Albrecht Combination Brace CDS Elbow/Wrist User Instructions Download Page 14 | Manualshive

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14

User Instructions

Combination Brace CDS

®

Elbow / Wrist

2.2.3. Fine adjustment for the elbow hinge

Fine adjustment gives you the option of infinitely variable extension limitation.

1

Set the fine adjustment to a value between 0 and -15. The setting reduces
the limitation already set by the stop screw.

1

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Summary of Contents for Combination Brace CDS Elbow/Wrist

Page 1: ...U S E R I N S T R U C T I O N S C O M B I N AT I O N B R A C E C D S E L B O W W R I S T D Y N A M I C S P R I N G L O A D E D E L B O W W R I S T O R T H O S I S ...

Page 2: ...hopaedic technician 8 2 1 Fitting to the patient 8 2 1 1 Adjusting the brace to the arm shape by using an orthopaedic bending iron 8 2 1 2 Setting the shell components 9 2 1 3 Length adjustment between elbow and wrist 10 2 1 4 Disconnect Coniungi 11 2 1 5 Reconnect Coniungi 11 2 2 Setting of the hinge 12 2 2 1 Setting the limitation for the elbow hinge 12 2 2 2 Setting the limitation for the wrist...

Page 3: ... tension 21 2 3 2 Attaching the brace to the arm 22 2 3 3 Adjust strap lengths as necessary 23 2 3 4 Final adjustment 24 2 3 5 Activate the spring tension 24 2 3 6 Setting the spring tension to the intensity needed by the patient 25 2 3 7 Changing the spring tension 26 3 Handling by the patient 27 3 1 Removing the brace 27 4 Cleaning maintenance and disinfection 28 4 1 Pads and straps 28 4 2 Rods ...

Page 4: ...dable please contact the appropriate specialist retailer or albrecht GmbH directly before you use the brace This particularly applies to the safety instructions 1 3 Mode of operation The Combination Brace CDS Elbow Wrist functions according to the CDS principle and has been designed to treat an extension deficit of the elbow and the wrist The brace applies a dynamic low load prolonged stretch to s...

Page 5: ...range between 15 and 30 1 8 Indications The physician will prescribe the type of treatment to apply based on his or her diagnostic findings In general the device is used to treat combined impairments on the elbow and hand Joint contractures After surgery After conservative treatment of capsular ligament injuries Before and after joint replacement In arthrosis and chronic polyarthritis After burns ...

Page 6: ...e and lymph vessels Excessive compression is therefore to be avoided Combination with other products is currently not provided for or is to be agreed with the manufacturer in writing The brace is not intended for single use but is intended for multiple use by a single person The product as delivered is not sterile Contact your physician immediately in the event of an allergic reaction Please note ...

Page 7: ...he padding and straps which are usually liable to a certain amount of wear and tear This kind of wear and tear does not represent a product defect This manufacturer s warranty is subject to the condition that the orthosis is used as a medical rehabilitation device and for no other purpose than that described in the instructions for use Changes to the orthosis or the removal damage to the quality m...

Page 8: ...1 Adjusting the brace to the arm shape by using an orthopaedic bending iron The brace is anatomically contoured However if a different shape is required the hinge rods can be adjusted to the shape of the patient s arm with the aid of an orthopaedic bending iron Loosen the screws on the shell components and either move or remove them Then adjust the hinge rods to the shape of the extremity bending ...

Page 9: ...l components are moveable 1 Loosen the screws on the shell components with the supplied tool without unscrewing them completly 2 Move the shell components into the desired position 3 Tighten the screws again 2 1 3 2 1 3 The shell components can be adjusted to the shape of the extremity ...

Page 10: ...he brace are optimally aligned with the joints 1 Loosen the screws of the forearm support without fully removing them 2 Move the support to the distance you need 3 Tighten the two clamping screws again 1 2 3 If necessary you can change the mounting position of the support 1 Remove both lower arm support screws 2 Position the screws in a different position in the hole grid and tighten them again 1 ...

Page 11: ...ts apart 2 1 5 Reconnect Coniungi 1 Ensure that the green marking points are correctly aligned 2 The rods can be adjusted to ensure the correct distance between the pivotal points 1 2 Please deactivate the spring force if you want to take individual parts away from the orthosis or add parts to it see 2 3 1 ...

Page 12: ...g the brace into flexion 3 On the side of the CDS housing are three holes that are marked with the degrees 0 15 and 30 In the hole marked with 0 is the stop screw Then turn the stop screw with the supplied tool from the CDS housing OFF 1 2 3 Before screwing it into one of the three holes bring the brace into flexion so that the holes are freely accessible Positon the stop screw in the desired posi...

Page 13: ...on of the straightening and limitation range and can be determined with a goniometer The stop screw is located in one of the holes Then turn the stop screw with the supplied tool from the CDS housing OFF 1 2 3 Before screwing it into one of the three holes bring the brace into flexion so that the holes are freely accessible Position the stop screw in the desired position and tighten the screw The ...

Page 14: ... Wrist 2 2 3 Fine adjustment for the elbow hinge Fine adjustment gives you the option of infinitely variable extension limitation 1 Set the fine adjustment to a value between 0 and 15 The setting reduces the limitation already set by the stop screw 1 ...

Page 15: ...e that you have to overcome in order to activate the spring tension 4 On the side opposite of the three holes are five positions marked with the degrees 0 15 30 45 and 60 Insert the stop wedge in the desired position 5 Fix it with the supplied screw ON 2 3 1 5 4 Please note The CDS joint on the hand is built on the basis of the 360 joint With the 360 joint the spring housing and the hinge rod can ...

