Page 1 Kenevo 3C60 Introduction V 1.4 Global Academy...
Page 2 Those who walk very slow, but always follow the right path, can get much further than those who run and get carried away. René Descartes Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 3 2. Basic functions 3. Activity modes 4. Component selection 5. Alignment and adjustment 6. User instructions 7. Service and warranty concept 8. User training 9. Cockpit App Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 4 (e.g. default stance) • Most functions are the result of specially developed technologies and algorithms (e.g. Stumble recovery plus, activity modes, wheelchair function, intuitive bicycle ergometer function) Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 5 Battery / knee angle sensor Inertial Motion Unit (acceleration sensors and gyroscope) Main electronics Hydraulic Servo-electronics Inductive charger Tube stop Tube clamp Ankle moment / Axial load sensor Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 6 The intelligent AXON tube adapter has an integrated micro processor • Sensor data is continuously processed • Measurement of: −Axial load −Ankle moment • Manual calibration necessary! Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 7 Knee angle (+ angular velocities) • Inertial Motion Unit (IMU) – 3D Gyroscope – 3D Acceleration sensor • Ankle moment and axial load sensor – Axial load – Ankle moment Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 8: Technical Overview
(recommended to Prox. 3C60=ST: 23 mm charge every night) IP22 Maximum user Water (protected against 125 kg / 275 lbs weight: protection: dripping water, not corrosion resistant) Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 9 Introduction Technical overview A-P width when flexed 90° 5° 70 mm 125° Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 10 Introduction Technical overview Minimum build height Maximum build height Insertion depth Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 11 Introduction Technical overview Minimum distal system height Maximum distal system height Insertion depth Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 12 Introduction Activity modes (set by the CPO) Locked knee joint Yielding knee joint Semi locked knee joint Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 13: Basic Functions
Function sitting down / features function standing up (A/B/B+) In general • Always active • Created for mobility grades 1 + 2 • Intuitive to engage Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 14 • The user is optimally supported during the individual phases of mobility Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 15 Stance phase Swing phase The knee joint is locked in every phase of gait (no swing phase possible) and ensures full weight bearing, especially for tentative users. Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 16 10° Stance phase Swing phase During stance phase the joint is locked. Stance is released late in terminal stance to allow knee flexion during swing phase. Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 17 During stance phase, slight flexion of the knee joint is allowed (up to 10°). Stance is released late in terminal stance to allow knee flexion during swing. Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 18 During stance phase, slight flexion of the knee joint is allowed (up to 10°). Stance is released in terminal stance to allow knee flexion during swing. Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 19: Functional Overview
Supported sitting down / standing up (active in all modes) Sitting function + Wheelchair lock (optional in all modes) Bicycle ergometer function (optional in all modes) Donning function Standing function Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 20 • Additional support during walking down on stairs and ramps → Increasing stance flexion resistance → This causes a slower and more controlled walking down Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 21 Inductive charging (also possible through textile) • Integrated Bluetooth • Lower build height → Usage of more functional prosthetic feet • Lower weight than other MPKs Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 22 Cockpit App for Android and iOS: − Available for Android and Apple devices − Switch MyModes − Limited changes to adjustments − Battery level indicator − Status indicator Cockpit Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 23 Improved outcomes • More stability for maximum user acceptance and perceived safety • Safety strategies • Low weight • Additional Kenevo Protector • Reduction of compensatory movement Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 24 Allows certified therapists to adjust settings of the Kenevo − Change of activity modes (A, B, B+, C) − Adjust stance phase flexion resistance − Adjust additional functions Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 25 Secure – changes in settings go along with appropriate training exercises • Efficient – optimal use of training time • Saving of time for CPO and therapist Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 26 Users with hip disarticulation or hemipelvectomy (7E7, 7E9, 7E10=*) • Combination with osseointegration implant system • Maximum knee angle: 125° • Up to 125 kg (275 pounds) of body weight Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 27 • Specific attention must be paid to the references in the instructions for use regarding osseointegration! Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 28 Possible usage of a cosmesis or the Kenevo Protector • Better integration into the individual’s own body image • Reduction of walking aids • Relief of hands, arms and the contralateral side Introduction | Kenevo 3C60 | Prosthetic | Global Academy | 19.10.2020 | © Ottobock...
Page 29 2. Basic functions 3. Activity modes 4. Component selection 5. Alignment and adjustment 6. User instructions 7. Service and warranty concept 8. User training 9. Cockpit App Basic functions | Kenevo 3C60 | Prosthetic | Global Academy | 08.11.2018 | © Ottobock...
Page 30: Basic Functions
(A/B/C) • Sitting function (A/B/C) • Wheelchair function (A/B/C) • Intuitive stance function (C) • Intuitive bicycle ergometer function (A/B/C) • Safety features (A/B/C) | © Ottobock Basic functions | Kenevo 3C60 | Prosthetic | Global Academy | 08.11.2018...
Page 31 • After one-time flexion or after applying load on the prosthesis, the knee joint switches back to the chosen activity mode (A/B/B+/C) Basic functions | Kenevo 3C60 | Prosthetic | Global Academy | 08.11.2018 | © Ottobock...
Page 32 Flex the knee joint in a single, fluid motion • Donning of the prosthesis If the flexion motion is interrupted, the knee joint locks again in flexion direction Basic functions | Kenevo 3C60 | Prosthetic | Global Academy | 08.11.2018 | © Ottobock...
Page 33 (see following slides) following slides) • Flexion of the knee • The shank lowers joint against the automatically caused stance flexion by its self-weight resistance Basic functions | Kenevo 3C60 | Prosthetic | Global Academy | 08.11.2018 | © Ottobock...
