Activeforever 1850 Knee User Manual

Continuous Passive Motion Device (CPM)
Operator Manual
Phoenix Model 1800 Knee CPM Phoenix Model 1850 Knee CPM
DC2480 Knee CPM
FOREWARD
This manual has been written for operators of the Furniss Corporation Continuous Passive Motion (CPM) Therapy Unit. It contains general information for operation, precautionary instructions and maintenance recommendations. In order to obtain maximum life and efficiency from your Furniss Corp CPM Unit, and to assist in the proper operation of the unit, read and understand this manual thoroughly. It is recommended that all clinicians and support personnel become familiar with the operating procedures, as well as the indications, contraindications, warnings and precautions prior to administering patient treatment.
Product Description
Continuous Passive Motion is a postoperative procedure designed to aid in patient recovery after joint surgery, soft tissue surgical procedure or trauma. The treatment method has been practiced for more than 30 years. This unit is typically used postoperatively for total knee replacement and Anterior Cruciate Ligament (ACL) repairs.
After extensive joint surgery patient attempts at joint flexion can cause considerable pain, dissuading the patient from effective joint motion. Failure to achieve proper rehabilitative flexion can lead to stiffening of the tissue around the joint. Eventually, this condition may cause intra-articular adhesions (formation of scar tissue) and extra-articular contractures (shortening of a muscle or tendon), resulting in a limited range of motion for the joint.
Passive range of motion moves the joint gradually and slowly without the use of the patient’s muscles. The device is applied
post-operatively and can be used in both inpatient and outpatient therapy regimens. The physician will prescribe usage instructions, including the speed of the machine, the duration of usage, amount of motion and the rate of motion increase.
Various studies have concluded that patients using a CPM machine following surgery generally reduce the risk of complications and require less pain medication than those who do not use the CPM device after the same type of surgery.
About the Manufacturer
As a US based medical manufacturer, The Furniss Corporation builds Continuous Passive Motion (CPM) devices for the upper and lower extremities. The durable, user friendly devices are built to withstand the rigorous hospital and home care environment. Furniss Corp also manufactures patient softgoods and offers a comprehensive technical service and repair center. Expect same-day shipping, immediate access to educated product professionals and strong product lines with exceptional performance. Visit the website at KneeCPM.com to experience the interactive tour.
PRECAUTIONARY INSTRUCTIONS
CAUTION
Read, understand and practice the precautionary instructions found in this manual before operating or using the unit.
Know the limitations and hazards associated with using the device. Observe any and all precautionary and operational labels placed on the unit.
Do not use the Furniss Corp CPM device outdoors or on wet surfaces. Use only on firm, flat, level surfaces to ensure
stability of the unit while in operation.
Extreme caution should be taken when in use with or around children. Use the CPM device only for its intended purpose as described in this manual. Turn power switch off before unplugging unit from its power source. Do not touch any exposed or uninsulated wires or terminals unless the transformer has been unplugged. Do not use the cord to unplug the power cord from the power source. Grasp at the power cord base. Use a surge protector
to further safeguard the unit.
Transport and store the device in temperatures between –40 degrees Celsius to +70 degrees Celsius to prevent damage
to the unit or its components. Condensation could result and damage the Furniss Corp CPM if unit is subjected to periods of low temperatures followed by periods of high temperatures. Additional environmental conditions include: relative humidity range within 10% to 100%. Atmospheric pressure range within 500 to 1060 hPa.
Use care when carrying, transporting or storing the device to prevent damage to the unit from dropping or improper
transport and storage methods.
WARNING
U.S. Federal law restricts this device to sale by, or on the order of, a physician or licensed practitioner. Make certain that the unit is electrically grounded by connecting only to a grounded electrical service receptacle conform-
ing to the applicable national and local electrical codes.
Keep obstructions such as hair, loose clothing, bedding, pets, fingers and toes away from the ballscrew assembly and
hinge components of the unit.
The Furniss Corp CPM device must be completely visible at all times during use. Never cover the unit with bedding or any
other means of concealment while in operation.
Do not use the Furniss Corp CPM device while smoking or around open flame. Equipment no suitable for use in presence of a flammable anesthetic mixture with air, oxygen or nitrous oxide. Precautionary measures should be taken when any type of liquid comes in contact with an electrical apparatus. Always turn off and unplug unit from electrical source before servicing or cleaning. Failure to do so could result in electrical
shock or personal injury.
Handle the unit only when the unit is dry and hands are dry to prevent electrical shock. Unconscious patients or patients under heavy influence of medication must be constantly attended and monitored while
the device is in use.
UNPACKING YOUR CPM
When receiving your Furniss Corp CPM, examine the container and unit and report any substantial damage to the shipper. Do not discard your shipping container - it provides required protection for your unit during shipping and must be used when returning your unit for any warranty service. Unapproved or badly damaged containers will be replaced and billed accordingly.
Container Contents
> CPM Cradle Assembly with Control Pendant > Foot Cradle Assembly > Two (2) Bed Stabilizer Rods > One (1) Set of 1828-1 Patient Softgoods > Operator Manual, Quick Reference Guide, CPM Model Specification Sheet
Remove the Knee CPM from the container and slide the Foot Cradle Assembly out. Loosen the large knobs on the Foot Cradle Assembly and position in the upright position. Tighten knobs.
