touch bionics i-limb ultra User Manual
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touch bionics i-limb ultra User Manual

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i-limb
ultra
TM
User Manual
Part number: MA01069: Issue No. 2, March 2013

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  • Page 1 i-limb ultra User Manual Part number: MA01069: Issue No. 2, March 2013...
  • Page 2 This document provides information for i-limb ultra users and should be used in conjunction with advice from your clinical team. This symbol signifies important information and is used throughout the manual. A seperate USB datadrive is included with your kit that contains all relevant product manual.

  • Page 3: Table Of Contents

    3.3.2 Training 3.3.3 Hand Health Check 3.3.4 Exit i-limb ultra Coverings Cover Options Donning an i-limb skin active cover Doffing an i-limb skin active cover Donning the i-limb skin natural cover Doffing the i-limb skin natural cover Wear and Care Guidelines for i-limb natural and custom covers...

  • Page 4: I-Limb Ultra

    As you become more confident and adept you may begin to expand the number of features that you use and therefore get more from your i-limb ultra. It takes time and practice to gain control and master the best way to do tasks with your prosthetic hand.
  • Page 5 The i-limb ultra will not provide you with sensation and so you will not be able to feel things such as heat and moisture. The i-limb ultra cannot absorb any shock as your own body is able to do. If high degrees of force are applied, you may cause damage to your i-limb ultra.
  • Page 6 Motorized Digit Knuckle Palmar Fairing Manual Thumb Rotator On / Off Switch 6 of 35 Part number: MA01069: Issue No. 2, March 2013...

  • Page 7: Socket Interface

    2.1 Socket Interface and Control Figure 4. Electrode Options. To fit the i-limb ultra you have had a socket especially made for you by your clinical team. They will have made this to ensure it is comfortable and fits directly onto your remaining limb. You may experience some redness but this should not last for very long after you remove the socket.
  • Page 8 2.2 Battery Charging As the i-limb ultra is powerd by a battery, you will need to charge it. How often you need to charge it will depend on how much you use the i-limb ultra each day. You do not have to worry about over charging your battery.
  • Page 9 Please contact your clinician to inquire about car charger options. DO NOT PULL THE CABLE TO REMOVE THE LEAD. To ensure the i-limb ultra is continually functional, charge at the end of each day. Switch the hand OFF to preserve battery power when not in use.

  • Page 10: Biosim

    Your prosthetist will also have a version of biosim to make changes to how your i-limb ultra functions. To use the biosim software with the i-limb ultra device you will need either an iPod® Touch supplied by Touch Bionics (pre-...
  • Page 11 If there is more than one i-limb device within range of the Bluetooth® receiver then a box will appear listing all devices by serial number. The correct i-limb ultra device can then be selected from the list. 11 of 35...
  • Page 12 3.3 Navigating biosim Once you are connected the home screen will now be displayed, with four options as illustrated. This is the homepage and can be accessed at any time from subsequent pages. Features are where you will find the different grip patterns and gestures the hand can perform.
  • Page 13 3.3.1 Features Click on the features icon to enter the features. The features are the actual movements of the hand and triggers are the signals you give in order to enter the feature. Precision Pinch Grip Options Precision pinch grip options are best for picking up small items between and the thumb and index finger. There are 4 options available depending on how you want the other digits to perform while doing the pinch.
  • Page 14 Tripod Grip Options Tripod Grip Options provide a grip where the thumb is meeting up with the index and middle digits. Typically the thumb is rotated between the index and middle to provide more stability when gripping slightly larger objects than those with the precision pinch grips. As a result of having a motor in each digit and the hand conforming to the shape of the object being held, the hand will automatically form a tripod grip when the object is small enough to only be gripped between the thumb, index, and middle digits.
  • Page 15 Additional Grip and Gesture Options With these additional grip patterns and gestures, consider how often you perform different tasks and if having a program for that activity would make it easier/faster for you to perform. Since each digit has its own motor, you can put pressure against any digit to stop it from moving (called stalling the digit).
  • Page 16 (ADL’s) without the use of any triggers. In many cases users initially set one or two triggers while familiarity and control is gained when learning how the i-limb ultra works. If you have several features set up with different triggers and notice that you accidently jump into a particular feature often, you may want to stop using that trigger until you can follow up with your prosthetist to determine why it is happening inadvertently.
  • Page 17 Additional Functioning Toward the bottom right of the screen the additional Global Options box can be used to give access to Vari-grip / pulsating and natural hand mode. Vari-grip/pulsating: this mode provides additional grip force when the closed signal is sustained for the amount of time selected (default 0.5 seconds).
  • Page 18 3.3.2 Training The training suite contains a variety of short exercises aimed at developing control of the i-limb ultra device. The opening screen highlights a series of exercises which can be selected individually and in any order. Both open and closed signals can be practiced by selecting the appropriate box to the right.
  • Page 19 Co-contraction: Focuses generating quick strong simultaneous contractions with both muscles. Do not be concerned with relaxing after the contraction. Press Start then try to get both balls to reach the top of the hill at the same time indicating both signals being activated. Mastering this will allow you to be successful with the co-contraction trigger.
  • Page 20 The i-limb ultra device will then go through a series of move- ments as each digit is checked, the process will run for approxi- mately 8 seconds and provide basic feedback on each step. If there is a problem with your hand, please contact your clinician.

