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Otto Bock Genium 3B1-3 User Instructions

Otto Bock Genium 3B1-3 User Instructions

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User Instructions
General Information
The information given is essential for safe
usage
Instructions for use (IFU) with patient
information and safety instructions
(646D1282*)
Non-compliance with safety instructions
can lead to malfunctions of the knee joint
and possible risks to the end-user
Changes or modifications to the system
components are not permitted
User instructions | Genium 3B1-3 | Academy |
02.11.2018
| © Ottobock
1

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Summary of Contents for Otto Bock Genium 3B1-3

  • Page 1 Non-compliance with safety instructions can lead to malfunctions of the knee joint and possible risks to the end-user • Changes or modifications to the system components are not permitted User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 2 Feedback signals:  Vibration signals  Acoustic signals • Do not ignore unexpected feedback signals (check prosthetic function) • Volume and tone (pitch) can be adjusted with X-Soft User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 3 After that, a beep signal indicates correct switching (1, 2 or 3 beeps) • Switching back into basic mode is always possible 1x/2x/3x Audio signals indicate the 3x/4x in 40 % weight chosen mode 1 sec User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 4 (3x vibration usually indicates an exceeded service Only charge with the AXON interval) tube adapter connected User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 5 5 LEDs = 90% and more  4 LEDs = 70-90%  3 LEDs = 50-70%  2 LEDs = 30-50%  1 LEDs = 10-30%  0 LEDs = 0-10% User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 6 Basic Mode (e.g. in a MyMode Charging feedback plus) doesn’t indicate a • the volume is set to “0” in X-Soft system error! • the Mute mode is activated in Cockpit App User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 7 Charger is connected to the knee joint, good Purple Charging status indicator connection and pulsing charging Charger has been Continuous All five LEDs off disconnected green User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 8 Poor connection c) 3rd LED illuminated Charger fault (error may be rectified by Flashing red Error code for service reconnecting the power supply) User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 9 24 h 25 % 3x long vibration signal approx. 6 h 10 % 5x long vibration signal 10 x long vibration and beeping signal User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 10 (after 2 minutes the knee joint switches into the energy saving mode). • In both cases, certain sensors are deactivated • If the knee joint leaves the sitting/power saving position, all sensors are automatically reactivated User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 11 Depending on the type and severity of the error different levels of residual functionality are offered • Residual functionality The knee joint remains in the safety state until the error is corrected User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 12 An error is displayed with at least 5 long beeps and 5 slow pulsing vibration signals • Stairs and Obstacles function, Auto Stance function, Sitting function and OPG are always deactivated! User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 13  Connect and disconnect the charger to restart the knee joint (possible to do this multiple times). If the error remains, please contact the OB helpline • Empty battery User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 14 Loss of the AXON tube adapter Severe error • Loss of one or more sensor(s) Total failure • Insufficient or no electrical functionality Andauernd Drained battery ≤ 5% Overheating mode Every 5 seconds User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 15 Triggering stance release is possible due to the other sensor groups • No PreFlex, no OPG, no possibility to switch into a MyMode (walking comparable with C-Leg 3) User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 16 CPO in X-Soft and adjusts gradually in case of an error (within max. 10 seconds) • With a low resistance, the knee joint has to be actively secured at heel strike User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 17 Use of the knee joint is not permitted anymore • Potentially the joint has to be actively secured at heel strike See your CPO • Stance release is not possible immediately! User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 18 With a low resistance, the joint has to be actively secured at heel strike • No stance release possible In the case of a drained battery, the prosthesis switches back to basic mode after the battery is charged! User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 19: Overheating Mode

    • Consequence → User has to walk slowly • Reduce activity until the hydraulics have cooled down • OPG, PreFlex, sitting and stance function are still available User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 20: Mute Mode

