Operating Instructions
THERA-Trainer lyra – User manual 1. Important operating instructions The THERA-Trainer lyra was developed and tested for operational safety in accordance with the latest state of the art practices. This user manual is an essential part of the THERA-Trainer lyra. The information contained here is required to ensure correct use of the equipment. -
Page 10: Safety And Dangers
2. Make this user manual available to all individuals who will be operating the THERA-Trainer lyra. 3. Only qualified service personnel are allowed to install the THERA-Trainer lyra. 4. The use of multiple sockets is not permitted. 5. An extension cable of a maximum length of five metres may be used. - Page 11 28. If the harness system or THERA-Trainer lyra components exhibit signs of wear and tear, the device must not be used for training. 29. If the THERA-Trainer lyra does not pass one of the criteria listed in table 4 in chapter 16, it must not be used for training.
- Page 12 33. No changes or modifications to the THERA-Trainer lyra are permitted unless expressly approved in writing by the manufacturer. 34. The THERA-Trainer lyra must not be set up in the immediate vicinity of or stacked with other appliances. If it is necessary to operate the THERA-Trainer lyra in the vicinity of or stacked with other appliances, monitor it to ensure correct operation, depending on how the devices have been arranged.
- Page 13 CHAPTER 2 THERA-Trainer lyra – User manual 49. Only start the training session when both feet are placed correctly in the plate bindings and are secured. 50. Only start the training session if the harness system is correctly attached and secured.
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Page 14: Overview Of The Training Process
Transferring the patient from the THERA-Trainer lyra Switching off the THERA-Trainer lyra Table 1 gives you an overview of the setting adjustments that can be made to a THERA-Trainer lyra that is switched on, and those that can be made when it is switched off. Table 1: Changing the settings... -
Page 15: Switching On The Thera-Trainer Lyra
5. Follow the on-screen instructions in the correct order: • Ensure that no one is standing in the direct vicinity of the plate bindings. • Press the release button. The THERA-Trainer lyra will now initialise. Warning: After pressing the release button, the plate bindings start moving. - Page 16 You can then access the Settings screen display (see chapter 8.2). Please note: The THERA-Trainer lyra has an automatic monitoring system, which checks the state of operational readiness after switching on. Art. No.: A006-242_Rev 03 – Last update: CW26/2019...
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Page 17: Settings
CHAPTER 5 THERA-Trainer lyra – User manual 5. Settings This chapter outlines the various settings on the THERA-Trainer lyra. 5.1 Step length Step length is the distance between the furthest forwards and backwards position of the heel in one step curve. The step length to be selected depends on the height, gait speed and functional impairment of the patient. -
Page 18: Handrail
Please note: The therapy session can only be started when both sliding doors are fully closed and you have pressed the release button (see chapter 12). Please note: The step lengths set on the THERA-Trainer lyra are automatically added to the software settings. 5.2 Handrail During transfers and therapy sessions, patients can hold on to and lean against the handrails. -
Page 19: Body Weight Support
CHAPTER 5 THERA-Trainer lyra – User manual 5.3 Body weight support The body weight support feature enables training for patients who cannot (yet) carry their own body weight. The body weight support feature can be set to be either dynamic or static. For the dynamic body weight support feature, the supported weight swings with the vertical shift of the body as the patient walks, giving him constant support set to the required weight in all gait phases. -
Page 20: Type Of Body Weight Support
CHAPTER 5 THERA-Trainer lyra – User manual 5.3.2 Type of body weight support The type of body weight support is set by adjusting the height of the bar. To set the bar to the correct height, the patient must wear the harness system, stand upright on the plate bindings and attach the harness system to the bracket. -
Page 21: Foot Binding
CHAPTER 5 THERA-Trainer lyra – User manual Static Dynamic No support Please note: Make sure that the bar height is set correctly for the entire therapy session. Warning: The harness system is a safety device to prevent the patient from falling. Even if the patient does not need any body weight support, it must be worn at all times and attached to the bar. - Page 22 CHAPTER 5 THERA-Trainer lyra – User manual Securing the foot bindings: The patient is properly secured when his shoe is at the front of the binding and securely fastened. 1. Help the patient climb into the foot bindings. 2. Put the heel strap around the heel and pull the...