Page 34 • Motion change from this position also possible locks in flexion direction and opens (sitting down ↔ standing up) when the user wants to continue Basic functions | Kenevo 3C60 | Prosthetic | Global Academy | 08.11.2018 | © Ottobock...
Page 35 • In the last phase of standing up (45°- 0°), the flexion is locked to support the user (safety feature) | © Ottobock Basic functions | Kenevo 3C60 | Prosthetic | Global Academy | 08.11.2018...
Page 36 Tilt angle of the shank close to the seat) • Force behavior → The flexion resistance progressively increases as the flexion angle increases 15 – 70% Body weight | © Ottobock Basic functions | Kenevo 3C60 | Prosthetic | Global Academy | 08.11.2018...
Page 37 → The shank lowers automatically caused by its self-weight → Sitting down with an extended leg causes a higher load on the contralateral side | © Ottobock Basic functions | Kenevo 3C60 | Prosthetic | Global Academy | 08.11.2018...
Page 38: Sitting Function
Sitting function activated: flexion Extended battery runtime and extension resistance significantly reduced → Sitting function deactivated: extension resistance significantly reduced • Energy-saving mode during sitting Basic functions | Kenevo 3C60 | Prosthetic | Global Academy | 08.11.2018 | © Ottobock...
Page 39 Easy deactivation (lift the shank or • Back to sitting function without larger effort apply toe load) • Extended battery runtime • Energy-saving mode remains active Basic functions | Kenevo 3C60 | Prosthetic | Global Academy | 08.11.2018 | © Ottobock...
Page 40 (e.g. tapping against a wall) • the prosthetic foot has to be lifted slightly (e.g. by means of the contralateral side) | © Ottobock Basic functions | Kenevo 3C60 | Prosthetic | Global Academy | 08.11.2018...
Page 41 Safe, intuitive start of walking independent of wants to move on or sit down starting with the contralateral or prosthetic side → Kenevo switches back to the adjusted stance flexion resistance Basic functions | Kenevo 3C60 | Prosthetic | Global Academy | 08.11.2018 | © Ottobock...
Page 42 Locked knee adjusted stance flexion resistance joint in when a forward or backward tilt of flexion the shank is detected → Start walking or siting down | © Ottobock Basic functions | Kenevo 3C60 | Prosthetic | Global Academy | 08.11.2018...
Page 43 • behavior The knee joint switches immediately back to the adjusted activity mode as soon as the knee flexion is <15° Basic functions | Kenevo 3C60 | Prosthetic | Global Academy | 08.11.2018 | © Ottobock...
Page 44 Pay attention for enough knee flexion. Kenevo will switch back to the adjusted activity mode as soon as the knee angle is less then 15°. Basic functions | Kenevo 3C60 | Prosthetic | Global Academy | 08.11.2018 | © Ottobock...
Page 45 • In case of overheating/drained battery, the knee • Safety modes (drained battery, joint switches to the safety mode severe error, overheating mode) Basic functions | Kenevo 3C60 | Prosthetic | Global Academy | 08.11.2018 | © Ottobock...
Page 46 In case of a stumble event, a very high flexion resistance is available • Risk of falling is reduced • Additional psychological confidence for the user | © Ottobock Basic functions | Kenevo 3C60 | Prosthetic | Global Academy | 08.11.2018...
Page 47 Bump against an obstacle with the prosthetic foot → Very high stance flexion resistance which prevents the shank from swinging backwards → User can load the prosthesis | © Ottobock Basic functions | Kenevo 3C60 | Prosthetic | Global Academy | 08.11.2018...
Page 48 Reduced stance extension resistance • No stance release possible In the case of a drained battery, the prosthesis switches back to basic mode after the battery is charged! | © Ottobock Basic functions | Kenevo 3C60 | Prosthetic | Global Academy | 08.11.2018...
Page 49 Only in Mode C: • Increased stance flexion resistance → • Result User must walk slower down ramps/stairs Reduce activity until the hydraulics have cooled down! | © Ottobock Basic functions | Kenevo 3C60 | Prosthetic | Global Academy | 08.11.2018...
Page 50 3. Activity modes 4. Component selection 5. Alignment and adjustment 6. User instructions 7. Service and warranty concept 8. User training 9. Cockpit App Explanation of activity modes | Kenevo 3C60 | Prosthetic | Global Academy | 17.12.2020 | © Ottobock...
Page 51 Activity modes Overview activity modes Set by the CPO and dependent on the user’s individual mobility B/B+ 10° Locked mode Yielding mode Semi-locked mode Explanation of activity modes | Kenevo 3C60 | Prosthetic | Global Academy | 17.12.2020 | © Ottobock...
Page 52 Mode A: Locked Mode 10° Stance phase Swing phase Target group • Low residual limb control • Very short walking distances • Mainly sitting lifestyle Explanation of activity modes | Kenevo 3C60 | Prosthetic | Global Academy | 17.12.2020 | © Ottobock...
Page 53 Basic functions are always active (Intuitive stance function → only in Mode C) Functional benefits Technical realization • • No stance release Easy to control • No unexpected movements Explanation of activity modes | Kenevo 3C60 | Prosthetic | Global Academy | 17.12.2020 | © Ottobock...
Page 54 Mode B: Semi-Locked Mode (without stance phase flexion) 10° Stance phase Swing phase Target group • Moderate residual limb control • Short indoor/ outdoor walking distances Explanation of activity modes | Kenevo 3C60 | Prosthetic | Global Academy | 17.12.2020 | © Ottobock...
