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Trademarks
H200® Wireless, Bioness, the Bioness Logo® and LiveOn® are trademarks of Bioness Inc. in the
United States or other countries. | www.bioness.comom
Rx Only (US Only)
Bioness Patents
This product is covered by one or more US and international patents. Additional patents pending. For
more information on patents visit Bioness web site at: https://www.bioness.com/Patents.php
Disclaimer
Bioness Inc. and its affiliates shall not be liable for any injury or damage suffered by any person, either
directly or indirectly, as a result of the unauthorized use or repair of Bioness Inc. products. Bioness Inc.
does not accept any responsibility for any damage caused to its products, either directly or indirectly,
as a result of use and/or repair by unauthorized personnel.
Environmental Policy
Service personnel are advised that when changing any part of the H200 Wireless System,
care should be taken to dispose of those parts in the correct manner; where applicable, parts
should be recycled. For more detailed information regarding these recommended procedures,
please contact Bioness Inc. Bioness Inc. is committed to continuously seeking and implementing the
best possible manufacturing procedures and servicing routines.
Bioness Inc
25103 Rye Canyon Loop
Valencia, CA 91355 USA
Telephone: 800.211.9136 or 661.362.4850
Email: info@bioness.com
Website: www.bioness.com
Bioness Europe B.V.
Stationsweg 41
3331 LR Zwijndrecht, The Netherlands
Telephone: +31.78.625.6088
Email: international@nl.bioness.com
Website: www.bioness.com
Conformity Certification
List of Symbols
Caution
Warning
Double Insulated (Equivalent to Class II of IEC 536)
Type BF Applied Part(s)
Non-Ionizing Radiation
Date of Manufacture
Manufacturer
This Product Must Not Be Disposed of with Other Household Waste
Refer to Instruction Manual/ Booklet
Re-Order Number
Lot Number
Serial Number
Complies with United States and Canadian Product Safety Standards
Single Patient Use
Storage Temperature
Complies with the European Union Medical Device Directive
European Authorized Representative
Humidity Limitation
Atmospheric Pressure Limitation
IP27
IP22
ii
Degree of Ingress Protection (for Orthosis)
Degree of Ingress Protection (for Control Unit)
Keep Dr y
Table of Contents
List of Symbols .................................................................................................. ii
Stroke and other disorders of the central nervous system (CNS) may cause long-term
disability. For many people, long-term disability may impair muscle control, increase
muscle spasm, reduce muscle strength, and reduce functional abilities. When the
upper limb is involved, complications may include contractures (tightening of muscle),
edema (swelling), pain syndromes of the hand and shoulder, and limb-neglect.
The H200 Wireless System is designed to treat the complications associated with
upper limb impairment caused by stroke and other disorders of the central nervous
system. The H200 Wireless System delivers electrical stimulation to the nerves of
the muscles that control the hand. The H200 Wireless System may help to improve
hand function and assist with tasks of daily living.
This H200 Wireless User's Guide describes:
• Important safety information about the H200 Wireless System.
• The components of the H200 Wireless System.
• How to set up, operate, and maintain your H200 Wireless System.
• Troubleshooting information.
Be sure to review this guide with your clinician before using your H200 Wireless
System. If you have questions contact the Bioness Client Relations Department at
800.211.9136, Option 3 (in the United States) or your local distributor (outside of
the United States). You can also visit the Bioness website at www.bioness.com.
Device Description
The H200 Wireless System consists of an H200 Wireless Orthosis and a H200
Wireless Control Unit. See Figure 1-1.
1Chapter 1 - Introduction
H200 Wireless OrthosisH200 Wireless
Control Unit
Figure 1-1: H200 Wireless Orthosis and Control Unit
H200 Wireless Orthosis
The H200 Wireless Orthosis delivers electrical stimulation to the nerves of the
muscles that control hand opening and closing and movement of the thumb. The
Orthosis also stabilizes the wrist.
H200 Wireless Control Unit
The Control Unit communicates wirelessly with the Orthosis to:
• Select a stimulation program.
• Adjust stimulation intensity.
• Start, stop, and pause a stimulation program.
• Communicate Control Unit battery status, RF communication errors, and
Control Unit hardware/software malfunctions.
Caution: Do not put on or operate the H200 Wireless System before being
properly fitted by a trained clinician.
2User's Guide
Chapter
2
Safety Information
Indications for Use
The H200 Wireless System is an electrical stimulation device indicated for the
following uses:
Functional Electrical Stimulation (FES)
• Improvement of hand function and active range of motion in patients with
hemiplegia due to stroke or upper limb paralysis due to C5 spinal cord injury.
NeuroMuscular Electrical Stimulation (NMES)
• Maintenance and/or increase of hand range of motion.
• Prevention and/or retardation of disuse atrophy.
• Increase in local blood circulation.
• Reduction of muscle spasm.
• Re-education of muscles.
Contraindications
• Do not use the H200 Wireless System where a cancerous lesion is present or
suspected.
• Do not use the H200 Wireless System if you have a cardiac pacemaker,
implanted defibrillator, or implanted metallic device in the forearm or hand
intended for the H200 Wireless use. Use of the H200 Wireless System in
conjunction with any of the above may cause electric shock, burns, electrical
interference, or death.
• Do not use the H200 Wireless System on an arm where a regional disorder,
such as a fracture or dislocation, would be adversely affected by motion from
the stimulation.
3Chapter 2 - Safety Information
Warnings
• The H200 Wireless Orthosis is to be worn only on the affected forearm and
hand of the patient for whom it is fitted. It should not be worn by anyone else
or on any other part of the body.
• Do not wear the H200 Wireless Orthosis over swollen, infected, or inflamed
areas. Do not wear the Orthosis over skin eruptions, such as phlebitis,
thrombophlebitis, and varicose veins.
• Apply stimulation to normal, intact, clean, healthy skin only.
• Turn off the H200 Wireless System before driving or operating machinery.
• Turn off stimulation before performing any activity in which involuntary muscle
contractions may injure you.
• Do not use the H200 Wireless System while sleeping.
• Only trained clinicians should fit and program the H200 Wireless System.
• If the H200 Wireless Orthosis overheats, turn off stimulation and remove the
Orthosis.
• If stimulation cannot be turned off using the H200 Wireless Control Unit or
the trigger button on the H200 Wireless Orthosis, remove the Orthosis to stop
stimulation.
• Electrical and wireless medical equipment need special precautions for
electromagnetic compatibility and immunity. See Chapter 3 and the Appendix
for more information.
Adverse Reactions
In the unlikely event that any of the following occurs, stop using your H200 Wireless
System immediately and talk to your doctor or clinician.
• Signs of significant irritation or pressure sores where the H200 Wireless
Orthosis contacts the skin.
• A significant increase in muscle spasticity.
• A feeling of heart-related stress during stimulation.
4User's Guide
• Swelling of the hand, wrist, or forearm.
• Any other unanticipated reaction.
Skin irritations and burns beneath the stimulating electrodes have been reported
with the use of powered muscle stimulators.
Precautions
• The long-term effects of chronic electrical stimulation are unknown.
• Use caution if you have suspected or diagnosed heart problems. Talk to your
doctor before using the H200 Wireless System. The H200 Wireless System
may cause lethal rhythm disturbances to the heart in susceptible individuals.
• Talk to your doctor if you have a spinal cord injury at the T6 level or above.
Any harmful stimulation can trigger autonomic dysreflexia in patients with
spinal cord injury at the T6 level and above. Symptoms of autonomic
dysreflexia include acute hypertension and slow heart rate (bradycardia).
• Use caution if you have suspected or diagnosed epilepsy.
• Talk to your doctor before using the H200 Wireless System if you have any
one of the following medical conditions in the affected arm:
• Local insufficiency (insufficient blood flow).
• Occlusion (a blood flow blockage).
• Arteriovenous fistula for the purpose of hemodialysis (an abnormal
connection between an artery and vein for the purpose of hemodialysis
treatment).
• Primary disorder of the vasculature (a disease of the arteries, veins, and
lymphatics).
• A bone deformity in the area to be stimulated.
• The safety of using the H200 Wireless System during pregnancy has not
been established.
• Keep the H200 Wireless System out of the reach of children.
5Chapter 2 - Safety Information
• Use the H200 Wireless Orthosis with caution:
• If you have a tendency to bleed heavily following acute trauma or fracture.
• Following recent surgical procedures when muscle contraction may
disrupt the healing process.
• Over areas of the skin that lack normal sensation.
• Motion, muscle activity, and pressure from the H200 Wireless Orthosis may
aggravate any inflammation near the Orthosis. Stop using the H200 Wireless
System until any inflammation is gone.
