Bioness Neuromodulation A Bioness L3P-T-RFS-V20 L300 Plus Thigh RF Stimulation Unit User Manual part 3

Bioness Neuromodulation ltd. A Bioness Inc Company L300 Plus Thigh RF Stimulation Unit part 3

user manual part 3

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Setting Up the NESS L300 Plus System
Preparing the Skin
Before you put on the L300 and Thigh FS Cuffs, prepare your skin where
the electrodes will touch.
To prepare your skin:
1. Clean the skin where the electrodes will touch with a wet washcloth. If any
lotions are on the skin, clean the skin with soap and water. Rinse well.
2. 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.
3. Check the skin for signs of irritation. If any irritation is present, stop using
the NESS L300 Plus System. Contact your clinician and the Bioness Client
Relations Department, Option 3. Wait for complete healing before using
the NESS L300 Plus System.
Checking the Components
Check all components and accessories for signs of wear or damage. If any
component is damaged, contact the Bioness Client Relations Department
at (800) 211-9136, Option 3. If the electrodes are old, replace them.
Chapter 7 - Setting Up the NESS L300 Plus System
63
Putting on the L300 FS Cuff
To put on the L300 FS Cuff:
1. Remove and wet the L300 cloth electrode(s), if appropriate.
2. Remove the covers on the hydrogel electrodes, if appropriate.
3. While seated, slightly straighten your leg. The outline of your kneecap
should be clearly defined. Place your foot on a footrest, if necessary. See
Figure 7-1
Outline of Kneecap
Clearly Defined
Figure 7-1: Recommended knee angle for putting on the L300 FS Cuff.
CAUTION: Turn off stimulation before putting on or taking off
the L300 FS Cuff.
64
User's Guide
4. Grasp the front of the L300 FS Cuff by the cradle. Then tilt the bottom of
the L300 FS Cuff up.
5. Slide the locator up your leg until it rests snugly and comfortably below
your kneecap. See Figure 7-2.
Locator
Figure 7-2: Aligning the L300 FS Cuff locator below the kneecap.
Chapter 7 - Setting Up the NESS L300 Plus System
65
6. While holding the locator in place, lower the L300 FS Cuff until it rests
flush against your leg. The L300 FS Cuff should gently grip your leg.
7. Grasp the handle of the L300 FS Cuff strap.
8. With your thumb on the cradle, fasten the L300 FS Cuff strap handle
around the cradle. See Figure 7-3.
Locator Below
the Kneecap
Thumb on the
Cradle and
Fingers on the
Strap Handle
Figure 7-3: Fastening the L300 FS Cuff strap.
66
User's Guide
9. Make sure the L300 FS Cuff is correctly positioned. The locator should
rest below the kneecap. The RF Stim Unit should face the inside of the
leg. See Figure 7-4.
Locator Below the
Kneecap
Strap Handle
Around the Cradle
L300 RF Stim Unit
Figure 7-4: The L300 FS Cuff correctly positioned on the right leg.
Chapter 7 - Setting Up the NESS L300 Plus System
67
Testing the Position of the L300 FS Cuff
To test the position of the L300 FS Cuff:
1. Place the L300 Plus Control Unit in standby mode.
2. Press the L300 RF Stim Unit selection button. The arrow next to the L300
RF Stim Unit indicator will light GREEN to confirm the selection.
3. Press and hold the
stimulation test button. The L300 RF Stim Unit will
stimulate until the stimulation test button is released.
If the L300 FS Cuff is not positioned correctly:
1. Turn off the L300 Plus System.
2. Unhook the L300 FS Cuff strap handle from the cradle.
3. Slowly lift the L300 FS Cuff away from the skin.
4. If appropriate, gently peel the L300 hydrogel electrodes from the skin.
Then make sure the L300 hydrogel electrodes are adhered correctly to
the bases.