    If the joint switches into a different MyMode it will do so without any warning • Activation via app (or remote control) • Deactivation via app (or remote control) or attaching the charger User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 21 (no Preflex behavior present) • Criteria: • Extended Knee • Loaded with more than 160% of bodyweight • Fast forward rotation • High knee extension moment User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 22 50 – 60 times (have the knee joint in basic mode, but it is not necessary to have it under load). Start with the knee fully extended and flex to at least 90 degrees. User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 23 When connecting with X-Soft, the “Maintenance” tab opens automatically and displays a service message The knee joint has to be sent to an authorized Ottobock service center by the CPO! User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 24: Switching Off Bluetooth

    “visible” anymore and Bluetooth has to be made visible again • If desired, Bluetooth can be deactivated in the app by the user User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 25 Charger Information No action required disconnected; Service is due Warning Action is required soon Error Action is required immediately Battery status 25% Battery status 10% Battery status 5% User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 26 Error AXON tube adapter (not connected or Error Action is required immediately defective) Every 60 seconds 1x short, 1x long Severe error Every 3 seconds Total failure Continuous User instructions | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 27 Genium) NEW: „Increasing“ • The stance flexion resistance increases as knee flexion angle increases (starting from the adjusted value)  User feels more support while sitting down User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 28  If flexion resistance is correctly adjusted, the user feels well supported with an adequate sitting speed User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 29: Sitting Function

    Higher comfort while sitting  Easy re-positioning of the feet  More comfortable kneeling & standing up from the floor  Sitting function can be deactivated via X-Soft User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 30: Stance Function