• Always check the skin for redness or a rash when putting on and taking off
the H200 Wireless Orthosis.
• After removing the H200 Wireless Orthosis, it is normal for the areas under
the cloth electrodes to be red and indented. The redness should disappear
in approximately one hour. Persistent redness, lesions, or blisters are signs
of irritation. Stop using the H200 Wireless System until any irritation is
completely gone.
• Turn off the H200 Wireless System before putting on or taking off the
Orthosis. Do not turn on the H200 Wireless System until the Orthosis
is on the arm and the wing is closed.
• Turn off the H200 Wireless System when at a refueling place. Do not use the
H200 Wireless System near flammable fuel, fumes, or chemicals.
• Turn off the H200 Wireless System before removing or replacing the cloth
electrodes.
• Remove the H200 Wireless Orthosis before wetting the cloth electrodes.
• The H200 Wireless Orthosis is splash proof. Nevertheless, protect all
electronic components from contact with water, such as from sinks, bathtubs,
shower stalls, rain, and snow.
• Excess body hair where the H200 Wireless cloth electrodes touch may reduce
electrode contact with the skin. If necessary, remove excess body hair with an
electric shaver or scissors. Do not use a razor. A razor can irritate the skin.
• Use only H200 Wireless cloth electrodes supplied by Bioness Inc.
6User's Guide
• Do not use the H200 Wireless System without the cloth electrodes.
• Be sure the H200 Wireless cloth electrodes are wet and securely attached to
the electrode bases before use.
• Wet the H200 Wireless cloth electrodes before use and after every three to
four hours of use.
• Replace the H200 Wireless cloth electrodes at least every two weeks, even if
they appear to be in good condition.
• Always store the H200 Wireless cloth electrodes where they can air dry.
• When putting on the H200 Wireless Orthosis, make sure the cloth electrodes
uniformly contact the skin.
• Ventilate the skin by removing the H200 Wireless Orthosis for at least 15
minutes every 3 to 4 hours.
• Store the H200 Wireless Orthosis where it can air dry.
• Do not store the H200 Wireless System where temperatures may exceed the
recommended storage temperature range: -25°C (-13°F) to +70°C (+158°F).
Temperature extremes can damage the components.
If skin irritation or a skin reaction occurs, stop using your H200 Wireless System
immediately and contact your clinician or dermatologist. Also contact the Bioness
Client Relations Department: 800.211.9136, Option 3 (in the United States) or your
local distributor (outside the United States). Resume use only when the skin is
completely healed. Then follow a skin conditioning protocol, per the recommendation
of your health-care specialist.
7Chapter 2 - Safety Information
8User's Guide
Chapter
3
Environmental Conditions
that Affect Use
Radio Frequency (RF) Communication
Several components of the H200 Wireless System communicate via radio
communication. They have been tested and found to comply with the limits for a Class
B digital device, pursuant to Part 15 (RF Devices) of the Federal Communications
Commission (FCC) rules. These limits are designed to provide reasonable protection
against harmful interference in a residential installation. This equipment generates,
uses, and can radiate RF energy. If not installed and used according to the instructions,
it may cause harmful interference with radio communications. However, there is no
guarantee that interference will not occur in a particular installation. If this equipment
does cause harmful interference to radio or television reception, which can be
determined by turning the equipment off and on, try one or more of the following
corrective measures:
• Reorient or move the receiving antenna.
• Increase the separation distance between the equipment and receiver.
• Connect the equipment into an outlet on a circuit different from that to which
the receiver is connected.
• Consult the dealer or technician for assistance.
The antenna for each transmitter must not be near to or operating in conjunction
with any other antenna or transmitter.
Portable and mobile RF communications equipment can affect the H200 Wireless
System.
9Chapter 3 - Environmental Conditions that Affect Use
Conformity Certification
The H200 Wireless System complies with Part 15 of the FCC regulations. Operation
is subject to the following two conditions:
1. This device may not cause harmful interference.
2. This device must accept any interference received, including interference that
may cause undesired operation.
This equipment complies with FCC RF radiation exposure limits set forth for an
uncontrolled environment.
Note: FCC regulations provide that changes or modifications not expressly approved
by Bioness Inc. could void authority to operate.
Travel and Airport Security
The H200 Wireless System charger is compatible with Australian, U.K., European
Union, and U.S. voltages: 100-240 VAC, 50/60 Hz.
Turn off your H200 Wireless System before going through airport security. Wear
loose clothing so that you can easily show the security person your H200 Wireless
System. The H200 Wireless System will likely set off the security alarm. Be prepared
to remove the H200 Wireless System so that security can scan it, or ask for the
system to be scanned if you do not want to remove it. You may want to carry a
copy of your H200 Wireless System prescription. A prescription can be useful when
passing through customs as well.
To request a copy of your prescription, call the Bioness Client Relations Department:
Telephone: 800.211.9136, Option 3; or your local distributor. A Bioness representative
can fax or mail you a copy.
Note: The H200 Wireless System contains radio transmitters. The Federal Aviation
Administration rules require that all radio-transmitting devices be turned off during
flight.
10User's Guide
Electromagnetic Compatibility
The H200 Wireless System is medical electrical equipment and was tested for
electromagnetic compatibility (EMC) in accordance with International Electrotechnical
Committee (IEC) 60601-1-2. The tables in the Appendix provide information regarding
the EMC testing and guidance for safe use of the system. The H200 Wireless System
should be configured and used in accordance with the instructions provided in this
guide.
The H200 Wireless System was tested and certified to use the following:
• DC power supply as provided by Bioness Inc., manufactured by FRIWO, Part
No. FW7555M/05.
• Y cable (2-way splitter) as provided by Bioness Inc., Model No. L3G-5C00.
Manufactured by Tamuz Electronics Ltd.
The plug-in AC/DC adapters for the H200 Wireless Control Unit and Orthosis are
the only means for disconnecting the devices from the AC power.
Warnings and Cautions
• Use caution when treating patients with implanted intrathecal/intravascular
drug delivery systems. During initial trials with the H200 Wireless System,
clinicians should carefully monitor patients on intraspinal/intravascular
therapy for any new neurological or other medical signs or symptoms. Those
clinicians should be advised to inform patients of the signs and symptoms of
drug underdose or overdose. Clinicians and patients also should be advised
to follow programming guidelines and precautions provided in the relevant
drug delivery system product manuals.
• Do not apply stimulation in the presence of electronic monitoring equipment
(e.g., cardiac monitors, ECG alarms), which may not operate properly when
the electrical stimulation device is in use.
11Chapter 3 - Environmental Conditions that Affect Use
• The use of accessories, transducers, or cables other than those specified,with
the exception of transducers and cables sold by the manufacturer of the H200
Wireless System as replacement parts for internal components, may result in
increased emissions or decreased immunity of the H200 Wireless System.
• The use of the accessory, transducer, or cable sold by the manufacturer of
the H200 Wireless System with equipment and systems other than those
specified may result in increased emissions or decreased immunity of the
H200 Wireless System.
• The H200 Wireless System may be interfered with by other equipment, even
if that other equipment complies with CISPR (International Special Committee
on Radio Interference, International Electrotechnical Commission) emission
requirements.
• Do not use the H200 Wireless System within three feet of short wave or
microwave therapy equipment. Such equipment may produce instability in
the stimulation output by the Orthosis.
12User's Guide
H200 Wireless System Kit
Contents
• H200 Wireless Orthosis
• H200 Wireless Control Unit
• System Charger Set (with Y Cable)
• Control Unit Neck Strap
Chapter
4
• Control Unit Wrist Strap
• Control Unit Belt Pouch
• Orthosis Wrist Strap
• H200 Wireless Cloth Electrodes
• Cloth Electrode Mesh Bag
• H200 Wireless FPL Panel
• Large Thenar
• Wrist Inserts
• H200 Wireless User's Guide
• User's Reference Card
H200 Wireless Control Unit
System Charger Set
H200 Wireless Orthosis
13Chapter 4 - H200 Wireless System Kit
#3 Regular
#1#2
H200 Wireless Cloth
Electrodes
Control Unit Neck Strap
Large Thenar
#3 Large
Control Unit Wrist Strap
Wrist Insert
#4#5
Control Unit Belt Pouch
Orthosis Wrist Strap
H200 Wireless
FPL Panel
14User's Guide
Cloth Electrode
Mesh Bag
H200 Wireless Orthosis
The H200 Wireless Orthosis is available in right and left configurations, and in three
sizes: small, medium, and large.
H200 Wireless Control Unit
The H200 Wireless Control Unit communicates wirelessly with the Orthosis to control
the Orthosis and monitor system status.
