touch bionics i-limb select User Manual

i-limbTM select Manual
Part number: MA 01155: Issue No. 4, January 2015
This is an i-limb ultra that has been refurbished. This document provides instruction for prosthetists in the tting and servicing of the i-limb select and should be read in full prior to tting. It is highly recommended that the use of this manual is made in conjunction with instruction from a clinician experienced in upper limb and myo-electric prostheses.
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Table of Contents
1. i-limb select 1.1 Product Description
1.2 Intended Use
1.3 Prosthesis Overview
1.4 Features catalogue
2. Socket 2.1 Control Sites
2.2 Socket Fabrication
2.3 Charge Port Placement Assembly
2.4 Battery Options
2.5 Battery Conguration
2.6 Battery Installation
2.7 i-limb Power Pack
2.8 Battery Charging
3. Wrist 3.1 Wrist Connection Options
3.2 Quick Wrist Disconnect (QWD)
3.3 Wrist Disarticulation
4. Adjustments 4.1 Digit Conguration
4.2 Digit Installation
4.3 Thumb Installation
5. Covers 5.1 Cover Options
6. biosim app clinician version 6.1 biosim app Overview
6.2 Getting Started
7. my i-limb patient version 7.1 my i-limb Overview
7.2 Getting Started
8. Support Information 8.1 General Safety, Warnings and Precautions
8.2 Troubleshooting
9. Appendix 9.1 Technical Information
9.2 i-limb select Information
9.3 Component Compatibility
9.3.1 EMC and Electrical Information
9.4 Warranty
Part number: MA 01155 Issue No. 4, January 2015
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1.0 i-limb select
1.1 Product Description
The i-limb select is an externally powered, multi-articulating prosthetic hand which oers a range of features beyond the functions of the traditional prosthetic hand.
Individually motorized digits and the unique biosim and my i-limb app used to control the i-limb select result in one of the most versatile prosthetic hand currently available to the global market.
Users can choose from a wide selection of automated grips and gestures to help complete daily tasks. Grips and gestures can then be customized further for precise control.
The i-limb select oers compliant grip through individually powered digits with stall out ability. A manually rotating thumb in conjunction with a pulsing, enhanced grip (vari-grip), and the wide range of automated grip patterns lead to broad functionality.
1.2 Intended Use
The i-limb select is intended to be used by patients with upper limb loss or deciency
1.3 Prosthesis Overview
The i-limb select is available in small or medium sizes. The hand serial number is positioned proximal to the base of the thumb on the connection plate. The serial number will start with a “Q” and be followed by four numbers.
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Motorized Digit
Knuckle
Palmar Fairing
Manual Thumb Rotator
On / O Switch
Part number: MA 01155 Issue No. 4, January 2015
1.4 Features Catalogue
The i-limb select has 12 dierent grip options available. These grips can be accessed through biosim and the my i-limb app. This following Features Catalogue will review the various available grips and provide a functional description of each.
Precision Pinch Grip Options
Precision pinch grip options are best for picking up small items between and the thumb and index nger. There are 4 options available depending on how you want the other digits to perform while doing the pinch. The most popular is Thumb Precision Pinch Closed.
Standard Precision Pinch Opened
middle, ring and little nger remain fully opened and switch o. Index nger and thumb provide grip.
Thumb Precision Pinch Opened
middle, ring and little nger remain fully opened and switch o. Thumb automatically moves to a partially closed position. Index nger will move to provide grip against a xed thumb.
Standard Precision Pinch Closed
middle, ring and little nger automatically close and switch o. Index nger and thumb provide grip.
Thumb Precision Pinch Closed
middle, ring and little nger automatically close and switch o. Thumb automatically moves to a partially closed position. Index nger will move to provide grip against a xed thumb.
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. The advantage of using the tripod grip options is if you want the ring and small digits to stay either fully open or fully closed when gripping.
Standard 3 Jaw Chuck (Tripod) Opened
ring and little nger remain fully opened and switch o. Thumb, index and middle ngers move to provide grip.