5. Repeat the steps for putting on the L300 FS Cuff.
6. Retest the position of the L300 FS Cuff.
CAUTION: Remove the L300 FS Cuff from the skin every 3 to
4 hours for 15 minutes to allow the skin to breathe.
68
User's Guide
Putting on the Thigh FS Cuff
To put on the Thigh FS Cuff:
1. Remove and wet the Thigh cloth electrodes.
2. Sit in a stable position on the edge of a chair.
3. Place the Thigh FS Cuff locator on the midline of the thigh, approximately
three finger widths from the knee. See Figure 7-5.
Locator
Figure 7-5: Thigh FS Cuff locator correctly positioned on the quadriceps.
Chapter 7 - Setting Up the NESS L300 Plus System
69
4. Center the elongation bar on the midline of the thigh. See Figure 7-6.
Elongation
Bar
Figure 7-6: Thigh FS Cuff correctly positioned on the quadriceps.
5. Fasten the straps.
CAUTION: Turn off stimulation before putting on or taking off
the Thigh FS Cuff.
70
User's Guide
Testing the Position of the Thigh FS Cuff
To test the position of the Thigh FS Cuff:
1. Place the L300 Plus Control Unit in standby mode.
2. Press the Thigh RF Stim Unit selection button. The arrow next to the
Thigh RF Stim Unit indicator will light GREEN to confirm the selection.
3. Press and hold the
stimulation test button. The Thigh RF Stim Unit will
stimulate until the stimulation test button is released.
If the Thigh FS Cuff is not positioned correctly:
1. Turn off the L300 Plus System.
2. Loosen the Thigh FS Cuff.
3. Slowly lift the Thigh FS Cuff from the skin.
4. Make sure the Thigh cloth electrodes are wet and attached correctly.
5. Repeat the steps for putting on the Thigh FS Cuff.
6. Retest the position of the Thigh FS Cuff.
Note: Do not rotate (slide) the Thigh FS Cuff on the leg while it is fastened.
Rotating the Thigh FS Cuff while it is fastened could loosen or damage the
Thigh cloth electrodes.
CAUTION: Remove the Thigh FS Cuff from the skin every 3 to
4 hours for 15 minutes to allow the skin to breathe.
Chapter 7 - Setting Up the NESS L300 Plus System
71
Placing the Intelli-Sense Gait Sensor in the Shoe
The Intelli-Sense Gait Sensor is used when walking in gait mode. Make sure
it is placed in your shoe before selecting gait mode.
To position the pressure sensor:
1. Lift the insole of the shoe, and attach a gait sensor pad under the insole,
at the heel of the shoe. Make sure the gait sensor pad is in the same
location as initially fitted by your clinician. See Figure 7-7.
Shoe
Insole
Gait Sensor Pad
Figure 7-7: Lifting the insole and attaching a gait sensor pad.
CAUTION: Do not use the Intelli-Sense Gait Sensor with a
rigid insole, such as a custom rigid orthosis or an ankle foot
orthosis.
72
User's Guide
Note: If your shoe does not have a detachable insole, place the pressure
sensor on top of the insole. Then, place a generic (one layer versus two)
insole over it. Generic insoles can be purchased from drugstores, shoe stores,
or Bioness. Contact the Bioness Client Relations Department at (800)
211-9136, Option 2.
2. Point the wire of the pressure sensor toward the toe of the shoe. Then
press the pressure sensor to the gait sensor pad. See Figure 7-8.
Wire
Gait Sensor Pad
Foot Image on
Pressure Sensor
Figure 7-8: Positioning the pressure sensor in the heel of the shoe
Note: Refer to the foot image on the pressure sensor for correct orientation.
CAUTION: The Intelli-Sense Gait Sensor has not been validated
for use by individuals weighing more than 300 pounds (136
kilograms).
Chapter 7 - Setting Up the NESS L300 Plus System
73
To position the transmitter:
1. Cover the inner clamp of the Intelli-Sense Gait Sensor with the shoe
spacer. See Figure 7-9.