Page 55 • Swing flexion without control phase • • Swing extension automatically Maximum gait speed ~3 km/h (2 controlled mph) • Harmonic swing extension Explanation of activity modes | Kenevo 3C60 | Prosthetic | Global Academy | 17.12.2020 | © Ottobock...
Page 56 • Forward inclination of the shank • Forward rotation Due to the Inertial Motion Unit (IMU) walking backwards safely is possible! | © Ottobock Explanation of activity modes | Kenevo 3C60 | Prosthetic | Global Academy | 17.12.2020...
Page 57 In Mode B the swing phase is initiated when the loading of the prosthesis in terminal stance reaches the maximum (100%) and is then reduced to 90% | © Ottobock Explanation of activity modes | Kenevo 3C60 | Prosthetic | Global Academy | 17.12.2020...
Page 58 Users who value stance flexion movement while walking • Short to middle outdoor walking distances • Users who are unsafe on polycentric knees (risk of uncontrolled flexion under load) Explanation of activity modes | Kenevo 3C60 | Prosthetic | Global Academy | 17.12.2020 | © Ottobock...
Page 59 Stance release in late stance phase • Swing flexion without control • Maximum gait speed ~3 km/h (1.8 mph) • Swing extension automatically • Harmonic swing extension controlled Explanation of activity modes | Kenevo 3C60 | Prosthetic | Global Academy | 17.12.2020 | © Ottobock...
Page 60 <10° • Forward inclination of the shank • Forward rotation Due to the Inertial Motion Unit (IMU) walking backwards safely is possible! | © Ottobock Explanation of activity modes | Kenevo 3C60 | Prosthetic | Global Academy | 17.12.2020...
Page 61 (100%) and is then reduced to 90% (analogous to Mode B) | © Ottobock Explanation of activity modes | Kenevo 3C60 | Prosthetic | Global Academy | 17.12.2020...
Page 62 Swing phase Target group • Moderate control of residual limb • User can control more challenging terrain • Short to middle outdoor walking distances Explanation of activity modes | Kenevo 3C60 | Prosthetic | Global Academy | 17.12.2020 | © Ottobock...
Page 63 Dynamic gait pattern with high safety • Swing extension automatically controlled • Maximum gait speed ~3 km/h (1.8 mph) • Harmonic swing extension Explanation of activity modes | Kenevo 3C60 | Prosthetic | Global Academy | 17.12.2020 | © Ottobock...
Page 64 (Stumble Recovery Plus) Due to the Inertial Motion Unit (IMU) walking backwards safely is possible! Explanation of activity modes | Kenevo 3C60 | Prosthetic | Global Academy | 17.12.2020 | © Ottobock...
Page 65 Activity modes Summary initiation threshold Mode B/B+ and C Mode B/B+ Late stance reelase Earlier stance release | © Ottobock Explanation of activity modes | Kenevo 3C60 | Prosthetic | Global Academy | 17.12.2020...
Page 66 Does the user accept a stance phase flexion of 10°? • Is the user able to control a yielding knee joint? B/B+ (10° Yielding Mode Semi-Locked Mode Locked Mode Explanation of activity modes | Kenevo 3C60 | Prosthetic | Global Academy | 17.12.2020 | © Ottobock...
Page 67 Is the user able to walk alternatingly? B/B+ Possible reasons: • Prosthetic alignment (10° • Gait training necessary • Physiological or psychological reasons Locked Mode Semi-Locked Mode Explanation of activity modes | Kenevo 3C60 | Prosthetic | Global Academy | 17.12.2020 | © Ottobock...
Page 68 Possible reasons: • Reduced stump control • Gait training necessary • Feeling of insecurity (10° Semi-Locked Mode Semi-Locked Mode (with stance phase flexion) Explanation of activity modes | Kenevo 3C60 | Prosthetic | Global Academy | 17.12.2020 | © Ottobock...
Page 69 Is the user able to control a yielding knee joint? Possible reasons: • Reduced stump control • Not enough mobility (10° • Feeling of insecurity Semi-Locked Mode Yielding-Mode (with stance flexion resistance) Explanation of activity modes | Kenevo 3C60 | Prosthetic | Global Academy | 17.12.2020 | © Ottobock...