System Charger Set (with Y Cable)
The System Charger set is for charging the Control Unit and Orthosis.
Orthosis Wrist Strap
The Orthosis Wrist Strap helps to position and stabilize the Orthosis on the arm.
The Wrist Strap hooks onto the Orthosis and wraps under the wrist.
Control Unit Neck Strap, Wrist Strap, and Belt Pouch
The Control Unit Neck Strap, Wrist Strap, and Belt Pouch are for carrying the Control
Unit. The Neck Strap and Wrist Strap loop through the hole at the top of the Control
Unit. The Belt Pouch has a clamp for attaching to a belt.
H200 Wireless Cloth Electrodes
The H200 Wireless Cloth Electrodes deliver the stimulation generated by the Orthosis.
The Cloth Electrodes attach to the Electrode Bases on the Orthosis.
Cloth Electrode Mesh Bag
The Cloth Electrode Mesh Bag is for storing the H200 Wireless Cloth Electrodes.
The Mesh Bag allows the Cloth Electrodes to air dry.
15Chapter 4 - H200 Wireless System Kit
16User's Guide
Chapter
5
H200 Wireless Orthosis
The H200 Wireless Orthosis generates the electrical stimulation used to open
and close your hand and move your thumb. The Orthosis has an integrated radio
frequency stimulation unit and five stimulating electrodes. The electrodes have been
predetermined by your clinician and configured with fitting panels. See Figure 5-1.
The Orthosis responds to wireless signals from the Control Unit to turn stimulation
on and off, and to adjust the stimulation intensity level.
#1 Electrode
#2 Electrode
Figure 5-1: Orthosis Stimulating Electrodes
#3 Electrode
#4 Electrode
#5 Electrode
17Chapter 5 - H200 Wireless Orthosis
The H200 Wireless Orthosis features: (See Figure 5-2)
• A flexor support
• An extensor wing
• A spiral end
• A status light
• A stimulation light
• Audio alerts
• A rechargeable battery and charging port
Stimulation
Light
Status Light
Charging
Port
Figure 5-2: Orthosis Features
Extensor Wing
Flexor Support
Thenar
Spiral End
Flexor Support
The flexor support is designed to support your forearm while delivering electrical
stimulation to the nerves of the muscles that flex your hand. The flexor support
includes two electrode bases: #4 and #5. See Figure 5-3.
18User's Guide
Electrode
Base #5
Electrode Base #4
Flexor Support
Figure 5-3: Orthosis Flexor Support
If you have a small wrist, your clinician may have fit an Flexor Pollicis Longus (FPL)
panel to the Orthosis flexor support. The FPL panel fills excess space in the region
of the #5 electrode base. See Figure 5-4.
FPL Panel
Electrode Base #5
Figure 5-4: Orthosis Flexor Support with an FPL Panel
19Chapter 5 - H200 Wireless Orthosis
Extensor Wing
The extensor wing delivers electrical stimulation to the nerves of the muscles that
extend your hand.
The extensor wing features: (See Figure 5-5)
• Two electrode bases: #1 and #2
• A wing release handle
• A wing arm
Extensor Wing
Electrode Base #1
Figure 5-5: Orthosis Extensor Wing
Wing Arm
Wing Release Handle
Electrode Base #2
Wing Release Handle
The wing release handle is used to open the extensor wing. See Figure 5-6. When
the wing release handle and wing arm are squeezed together, the extensor wing
lifts open.
20User's Guide
Extensor Wing
Wing Arm
Wing Release Handle
Figure 5-6: Orthosis Wing Release Handle
Wing Arm
The wing arm is used to close the extensor wing. See Figure 5-7. When the wing
arm is pushed down, the extensor wing clicks. The extensor wing is sufficiently
closed when no more clicking can be heard.
Extensor
Wing
Wing Arm
Figure 5-7: Orthosis Wing Arm
21Chapter 5 - H200 Wireless Orthosis
Fitting Panels
If your fitting panels detach from your Orthosis, please follow the directions below
on how to reattach the fitting panels.
Extensor Fitting Panel
1. With the Orthosis wing open, align the extensor fitting panel to the extensor
wing. See Figure 5-8.
2. Make sure the lip of the fitting panel rests outside the wing.
3. Grasp the extensor fitting panel and the extensor wing and gently press on
the fitting panel until it clicks into place.
Extensor Wing
Figure 5-8: Reattaching the Extensor Fitting Panel
Extensor Fitting Panel
Flexor Fitting Panel
1. With the Orthosis wing open, align the flexor fitting panel to the flexor support.
See Figure 5-9.
2. Make sure the lip of the fitting panel rests outside the edge of the flexor
support.
22User's Guide
3. Grasp the edge of the flexor fitting panel and the edge of the flexor support
and gently press together until the fitting panel clicks into place.
Extensor
Wing
Fitting
Panel
Flexor
Support
Figure 5-9: Reattaching the Flexor Fitting Panel
Spiral End of the Orthosis
The spiral end of the Orthosis supports the hand. It also delivers stimulation to the
nerves of the muscles that move the thumb.
The spiral end features: (See Figure 5-10)
• A thenar
• A wrist bridge
• A trigger button
• An Orthosis wrist strap attachment ring
• An Orthosis wrist strap attachment bar
23Chapter 5 - H200 Wireless Orthosis
Thenar
The thenar is for controlling thumb movement and is available in regular and large
sizes. The snap on the thenar is for the cloth electrode placement. When the Orthosis
is positioned correctly, the thenar cloth electrode should rest at the base of your
thumb. See Figure 5-11.
CAUTION: Do not operate the H200 Wireless System without a thenar cloth
electrode in place.
Wrist Strap Attachment Bar
Figure 5-10: Spiral End of the Orthosis
Snap for Thenar
Cloth Electrode
Wrist Strap
Attachment Ring
Trigger Button
Wrist
Bridge
Thenar
24User's Guide
Figure 5-11: Correct Placement of Thenar
Wrist Bridge
The wrist bridge wraps around the back of your wrist.
The wrist bridge:
• Stabilizes the Orthosis on your hand.
• Supports your wrist in an extended position.
• Helps to keep your wrist extended during finger opening and closing.
The wrist bridge has a cushioned wrist insert on the underside to keep the H200
Wireless Orthosis positioned against your wrist.
Trigger Button
The trigger button is used to turn on/pause stimulation. See Figure 5-10. The trigger
button works like the trigger button on the Control Unit.
Note: If the trigger button on your Orthosis is disabled, consult your clinician.
Wrist Strap Attachment Ring
The wrist strap attachment ring is for hooking the wrist strap to the Orthosis. See
Figure 5-10.
Wrist Strap Attachment Bar
The wrist strap attachment bar is for securing the Orthosis wrist strap around the
wrist. See Figure 5-12.
25Chapter 5 - H200 Wireless Orthosis
Wrist Strap
Attachment Bar
Figure 5-12: Wrist Strap Attachment Bar
Orthosis
Wrist Strap
Status Light
The status light communicates system status and error messages. See Table 5-1.
Stimulation Light
The stimulation light communicates whether stimulation is on, off, or paused.
See Table 5-1.
26User's Guide
Left OrthosisDisplayDescriptionDefinition
Status Light
Stimulation Light
Flashes GreenSystem On
Flashes YellowLow Battery
Alternately Flashes
Yellow and Green
Steady Green
Flashes RedFaulty Electrode Contact
Steady Red
Steady YellowStimulation Paused
Flashes Yellow
Rapidly
Battery Charging
Battery Fully Charged;
Registration Successful
Hardware/Software Error;
Charging Error
Stimulation On
Table 5-1: H200 Wireless Orthosis Displays
Audio Alerts
The Orthosis will beep when:
• The H200 Wireless System is turned on/off
• The Orthosis stimulation unit malfunctions
• Stimulation is turned on/off or paused
27Chapter 5 - H200 Wireless Orthosis
• There is a faulty electrode contact.
• The battery charge level is low.
• A charging error occurs.
• A charger is connected.
Rechargeable Battery and Charging Port
The Orthosis has a rechargeable battery. The charging port is located at the back
of the Orthosis. See Figure 5-13.
Charging
Port
Figure 5-13: H200 Wireless Orthosis Charging Port
Note: While charging please make sure the orthosis is not lying on it's side,
causing the trigger button to be pressed continuously. This will cause the system
to reset and turn off.
28User's Guide
Chapter
6
H200 Wireless Control Unit
The Control Unit is used to:
• Turn on/off the H200 Wireless System
• Test stimulation in the Orthosis
• Select a stimulation program
• Turn on/off or pause stimulation
• Adjust the stimulation intensity level
• Monitor system status
• Mute system audio alerts
Operating Buttons
The Control Unit has eight operating buttons. See Figure 6-1, Table 6-1, and Table 6-2.