Shoe
Spacer
Figure 7-9: Attaching the shoe spacer.
74
User's Guide
Inner Clamp
2. Clamp the transmitter to the inner rim of the shoe. The NESS logo on the
transmitter should face away from the ankle. See Figure 7-10.
Transmitter
NESS Logo Faces Away
From the Ankle
Clamp
Attaches to
the Inner Rim
of the Shoe
Left Shoe
Pressure Sensor
Figure 7-10: Clamping the transmitter to the inner rim of the shoe.
3. Lower the insole. Tuck any excess wire under the insole. See Figure 7-11.
Left Shoe
Figure 7-11: Intelli-Sense Gait Sensor correctly positioned.
Chapter 7 - Setting Up the NESS L300 Plus System
75
Transferring the Intelli-Sense Gait Sensor to Another Shoe
To transfer the Intelli-Sense Gait Sensor to another shoe:
1. Turn off the NESS L300 Plus System.
2. Remove the Intelli-Sense Gait Sensor from the shoe.
3. Select another shoe.
4. Follow the steps for placing the Intelli-Sense Gait Sensor in the shoe. Be
sure to place the gait sensor pad in the same location as determined by
your clinician.
Using Multiple Intelli-Sense Gait Sensors
If you have more than one Intelli-Sense Gait Sensor, you can place each one
in a different shoe, and then switch shoes.
Note: Be sure to register any new Intelli-Sense Gait Sensor to your L300
Plus System. See Chapter 10.
To switch shoes using multiple Intelli-Sense Gait Sensors:
1. Turn off the NESS L300 Plus System.
2. Switch shoes.
3. Turn on the NESS L300 Plus System.
76
User's Guide
8
Operating the NESS L300 Plus System
The NESS L300 Plus System is designed to operate as a complete system.
The L300 and Thigh FS Cuffs both must be on and the system components
close to each other to communicate wirelessly.
Turning On/Off the NESS L300 Plus System
To turn on the NESS L300 Plus System, press the
on/off button on the
L300 Plus Control Unit once. The system will start in standby mode. All display
indicators will light up for a few seconds while the system performs a selftest. The
on/off button will FLASH GREEN to indicate the system is on.
To turn off the L300 Plus System, press the
on/off button once.
Chapter 8 - Operating the NESS L300 Plus System
77
Testing the Position of the FS Cuffs
The stimulation test button is used to test the position of the FS Cuffs. Only
one FS Cuff can be tested at a time.
L300 FS Cuff
To test the position of the L300 FS Cuff:
1. Place the L300 Plus Control Unit in standby mode.
2. Press the L300 RF Stim Unit selection button. The arrow next to the L300
RF Stim Unit indicator will light GREEN to confirm the selection.
3. Press and hold the
stimulation test button. The L300 RF Stim Unit will
stimulate until the stimulation test button is released.
Thigh FS Cuff
To test the position of the Thigh FS Cuff:
1. Press the Thigh RF Stim Unit selection button. The arrow next to the
Thigh RF Stim Unit indicator will light GREEN to confirm the selection.
2. Press and hold the
stimulation test button. The Thigh RF Stim Unit will
stimulate until the stimulation test button is released.
78
User's Guide
Selecting an Operating Mode
Selecting Gait Mode
To select gait mode:
1. Turn on the L300 Plus System.
2. Press the
mode button briefly.
The L300 Plus Control Unit will beep and the
mode button will FLASH
YELLOW SLOWLY (stimulation is off). When stimulation is on, the
mode button will FLASH YELLOW RAPIDLY.
Selecting Training Mode
To select training mode:
1. Turn on the L300 Plus System.
2. Press and hold the
mode button.
The L300 Plus Control Unit will beep, the
mode button will FLASH
YELLOW SLOWLY, and
(“t” for training) will alternate with the intensity
level in the digital display.