- Page 23 CHAPTER 5 THERA-Trainer lyra – User manual Warning: Ensure that there are no loose shoelaces, foot- binding and clothing ties or straps for the entire duration of the therapy session, as these may get caught in the plate bindings or in the plate binding openings in the casing.
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Page 24: Harness System
(see chapter 5.3). The following harness system has successfully passed the compatibility test for the THERA-Trainer lyra and the manufacturer recommends using it as an accessory for training: • Multi Sling 25105 (Human Care, Stockholm, Sweden) Warning: The selection and use of a specific harness system is the sole responsibility of the medical professional. - Page 25 CHAPTER 6 THERA-Trainer lyra – User manual To guarantee maximum comfort, ensure that: • The harness system is positioned at the correct height and symmetrically on the upper body. • The harness system is securely fastened in the pelvic area, reducing pressure in the leg harnesses and making the weight support feature more pleasant.
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Page 26: Transferring The Patient To The Thera-Trainer Lyra
This chapter outlines two methods for safely transferring patients to the THERA- Trainer lyra. The first method is suitable for patients who can take a few steps on their own (see chapter 7.1), while the other is for wheelchair users (see chapter 7.2). - Page 27 CHAPTER 7 THERA-Trainer lyra – User manual Please note: Make sure that the patient’s head does not collide with the bar. 5. Help the patient place his or her first foot into the foot binding and secure it in place (see chapter 5.4).
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Page 28: Wheelchair-Dependent Patients
1. Make sure that you are on the Settings screen. Warning: Switch to the Therapy session screen if the patient is ready to begin training on the THERA-Trainer lyra. This prevents an accidental start while transferring the patient. 2. Fit the harness system to the patient (see chapter 6). - Page 29 CHAPTER 7 THERA-Trainer lyra – User manual Please note: Only open the wing as far as necessary to allow the wheelchair to enter. For increased safety, the left handrail should still be within the patient’s reach. Art. No.: A006-242_Rev 03 – Last update: CW26/2019...
- Page 30 CHAPTER 7 THERA-Trainer lyra – User manual 5. Wheel the patient right up to the plate bindings and apply the breaks on the wheelchair. 6. Secure the harness system to the bar. Please note: Make sure that the patient’s head does not collide with the bar.
- Page 31 CHAPTER 7 THERA-Trainer lyra – User manual 7. Place the patient’s feet in the foot bindings and fasten them (see chapter 5.4). Please note: Do not fully tighten the left foot binding, as the left plate binding is turned away slightly due to the open wing.
- Page 32 9. Set the bar to the correct height (see chapter 5.3.1). 10. Release the brakes on the wheelchair and remove it from the THERA-Trainer lyra. 11. Press the wheelchair button and close the left wing. 12. Press the release button.