On/Off Button
Trigger Button
Intensity
Adjustment
Buttons
Mute Button
Program 1 Button
Program 2 Button
Stimulation Test
Button
Figure 6-1: Control Unit Operating Buttons
29Chapter 6 - H200 Wireless Control Unit
Operating
Button
DescriptionFunction
On/Off ButtonTurn System On/Off
Trigger ButtonTurn Stimulation On/Off or Pause Stimulation
Visual
Display
Intensity
Increase Stimulation Intensity
Adjustment
Buttons
Mute Button
Program Selection
Buttons
Stimulation Test
Button
Mute/Un-Mute the Control Unit and H200
Wireless Orthosis Audio Alerts
Top: Select Program 1
Bottom: Select Program 2
Test Stimulation in the H200 Wireless Orthosis
Decrease Stimulation Intensity
Table 6-1: Control Unit Operating Button Functions
DescriptionDefinition
On/Off Button Flashes Green System On
Trigger Button Flashes Yellow RapidlyStimulation On
30User's Guide
Trigger Button is Steady YellowStimulation Paused
Table 6-2: Control Unit Operating Button Visual Displays
Indicators and Digital Display
The Control Unit front panel features: (See Figure 6-2)
• A Control Unit status indicator:
• An RF communication indicator:
• Program 1 and Program 2 selection indicators:
• A digital display
Control Unit Status Indicator
Digital Display
Figure 6-2: Control Unit Digital Display and Indicators.
RF Communication Indicator
The Control Unit indicators show: (See Table 6-3)
• Control Unit status
• Stimulation program selected
• Control Unit low battery
Program 1 Indicator
Program 2 Indicator
• RF communication status
31Chapter 6 - H200 Wireless Control Unit
IndicatorDescriptionDefinition
Control Unit Status Indicator
Flashes Yellow
Control Unit Status Indicator is
Steady Red
Program 1 Indicator is GreenProgram 1 Selected
Program 2 Indicator is GreenProgram 2 Selected
RF Communication Indicator
Flashes Red
Table 6-3: Control Unit Indicator Lights
Control Unit Low Battery
Control Unit Charging Error;
Electronic Registration Error; Control
Unit Hardware/Software Error
RF Communication Error
The Control Unit digital display shows: (See Table 6-4)
• Stimulation intensity level: 0–9
• Electronic registration status
• Battery charging status
DisplayDescriptionDefinition
32User's Guide
0–9
Alternating Green ArchesRegistration in Process
Letter "C"Registration Complete
Letter "E"Registration Error
Stimulation Intensity Level;
"0" Equals No Stimulation
DisplayDescriptionDefinition
Letter "U"Control Unit Unregistered
Rotating Green CircleControl Unit Charging
Horizontal Green LineControl Unit Fully Charged
Table 6-4: Control Unit Digital Displays
Audio Alerts
The H200 Wireless Control Unit beeps to indicate:
• Electronic registration was initiated, successful, or unsuccessful.
• The H200 Wireless System was turned on/off.
• A program has ended and stimulation has stopped.
• A Control Unit hardware/software error occurred.
• The Control Unit battery charge level is low.
• The audio alerts were muted/un-muted.
• A charger was connected or disconnected.
• RF communication failed.
• A button was pressed.
• A charging error occurred.
33Chapter 6 - H200 Wireless Control Unit
Charging Port
The Control Unit is powered by a single rechargeable NiMH AAA battery.
CAUTION: Use only a battery supplied by Bioness Inc.
The Control Unit charging port is located at the bottom of the Control Unit, under
the flexible cover. See Figure 6-3.
Note: Next to the charging port is the signal input/output port for the clinician's
programmer.
CAUTION: The signal input/output port on the Control Unit is only to be used
by the clinician during setup.
Signal Input/
Output Port
34User's Guide
Charging
Port
Figure 6-3: Control Unit Charging Port
Chapter
7
H200 Wireless Stimulation
Programs
The H200 Wireless System supports Functional Training, Neuroprosthesis, and
Motor Neuromodulation programs designed to open and close the hand.
Functional Training programs are designed to exercise your hand. They consist of
repetitive opening and/or closing motions with a relaxation pause between each
motion.
Neuroprosthesis programs are designed to assist with the performance of a specific
functional task, such as opening a door or holding a cup.
Motor Neuromodulation programs deliver rapid bursts of stimulation to the flexor
and extensor muscles, the flexor muscles only, or the extensor muscles only.
During your clinical/therapy sessions:
•
Your clinician will select the stimulation programs that best fit your therapeutic
needs.
• Assign programs to the program buttons on your Control Unit for you to use
at home.
• Customize the programs based on your specific impairment.
35Chapter 7 - H200 Wireless Stimulation Programs
36User's Guide
Chapter
8
Setup Instructions
Charging the H200 Wireless System
It is important to charge your H200 Wireless System daily and for at least four hours
before a fitting/programming session. Bioness recommends charging the Control
Unit and the Orthosis at the same time.
To charge the H200 Wireless System:
1. Select the interchangeable blade that matches your power outlet. Four blades
are provided for use in the US, the European Union, Australia, and the United
Kingdom. See Figure 8-1.
Figure 8-1: System Charger Interchangeable Blades
2. Slide the selected blade into the System Charger. See Figure 8-2.
Blade
Figure 8-2: Sliding the Blade into the System Charger
System
Charger
37Chapter 8 - Setup Instructions
3. Connect the Y Cable to the System Charger. Connect the end of the Y Cable,
with the 2 cables, to the charging ports of the Orthosis and Control Unit. The
Control Unit charging port is under the flexible cover. See Figure 8-3.
Y Cable
System Charger
Figure 8-3: Charging Setup
Charging Port
Flexible Cover
Charging Port
Interchangeable
Blade
4. Plug the System Charger into a power outlet.
5. If the Control Unit is charging, a rotating green circle will appear in the
Control Unit digital display. See Table 8-1.
6.
If the Orthosis is charging, the status light on the Orthosis will alternately flash
yellow and green . See Table 8-2.
Caution: Use only the charger included in your H200 Wireless System Kit. Use
of any other charger could damage the system.
38User's Guide
Caution Make sure your hands are dry before connecting the System Charger
to a power outlet.
Caution: Do not use the Orthosis while charging, as its surface may reach high
temperatures.
Control Unit DisplayDescriptionDefinition
Rotating Green Circle in Digital
Display
Horizontal Green Line in Digital
Display
Status Light is a Steady RedCharging Error
Table 8-1: H200 Wireless Control Unit Charging Displays
Orthosis DisplayDescriptionDefinition
Status Light Alternately Flashes
Yellow and Green
Status Light is a Steady GreenBattery Fully Charged
• A horizontal green line appears in the Control Unit digital display.
• The status light on the Orthosis is a steady green.
The charging process should last approximately four hours. The Control Unit can
take up to six hours to charge.
39Chapter 8 - Setup Instructions
Note: Keep the Control Unit and Orthosis connected to the System Charger until
ready for use.
Caution: To completely disconnect the power input, the AC/DC adapter portion
of the System Charger set must be disconnected from the main power supply.
Checking the System Components
Before using your H200 Wireless System:
• Visually inspect the Orthosis and Control Unit for signs of damage.
•
The cloth electrodes must be replaced every two weeks. If the cloth electrodes
are old or damaged discard them. Open a new set of cloth electrodes.
• Open the Orthosis and check the electrode bases to see if they are clean. If
necessary, clean the electrode bases. See the "Maintenance and Cleaning"
chapter of this guide.
• Make sure your Orthosis and Control Unit are charged.
Do not use your H200 Wireless System if a component appears to be damaged.
If you have any questions about your H200 Wireless System, contact the Bioness
Client Relations Department at 800.211.9136, Option 3 (in the United States) or
your local distributor (outside of the United States).
Caution: Extreme temperatures may damage your system. Store your H200
Wireless System where it will not be exposed to extreme temperatures or humidity.
See the environmental ranges in the Technical Specifications chapter of this guide
for safe storage conditions.
Preparing Your Skin
Caution: Do not wear the Orthosis over broken skin.
Before putting on your Orthosis, always check your skin for signs of irritation. If any
irritation is present, do not put on the Orthosis and contact your clinician. Wait for
40User's Guide
complete healing before using the H200 Wireless System. For optimal stimulation,
the skin under the Orthosis should be clean and healthy.To prepare the skin:
1. Remove any jewelry from your hand, wrist, and forearm.
2. Clean the skin where the cloth electrodes will touch with a wet washcloth. If
any lotions are on the skin, clean the skin with soap and water. Rinse well.