Standard 3 Jaw Chuck (Tripod) Closed
ring and little nger move to terminal close. Thumb, index and middle ngers move to provide grip.
Thumb 3 Jaw Chuck (Tripod) Opened
ring and little nger remain fully opened and switch o. Thumb automatically moves to a partially closed position. Index and middle ngers move to provide grip against a xed thumb.
Part number: MA 01155 Issue No. 4, January 2015
Thumb 3 Jaw Chuck (Tripod) Closed
ring and little nger move to terminal close. Thumb automatically moves to a partially closed position. Index and middle ngers move to provide grip against a xed thumb.
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Additional Grip and Gesture Options
With these additional grip patterns and gestures, consider how often you perform dierent 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). Many of these additional grips can be performed by stalling one or more digits. If it is a task that is not performed often (maybe using index point to press the “Shift” key on a keyboard) then you may prefer to just stall the digit. However, if you frequently perform the task or want to go into the position without needing to put the hand against the table or your other hand, then programming the grip may be the better option.
Thumb Park Continuous
all four ngers remain open and switch o, only the thumb will move.
Lateral Grip
all four ngers fully close and switch o. Only thumb will move.
Thumb Park Quick
all four ngers remain open and switch o, for 1.5 seconds the thumb will close and then automatically return to an open position.
Index Point
thumb, little, ring and middle ngers close and switch o. Only the index nger will move.
Part number: MA 01155 Issue No. 4, January 2015
2.0 Socket
2.1 Control Sites
The i-limb select is controlled by compact electrodes (g. 1).
For information regarding the tting of the Touch Bionics electrode, review the manual provided with the electrode.
Electrode Site Selection
The use of virtu-limb, the Touch Bionics’ myo-testing system, is recommended to determine the optimal placement of electrodes (g. 2). virtu-limb is not included with the i-limb select. Contact Touch Bionics for information about ordering virtu-limb.
Do not rely on previous myo-electrical testing.
Consult Touch Bionics training materials for information on myo­testing.
Figure 1. Compact Electrode
Use anatomical sites where the electrode will maintain constant, even contact with the skin. Avoid placing electrodes near socket interface trim lines, bony areas, skin grafts or fatty tissue.
Figure 2. virtu-limb
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Prosthetist must ensure that the plastic screw provided
is utilized and properly tightened on the coaxial plug
(g.3) where the battery and electrodes connect, to
prevent loose connections .
2.2 Socket Fabrication
While fabricating the socket for the i-limb select, special considerations will need to be given to:
1. Battery placement, size and conguration
2. Electrode position
3. Charge port placement
4. Socket length and the overall length of the prosthesis in comparison to the opposite side.
Clinicians should have prior experience with building externally powered prosthetic sockets before tting the i-limb select.
Touch Bionics’ batteries, charger port and switch block components should always be used with the i-limb select.
Figure 3. Coaxial Plug
We recommend that a rubber grommet or plastic cap
is placed over any socket holes to protect the integrity
of the electrode.
During socket fabrication, appropriate measures must
be taken to prevent sweat entering into the battery
connector within the lamination ring, which may result
in a short circuit and compromise use of the device.
Conventional sweat prevention methods include the
use of drain holes and suction sealing electrodes.
Alternatively, silicone may be used to seal the interface
area between the battery connector and co-axial plug
into the prosthetic socket.
During socket maintenance, ensure a check of the
battery connector/co-axial plug interface is carried out.
Socket Material
The use of Carbon ber is not recommended due to
electrical conductivity.
Part number: MA 01155 Issue No. 4, January 2015
Coupling Piece Assembly for QWD Wrist
Insert the castelation ring (coupling piece) into lamination ring and turn until seated. Insert retaining ring around outside edge of coupling piece and use QWD release tool to seat the retain­ing ring. The QWD release tool is available to order from Touch Bionics.
Battery Placement
Use Velcro® to position the batteries on the pre-prepared at surfaces to prevent distortion.
Battery Placement for a Long Residual Limb
Consideration of battery placement is particularly important in longer sockets. The shape of the inner socket must also be considered.