When stimulation is on, the
mode button will FLASH YELLOW RAPIDLY .
Chapter 8 - Operating the NESS L300 Plus System
79
Returning to Standby Mode
To return to standby mode from gait or training mode:
•• Press the flashing
mode button briefly.
The L300 Plus Control Unit will beep, and the
flashing.
80
User's Guide
mode button will stop
Adjusting Stimulation Intensity
When the L300 Plus Control Unit is turned on, the stimulation intensity level
will be “5."
L300 FS Cuff
To adjust stimulation intensity for the L300 FS Cuff:
1. Press the L300 RF Stim Unit selection button. The arrow next to the
L300 RF Stim Unit indicator will light GREEN to confirm the selection.
See Figure 8-1.
L300 RF
Stim Unit
Selection
Button
Figure 8-1: L300 RF Stim Unit selection.
Chapter 8 - Operating the NESS L300 Plus System
81
2. Press the
plus or
minus intensity adjustment button on the
L300 Plus Control Unit to change the intensity level.
The L300 Plus Control Unit will beep with each change in level. The new
level will show in the digital display.
Note: An intensity level of “0” equals no stimulation.
Note: When the system is turned on, the default stimulation intensity level
is restored.
Adjustment Guidelines
If your foot slightly drags or catches on the floor while walking, increase the
stimulation intensity in the L300 FS Cuff to lift the foot higher.
If your foot rises too high while walking or if stimulation is unpleasant, decrease
the stimulation intensity in the L300 FS Cuff. Be sure your foot does not drag
or catch on the floor after decreasing the intensity level.
Consult your clinician if you have questions.
82
User's Guide
Thigh FS Cuff
To adjust stimulation intensity for the Thigh FS Cuff:
1. Press the Thigh RF Stim Unit selection button. The arrow next to the
Thigh RF Stim Unit indicator will light GREEN to confirm the selection.
See Figure 8-2.
Thigh RF
Stim Unit
Selection
Button
Figure 8-2: Thigh RF Stim Unit selection.
2. Press the
plus or
minus intensity adjustment button on the
L300 Plus Control Unit to change the intensity level.
The L300 Plus Control Unit will beep with each change in level. The new
level will show in the digital display.
Note: An intensity level of “0” equals no stimulation.
Note: When the system is turned on, the default stimulation intensity level
is restored.
Chapter 8 - Operating the NESS L300 Plus System
83
Turning on Audio Feedback During Stimulation
The mute button is used to turn on audio feedback when stimulation is on.
Audio feedback can be turned on for one FS Cuff or both.
L300 FS Cuff
To turn on audio feedback during stimulation:
1. Place the L300 Plus Control Unit in standby mode.
2. Press and hold the L300 RF Stim Unit selection button.
3. While holding the L300 RF Stim Unit selection button, press and hold the
mute button for three seconds.
The L300 Plus Control Unit will emit an audio alert when stimulation is on.
To turn off audio feedback during stimulation:
•• Press the
84
User's Guide
mute button or the
on/off button.
Thigh FS Cuff
To turn on audio feedback during stimulation:
1. Place the L300 Plus Control Unit in standby mode.
2. Press and hold the Thigh RF Stim Unit selection button.
3. While holding the Thigh RF Stim Unit selection button, press and hold
the
mute button for three seconds.
The L300 Plus Control Unit will emit an audio alert when stimulation is on.
To turn off audio feedback during stimulation:
•• Press the
mute button or the FLASHING GREEN
on/off button.
Chapter 8 - Operating the NESS L300 Plus System
85
Muting/Un-Muting the L300 Plus Control Unit
To mute/un-mute the L300 Plus Control Unit:
•• Press the
mute button briefly.
Note: When the system is turned on, the default volume setting is restored.
86
User's Guide
Turning Off Audio/Visual Alerts
The NESS L300 Plus System is designed to be worn as a complete system
in gait mode, with both the L300 FS Cuff and the Thigh FS Cuff on. In training
mode, the L300 FS Cuff and the Thigh FS Cuff can be worn individually.