3. If necessary, trim excess body hair from the area using an electric shaver or
scissors. Do not use a razor. A razor can irritate the skin.
Wetting/Attaching the Cloth Electrodes
Caution: Before wetting the cloth electrodes, always remove them from the
Orthosis.
Caution: The cloth electrodes must be replaced every two weeks or sooner if
they become damaged.
1. Make sure the H200 Wireless System is turned off.
2. Place the Control Unit where it cannot be splashed.
3. Wet the cloth electrodes until they are saturated. See Figure 8-4.
4. Blot excess water from the cloth electrodes. See Figure 8-4.
Figure 8-4: (Left) Wetting the Cloth Electrode (Right) Blotting the Cloth Electrode
41Chapter 8 - Setup Instructions
5. Match each cloth electrode to its corresponding electrode base. See Figure 8-5.
Electrodes
Base #1
Electrode
Base #2
Electrode Base #3
(Thenar)
Electrode
Base #5
Figure 8-5: Electrode Bases #1- #5
6. Snap cloth electrode #3 to the thenar.
Note: The #3 large cloth electrode is for large thenars only.
7. For cloth electrodes #1, 2, 4, and 5, face the white dot on the cloth electrode
toward the electrode base. Insert the corners of the cloth electrode into the
electrode base. See Figure 8-6.
42User's Guide
Electrode
Base #4
Figure 8-6: Inserting Cloth Electrode into Electrode Base
8. Check that each cloth electrode is securely attached to its corresponding
electrode base.
Note: Remove and rewet the cloth electrodes every time you remove the Orthosis
from your arm for more than one hour, and after every three to four hours of use.
If the cloth electrodes dry out, your response to the stimulation may change. If you
need to adjust stimulation intensity more often than usual, try rewetting the cloth
electrodes.
Caution: Use only cloth electrodes supplied by Bioness Inc.
Caution: The cloth electrodes are to be used by no more than one individual
patient. They are for single patient use only.
Putting on the Orthosis
Make sure you are sitting upright and centered (not leaning to one side). Your arm
should be comfortable and your shoulder relaxed.
43Chapter 8 - Setup Instructions
To put on the Orthosis:
1. Position the Orthosis on a stable surface, and place your hand in the spiral
end of the Orthosis. The Thenar (with attached Thenar Cloth Electrode)
should rest at the base of your thumb. See Figure 8-7.
Thenar
Figure 8-7: Positioning the Thenar
2. Position the Orthosis Wrist Bridge comfortably on the back of your wrist. See
Figure 8-8.
44User's Guide
Wrist Bridge
Figure 8-8: Positioning the Wrist Bridge
3. Place your forearm in the Orthosis Flexor Support. See Figure 8-9.
Flexor Support
Figure 8-9: Positioning the Flexor Support
4. Place your hand on top of the Wing Arm and grasp under the Extensor Wing
with your fingers.
5. Pull the Extensor Wing out while pushing down on the Wing Arm. See Figure
8-10. Push down until the clicking sound stops.
Extensor Wing
Wing Arm
Wing Release Handle
Figure 8-10: Closing the Extensor Wing
45Chapter 8 - Setup Instructions
6. Attach the hook on the Orthosis Wrist Strap to the Wrist Strap Attachment
Ring. See Figure 8-11.
Wrist Strap
Attachment
Ring
Wrist Strap
Hook
Figure 8-11: Attaching the Wrist Strap Hook
7. Bring the Wrist Strap under the wrist. Make sure the cushion on the Wrist
Strap is touching the wrist.
8. Pull the Wrist Strap up and through the Wrist Strap Attachment Bar. See
Figure 8-12.
Wrist Strap
Attachment
Bar
Wrist Strap
46User's Guide
Cushion
Figure 8-12: Attaching the Wrist Strap
9. Bring the Wrist Strap over the Attachment Bar and press to fasten.
Warning: Do not turn on stimulation until your Orthosis is completely set up
and correctly attached to your arm.
Caution: Do not wear the Orthosis without the cloth electrodes.
Caution: Do not pull down on the Wrist Strap. Pulling down on the Wrist Strap
can break the Wrist Strap Attachment Bar.
Caution: Do not tighten the Wrist Strap so much that it interferes with blood
flow to the hand.
47Chapter 8 - Setup Instructions
48User's Guide
Chapter
9
Operating the H200 Wireless System
RF Communication Features
The Control Unit and Orthosis must be within RF communication range to communicate
wirelessly. The communication range is approximately 3 meters (10 feet). If RF
communication fails, the RF communication indicator on the H200 Wireless
Control Unit will flash red .
Turning On the System
Press the On/Off button
mode. All display indicators on the Control Unit and the Orthosis will light up for a
few seconds while the system performs a self-test.
When the system is on:
• The On/Off button on the Control Unit will flash green.
• The status light on the Orthosis will flash green.
on the Control Unit once. The system will start in standby
Turning Off the System
Press the On/Off button once.
Testing Stimulation in the Orthosis
The stimulation test button is for testing whether the Orthosis is positioned
correctly on the arm. The button is located on the side of the Control Unit. See
Figure 9-1.
49Chapter 9 - Operating the H200 Wireless System
On/Off Button
Trigger Button
Intensity
Adjustment
Buttons
Figure 9-1: Control Unit Operating Buttons
To test stimulation in the Orthosis:
Mute Button
Program 1 Button
Program 2 Button
Stimulation Test
Button
1. Make sure the system is in standby mode. The trigger button
be lit.
2. Press and hold the stimulation test button to test stimulation of the extensor
muscles, which will open the hand and extend the fingers. (Stimulation will turn
on and stay on until the button is released.) When stimulation is on, the
trigger button will Flash Yellow Rapidly.
3. Release the stimulation test button to turn off stimulation.
4. Repeat to test stimulation of the flexor muscles, which will close the hand.
5. If the Orthosis is not positioned correctly:
• Turn off the system.
• Open the Orthosis wing and remove the Orthosis. Do not slide the Orthosis on your arm. Refer to the "Removing the Orthosis" chapter
in this guide.
50User's Guide
should not
• Recheck the cloth electrodes to make sure they are positioned correctly
and wet.
• Put the Orthosis back on.
• Close the Orthosis Extensor Wing until no clicking can be heard.
• Retest stimulation.
Selecting a Stimulation Program
To select Program 1:
Turn on the system. Program 1 is selected automatically. When Program 1 is selected,
the Program 1 indicator will be Green.
To select Program 2:
Turn on the system. Press the Program 2 button. See Figure 9-1. When Program 2
is selected, the Program 2 indicator will be Green.
Changing Stimulation Programs
1. Press the trigger button to pause stimulation.
2. Press the Program 1 or Program 2 button.
3. Your hand will start moving per the program selected.
Starting Stimulation
To turn stimulation on press the trigger button
button on the Orthosis.
• The Control Unit will beep.
• The Control Unit trigger button will flash yellow.
• The Orthosis stimulation light will flash yellow rapidly.
on the Control Unit or the trigger
51Chapter 9 - Operating the H200 Wireless System
Note: Some of the programs contain rest periods. A rest period will last for at least one
minute. During a rest period, stimulation will turn off and the Orthosis stimulation light
will flash yellow slowly. The Control Unit trigger button will continue to flash yellow.
Pausing/Resuming Stimulation
Functional Training and Motor Neuromodulation Programs may be programmed to
run from 5 minutes to 120 minutes, as determined by your clinician. Personal Custom
Programs may be programmed to run from 30 to 240 minutes, as determined by
your clinician. Once started, these programs will continue until they are finished.
However, they may be paused and resumed at any time.
To pause/resume stimulation:
To pause stimulation press the trigger button
button on the Orthosis. When the program is paused:
• The Control Unit trigger button will be a steady yellow.
• The Orthosis stimulation light will be a steady yellow.
Note: Neuroprosthesis programs cannot be paused. Pressing the trigger button
when stimulation is on starts the second phase of a Neuroprosthesis program.
Caution: Remove the Orthosis to stop stimulation when the Control Unit is not
operable or accessible and the Orthosis trigger button is disabled.
on the Control Unit or the trigger
Using a Neuroprosthesis Program
Your clinician may have assigned a Neuroprosthesis Program to the Program 1
or Program 2 button on your Control Unit. Neuroprosthesis programs are used to
perform a specific task. There are three types of Neuroprosthesis Programs: Open
Hand, Grasp and Release, and Key Grip.
52User's Guide
Open Hand
To use Open Hand:
1. Press the Control Unit trigger button or the trigger button on the Orthosis,
to start stimulation. Your hand will open.
2. Your hand will remain open until you press the Control Unit trigger button or
the trigger button on the Orthosis a second time, turning off stimulation.