  • Page 21: I-Limb Ultra Coverings

    4.0 i-limb ultra Coverings 4.1 Cover Options The cover of the i-limb ultra is very important. The i-limb ultra hand should not be used without an approved cover that is well maintained. A number of options are available to cover the hand. All covers require regular checks for wear and tear and some require routine maintenance.
  • Page 22 Cover Position the thumb of the i-limb ultra approximately 15mm (0.6 inches) from the i-limb ultra index finger. Align the i-limb skin active cover with the digits and pull the cover down over the digits. Gently pull up and over the thumb, taking care not to cause any undue downward pressure on the thumb.
  • Page 23 Grip the fingertips of the i-limb skin active cover and gently maneuver it upwards, over and off the i-limb ultra hand. 23 of 35 Part number: MA01069: Issue No. 2, March 2013...
  • Page 24 Push the bat provided into each of the fingers and thumb in turn to straighten. This will help the covering slide onto the extended i-limb ultra fingers. 24 of 35 Part number: MA01069: Issue No. 2, March 2013...
  • Page 25 Note: When using the i-limb natural cover, adjustments should be made within biosim to ensure that speed is not sacrificed. Contact your clinician or Touch Bionics with questions regarding these adjustments. 25 of 35 Part number: MA01069: Issue No. 2, March 2013...
  • Page 26 Ensure the fingertips of the glove are loose. Remove the covering entirely by gently drawing the fingers of the cover, off the fingers of the i-limb ultra, one at a time. 26 of 35 Part number: MA01069: Issue No. 2, March 2013...
  • Page 27 Do not use oil control cleansers to manage the shine, these are abrasive and will give the cover a tarnished appearance. • The i-limb ultra hand must be used with an approved Touch Bionics cover. Body perspiration contains oils which can accumulate and •...

  • Page 28: Support Information

    Ensure the electrodes are making good contact with your skin Ensure the hand is engaged at the wrist Stops midway through an Check that the i-limb ultra device is connected correctly action Difficult to operate Ensure battery has good charge Review with your clinical practitioner Fully charge the battery.
  • Page 29 You must now train to best utilize the i-limb ultra and How long will it take to learn to use the i-limb fully understand all the functional benefits.
  • Page 30 If utilizing an i-limb ultra multi-flex wrist, the hand should be locked if carrying an object that is hot. Failure to comply with the above guidelines will invalidate the warranty.
  • Page 31 Driving of Motor Vehicles The i-limb ultra has the functional capability to assist a patient with driving a motor vehicle however due to factors including the differences in world-wide driving regulations and the variations in the level of ability between patients Touch Bionics is unable to provide definitive advice in respect of a patient with an i-limb device driving a motor vehicle.

  • Page 32: User Information

    6.0 User Information 6.1 User Details Provision of the following basic information will enable easy identification if the prosthesis is returned to Touch Bionics customer service. User Name: Fitting Date: Hand Purchase Date: Hand Serial Number: Prosthetist Name & Contact Information: Therapist Name &...

  • Page 33: Appendix

    1. General Safety 1.1 The i-limb ultra device is an electrical device, which under certain circumstances could present an electrical shock hazard to the user. Please read the accompanying user manual thoroughly and follow directions stated in the manual to assure maximum safety during charging and operation.
  • Page 34 For i-limb devices: Each device has a guaranteed unique id number example: 0001:2012 The unique serial number for i-limb ultra devices is a U with a 4 digit alpha / numeric number. The year of manufacture of the device is then added.

  • Page 35: Warranty

    Touch Bionics reserves the right to credit, repair or replace an “in-warranty” i-limb ultra as its option. If required, replacements will be new products. The wearer shall report any defect claim to Touch Bionics directly or to the facility that provided the i-limb ultra immediately upon discovering the defect, and, in any event, within the warranty period.
  • Page 36 Third party products and brand names may be trademarks or registered trademarks of their respective owners © Copyright 2013 Touch Bionics Inc. and Touch EMAS Ltd. All rights reserved. Issue No. 2, March 2013 Part number: MA01069...

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