When only one FS Cuff is worn, the NESS L300 Plus System will emit a
faulty electrode contact alert for the other FS Cuff. It will also emit an RF
communication error alert for the other RF Stim Unit, if it is out of range.
These alerts can be temporarily turned off.
L300 FS Cuff
To temporarily turn off the alerts:
1. Place the L300 Plus Control Unit in standby mode.
2. Press and release the L300 RF Stim Unit selection button.
3. Press and hold the
mute button for three seconds.
Thigh FS Cuff
To temporarily turn off the alerts:
1. Place the L300 Plus Control Unit in standby mode.
2. Press and release the Thigh RF Stim Unit selection button.
3. Press and hold the
mute button for three seconds.
Note: When the system is turned on, the default settings are restored.
Chapter 8 - Operating the NESS L300 Plus System
87
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History When                    : 2011:01:28 12:09:09-08:00, 2011:01:28 12:13:52-08:00, 2011:01:28 12:13:52-08:00, 2011:01:28 12:15:42-08:00, 2011:01:28 12:16:46-08:00, 2011:01:28 12:18:08-08:00, 2011:01:28 12:20:41-08:00, 2011:01:28 12:22:45-08:00, 2011:01:28 12:24:54-08:00, 2011:01:28 12:30:12-08:00, 2011:01:28 12:30:58-08:00, 2011:01:28 13:16:22-08:00, 2011:01:28 13:17:45-08:00, 2011:01:28 13:18:12-08:00, 2011:01:28 13:21:06-08:00, 2011:01:28 13:22:08-08:00, 2011:01:28 13:23:11-08:00, 2011:01:28 13:23:50-08:00, 2011:01:28 13:28:42-08:00, 2011:01:28 13:32:28-08:00, 2011:01:28 13:34:16-08:00, 2011:01:28 13:35:11-08:00, 2011:01:28 13:36:54-08:00, 2011:01:28 13:40:10-08:00, 2011:01:28 14:51:53-08:00, 2011:01:28 14:53:15-08:00, 2011:01:28 14:55:36-08:00, 2011:01:28 14:58:44-08:00, 2011:01:28 15:01:06-08:00, 2011:01:28 15:02:39-08:00, 2011:01:28 15:04:56-08:00, 2011:01:28 15:06:17-08:00, 2011:01:28 15:08-08:00, 2011:01:28 15:18:49-08:00, 2011:01:28 15:26:04-08:00, 2011:01:28 15:34:09-08:00, 2011:01:28 15:36:06-08:00, 2011:01:28 15:38:25-08:00, 2011:01:28 15:39:35-08:00, 2011:01:28 15:54:45-08:00, 2011:01:28 16:06:14-08:00, 2011:01:28 16:08:12-08:00, 2011:01:28 16:10:06-08:00, 2011:01:28 16:10:43-08:00, 2011:01:28 16:12:43-08:00, 2011:01:28 16:12:44-08:00, 2011:01:28 16:14:11-08:00, 2011:01:28 16:14:21-08:00, 2011:04:21 08:12:20-07:00, 2011:04:21 08:15:05-07:00, 2011:04:21 08:15:31-07:00, 2011:04:21 08:22:26-07:00, 2011:04:21 08:28:53-07:00, 2011:04:21 09:27:49-07:00, 2011:04:21 09:58:20-07:00, 2011:04:21 10:07:19-07:00, 2011:04:21 10:13:15-07:00, 2011:04:21 10:18:04-07:00, 2011:04:21 10:24:54-07:00, 2011:04:21 10:32:05-07:00, 2011:04:21 10:33:01-07:00, 2011:04:21 11:27:06-07:00, 2011:04:21 14:06:28-07:00, 