Note: Do not use the Open Hand program for more than 30 seconds at a time. Your
muscles may begin to fatigue.
Grasp and Release
To use Grasp and Release:
1. Press the Control Unit trigger button or the trigger button on the Orthosis,
to start stimulation. Your hand will open.
2. While your hand is open, place it next to the object you want to grasp.
3. After several seconds, your hand will close, allowing you to grasp the object.
4. When you are ready to release the object, press the Control Unit trigger
button or the trigger button on the Orthosis a second time. Your hand will
open, allowing you to release the object.
5. Stimulation will then stop. Your hand will relax.
Note: If stimulation turns off abruptly, the object will release from your grasp.
Key Grip
To use Key Grip:
1. Press the Control Unit trigger button
to start stimulation. Your fingers will close and your thumb will open. There
should be a gap between your thumb and the side of your index finger.
or the trigger button on the Orthosis,
53Chapter 9 - Operating the H200 Wireless System
2. While your fingers and thumb are in this position, place the object you want to
grip into the gap.
3. After several seconds, your fingers and thumb will close around the object.
4. When you are ready to release the object, press the Control Unit trigger
button or the trigger button on the Orthosis a second time. Your hand will
open, allowing you to release the object.
5. Stimulation will then stop. Your hand will relax.
Stopping Stimulation
Press the Control Unit trigger button or the trigger button on the Orthosis.
Stimulation will turn off.
Note: In a Neuroprosthesis program press the On/Off button
Unit to stop stimulation immediately.
on the Control
Adjusting Stimulation Intensity
Each time you turn on your Control Unit, the stimulation intensity level will be “5".
If necessary, you can adjust the stimulation intensity level when in standby mode
or when stimulation is on.
To adjust stimulation intensity:
1. Press the plus button on the Control Unit once to increase stimulation
intensity one level.
2. Press the minus button on the Control Unit once to decrease stimulation
intensity one level.
The Control Unit will beep with each change in level. The new level will appear in
the digital display.
Note: An intensity level of “0” equals no stimulation.
Note: When the system is turned on the next time, the default stimulation intensity
level set by your clinician ("5") will be restored.
54User's Guide
Muting/Unmuting the System Audio Alerts
To mute or unmute the system, press the mute button
briefly. The mute button
is located on the side of the Control Unit. Audio alerts are listed in Table 9-1.
Note: When the system is turned on the next time, the default volume setting will
be restored.
1. Press the Control Unit On/Off button to turn off the H200 Wireless System.
2. Carefully unfasten the Wrist Strap and slide it away from the Wrist Strap
Attachment Bar. See Figure 10-1.
10
Wrist Strap
Attachment
Bar
Figure 10-1: Unfastening the Wrist Strap
3. Pinch the Wing Release Handle and Wing Arm together and open the
Extensor Wing. See Figure 10-2.
4. With the Extensor Wing open (See Figure 10-3), remove the Flexor Support
from under your forearm.
5. Then lift the Flexor Support up and over your forearm, and remove the spiral
end of the Orthosis from your hand.
6. Remove the cloth electrodes from the Orthosis.
7. Store the cloth electrodes and Orthosis in a location where they can air dry.
Wrist Strap
57Chapter 10 - Removing the Orthosis
Wing Arm
Wing Release
Handle
Figure 10-2: Opening the Extensor Wing
58User's Guide
Flexor Support
Figure 10-3: Removing the Flexor Support
Chapter
11
Maintenance and Cleaning
Daily Maintenance and Storage
1. Store the H200 Wireless cloth electrodes in the cloth electrode mesh bag or
where they can air dry.
2. Check the system components for signs of wear and damage.
3. Replace any components that appear old, worn, or damaged. Contact the
Bioness Client Relations Department 800.211.9136, Option 3 (in the United
States) or your local distributor (outside the United States) for assistance.
4. Store the Orthosis where it can air dry.
5. Charge the Orthosis and Control Unit until ready to use.
Charging
The Control Unit and Orthosis batteries should be charged daily. Charging instructions
can be found in the "Setup Instructions" chapter of this guide.
Battery Replacement: H200 Wireless Control Unit
The battery in the Control Unit is a rechargeable AAA NiMH battery. It should be
replaced approximately every two years.
To replace the Control Unit battery (AAA NiMH 1.2 V):
1. Using a Phillips screwdriver, remove the screw from the battery cover on the
back of the Control Unit. See Figure 11-1.
Note: The screw is under a small label. Gently peel off the end of the label. Reapply
the label after the battery is replaced.
59Chapter 11 - Maintenance and Cleaning
2. Remove the battery cover.
3. Note the "+/-" orientation of the old battery.
4. Remove the old battery.
5. Insert the new rechargeable battery in the proper "+/-" orientation.
6. Slide the cover into place.
7. Tighten the screw.
8. Fully charge the new battery before use.
Battery Cover
Screw
Battery
H200 Wireless
Control Unit
Caution: Use only a battery supplied by Bioness Inc.
Caution: Use of a non-rechargeable AAA battery can damage the H200 Wireless
Control Unit.
Remove the old battery, and properly dispose of it according to your local
environmental regulations.
60User's Guide
Figure 11-1: Replacing the Control Unit Battery
Battery Replacement: H200 Wireless Orthosis
The Orthosis has a rechargeable battery that can only be replaced by a Bioness
authorized representative. If the battery needs to be replaced, contact the Bioness
Client Relations Department, at 800.211.9136, Option 3 (in the United States) or
your local distributor (outside of the United States).
Cleaning
General Instructions
All H200 Wireless System Kit components may be cleaned as needed or weekly by
carefully wiping them with a damp cloth. Use water. Do not use detergents or other
cleaning agents, unless otherwise specified below.
H200 Wireless electronic components are not waterproof. Do not immerse them
in water.
Caution: Ensure that all components are unplugged and turned off prior
to cleaning.
Ensure they are completely dry prior to using again.
Control Unit Neck Strap and Wrist Strap
The Control Unit neck strap and Control Unit wrist strap are made of polyester. They
may be machine washed on a delicate cycle in cold water.
Orthosis Wrist Strap
Hand wash the Orthosis wrist strap in mild soap and cold water. The Orthosis wrist
strap has a metal piece that may rust if machine washed.
Orthosis Electrode Bases
The Orthosis electrode bases may be wiped with a clean, damp cloth.
61Chapter 11 - Maintenance and Cleaning
Disinfecting
Electronic Components
The Control Unit may be cleaned and low-level disinfected using CaviWipes™ (if
available), or wipes or cloths saturated (but not dripping) with 70% isopropyl alcohol
(IPA) per the instructions below:
1. Use one saturated disinfectant wipe or cloth to thoroughly wet the component
surface.
2. Use a second saturated disinfectant wipe or cloth to remove any surface
contaminants. Soil, etc., will impede the disinfectant's effectiveness, if not
removed.
3. As needed, use additional saturated disinfectant wipes or cloths to keep the
components surface wet for 3 minutes.
Note: Be sure to follow the Bioness instructions for the specified contact time to
ensure an effective bacteria kill.
Orthosis
The Orthosis (except for the wrist insert) may be cleaned and low-level disinfected
using wipes or cloths saturated with 70% isopropyl alcohol (IPA) per the instructions
below:
1. Use one saturated disinfectant wipe or cloth to thoroughly wet the component
surface.
2. Use a second saturated disinfectant wipe or cloth to remove any surface
contaminants. Soil, etc., will impede the disinfectant's effectiveness, if not
removed.
3. As needed, use additional saturated disinfectant wipes or cloths to keep the
components surface wet for 3 minutes.
Note: Be sure to follow the Bioness instructions for the specified contact time to
ensure an effective bacteria kill.
62User's Guide
Wrist Insert
The wrist insert cannot be disinfected. The wrist insert can only be cleaned with soap
and water. Do not use 70% IPA on the wrist insert. If infection is a concern contact
your clinician, the Bioness Client Relations Department at 800.211.9136, Option 3
(in the United States) or your local distributor (outside of the United States).
System Kit Carrying Case
The H200 Wireless System Kit carrying case may be cleaned and low-level disinfected
using CaviCide® (if available) or 70% isopropyl alcohol (IPA) per the following
instructions:
CaviCide:
1. Spray the entire surface of the System Kit carrying case with CaviCide.
2. Use a clean towel to remove any surface contaminants. Soil, etc., will impede
the disinfectant's effectiveness, if not removed.
3. Spray the entire surface of the System Kit carrying case again with CaviCide.
4. Keep spraying the entire carrying case surface as needed to keep it wet for
10 minutes.