Page 70 2. Basic functions 3. Activity modes 4. Component selection 5. Alignment and adjustment 6. User instructions 7. Service and warranty concept 8. User training 9. Cockpit App Component selection | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 71: Component Selection
Knee joint 3C60 with pyramid connector − Combination with several adapters • Long residual limb version − Knee joint 3C60=ST with screw top connector − Combination with several lamination anchors Component selection | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 72 Prosthesis passport + card holder 4X441-V*=Andr Android Cockpit App for download 4X441-V*=IOS iOS Cockpit App for download ----------- Instructions for use (qualified personnel) ----------- Instructions for use (user) Component selection | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 73 AXON tube adapter 2R20 and 2R21 with torsion unit can be used It´s not possible to combine a 2R17 tube adapter with a Genium knee joint Component selection | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 74 Max. 472 mm • Distance knee Distal build height (with axis to ground torsion unit) Min. 288 mm • Max. 504 mm • Build height foot Component selection | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 75 Distance knee axis = 314 mm to ground • e.g.: Trias 1C30 (size 30) → Minimum distance of knee center - ground = 384 mm Component selection | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 76 Component selection Choice of different hip joints 7E10 Helix 3D The Kenevo can be combined with these hip joints: 7E7, 7E9 and 7E10. manual Component selection | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 77 4R104 4R57 4R41 / 4R43 / 4R89 4R111 / 4R116 DO NOT adapt distally! 4R84 Usage ONLY proximal 4R40 4R118 4R119 the knee joint! Component selection | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 78 A complete list of all approved feet is documented in the instructions for use. The current restrictions regarding foot size and user weight have to be manual considered! Component selection | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 79 BionicLink PC 60X5 are necessary • Full K-Soft 1.6 compatibility with Windows 7 (64 Bit) and Windows 10 4X440=* (64 Bit) • Automatic configuration of Bluetooth connection 60X5 manual Component selection | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 80 AC adapter (not in scope of delivery) must deliver a minimum of 2.5 Ampere otherwise, the charging time extends or the charging process does not start manual Component selection | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 81: Optional Components
• Charging access when using a one- piece cosmesis (3S26) by means of the charging shaft (4X634) und toolset (4X633) 4X840 3S26 manual 4X634 4X633 Component selection | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 82 Main Protector Unit can be donned and doffed by the amputee • Charging the knee joint is possible with mounted Protective Cover (also through clothing) manual Component selection | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 83 Protective places all must not collide. If the Cover collides with the Cover. around the prosthetic foot, shorten the Protective Cover Cover again. manual Component selection | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 84 (4X634) • For a correct position of the slot in the cosmesis, the toolset (4X633) can be used 3S26 manual Component selection | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 85 3. Activity modes 4. Component selection 5. Alignment and adjustment 6. User instructions 7. Service and warranty concept 8. User training 9. Cockpit App Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 86: Alignment And Adjustment
‘K-Soft’ • Enter username and Unlock- → At first login, an individual password must be entered • Start screen of K-Soft appears Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 87 Clicking this icon opens a link to an adapter type (with / without instructional video on the internet torsion unit, Kenevo tube adapter) Technician Video! Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 88 Use estimate of possible ground distance distance for knee disarticulation! (= MTP + 20 mm) • Note both cutting length and insertion length Without shoe! Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 89 Alignment and adjustment Cutting the AXON tube adapter ‚NO CUT‘ marking at 340 mm! It is not allowed to cut below the „NO CUT“- marking! Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 90 Notice: Make sure that no metal flakes or saw dust remain in the cable plug. If necessary, carefully clean the plug with compressed air. Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 91 • Coil the protruding cable and push it gently into the tube adapter • The printed scale must face anteriorly after assembly Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 92 It is not allowed to use the double adapter 4R84 between the tube adapter and the prosthetic foot! 4R84 Fasten the tube clamp screw with exactly 7 Nm! Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 93 • The knee joint will beep and vibrate once to indicate it is ready for basic mode operation Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 94 • Clear error: − Connect the tube adapter − Attach and remove charger (triggers a reset/self-test) → wait for confirmation via feedback signals Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 95: Activating Bluetooth
Kenevo is available • If no connection occurs within the time frame of 2 minutes, Bluetooth is not active anymore and has to be activated again Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 96 Once established, the connection icon turns green (mouseover effect: shows serial number) • Confirmed by a flashing LED on the knee joint and a feedback signal Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 97 Bluetooth; when using the recently connected knee joint, a connection is also possible after two minutes Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 98 Alignment and adjustment Entering basic data in K-Soft • This data is the basis for the prosthetic control and the alignment recommendation Be precise and careful! Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 99 Entering basic data in K-Soft • The red marked fields show an error if the basic data were not entered Be precise and careful! Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 100 • This changed factory setting is a measure to improve fitting quality and safety for the user CPO Video! Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 101 • Body weight with prosthesis* • Distance from knee center to ground* • Amputation level • Foot type • Foot size* Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 102 Entering basic data in K-Soft • K-Soft provides a recommended stance flexion resistance → Recommendation is based on an improved algorithm • Recommendation can be accepted or rejected Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 103 Thomas-test and enter in K-Soft • Determine the effective heel height of the used shoe by means of the tool (heel height measuring instrument 743S12) Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 104 Bring the residual limb carefully down until the lumbar spine lifts-off → Make sure that the residual limb does not go into an abduction • Measure contracture in degrees Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 105 Draw a line through both points to the top of the socket • Find IT level and mark it on the line • Socket reference point = IT level + 30 Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 106: Bench Alignment
The benefits of Kenevo can only be optimized with a precise bench alignment Caution: An inappropriate static alignment cannot be optimized through changed resistance values in the software! Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 107 Basic alignment with K-Soft and assembly tool • PRO.S.A / L.A.S.A.R Assembly • Alignment recommendation • Assembly without shoe Maintain the alignment recommendations at all times! Technician Video! Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 108 • Alignment recommendation • Assembly with shoe and heel height (heel wedge = 5 mm) Foot middle, not shoe middle is essential! Technician Video! Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 109 Necessary alignment optimizations (e.g. in case of a hip flexion contracture) have to be compensated within an acceptable range using an adapter authorized by the implant manufacturer! Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 110 3 times • Disconnect the tube adapter, shorten the tube, smooth the cut edge, connect the cable again and refresh the data in K-Soft Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 111 If there is contact even with mounted flexion stops a spacer/bumper must be placed on the socket to generate enough distance between socket and hydraulics Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 112 When assembling tighten the screws to 0.6 Nm (torque wrench 710D21) and secure the screws with thread lock (636K13) Do not insert screws without flexion stops! Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 113 (e.g. 710D4) Tube adapter- distal Tube clamp screw Knee pyramid- proximal Screws above rotation adapter (4R57) Tighten the screws before the user loads the prosthesis! Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 114 → Ensure that the prosthesis is completely unloaded The Kenevo must be calibrated again after ANY changes of alignment! Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 115 Foot has to be unloaded! Technician Video! It is grossly negligent to manipulate or ignore the calibration instructions. An incorrectly calibrated knee joint leads to safety risks! Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 116 2 cm lateral of middle of knee joint • The prosthetic side should be loaded with at least 35% of body weight Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 117 (Measurement with both feet • Weight line (measurement with both feet) • If variation is ≤ 15 mm = OK (only slight ≤ 15 mm compensation present) Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 118 The user must be in a stable standing position or sitting when changing these parameters • Desired mode (A/B/B+/C) is set by the CPO Technician Video! Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 119 Only Mode B+: • Verification of stance flexion resistance when walking on level ground (walking with stance flexion) and on shallow ramps Technician Video! | © Ottobock Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016...