CPM Shipping Carton
Part No. Skit 1824
Foot Cradle Assembly
Foot Cradle
Adjustment Knobs (2)
Bed Stabilizer Rods (2)
Thigh Length
Adjustment Knobs (2)
Control Box with
Circuitry
Analog Control
Pendant
Digital Control Pendant
SOFTGOODS APPLICATION
Furniss Softgoods 1828-1 are designed specifically for use with Furniss Knee CPM devices. Softgoods provide a 'troughing' effect allowing proper alignment of the limb and a truer fit overall. Constructed with the highest quality materials. Furniss Softgoods provide superior comfort and support for the patient.
Each Patient Softgoods kit includes five (5) pads total:
1 - Foot Boot 1 - Calf Pad 1 - Thigh Pad 2 - Auxiliary Straps
Slide the pocket of the foot boot over the end of the foot plate and secure to the Velcro.
Secure ankle support straps on the foot boot to the foot assembly tubes on both sides.
The calf pad is the smaller of the two square-shaped pads. Position the calf pad so
TROUGH
TROUGH
that the cut-out is facing the thigh cradle. Peel the velcro strapping from the back of the pad, loop over the cradle bar of the unit and secure to the back of the softgood. Be sure not to pull the softgood tight, forming a trough to allow for proper alignment.
The thigh pad is the larger of the two square-shaped pads. Position the thigh pad so that the cut-out is facing the calf pad (the cut-outs will form a 'diamond' shape). Begin with the tab Velcro at the very end of the thigh pad. Secure this piece to the bottom of the thigh block**. Peel the rest of the Velcro strapping from the back of the pad, loop over the cradle bar of the unit and secure to the back of the softgood. Be sure to 'trough' the softgood, do not pull the softgood tight.
The two (2) auxiliary straps may be used to secure the thigh and/or calf (do not secure too tightlyleave room for shifting).
Softgoods are intended for single patient use only. Should the pads become soiled during use, spot clean by hand with mild detergent and warm water.
Furniss Softgoods are designed specifically for use with the Knee CPM Series. Use of any other brand of CPM Softgoods may adversely affect performance of the Knee CPM device and result in discomfort or injury to the patient.
Reorder number for the Furniss Softgoods: SKIT 1828-1
** thigh block
PATIENT SETUP
Correct measurement and adjustments are required to ensure patient comfort and compliance and to achieve desired range of motion. Check that the unit is at 0 degrees during patient setup.
Note: Use only on a stable surface. An unstable surface could result in injury to patient and damage to the device.
FITTING THE PATIENT
Determine the length of the patient’s femur by measuring from the greater trochanter (hip joint) to the center or joint line of
the knee.
Transfer this measurement to the thigh cradle beginning approximately 1.5 to 2 inches away from the hip pivot assembly
measuring to the knee axis of the unit. Adjust the thigh cradle to match this measurement by loosening the thigh adjustment knobs and sliding the thigh cradle to the proper length. Note: The DC2480 maximum cradle adjustment is 3
inches. Do not extended beyond this point. If patient’s thigh length exceeds these measurements, simply increase the
beginning point of measurement to 4 to 6 inches away from the hip pivot assembly.
Loosen the calf cradle adjustment knobs and extend the foot assembly. Do not remove this assembly -- only slide far
enough for patient placement. Position the patient's leg in the unit, with softgoods in place.
Slide the foot assembly toward patient accordingly leaving one half inch gap between the patient’s foot and the foot plate.
Tighten the calf cradle adjustment knobs securely.
The foot assembly may be adjusted in plantar flex or dorsi flex positions. Loosen the adjustment knobs on the foot
assembly, adjust the foot plate to the desired positioning and securely tighten the adjustment knobs.
Remember: The goal is to align the knee axis of the patient with the knee pivot axis of the CPM
Foot assembly adjustment knobs (2)
Knee pivot axis of unit
Calf adjustment knobs (2)
Thigh adjustment knobs (2)
Hip pivot assembly
PATIENT SET UP
BED STABILIZING SYSTEM
Bed stabilizer rods are included in the base of each Furniss Knee CPM. This system, in conjunction with the non-skid pad located on the bottom of the control box, effectively prevents migration or "movement" of the unit while on a patient.
Loosen the base knobs, extend the rods to the appropriate length and tighten the knobs securely.
Stabilize the rods against a solid barrier such as a foot board.
PEDIATRIC AND PETITE PATIENT ADJUSTMENT
The Furniss Knee CPM can adjust easily to accommodate pediatric and petite patients.
Loosen the calf adjustment knobs and slide the foot assembly out of the cradle.
Loosen the foot assembly adjustment knobs (do not remove).
Rotate both foot tubes 180 degrees so that they are facing the opposite direction.
Tighten the foot assembly adjustment knobs.
Slide cradle back into the device and secure with
the calf adjustment knobs.
Note: You may apply a strip of adhesive-backed
loop Velcro to this side of the footplate for added stability of the foot boot softgood.
Bed stabilizer rods (2)
Base knobs (2)
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