70% IPA:
1. Wipe the entire surface of the System Kit carrying case with a cloth or wipe
saturated with 70% IPA.
2. Use a new cloth or wipe saturated with 70% IPA to remove any surface
contaminants. Soil, etc., will impede the disinfectant's effectiveness, if not
removed.
3. Wipe the entire surface of the System Kit carrying case again with a new cloth
or wipe saturated with 70% IPA.
4. Use additional new cloths or wipes saturated with 70% IPA as needed to keep
the entire surface of the carrying case wet for 10 minutes.
63Chapter 11 - Maintenance and Cleaning
Note: Be sure to follow the Bioness instructions for the specified contact time to
ensure an effective bacteria kill.
Note: Do not use other cleaning/disinfecting agents such as a diluted bleach mixture,
or other disinfecting wipes. Bioness has not tested these products' effectiveness on
the H200 Wireless components.
70% IPA is available at your local drugstore or pharmacy.
64User's Guide
Chapter
12
Electronic Registration
of Replacement Parts
The H200 Wireless System Control Unit and Orthosis must be electronically registered
to each other to communicate wirelessly. The components in your System Kit are
electronically registered.
When you purchase a replacement Control Unit or Orthosis, the replacement component
must be electronically registered to the existing component. This section describes
the steps to electronically register a replacement Control Unit or Orthosis.
Note: When registering a replacement component, make certain that there are no
other H200 Wireless systems within 3 meters (10 feet) of the components being
registered.
Registration Setup
1. Verify that all H200 Wireless System components are turned off.
2. Place the components to be registered close together on a table, but not
touching. See Figure 12-1.
H200 Wireless
Control Unit
Figure 12-1: Placement of Components to be Registered
H200 Wireless
Orthosis
65Chapter 12 - Electronic Registration of Replacement Parts
3. If necessary, connect the components to the System Charger set, and plug
the System Charger into a power outlet.
4. Locate the System ID Number (for example, A334) on the existing system
component. The System ID Number is on the back of the Control Unit and
under the extensor wing of the Orthosis. See Figure 12-2.
System ID Number
Figure 12-2: Location of the System ID Numbers
5. Copy the System ID Number onto the blank label on the replacement system
component.
Registration
1. Simultaneously press and hold for three seconds the trigger button
and the minus button on the Control Unit.
2. Press the trigger button on the wrist bridge of the Orthosis.
3. The Control Unit will beep when registration begins.
66User's Guide
4. The Control Unit digital display will show two alternating Green arches
while registration is in process. See Figure 12-3.
Registration
in Process
Registration
Complete
Figure 12-3: Registration Digital Displays
Registration
Error
5. When registration is complete:
• The letter "C" will appear in the digital display.
• The Control Unit status light and the Orthosis status light will
turn Green for a few seconds.
• The Control Unit will beep.
Note: If a letter "E" appears in the digital display and the Control Unit status light
turns Red, an error has occurred. Turn on the Control Unit. If a letter"U" appears
in the digital display, the system is unregistered. Turn the Control Unit off and repeat
the registration process.
Note: Components can only be successfully registered once. Additional attempts
will generate an error indication.
6. After registration is complete, turn on your H200 Wireless System. If the
Control Unit is registered to the Orthosis, the Orthosis will turn on.
Note: If the RF communication indicator on the Control Unit is Flashing Red,
registration failed. Repeat the registration procedure.
67Chapter 12 - Electronic Registration of Replacement Parts
68User's Guide
Chapter
13
Troubleshooting
If you have any questions or concerns, please call the Bioness Client Relations
Department at 800.211.9136, Option 3 (in the United States) or your local distributor
(outside of the United States).
RF Communication Failure
The Orthosis and Control Unit communicate wirelessly. If RF communication fails,
the Control Unit RF Indicator will flash red and emit an audio alert.
RF Failure AlertProblems/Solutions
Radio Communication Failure
• Make sure the Orthosis and the Control Unit are within
3 meters (10 feet) of each other.
• If the components are within range and working properly,
Control Unit
Flashes Red
then turn the Control Unit off and back on.
• Reorient the Control Unit.
• Check for obstructions or sources of interference.
• Change the cloth electrodes.
• Contact the Bioness or your local distributor.
Frequently Asked Questions
When charging the H200 Wireless System, how will I know when the batteries
are fully charged?
• When the Control Unit is fully charged, a green horizontal line will appear
in the Control Unit digital display.
• When the Orthosis is fully charged, thestatus light on the Orthosis
will be a steady green.
69Chapter 13 - Troubleshooting
• Charging takes approximately four hours, but the Control Unit can take as
long as six hours to charge.
• After the components are fully charged, keep them connected to the System
Charger until ready to use.
If I charge the H200 Wireless System every day, will I harm the batteries?
• No, daily charging will not affect the lifespan or functionality of the batteries.
Daily charging is recommended.
While charging the Control Unit, the status light on
the Control Unit turns
red.
• A charging error has occurred. Reconnect the System Charger Y cable. If the
problem persists, contact Bioness or your local distributor.
When I turn on the H200 Wireless Control Unit, it beeps and the RF communication
indicator flashes red. The status light and stimulation light on the Orthosis
are not lit.
RF communication has failed. The Orthosis battery most likely is discharged.
• Connect the System Charger. When communication is restored, the RF
communication indicator will stop flashing and the status light on the
Orthosis will flash green.
I hear a beep and the status light on the Orthosis flashes red.
A faulty electrode contact error has occurred. One or more of the cloth electrodes
is not in contact with the skin.
• Turn off the Control Unit and remove the Orthosis.
• Thoroughly clean the skin, removing any oils.
• Remove and examine the cloth electrodes. If the cloth electrodes are old or
damaged, then replace them.
70User's Guide
• Clean the electrode bases, if necessary.
• Wet and replace the cloth electrodes.
• Make sure the extensor wing is closed properly.
How will I know when the Orthosis battery charge level is low?
• When the Orthosis battery charge level is low, the status light on the
Orthosis will flash yellow and the Orthosis will beep.
How will I know when the Control Unit battery charge level is low?
• When the Control Unit battery charge level is low, the status light on the
Control Unit will flash yellow and the Control Unit will beep.
The status light
on the Control Unit is a steady red and the Control Unit
beeped.
If the Control Unit is connected to the System Charger and stimulation is not affected,
a charging error has occurred.
• Reconnect the charger.
• Change the battery.
• If the problem persists, contact Bioness or your local distributor.
If the Control Unit is not connected to the System Charger and the system does not
operate, a Control Unit hardware or software malfunction has occurred.
• Turn off the Control Unit and turn it back on.
• If the problem persists, stop using the system and contact Bioness or your
local distributor.
71Chapter 13 - Troubleshooting
My hand is not moving satisfactorily, and the H200 Wireless System is not
indicating any errors.
The Orthosis may not be positioned correctly.
• Turn off the Control Unit.
• Make sure the cloth electrodes are wet and your hand/arm are clean.
• Reposition the Orthosis.
• Make sure the thenar is at the base of your thumb.
• Make sure the Orthosis wrist strap is snug.
• Make sure the extensor wing is completely closed.
• Test the position of the Orthosis using the stimulation test button .
My skin is irritated where the cloth electrodes touch.
• Stop using the H200 Wireless System immediately.
• Contact your clinician or dermatologist, and the Bioness Client Relations
Department at 800.211.9136, Option 3 (in the United States) or your local
distributor (outside of the United States).
• Resume use only when your skin is completely healed.
• Ask your clinician or dermatologist for a skin conditioning protocol.
The Control Unit does not light up when turned on.
• The Control Unit needs to be charged.
• If the problem persists, contact Bioness or your local distributor.
72User's Guide
I received a replacement Control Unit. When I turn it on, the RF communication
indicator flashes red and a "U" appears in the digital display. The Orthosis
status light and stimulation light are not lit.
A replacement component needs to be electronically registered to the existing
component for the H200 Wireless System to communicate wirelessly.
• For instructions on how to register a replacement component, see the
"Electronic Registration of Replacement Parts" section of this guide.
I tried the electronic registration procedure, but I never saw the alternating
arches in the digital display. The replacement component is not working.
• Turn off the Control Unit.
• Simultaneously press the minus button and the trigger button
on the Control Unit. Then press the trigger button on the Orthosis, to start the
registration process.
After I fully charged the H200 Wireless System, I disconnected the System
Charger and then immediately reconnected it. The charging indications appeared
again on the Control Unit and Orthosis. Are the components fully charged or
do I need to repeat the charging process?
• The components are fully charged. You do not need to repeat the charging
process.