Page 120 • Try out recommended value • If necessary, adjust the value that sitting down is comfortable for the user Adjustment range with Cockpit App Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 121 Selection of additional functions – A/B/B+ • Locking function for wheelchair • Intuitive bicycle ergometer function • Donning function • Sitting function Technician Video! | © Ottobock Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016...
Page 122 The user must be in a stable standing position or sitting when changing these parameters • Desired mode (A/B/B+/C) is set by the CPO Technician Video! Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 123 Adjustment of stance flexion resistance for: − Walking (with stance flexion) − Sitting down − Downstairs − Walking down a ramp (shallow + steep) Technician Video! Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 124 Adjustment range with Cockpit App Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 125 This causes a slower and more controlled walking down → Especially bilateral TF and users with higher need for security are well suited for this option Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 126 • Intuitive bicycle ergometer function • Deactivation of the intuitive stance function (e.g. for gait training on stairs) • Sitting function Technician Video! Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 127 Select the language in the Cockpit App • Name of the component in the component • Transfer of the configuration to the knee joint necessary! Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 128: Cockpit App
2 sec.; if the acoustic signals Bluetooth can be turned on again are turned on, the battery permanently via the Cockpit App. status signal will be emitted) Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 129 • Exchange of values between database and knee joint Expert mode allows direct setting of all parameters, except the activity modes Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 130 The data can be If values and adjustments were changed, these transferred by clicking this parameters will be marked red in the data overview button Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 131 The saved data can possible that the be transferred to the knee joint has been knee joint by clicking set back to default this button settings Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 132: Maintenance
Alignment and adjustment Maintenance • Data of the knee joint • Overview of the last and the next maintenance Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 133 K-Soft (adjusted parameters are not influenced by this warning message) manual Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 134 • After connecting the tube adapter, a self-test has to be done by connect and disconnect the charger (temporary errors will deleted) manual Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 135 From Windows 7 it is possible to use two BionicLink PC dongles connected to one computer 2. Right Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 136 Connect to the first component with the first instance of the Example software and adjust the for bilateral settings 1. Left fitting 2. Right Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 137 • Make the further adjustments using the same procedure → Makes adjustment faster • Save both jobs when 2. Right completed Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 138 • Activity monitoring can always be deactivated by the CPO The activity measurement should only be activated after the user consents. Alignment and adjustment | Kenevo 3C60 | Prothetik | Global Academy | 12.12.2016 | © Ottobock...
Page 139 2. Basic functions 3. Activity modes 4. Component selection 5. Alignment and adjustment 6. User instructions 7. Service and warranty concept 8. User training 9. Cockpit App User Instructions | Kenevo 3C60 | Prosthetic | Global Academy | 29.01.2019 | © Ottobock...
Page 140: General Information
• Changes or modifications of system components are not permitted User Instructions | Kenevo 3C60 | Prosthetic | Global Academy | 29.01.2019 | © Ottobock...
Page 141 Important events (e.g. empty battery) are indicated with feedback signals • Feedback signals: − Vibration signals − Acoustic signals • Do not ignore unexpected feedback signals (check prosthetic function) User Instructions | Kenevo 3C60 | Prosthetic | Global Academy | 29.01.2019 | © Ottobock...
Page 142 (keep the knee joint at rest – otherwise an error could be detected) • A single vibration and beep signal indicates that the knee joint is ready for operation (3x beeping usually indicates an exceeded service interval) User Instructions | Kenevo 3C60 | Prosthetic | Global Academy | 29.01.2019 | © Ottobock...
Page 143 Power supply in the socket wall, charger not (correctly) connected to Kenevo Power supply and charger correctly connected …lights up shortly at the beginning User Instructions | Kenevo 3C60 | Prosthetic | Global Academy | 29.01.2019 | © Ottobock...
Page 144 LED on the charger… Status LED on the power supply Charging process …blinks during charging process Charging process: Battery almost completely charged …shines permanently Battery status 100% User Instructions | Kenevo 3C60 | Prosthetic | Global Academy | 29.01.2019 | © Ottobock...
Page 145 − 1x = < 20% Charging feedback • The charging status indication doesn’t work if the doesn’t indicate a charger is still attached system error! User Instructions | Kenevo 3C60 | Prosthetic | Global Academy | 29.01.2019 | © Ottobock...
Page 146 • In both cases, certain sensors are deactivated • If the knee joint leaves the sitting/power saving position, all sensors are automatically reactivated User Instructions | Kenevo 3C60 | Prosthetic | Global Academy | 29.01.2019 | © Ottobock...
Page 147 Mode C: Adjusted stance flexion resistance → High safety when dismount from the bicycle ergometer → Pay attention to the knee angle during adjusting the seat height User Instructions | Kenevo 3C60 | Prosthetic | Global Academy | 29.01.2019 | © Ottobock...
Page 148 This signals are emitted periodically in intervals during pedaling movement until the resistances in the flexion and extension direction have been reduced to the extent that the knee joint moves freely User Instructions | Kenevo 3C60 | Prosthetic | Global Academy | 29.01.2019 | © Ottobock...