2011:04:21 14:08:19-07:00, 2011:04:21 14:12:22-07:00, 2011:04:21 14:21:34-07:00, 2011:04:21 14:25:41-07:00, 2011:04:21 15:14:50-07:00, 2011:04:21 15:20:42-07:00, 2011:04:21 15:21:22-07:00, 2011:04:21 15:25:32-07:00, 2011:04:21 15:25:59-07:00, 2011:04:21 15:47:03-07:00, 2011:04:21 15:51:17-07:00, 2011:04:21 15:52:54-07:00, 2011:04:21 15:56:13-07:00, 2011:04:21 15:58:15-07:00, 2011:04:21 16:03:37-07:00, 2011:04:21 16:04:10-07:00, 2011:04:21 16:11:47-07:00, 2011:04:21 16:12:20-07:00, 2011:04:21 16:16:46-07:00, 2011:04:21 16:53:28-07:00, 2011:04:22 12:25-07:00, 2011:04:22 12:28:38-07:00, 2011:04:22 12:41:01-07:00, 2011:04:25 09:24:49-07:00, 2011:04:25 09:26:33-07:00, 2011:04:25 09:30:15-07:00, 2011:04:25 09:33:19-07:00, 2011:04:25 09:41:03-07:00, 2011:04:25 09:45:58-07:00, 2011:04:25 09:46:58-07:00, 2011:04:25 09:57:14-07:00, 2011:04:25 10:03:32-07:00, 2011:04:25 10:05:11-07:00, 2011:04:25 10:36:04-07:00, 2011:04:25 10:37:02-07:00, 2011:04:25 10:40:16-07:00, 2011:04:25 10:40:25-07:00, 2011:04:25 10:40:40-07:00, 2011:04:25 10:43:03-07:00, 2011:04:25 10:51-07:00, 2011:04:25 11:54:51-07:00, 2011:04:25 11:55:48-07:00, 2011:04:26 08:10:47-07:00, 2011:04:26 13:50:19-07:00, 2011:05:06 13:33:33-07:00, 2011:05:06 13:36:12-07:00, 2011:05:10 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16:39:50-07:00, 2011:05:17 16:49:40-07:00, 2011:05:17 16:51:34-07:00, 2011:05:17 16:52:15-07:00, 2011:05:17 16:56:12-07:00, 2011:05:17 16:56:48-07:00, 2011:05:18 08:01:58-07:00, 2011:05:18 08:09:36-07:00, 2011:05:18 08:12-07:00, 2011:05:18 08:13:58-07:00, 2011:05:18 08:14:35-07:00, 2011:05:18 08:15:22-07:00, 2011:05:18 08:15:58-07:00, 2011:05:18 08:16:38-07:00, 2011:05:18 08:16:57-07:00, 2011:05:18 08:36:24-07:00, 2011:05:18 11:03:22-07:00, 2011:05:18 12:34:17-07:00, 2011:05:18 12:37:34-07:00, 2011:05:18 12:42:03-07:00, 2011:05:18 12:46:53-07:00, 2011:05:18 12:48:57-07:00, 2011:05:18 12:49:38-07:00, 2011:05:18 13:23:48-07:00, 2011:05:18 13:44:14-07:00, 2011:05:18 13:49:45-07:00, 2011:05:18 14:00:54-07:00, 2011:05:18 14:04:02-07:00, 2011:05:18 14:16:33-07:00, 2011:05:18 14:22:41-07:00, 2011:05:18 14:26:20-07:00, 2011:05:18 14:32:33-07:00, 2011:05:18 14:43:56-07:00, 2011:05:18 14:45:07-07:00, 2011:05:18 14:54:39-07:00, 2011:05:18 14:56:16-07:00, 2011:05:18 14:57:27-07:00, 2011:05:18 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Producer                        : Adobe PDF Library 9.9
Trapped                         : False
Page Count                      : 25
EXIF Metadata provided by EXIF.tools
FCC ID Filing: TVF-L3P-T-RFS-V20

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