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Page 33: Operating The Software
CHAPTER 8 THERA-Trainer lyra – User manual 8. Operating the software This chapter explains how to operate the software and outlines the settings you can make. 8.1 General The power button on the screen starts up the system. The system is operated via a touchscreen. -
Page 34: Checking The Step Length
THERA-Trainer lyra – User manual 8.2.1 Checking the step length The step lengths set on the THERA-Trainer lyra (see chapter 5.1) are automatically added to the software settings and displayed on the left side of the screen. Please note: The step length display is solely for the purpose of checking. -
Page 35: Speed
CHAPTER 8 THERA-Trainer lyra – User manual 8.2.3 Speed Use this slider to set the speed. You can choose between two units: steps/min. or km/h. 1. Select the required unit. Press for steps/min. for km/h. 2. Move the slider to set the required speed. -
Page 36: Therapy Session
CHAPTER 8 THERA-Trainer lyra – User manual Please note: You can set the duration to unlimited by moving the slider right up to the top. Unlimited duration is represented by the ∞ symbol. Please note: If you choose the unit steps or distance in kilometres, the maximum duration (except unlimited) depends on the step length that has been set. -
Page 37: Distance And Time Display
CHAPTER 8 THERA-Trainer lyra – User manual 8.3.2 Distance and time display Distance: The distance is given in metres and number of steps taken. Distance can be displayed in one of two ways: as distance covered or as distance remaining. The system is initially set to display the distance covered. -
Page 38: Adjusting Speed
CHAPTER 8 THERA-Trainer lyra – User manual Please note: The symbol then changes to . The distance covered and the time that has elapsed is displayed by pressing Please note: If you have set the duration to unlimited, the remaining time/distance display is unavailable. -
Page 39: Session Summary
CHAPTER 8 THERA-Trainer lyra – User manual 8.4 Session summary The Session summary screen displays a rundown of the completed therapy session. Art. No.: A006-242_Rev 03 – Last update: CW26/2019... -
Page 40: Structure Of Therapy Sessions
• The THERA-Trainer lyra training parameters and settings have been set correctly for the patient. • Nobody is immediately in front of or behind the plate bindings. - Page 41 CHAPTER 9 THERA-Trainer lyra – User manual Table 1 gives you an overview of the setting adjustments that can be made when the THERA-Trainer lyra is switched on, and those that can be made only when it is switched off. Table 1: Changing the settings...
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Page 42: Ending The Session
THERA-Trainer lyra – User manual 9.2 Ending the session The THERA Trainer lyra automatically stops once the session has come the end of its duration. The plate bindings return to their start position. But you can also stop the training session at any time: 1. -
Page 43: Emergency Stop
CHAPTER 9 THERA-Trainer lyra – User manual 9.5 Emergency stop Both pillars of the THERA-Trainer lyra are fitted with emergency stop buttons to bring the machine to an immediate stop in case of emergency. Unlike the standard stop function via or one of the stop buttons on the handrails, this brings the trainer to a stop as quickly as possible. -
Page 44: Transferring The Patient From The Thera-Trainer Lyra
This chapter outlines two methods for safely transferring patients from the THERA- Trainer lyra. The first method is suitable for patients who can take a few steps on their own (see chapter 10.1), while the other is for wheelchair-dependent patients (see chapter 10.2). - Page 45 CHAPTER 10 THERA-Trainer lyra – User manual Please note: Press before opening the wing. When one of the wings is open, this triggers an error message on the screen (see chapter 12). The option for adjusting the plate binding is therefore inactive.
- Page 46 9. Ensure that the patient is sitting in the wheelchair in accordance with the specifications of the wheelchair manufacturer. Release the brakes and reverse the wheelchair out of the THERA Trainer lyra. 10. Remove the harness system from the patient.
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Page 47: Switching Off The Thera-Trainer Lyra
Settings and press Yes to confirm. 2. Press the main switch on the THERA-Trainer lyra. This step is normally carried out in the evening, after the last therapy session. Art. No.: A006-242_Rev 03 – Last update: CW26/2019... -
Page 48: Troubleshooting
CHAPTER 12 THERA-Trainer lyra – User manual 12. Troubleshooting This chapter outlines all possible error messages and how to deal with them. If an error occurs, the safety of the training session cannot be guaranteed. Therefore new training sessions cannot be started and sessions that are already underway are stopped with an emergency stop. - Page 49 2. Press on the right in the navigation bar. light barrier. Error no. 7: 1. Switch off the THERA-Trainer lyra at the main switch. Communication between the software 2. Transfer the patient out of the THERA-Trainer lyra. and THERA-Trainer lyra is interrupted. 3. Shut down the software using on the left in the navigation bar.
- Page 50 Please note: It is not necessary to remove the patient from the THERA-Trainer lyra while rectifying errors 1 – 6. If the error resulted in an emergency stop during a therapy session, the plate bindings return to the original position after the release button has been pressed and you can continue with the therapy session.