Page 149 User Instructions Bicycle ergometer mode Deactivating: • Extend the knee joint • Load the prosthesis >15° User Instructions | Kenevo 3C60 | Prosthetic | Global Academy | 29.01.2019 | © Ottobock...
Page 150 After the initial connection (pairing) with the app, this procedure is no longer necessary for Kenevo • If desired, Bluetooth can be deactivated in the app by the user User Instructions | Kenevo 3C60 | Prosthetic | Global Academy | 29.01.2019 | © Ottobock...
Page 151 (possible to do this multiple times). If the error remains, please contact the OB helpline • Empty battery When receiving an error signal, stop all activities with the prosthesis immediately User Instructions | Kenevo 3C60 | Prosthetic | Global Academy | 29.01.2019 | © Ottobock...
Page 152 Overheating mode Every 5 seconds 1x short, 1x long Severe error • Loss of one or more sensor(s) or undetermined status/total failure Every 3 seconds User Instructions | Kenevo 3C60 | Prosthetic | Global Academy | 29.01.2019 | © Ottobock...
Page 153 Adjusted stance flexion resistance • 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 | Kenevo 3C60 | Prosthetic | Global Academy | 29.01.2019 | © Ottobock...
Page 154: Overheating Mode
(with increasing temperature) • Consequence → User has to walk slowly Reduce activity until the hydraulics have cooled down! Otherwise the knee joint may be damaged. User Instructions | Kenevo 3C60 | Prosthetic | Global Academy | 29.01.2019 | © Ottobock...
Page 155 If the error is present after several self-tests, the usage of the knee joint is not permitted anymore and it must be sent back to Ottobock! User Instructions | Kenevo 3C60 | Prosthetic | Global Academy | 29.01.2019 | © Ottobock...
Page 156 When connecting with K-Soft, the ‘Maintenance’ tab opens automatically and displays a service message The knee joint must be sent to an authorized Ottobock service center by the CPO! User Instructions | Kenevo 3C60 | Prosthetic | Global Academy | 29.01.2019 | © Ottobock...
Page 157 Switching the knee joint on is only possible via applying the inductive charger As long as the knee joint is switched off, the prosthesis must not be used! User Instructions | Kenevo 3C60 | Prosthetic | Global Academy | 29.01.2019 | © Ottobock...
Page 158 3. Activity modes 4. Component selection 5. Alignment and adjustment 6. User instructions 7. Service and warranty concept 8. User training 9. Cockpit App Service and warranty concept | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 159 (free loaner unit during warranty period) • An upgrade from the 3-year to the 6-year warranty package is possible (during the first 36 months) Service and warranty concept | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 160 Warranty package 3 years / 3+3 years with fixed service interval Warranty package 3 + 3 years Warranty package 3 years (SP-3C60=3+3) (SP-3C60=3) Verpflichtendes Serviceintervall Mandatory service interval Service and warranty concept | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 161 Warranty package 3 years / 3+3 years with condition based service interval Warranty package 3 + 3 years Warranty package 3 years (SP-3C60=3+3) (SP-3C60=3) Condition-based service Condition-based service Verpflichtendes Serviceintervall Mandatory service interval Service and warranty concept | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 162 24 months reached (or latest after 36 months) The maintenance intervals that are actually used depend on the country/region the CPO is located. Service and warranty concept | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 163: Warranty Conditions
No additional costs for the customer during the warranty period • Loss of manufacturer warranty − Irregular adaptation and modification − Gross negligence and intention − Missing maintenances Service and warranty concept | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 164 →USA & Canada) • Maintenances can be performed: • One month before to maximum two months after the due date (-1 / +2) Service and warranty concept | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 165 → 48 months maintenance not included • If the CPO can prove a delayed fitting date, it can be considered the starting date Service and warranty concept | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 166 Starting date is the delivery date → If the CPO can prove a delayed fitting date, it can be considered the starting date Service and warranty concept | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 167 Warranty package 3 years (SP-3C60=3): No maintenance, Maintenance and repairs included repairs not included Warranty package 3 + 3 years (SP-3C60=3+3): Maintenances and repairs included Start Service and warranty concept | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 168 Maintenance and repairs included repairs not included Condition-based service Warranty package 3 + 3 years (SP-3C60=3+3): Maintenances and repairs included Condition-based service Start Service and warranty concept | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 169 The completed Service pass has to be aintenance attached for each m • When ordering the loaner unit the cutting length of the tube adapter has to be specified Service and warranty concept | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 170 Service pass • Turn off the knee joint: → (3x connect and disconnect the charger that is also connected to the wall socket) Service and warranty concept | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 171 A blue label signifies that the data has been preserved In both cases the adjustments have to be checked and the values have to be adjusted if necessary! Service and warranty concept | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 172 Identify error or feedback signals emitted by the knee joint (see the module “user instructions”) • Contact OB Helpline (note the error signals of the knee joint) Service and warranty concept | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 173 Photographs or screenshots from the app of the error • Request for a loaner knee joint “The joint malfunctions” is not a valid error description Service and warranty concept | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 174 Push the knee head into full extension • Do not dismantle the AXON tube adapter • Send also the remaining components: • Charger • Power supply • Service pass Service and warranty concept | Kenevo 3C60 | Prosthetic | Global Academy | 22.11.2020 | © Ottobock...