Page 16: ...60 joint With the 360 joint the spring housing and the hinge rod can be pivoted against one another 1 Remove the pad 2 Remove the two screws 3 You can adjust the position of the redression range in 15 steps Use a goniometer to determine the desired position and adjust the hinge accordingly 4 Insert the screws again and tighten them 5 Insert the pad again 4 1 5 3 2 ...

Page 17: ...be adjusted in 15 steps 1 Loosen the pad beneath the palm 2 Remove the pad 3 Pull apart the two elements of the palm plate 4 While pressing on the finger plate set the desired position 5 Attach the pad again beneath the palm 1 4 5 2 3 Beneath the pad are slits that can be used for finger fixation ...

Page 18: ... piece 1 Loosen the lock screw 2 Loosen the screw in the fixing disc with the supplied tool 3 Move the hand piece foward to the stop Ensure that the retaining pin of the fixing disk clicks into the hole pattern of the retaining rod 4 Tighten the lock screw again 5 Tighten the screw in the fixing disk 4 1 5 2 3 ...

Page 19: ...8 Optional disassembly of the thumb plate The thumb plate can be removed if not needed Loosen the two screws with the supplied tool and remove the thumb plate Please be aware the thumb plate consists of PE material and is suitable for thermoforming ...

Page 20: ...plate 1 Loosen the screw in the fixing disk with the supplied tool 2 Turn the palm plate into the desired position and position the retaining pin Ensure that the retaining pin of the fixing disk clicks into the hole pattern of the retaining rod 3 Then tighten the screws again 1 2 3 ...

Page 21: ...2 Bring the brace as far into flexion as the patient is allowed to move Now the activation mechanism of the hinge is set to this position and the patient can reactivate the spring tension in this position To facilitate attaching of the brace on the patients adjust the length of all brace straps to their maximum length without unthreading them First loosen the finger strap Then loosen the forearm s...

Page 22: ...ing the brace to the arm Place the brace on the patient s arm 1 Ensure that the pivot of the brace hinge matches the physiological pivot of the joints It is possible for you to adjust the arm rods to the shape of the patient s arm by using an orthopaedic bending iron 1 ...

Page 23: ... Pass the strap under the finger plate and fasten it firmly 2 Position the strap pad under the loop 3 Take the strap with the fleece stitched to it and thread it through the strap loop then fasten it with the Velcro 4 First fasten the forearm strap next to the joint 5 Fasten the forearm strap further from the joint 6 Fasten the narrow upper arm strap 7 Fasten the wide elastic upper arm strap 1 2 3...

Page 24: ...e with the circulation The shell elements are anatomically contoured You can also shape the shell elements with the hand to the arm contour directly on the patient 2 3 5 Activate the spring tension 1 To activate the spring tension turn the switch to on 2 Bring the brace into flexion until you feel a slight resistance that you have to overcome in order to activate the spring tension The intensity o...

Page 25: ...amage to the CDS hinge the red range in the CDS hinge window must be avoided 2 Insert the tool as far as it will go into the side hole on the hinge By turning clockwise or towards the spring tension is increased and it is decreased by turning anticlockwise or towards 1 2 The intensity of the spring tension is not altered by activation or deactivation of the spring tension The spring tension may be...

Page 26: ... CDS hinge Torque in Nm Torque in Nm 2 3 7 Changing the spring tension The spring tension can be adjusted according to the to treatment progress Insert the tool as far as it will go into the side hole on the hinge By turning clockwise or towards the spring tension is increased and it is decreased by turning anticlockwise or towards The spring tension may be adjusted only in consultation with the t...

Page 27: ...the spring tension 1 To do so turn the switch to off 2 Bring the brace into flexion 3 To remove the brace first open the wide elastic upper arm strap 4 Then open the remaining straps by opening the clips and do not unthread the straps 5 Loosen the hand dorsom strap 6 Loosen the thumb strap 7 Loosen the finger strap 7 4 4 5 6 1 2 3 2 OFF ...

Page 28: ...ere soiling a replacement set of textile parts is available 4 2 Rods hinges Clean all parts of the brace with a wet cloth soaked with water and a mild detergent and or disinfectant Wipe down surfaces with a cloth soaked with disinfectant Wet completely and do not wipe off Spray inaccessible surfaces When spraying ensure complete wetting A mild alcohol based disinfectant is recommended Ask your phy...

Page 29: ...gle use but rather is intended for multiple use by a single person We do not recommend transfer to other users Should this be desired however please ensure to pass on the care and cleaning instructions and have the brace checked by an authorized specialist dealer for safe and proper operation 8 Disposal The brace contains recyclable materials without toxic or other harmful substances or other envi...

Page 30: ...30 User Instructions Combination Brace CDS Elbow Wrist ...

Page 31: ...www albrechtgmbh com 31 User Instructions ...

Page 32: ...e c h t G m b H C H I E M S E E S T R A S S E 8 1 D 8 3 2 3 3 B E R N A U A M C H I E M S E E G E R M A N Y P H O N E 4 9 0 8 0 5 1 9 6 1 2 9 0 FA X 4 9 0 8 0 5 1 9 6 1 2 9 3 0 I N F O A L B R E C H T G M B H C O M W W W A L B R E C H T G M B H C O M V E R S I O N E N 0 6 2 0 2 1 ...

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