If the residual limb is long or bulbous, the position of the battery dummies and charge port are best placed midway up the arm along the inner socket ensuring they will not impact the ability to don/do the prosthesis and that the postion will not result in pressure from the residual limb that could distort the battery.
Placement of batteries should allow for removal of the inner socket.
If the socket has a bulbous distal end, do not position batteries or charger port around the narrow region of the prosthesis.
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2.3 Charge Port Placement Assembly
It is important to provide sucient space for the charge port between the inner and outer sockets. The charge port should be positioned so that it is unaected by forces running through the socket to prevent damage.
Create a drill hole of 8mm through the inner surface of the prosthetic frame. Ensure a at surface has been created to accommodate the charge port mounting frame (if installing a switch block as an alternative to the charger port, create a drill hole to cater for the panel mount).
Smooth the edges of the drill hole and insert the threaded charge port. A minimum thread height of 3.2mm above the socket surface is required for full engagement of washers and locking nut.
Position the M8 Lock Washer and the M8 Flat Washer before hand tightening the the locking nut.
Use a 3/8” wrench to tighten the locking nut. Do not overtighten.
Do not use pliers on the charge port.
Position the M8 Lock Washer and M8 Flat Washer in place over the threaded shaft of the charger port. Engage the M8 locking nut with the threaded shaft and tighten rmly by hand.
The use of both the Lock Washer and Flat Washer is vital to ensure the charge port is not damaged by over tightening.
Do not overtighten!
Part number: MA 01155 Issue No. 4, January 2015
2.4 Battery Options
The i-limb select comes with a 1,300mAh battery. This battery has been specically designed to meet the power requirements of the hand.
i-limb 1,300 mAh
Battery
Capacity 1,300 mAh
Length 70mm (2.76”)
2.5 Battery Conguration
The image opposite shows the 1,300mAh battery option .
Only Touch Bionics batteries are approved for use with the i-limb select. Use of alternative batteries will invalidate the warranty.
2.6 Battery Installation
The battery is designed to be mounted inside the socket interface. Ensure there is adequate space between the residual limb and the wrist (or elbow) to accommodate the battery, char­ger port and any other componentry. Use the battery dummy to fabricate a relief for the battery in the socket interface.
Battery Dimensions
Dummy Battery Dimensions
Application Moderate Use
Width 35mm (1.39”)
Height 6mm (0.24”)
Length 69mm (2.77”)
Width 35mm (1.39”)
Height
10mm (0.39”) Single cell 16mm (0.63”) Dual cell
When planning battery location and dummy placement for fabrication, keep in mind a maximum distance of 135mm is possible between cells due to wire length.
Installing i-limb Power Pack
Utilize battery dummies on top and bottom of socket to create necessary space to accommodate battery housing.
Use standard fabrication processes and technique to create an opening in the socket to accommodate battery housing.
When using a switch block, it is recommended that you use the provided Switch Template (g. 4) to guide drill holes.
Ensure there is no contact between the battery housing and inner socket
Part number: MA 01155 Issue No. 4, January 2015
Figure 4
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Do not apply excessive force to the charger
socket interface during assembly.
A minimum of 2mm of free space surrounding the charger port should be provided.
A at surface is needed to secure the charger port to the socket interface frame. This may require additional shaping of the frame section above the dummy battery. Use the Velcro
®
strip supplied to
attach the battery to the inside of the socket interface.
Wiring Schematic for 1300mAh Low Prole
Battery with D.C. Socket
2.5mm D.C. Socket
Co-axial Bush/Rotator
If the area between the residual limb and the lamination ring is insucient to house the battery, you will need to position the battery between the socket interface and the frame. This will be necessary when:
the residual limb is longer than 60% of the humeral or forearm
section of the prosthesis
the battery is too large for the space available in the socket
interface frame
Cutting or modifying the battery wires in any way will invalidate the warranty.
Low Prole Battery Cells Placed Side by Side
Do not bend or shape the battery in any way.
Ensure the battery is not subject to continued pressure once tted.