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Page 51: Intended Use
CHAPTER 13 THERA-Trainer lyra – User manual 13. Intended use 13.1 Purpose The THERA-Trainer lyra is intended for gait rehabilitation, offering body weight support for patients with limited mobility, caused by cerebral, spinal or neurogenic disorders. 13.2 Medical indications The THERA-Trainer lyra can be used by patients with neurological conditions, including: • Strokes... -
Page 52: Foreseeable Misuse
CHAPTER 14 THERA-Trainer lyra – User manual 14. Foreseeable misuse The THERA-Trainer lyra is not suitable for: • Diagnosis • Measurements • Monitoring • Competitive sports 14.1 Contraindications The following contraindications must be taken in account: • Body weight > 150 kg • Height < 100 cm or > 195 cm • ... -
Page 53: Instructions For Using The Harness System
15.1 General The general safety regulations below must be followed to ensure the safe use of harness systems in the THERA-Trainer lyra: • Carefully read the harness system’s user manual. Do not use the harness system for any purpose other than that described in the user manual. -
Page 54: Other Harness Systems
CHAPTER 15 THERA-Trainer lyra – User manual 15.3 Other harness systems It is possible to use harness systems other than the Multi Sling 25105. Please ensure that your chosen harness system has been tested for gait rehabilitation purposes with body weight support for patients with limited mobility. The harness system must be approved for a maximum weight of 150 kg, it must also fit the patient’s height, and it must be securely fastened to the bar of the THERA-Trainer... -
Page 55: Maintaining The Thera-Trainer Lyra
You can easily carry out the checks and cleaning yourself. The THERA-Trainer lyra must be cleaned only with a damp cloth. Use ordinary soapy water or, if necessary, an alcohol-based disinfectant such as Meliseptol®... -
Page 56: Functional Testing
16.2 Functional testing A functional test must be carried out approximately once a month depending on how frequently the THERA-Trainer lyra is used. You can easily carry out the functional tests yourself. The individual stages of a functional test are outlined in Table 4. -
Page 57: Maintenance And Repairs
4, it must not be used for training. Contact the trained supplier immediately. 16.3 Maintenance and repairs A proper maintenance of the THERA-Trainer lyra must be carried out once a year. Maintenance work and any repairs must be carried out by qualified service personnel. -
Page 58: Safety Checks
16.4 Safety checks The THERA-Trainer lyra is a Protection Class II device with Type B application parts (handrails, plate bindings with foot bindings). Safety-related checks must be carried out annually by qualified service personnel in accordance with the provisions of the manufacturer. -
Page 59: Electromagnetic Compatibility
A. 16.6 Economic life of the THERA-Trainer lyra The THERA-Trainer lyra is designed to have an economic life of 10 years. The economic life of the THERA-Trainer lyra is dependent on the correct use of the equipment and proper maintenance procedures. Certain components are subject to wear and tear. -
Page 60: Appendix A: Technical Data
The THERA-Trainer lyra is a protection class ll electrical device as regards the safety measures for prevention of an electric shock. The insulation of the internal shielding and all of the internal wiring connected to the wires and parts which can be touched, feature two protection measures. - Page 61 APPENDIX A THERA-Trainer lyra – User manual Warning: The THERA-Trainer lyra must not be set up in the immediate vicinity of or stacked with other devices. If it is necessary to operate the THERA-Trainer lyra in the vicinity of or stacked with other devices, monitor the THERA-Trainer lyra to ensure it operates correctly according to how the devices have been arranged.
- Page 62 APPENDIX A THERA-Trainer lyra – User manual Handrail height (from the plate 82 cm – 106 cm (+/- 2 cm) bindings in the start position) Drive motor 2 servo motors Power consumption 230 V ~, 50 – 60 Hz, 3.15 A Fuse T 3.15A L 250 VAC...
- Page 63 THERA-Trainer lyra – User manual Table A.2: Directives and manufacturer’s declaration – Electromagnetic emissions The THERA-Trainer lyra is designed for operation in an electromagnetic environment as described below. The customer or operator of the THERA-Trainer lyra should make sure that it is operated in such an environment. Interference emission...
- Page 64 THERA-Trainer lyra – User manual Table A.3: Directives and manufacturer’s declaration – Electromagnetic immunity The THERA-Trainer lyra is designed for operation in an electromagnetic environment as described below. The customer or operator of the THERA-Trainer lyra should make sure that it is operated in such an environment. Emission immunity...