    Use both legs during activities of daily living – relieve the contralateral limb – Stance function  Intuitive Stance function (= Default setting)  Deliberate Stance function (Has to be enabled via X-Soft) User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 31 Automatic activation if:  Prosthetic knee flexed  Slightly loaded  No movement  The knee joint locks in the flexion direction  Provides security due to full foot contact User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 32 Try to activate the Stance function on a decline or uneven ground  User is always standing with full foot contact  Can start walking directly out of the Stance function User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 33 OR forward movement / rotation of the lower leg  Moving forward over the flexed knee joint – the knee joint will yield with smooth flexion resistance (e.g. on stairs or slopes) User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 34 • Anyhow the initial feeling of a locked knee joint can lead to insecurity.  The following exercise is essential as it helps to avoid insecurity User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 35 While stepping down, guide the knee joint slightly into knee flexion (therapist)  The user realizes that the knee bends with smooth flexion resistance  Keep the residual limb relaxed × Avoid residual limb extension User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 36 The knee has to remain stable slightly longer before the knee joint is locked Deactivation • Only via knee extension or unloading of the prosthesis The Deliberate Stance function was mainly developed for bilateral amputees! User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 37 E.g. start walking with the sound side first and extend the knee. Stance release is triggered  Especially on stairs consider the need of deactivation before stepping down User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 38 User Training Walking on level ground  Stance flexion  Stance release  Walking backwards  Further exercises User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 39  Serves as a shock absorber  Relieves the Genium supports this musculoskeletal system motion via the OPG  Provides faster foot flat position User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 40  Stance release is triggered at the end of stance and happens automatically as the result of a good stance phase dynamics User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 41  All criteria have to be fulfilled and this happens Knee extension in TSt automatically as the result of a good stance phase dynamics on the prosthetic side User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 42 Stance release cannot be triggered  Good weight transmission during stance phase is not learned by the user • Strong circumduction or hip hiking can also hinder stance release User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 43 Safety • Maximum safety when walking backwards even after loading the forefoot  You can just walk backwards and step on the forefoot  The knee stays safe User training | Genium 3B1-3 | Academy | | © Ottobock 02.11.2018...
  • Page 44  Everyday life example: Change from lighter shoes to heavier boots The Genium can not adapt to different heel heights automatically! User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 45 Combination of different speeds with direction changes  Train on different surfaces  The user feels that the foot is always in the correct position before heel strike  This provides security! User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 46 User Training Yielding control on stairs & ramps New adjustment possibilities User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 47 One of these options is selected by the CPO in X-soft  Although the user feels the difference, it doesn´t affect the training for walking downhill / downstairs User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 48 (shallow / steep)  At the end of the yielding step a “mini stance release” is triggered (= sub-swing)  This provides more toe clearance during swing phase User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 49 At the end of the yielding step a “mini stance release” is triggered  Recommended for bilateral users and in general for those who like to have more support  More support till the end of the yielding step User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 50 User Training Use both legs during activities of daily living – relieve the contralateral limb – Walking on slopes  Walking uphill  Walking downhill Yielding Stance release User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 51  Moving the center of mass forward is much easier.  Encourage the user to allow knee flexion after heel strike × Avoid circumduction & hip hiking User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 52  Small steps are easier in the beginning  Keep an upright body position × Avoid residual limb extension!  Test various inclinations & walking speeds User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 53 Train walking on various shallow slopes, as “daily life is not even”   Thanks to the Genium control on declines with OPG, it´s much easier for the user to walk downhill User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 54 User Training Use both legs during activities of daily living – relieve the contralateral limb – Walking on stairs  Walking downstairs  Stairs & Obstacle function User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 55 – Knee remains straight, load prosthesis – Allow knee flexion on the prosthetic side while stepping down with the sound side × Avoid extension of the residual limb! User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 56 Step to step, focus on: – Foot placement – Sufficient load on prosthesis – Allowing knee flexion on prosthetic side Step over step (alternating steps) – Actively support foot placement if necessary User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 57 • This enables the user to step up by using the hip extensor muscles  A good socket fit and sufficient force with the residual limb is required User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 58 (e.g. re-positioning of the foot)  Backward rotation of the lower leg (shank) • In this case, the user has to trigger the function again by the movement pattern User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 59 To better learn the movement, a sheet of paper placed under the foot should be whipped backwards  The goal is to perform the pattern with the smallest effort possible User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 60 • The center of mass (pelvis) is moving forward and upward • If necessary, support the patient by guiding the pelvis and the knee joint User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 61 Move the prosthesis over the obstacle and load it  Knee remains locked in the flexion direction • Step over with the contralateral leg • Vary the size / number / distance of the obstacles User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 62 User Training Walk-to-run  Detection  Training User training | Genium 3B1-3 | Academy | 11/2/2018 | © Ottobock...
  • Page 63 AND high knee extension moment  Bigger knee flexion angle in swing phase  Fast swing phase extension Walk-to-Run has to be released anew with every single step User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 64 Create a safe training environment and secure the user • Start walking and increase the walking speed up to slow running • Focus on: – Even steps, but not too long User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 65 From a Standing position: – Practice an even arm swing – Running position: slight forward lean of the body while keeping the hips extended and the trunk upright User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 66 Excessive „jumping“ on the prosthesis is not necessary! • Train outside as soon as the user feels secure enough – Ideally train on an even grassy surface or a track User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 67 User Training MyModes  New Options  Switching methods Motion pattern Cockpit App User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 68 • In the interaction between prosthetic practitioner, therapist and user, individual activities can be identified so that the prosthetic practitioner can program a suitable MyMode via X-Soft User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 69 •Patient Evaluation & Training | Academy Vienna | 08.05.2015 Load dependent lock in Brake knee knee flexion direction Stance release within Swing phase initiation the MyMode plus possible User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 70 For knee extension and / or knee flexion a locking angle can be adjusted: – E.g. possible to only allow movement between 10 - 30° of knee flexion  e.g. for snowboarding, horse riding User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 71 E.g. this is necessary before switching back into the Basic Mode via movement pattern  If the knee is flexed again even a little bit, the extension locking angle is active again User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 72 Be careful when choosing the following combinations: • Locked knee joint in full extension + swing initiation function • Brake knee joint + swing initiation function • Extension locking angle + swing initiation function User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 73  If the knee flexes after heel strike, the locking angle is active again – stance release is not possible! User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 74: Switching Methods

    Switching back uses the same pattern • Direct switching between the MyModes is not possible Always check if the desired mode has been activated! 1x long 1x/2x/3x short User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...
  • Page 75 (Apple App Store or Google Play Store) • Direct switching between the MyModes is possible • In general, the MyModes have to be programmed in X-Soft by the prosthetic practitioner User training | Genium 3B1-3 | Academy | 02.11.2018 | © Ottobock...

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