Page 175 2. Basic functions 3. Activity modes 4. Component selection 5. Alignment and adjustment 6. User instructions 7. Service and warranty concept 8. User training 9. Cockpit App User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 176 Kenevo One joint – several options Early rehab-fittings OPTIMAL support in EVERY phase DEFINITIVE-fittings Kenevo A-B-C App | Global Academy | October 2019 © Ottobock © Ottobock User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020...
Page 177 For optimal support during rehabilitation process…. …we practice the A-B-C! Kenevo A-B-C: Adjustment app for therapeutic qualified personal Kenevo A-B-C App | Global Academy | October 2019 © Ottobock © Ottobock User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020...
Page 178 Flexible – direct adjustment as Kenevo users progress • Secure – changes in settings go along with appropriate training exercises • Efficient – optimal use of training time © Ottobock © Ottobock User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020...
Page 179 → Need for certification for therapists Please consider: the first set-up & adjustment of the Kenevo has to be done by the O&P professional! © Ottobock © Ottobock User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020...
Page 180 & standing up Wheelchair Bicycle Stumble Donning function ergometer recovery function Motion pattern for function plus sitting with a locked knee joint B / B+ User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 181 After 5 seconds, flex the knee joint in one fluid motion – Flex the knee joint in a single, fluid motion Deactivate • Load the prosthesis or extend the knee joint User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 182 The knee joint will bend after one second → Be aware of your fingers! • Move socket over the stump and position it as usual • Stand up to complete donning User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 183 • The stance flexion resistance can be individually adjusted − Via K-Soft (CPO) − Or the Kenevo A-B-C App (Therapist) User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 184 → Keep knee at rest to lock, keep center of mass over the feet → Unlock criteria are the same as for sitting down User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 185 Load prosthesis with 15 – 70% of bodyweight ✓ ✓ Slight backward rotation of the shank → Knee flexion moment occurs → All criteria have to be full-filled! User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 186 Symmetric weight bearing of both legs if possible • Trunk leans forward, buttocks move backwards → “nose towards the toes” → Hands go to armrests → Sit down fluently User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 187 • Please inform the user • Especially for bilateral user this is important to know → Knee flexion is highly dampened in flexion direction User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 188 Does the user perform a hip extension movement? × Movement is very slow or too hesitant? →Knee locks again →Continue backward movement to unlock knee joint User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 189 (= position of the thigh in space) = Sitting function If joint does not bend because of hip flexion angle → lift thigh until flexion angle is reached User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 190 Deactivate (3 possibilities) Move the leg a bit in extension and release Or: push on the toes (e.g. push against a wall) Or: just stand up User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 191 • While pedaling, the knee must maintain more than 15° of flexion General hint: • Use the sitting function to unlock the knee joint. User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 192 15° during pedaling (otherwise the of flexion knee joint will lock!) Don´t use the intuitive cycling function on a bicycle ergometer without a freewheel! User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 193 Intuitive bicycle ergometer mode To engage the bicycle function, 2 full rotations Engage sitting of the pedals are needed function in mode A/B/B+ ≥ 2 User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 194 The user has more time to prevent from falling → Stumble recovery is present during entire swing phase Stumble recovery is active during the entire swing phase User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 195 Mode A Focus See basic functions User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 196 Compensatory movements are necessary to achieve toe clearance in swing phase → The prosthetic foot should have a soft heel to ensure comfortable foot contact User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 197 At first the sound leg, then the extended prosthesis • Downstairs: – At first the extended prosthesis – full foot contact, then the sound side User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 198 Mode B / B+ Focus See basic functions Additionally in Mode B / B+ User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 199 → The contralateral leg takes a step → Stance release on prosthetic side To achieve stance release a dynamic movement is necessary! User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 200 × Avoid unloading too early due to hip hiking / circumduction When the joint switches to swing a quiet sound of the valves is audible User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 201 Please inform the user • Please consider this during exercising For all exercises / motions which properly simulate a step and fulfill the technical criteria, stance will release User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 202 Swing phase flexion behavior of the knee joint • If patient is always walking faster than approximately 3 km/h he will “overrun” the knee joint → too active for KENEVO! User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 203 Shallow slopes with little steps or step by step • Steeper slopes - sideways Upstairs / downstairs: • Like Mode A – one step at a time User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 204 Continue to sit down, sit with straight knee if possible → If patient is sitting with straight knee, the joint will unlock automatically → So it´s possible to bend it later User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 205 In the beginning use a chair to stabilize during standing up With extended knee joint • Put leg to the side, push-up with the hands and get up via the sound side User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 206 MSt – TSt: – Lead hip and knee extension, the contralateral leg takes a step forward Implementation of stance flexion during walking needs time and training User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 207 If the user is not able to get knee extension, stance release is technically possible out of knee flexion. The training goal is to get knee and hip extension at terminal stance! User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 208 On middle grade slopes many times knee extension at the end of stance phase can not be achieved → This has an impact on stance release User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 209 ✓Reduced weight bearing on the prosthesis: weight should be shifted to the contralateral leg ✓Fluid motion pattern while rolling over the entire forefoot × Avoid lateral hip hiking User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 210 Facing down, use stance flexion to get foot contact Walking on uneven ground • Use stance flexion to get faster foot contact → more secure User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 211 Mode C Focus See basic functions Additionally in Mode C User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 212 Use armrests, trunk leans forward (“nose towards the toes”) – Check if weight bearing is sufficient • Stand up: – Load both legs in stance User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 213 The pelvis is moving forward over the foot; knee extension – The contralateral leg takes a step forward →Stance release × Avoid pushing in knee flexion direction! User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 214 Patient walks with alternating steps? – Forward shank inclination + roll-over the fore foot necessary × No stance release if knee joint is loaded in flexion direction! User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 215 Please inform the user • Please consider this during exercising: For all exercises / motions which properly simulate a step and fulfill the technical criteria, stance will release User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 216 Move knee forward or backward or straighten the knee (e.g.: take a step) Use in daily life • Standing on an inclination, uneven or even ground… → Relief of the contralateral leg User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 217 Out of stance function: take a step down – If necessary, the therapist can facilitate knee flexion of the prosthesis × Avoid residual limb extension! User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 218 Let the user push into flexion as far as she/he is able to stabilize her-/himself – Check if the user is able to get back to hip extension independently User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 219 Knee remains extended, load prosthesis – Step down with the sound, contralateral side and allow knee flexion on prosthetic side × Avoid residual limb extension! User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 220 Step to step, focus on: – Foot placement – Good load on prosthesis – Sufficient knee flexion when stepping down • Later: Alternating steps – Support foot placement initially User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 221 Possible with stance release × Avoid circumduction / hip hiking • On very steep slopes: → It´s easier to go sideways → Prosthesis facing downhill User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 222 The user has to walk downhill by using the stance flexion resistance (= yielding technique) → That means the knee joint is loaded during knee flexion User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 223 IC: load prosthesis and allow knee flexion → Lead knee flexion if necessary → Small steps are easier at the beginning × Avoid residual limb extension! User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 224 Is the user able to stabilize the knee? – Train to use stance flexion resistance if needed • Repeat same exercise outside the bars • Later - train outdoors User training | Kenevo 3C60 | Prothetik | Global Academy | 02.12.2020 | © Ottobock...