Part number: MA 01155 Issue No. 4, January 2015
2.7 i-limb Power Pack
i-limb Power Pack (ordered separately) are for users who want the ability to easily replace batteries.
Battery housing is fabricated on top and bottom of socket, allowing for easy access.
Top of socket
Bottom of socket
i-limb Power Pack kit
i-limb Power Pack includes the following items:
1 dual battery housing unit (g. 5).
4 Removable 800 mAh batteries (g. 6) with low battery LED indicator.
Battery LED will glow RED when batteries are below 10% charge.
2 Battery housing dummies (g. 7).
Dual battery charger base unit (g. 8).
Wall charging unit (g. 9).
Switch Assembly. Switch Block is typically used in conjunction with
a wrist rotator or for patients who would like a power o control on the socket) (g. 10).
Switch template Switch Assembly (if Switch Assembly is ordered)
(g. 11). This template is to be applied to the desired position on the socket to help guide drill holes.
2 Battery Pull cords (g. 12). Benecial for bi-lateral patients, the
battery pull cord provides a simple solution for removing the battery in your socket.
Figure. 5 Figure. 6
Figure. 7
Figure. 9 Figure. 10
Figure. 8
Country specic charger plugs.
Car charger.
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Figure. 11
Figure. 12
2.8 Battery Charging
Please review the below Instructions for proper internal battery charging.
Only use supplied Touch Bionics charger to charge battery. Depending on your location, you will receive one of the below chargers (g. 14, or g. 15)
The patient will need to remove the socket from their arm and turn the i-limb device o. The on/o switch is pictured in g 13. i-limb device is o when switch is in left position.
Insert the charger (g. 14 or g. 15) into the power outlet. The charger will need to be inserted into the power outlet prior to connecting to the charge port. To charge, insert the charger lead connector into the charge port. A “click” should be heard on connection. If the green light is on when you rst plug in the device, ensure the switch block is o.
Charging time is approximately:
1,300 mAh battery- 90 minutes
2,000 mAh battery- 180 minutes
The light display for g. 14 is:
Solid Red – charging
Solid Green – fully charged or idle
Continuous ashing red – fault condition
Rapid ashing amber – Threshold state between charging
and fully charged ( should only last for 1-2 seconds)
Continuous ashing red or green – Connection Error.
Remove charger lead connector from the charge port. Ensure charger is plugged in and switched on at the mains. Re-insert the charger lead connector into the charge port.
The light display for g. 15 is:
Solid Amber – on standby
Slow ashing amber – pre-charge mode
Rapid ashing amber – Error
Slow ashing green – maintenance charge
Rapid ashing green – rapid charge
Solid green – fully charged
To remove the charger lead connector from the i-limb select, grip the connector and pull directly away from the port. Consult Warnings and Precautions for additional information.
Figure. 13
On/O Switch
Figure 14
Figure 15
If the patient intends to travel outside of their home country, they will need to ensure they have a Touch Bionics charger that will work in the country to which they are traveling. Additional chargers are available from Touch Bionics.
To ensure the i-limb select is continually functional, charge at the end of each day.
Replace the battery annually for optimal performance.
Part number: MA 01155 Issue No. 4, January 2015
Do not pull cable to remove the lead.
Switch the hand OFF to preserve battery power when not in use.
i-limb Power Pack Charger
i-limb Power Pack batteries for i-limb select should only be charged using the Touch Bionics battery charger (g. 16) supplied. Place the batteries in the charger as illustrated. Insert the charger lead from the battery powerpack into the charge port. Insert the charger into the power outlet.
Charging time from full discharge is approximately 2 hours.
Figure. 16
On the base plate of the charger (g. 17) you will see the various light sequences:
Middle light on: Charger is plugged in
2nd and 5th lights blinking Green: Batteries are charging
2nd and 5th lights solid Green: Batteries are charged
1st and 4th Red lights on: Battery fault, unplug and try
again. If lights continue to illuminate, contact Touch Bionics Customer Support.
Only use the plug to disconnect the charger, never
pull the cable to remove the lead.
Figure. 17
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