73Chapter 13 - Troubleshooting
Quick Reference Troubleshooting
Control Unit
DescriptionDefinition
Control Unit Status Indicator
Flashes Yellow
Control Unit Status Indicator
is a Steady Red
Program 1 Indicator is GreenProgram 1 Selected
Program 2 Indicator is GreenProgram 2 Selected
RF Communication Indicator
Flashes Red
On/Off Button Flashes GreenSystem On
Trigger Button Flashes Yellow
Rapidly
Trigger Button is a Steady
Yellow
Low Battery, H200 Wireless Control
Unit
Control Unit Charging Error;
Electronic Registration Error; Control
Unit Hardware/Software Error
RF Communication Error
Stimulation On
Stimulation Paused
74User's Guide
Displays 0–9
Alternating Green ArchesRegistration in Process
Letter "C"Registration Complete
Letter "E"Registration Error
Stimulation Intensity Level;
"0" Equals No Stimulation
Antenna TypeIntegral, max gain: +1dBi. No antenna connector.
Transceiver Duplexing
TDD
Scheme
Frequency Synthesizer
<1 msec
Setting Time
Error Detection ProbabilityA miss detection rate of the CRC-16 is about 1.2
x 10-9. HW filter and 6 bytes unique ID to each
component.
Packet Error RateLess than 5%
Receiver Sensitivity Pr-80 to -75 dBm for PER + 3%
Command DelayLess than 1 second
82User's Guide
Chapter
Appendix - EMI Tables
Guidance and Manufacturer’s Declaration Electromagnetic Emissions
The H200 Wireless System is intended for use in the electromagnetic environment
specified below. The customer or the user of the H200 Wireless System should assure
that it is used in such an environment.
Voltage fluctuations/
flicker emissions
IEC 61000-3-3
Group 1The H200 Wireless System uses RF
energy only for its internal function.
Therefore, its RF emissions are very
low and are not likely to cause any
interference in nearby electronic
equipment.
Class BThe H200 Wireless System is suitable
for use in all establishments, including
Class A
Complies
domestic establishments and those
directly connected to the public lowvoltage power supply network that
supplies buildings used for domestic
purposes.
83Chapter 15 - Appendix
Guidance and Manufacturer’s Declaration— Electromagnetic Immunity for All
Equipment and Systems
The H200 Wireless System is intended for use in the electromagnetic environment
specified below. The customer or the user of the H200 Wireless System should assure
that it is used in such an environment.
Immunity TestIEC 60601 Test
Level
Electrostatic
discharge (ESD)
6 kV contact
8 kV air
IEC 61000-4-2
Electrical fast
transient/burst
IEC 61000-4-4
2 kV for power
supply lines
1 kV for input/
output lines
Surge
IEC 61000-4-5
1 kV line to line
2 kV line to earth
Compliance LevelElectromagnetic
Environment—
Guidance
6 kV contact
8 kV air
Floors should be
wood, concrete,
or ceramic tile. If
floors are covered
with synthetic
material, the
relative humidity
should be at least
30%.
Mains power
2 kV for power
supply lines
quality should be
that of a typical
commercial
or hospital
environment.
1 kV line to line
(Class II without
any grounded
interconnections)
Mains power
quality should be
that of a typical
commercial
or hospital
environment.
84User's Guide
Immunity TestIEC 60601 Test
Level
Compliance LevelElectromagnetic
Environment—
Guidance
Voltage dips, short
interruptions and
voltage variations
on power supply
input lines
IEC 61000-4-11
Power frequency
(50/60 Hz)
magnetic field
IEC 61000-4-8
<5% UT (>95% dip
in UT) for 0.5 cycle
40% UT (60% dip in
UT) for 5 cycles
70% UT (30% dip in
UT) for 25 cycles
<5% UT (>95% dip
in UT) for 5 sec
<5% UT (>95% dip
in UT) for 0.5 cycle
40% UT (60% dip in
UT) for 5 cycles
70% UT (30% dip
in UT) for 25 cycles
<5% UT (>95% dip
in UT) for 5 sec
3 A/m3 A/m
Mains power
quality should be
that of a typical
commercial
or hospital
environment. If the
user of the H200
Wireless System
requires continued
operation during
power mains
interruptions, it
is recommended
that the equipment
be powered from
an uninterruptible
power supply or a
battery.
Power frequency
magnetic fields
should be at levels
characteristic of a
typical location in a
typical commercial
or hospital
environment.
NOTE: UT is the AC mains voltage prior to application of the test level.
85Chapter 15 - Appendix
Guidance and Manufacturer’s Declaration—Electromagnetic Immunity
The H200 Wireless System is intended for use in the electromagnetic environment
specified below. The customer or the user of the H200 Wireless System should assure
that it is used in such an environment.
Immunity
Test
Conducted
RF
IEC 610004-6
Radiated RF
IEC 610004-3
IEC 60601
Test Level
3 Vrms
150 kHz to
80 MHz
3 V/m
80 MHz to
2.5 GHz
Compliance
Level
3 Vrms
150 kHz to
80 MHz
[E1] = 3 V/m
in 80 MHz to
2.5 GHz
[E1] = 10 V/m
in 26 MHz to
1 GHz
Electromagnetic Environment—
Guidance
Portable and mobile RF
communications equipment
should be used no closer to
any part of the H200 Wireless
System, including cables, than the
recommended separation distance
calculated from the equation
applicable to the frequency of the
transmitter.
Recommended separation
distance:
d = 1.2√P
Recommended separation
distance:
d = 0.4√P, 80–800 MHz range
d = 0.7√P, 800–1000 MHz range
d = 2.3√P, 1000–2500 MHz range
86User's Guide
NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation
is affected by absorption and reflection from structures, objects, and people.
NOTE 3: P is the maximum output power rating of the transmitter in watts (W)
according to the transmitter manufacturer and d is the recommended separation
distance in meters (m).
NOTE 4: Field strengths from fixed RF transmitters, as determined by an
electromagnetic site survey,a should be less than the compliance level in each
frequency range.
b
NOTE 5: Interference may occur in the vicinity of equipment marked with the following
symbol:
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/
cordless) telephones and land mobile radios, amateur radio, AM and FM radio
broadcast, and TV broadcast cannot be predicted theoretically with accuracy.
To assess the electromagnetic environment due to fixed RF transmitters, an
electromagnetic site survey should be considered. If the measured field strength in
the location in which the H200 Wireless System is used exceeds the applicable RF
compliance level above, the H200 Wireless System should be observed to verify
normal operation. If abnormal performance is observed, additional measures may be
necessary, such as re-orienting or relocating the H200 Wireless System.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3
V/m.
87Chapter 15 - Appendix
Recommended Separation Distances Between Portable and Mobile RF
Communications Equipment and the H200 Wireless System
The H200 Wireless System is intended for use in an electromagnetic environment
in which radiated RF disturbances are controlled. The customer or the user of the
H200 Wireless System can help prevent electromagnetic interference by maintaining
a minimum distance between portable and mobile RF communications equipment
(transmitters) and the H200 Wireless System as recommended below, according to
the maximum output power of the communications equipment.
Rated
Separation Distance According to Frequency of Transmitter
Maximum
Output
Power of
Transmitter
(W)
150 kHz to
80 MHz
Outside ISM
Bands
80 MHz to
800 MHz
d = 0.4√P
800 MHz to
1000 MHz
d = 0.7√P
1000 MHz to
2.5 GHz
d = 2.3√P
d = 1.2√P
0.014.7 in. (0.12 m)1.6 in. (0.04 m)2.8 in. (0.07 m)9.1 in. (0.23 m)
0.115 in. (0.38 m)5.2 in. (0.13 m)8.7 in. (0.22 m)2 ft 5 in. (0.73 m)
1
10
100
3 ft 11 in. (1.2 m)15 ft 7 in. (0.4 m)2 ft 4 in. (0.7 m)7 ft 7 in. (2.3 m)
12 ft 6 in. (3.8 m)4 ft 2 in. (1.3 m)7 ft 3 in. (2.2 m)24 ft 11 in. (7.3 m)
39 ft 4 in. (12 m)13 ft 1 in. (4 m)23 ft (7 m)75 ft 6 in. (23 m)
Note 1: At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation
is affected by absorption and reflection from structures, objects, and people.
For transmitters rated at a maximum output power not listed above, the recommended
separation distance d in meters (m) can be determined using the equation applicable
to the frequency of the transmitter, where P is the maximum output power rating of the
transmitter in watts (W) according to the transmitter manufacturer.
Note: All calculations were made according to tables 204 and 206 of IEC 60601-1-2
for equipment that is not life-supporting using factors of 3.5 in 0.15–800 MHz and 7 in
800–2500 MHz. There are no requirements for ISM bands in these tables.
88User's Guide
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