Page 225 2. Basic functions 3. Activity modes 4. Component selection 5. Alignment and adjustment 6. User instructions 7. Service and warranty concept 8. User training 9. Cockpit App Cockpit App | Kenevo 3C60 | Prosthetic | Global Academy | 22.12.2020 | © Ottobock...
Page 226: Cockpit App
Bicycle ergometer function can be activated with the Cockpit App • Certain parameters can be adapted with the Cockpit app Cockpit • Manual for users with safety information Cockpit App | Kenevo 3C60 | Prosthetic | Global Academy | 22.12.2020 | © Ottobock...
Page 227 Kenevo and must be updated • This Cockpit App can be downloaded free of charge from the Google Play Store or the Apple App Store Cockpit App | Kenevo 3C60 | Prosthetic | Global Academy | 22.12.2020 | © Ottobock...
Page 228 Bicycle ergometer function • In addition, information about the product (step counter, battery charge level…) can be called up Cockpit App | Kenevo 3C60 | Prosthetic | Global Academy | 22.12.2020 | © Ottobock...
Page 229 A PIN card is delivered with each device and shows the PIN code • Pay attention to the 2 minute time frame to build up a connection via Bluetooth Cockpit App | Kenevo 3C60 | Prosthetic | Global Academy | 22.12.2020 | © Ottobock...
Page 230 The knee joint should be consciously kept still during the switching process • Test carefully whether the desired function was successfully set by the knee joint Cockpit App | Kenevo 3C60 | Prosthetic | Global Academy | 22.12.2020 | © Ottobock...
Page 231 For a saved job this procedure also works without an active connection to a knee joint • The shown Bluetooth PIN is only valid for the currently connected component Cockpit App | Kenevo 3C60 | Prosthetic | Global Academy | 22.12.2020 | © Ottobock...
Page 232 Sitting function (On/Off, if activated in K-Soft) − Donning mode (Mode A/B/B+; On/Off, if activated in K-Soft) − Intuitive stance function (Mode C; On/Off, if activated in K-Soft) Cockpit App | Kenevo 3C60 | Prosthetic | Global Academy | 22.12.2020 | © Ottobock...
Page 233 Cockpit App Possibilities with the Cockpit App Settings Resistance Intuitive bicycle ergometer function Basic mode CPO view User view Cockpit App | Kenevo 3C60 | Prosthetic | Global Academy | 22.12.2020 | © Ottobock...
Page 234 Cockpit App control elements Product name Menu Currently selected mode and MyModes Charge level Bluetooth connection status Status of the component (here: exceeded service interval) Cockpit App | Kenevo 3C60 | Prosthetic | Global Academy | 22.12.2020 | © Ottobock...
Page 235 Cockpit App Cockpit App – New Cockpit Connect Cockpit App | Kenevo 3C60 | Prosthetic | Global Academy | 22.12.2020 | © Ottobock...
Page 236 Better connection of user with CPO • Availability of the new functions is country and product dependent → use of basic app functions is always possible Cockpit App | Kenevo 3C60 | Prosthetic | Global Academy | 22.12.2020 | © Ottobock...
Page 237 MyModes Recovery of data via cloud • Ideal synchronization by using the app in the morning and in the evening! Average steps on level surfaces Cockpit App | Kenevo 3C60 | Prosthetic | Global Academy | 22.12.2020 | © Ottobock...
Page 238 The CPO can invite his/her users via his myOttobock account → prerequisites: the user has an own myOttobock account → email address has to be identical Cockpit App | Kenevo 3C60 | Prosthetic | Global Academy | 22.12.2020 | © Ottobock...
Page 239 Set daily goals in accordance with the user • Establishment and evaluation of a detailed usage analysis including questionnaires (has to be started by the user) Cockpit App | Kenevo 3C60 | Prosthetic | Global Academy | 22.12.2020 | © Ottobock...
Page 241 Discover what moves us! Referent Contact details www.ottobock.com...

Otto Bock Kenevo 3C60 Introduction Manual

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