- Page 65 APPENDIX A THERA-Trainer lyra – User manual Table A.3: Directives and manufacturer’s declaration – Electromagnetic immunity Emission immunity IEC 60601 test level Level of conformity Electromagnetic tests environment - guide Magnetic field at 3 A/m 30 A/m Magnetic fields at mains supply frequency frequency should (50/60 Hz) in correspond to the typical...
- Page 66 If the field intensity measured at the site where the THERA-Trainer lyra will be used exceeds the conformity levels listed above, it should be observed in order to check that it is working as intended. If any irregular performance characteristics are exhibited, it may be necessary to take additional measures such as changing the position or location of the THERA-Trainer lyra.
- Page 67 The THERA-Trainer lyra is designed for operation in an electromagnetic environment with controlled HF emissions. The customer or the user of the THERA-Trainer lyra can help to prevent electromagnetic interference by maintaining the minimum distance between portable and mobile HF telecommunication devices (transmitters) and the THERA-Trainer lyra, as indicated below, depending on the output power of the telecommunication device.
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Page 68: Appendix B: Symbols
APPENDIX B THERA-Trainer lyra – User manual Appendix B: Symbols Table B.1: Symbols in the user manual A warning that indicates a danger which may be damaging to health. A note informing about useful information. Table B.2: Screen symbols Continue Shut down software... - Page 69 APPENDIX B THERA-Trainer lyra – User manual Table B.2: Screen symbols Stop or end training session Displays the distance covered or elapsed time Displays the remaining distance or remaining time Increase speed Decrease speed Go to Therapy session screen Go to Session summary screen Go to Settings screen Art.
- Page 70 APPENDIX B THERA-Trainer lyra – User manual Table B.3: Symbols that do not belong to the THERA-Trainer lyra Serial number Alternating current IP Protection class IP20 Protection against the entry of solid objects at > 12.5 mm in diameter, no protection against water (in accordance with IEC 60529).
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Page 71: Appendix C: Warranty
THERA-Trainer lyra – User manual Appendix C: Warranty The manufacturer issues a manufacturer’s warranty for THERA-Trainer lyra, on the assumption that the appliance is handled with due care and in accordance with statutory provisions. Based upon the date of delivery. -
Page 72: Appendix D: List Of Accessories
APPENDIX D THERA-Trainer lyra – User manual Appendix D: List of accessories Harness system • Multi Sling 25105 (Human Care, Stockholm, Schweden,http://hu- mancaregroup.com/en/produkter/ taklyftar/lyftselar/lyftselar-vuxen/ multisele-25105 or • Other harness systems Warning: If another harness system is used other than the Multi Sling 25105, the requirements stated in chapter 15 must be adhered to. -
Page 73: Glossary
GLOSSARY THERA-Trainer lyra – User manual Glossary The harness-system lifting straps are attached to the bar. Body weight support The body weight support feature enables training for patients who cannot yet support their own body weight. The amount of body weight support to be used depends on the body weight and functional impairment of the patient. - Page 74 THERA-Trainer lyra – User manual Harness system The harness system is a compulsory accessory for training on the THERA-Trainer lyra. It facilitates training with body weight support and is intended to prevent the patient from falling. Left wing The left wing can be opened so that the patient can be wheeled directly to the plate bindings in his wheelchair.
- Page 75 GLOSSARY THERA-Trainer lyra – User manual Step length Step length is the distance between the furthest forwards and backwards position of the heel in one step curve. The step length to be selected depends on the height, gait speed and functional impairment of the patient. You can set the step lengths between 39 –...
- Page 76 MANUFACTURER: ® THERA-Trainer a trademark of medica Medizintechnik GmbH Blumenweg 8 88454 Hochdorf Germany Tel: +49 7355-93 14-0 Fax: +49 7355-93 14-15 E-mail: info@thera-trainer.de Internet: www.thera-trainer.de Article no.: A006-242_Rev 03 Last update: CW26/2019 See www.thera-trainer.de for declarations of conformity...
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