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biodex 950-400 Application/Operation Manual Download Page 46

 

46 

 

Biodex Medical Systems, Inc. © 2017

 

Self-Care  

G8987 Self-care current status  
G8988 Self-care goal status  
G8989 Self-care D/C status  
 

Other PT/OT Primary (not covered in above category) 

G8990 Other PT/OT current status  
G8991 Other PT/OT goal status  
G8992 Other PT/OT D/C status  
 

Other PT/OT Subsequent (not covered in above category) 

G8993 Sub PT/OT current status  
G8994 Sub PT/OT goal status  
G8995 Sub PT/OT D/C status  
 

 

 

 

Summary of Contents for 950-400

Page 1: ...GAIT TRAINER 3 v3 X software APPLICATION OPERATION MANUAL 950 400 950 401 950 402 950 403 950 404 950 405 950 406 950 407 950 408 950 413 950 414 FN 17 024 Rev B 5 17...

Page 2: ...t Trainer 3 115 VAC with Extended Handrails 950 403 Gait Trainer 3 230 VAC with Extended Handrails 950 405 Gait Trainer 3 100 VAC with Extended Handrails 950 406 Gait Trainer 3 115 VAC with Geriatric...

Page 3: ...Trainer Patient Setup Screen 18 Gait Training Patient Setup Screen Parameters 20 Additional Gait Training Patient Setup Screen Parameters 21 The Additional Information Screen 21 The Diagnostic Inform...

Page 4: ...tion 57 System Configuration Screen Parameters 58 Gait Trainer Configuration 60 Patient Management 62 Adding Patient Files 64 Editing Patient Files 64 Deleting Patient Files 65 Importing Patient Data...

Page 5: ...mpatibility 96 Conformance to Standards 96 Accompanying EMC Documents 96 List of Cable Accessories 96 Declaration of Conformity 97 Recommended Separation Distances 100 Operating Temperature 100 13 Spe...

Page 6: ...tion Carefully read these instructions prior to use Caution General Warning General Mandatory Action Dangerous Voltage On Power Off Power Earth ground Alternating Current Fuse USB Connector Cable Wast...

Page 7: ...nt est utilis dans une mani re autre qu indiqu dans ce manuel d op ration la protection fournie par l quipement peut tre diminu e et les r sultats pourraient tre compromis Ne quittent Jamais le patien...

Page 8: ...warning and caution labels as explained in the Before Proceeding section of this manual This product should be used only as specified in the operation manual For product specifications refer to the Ta...

Page 9: ...r Do not place the product in a position where the plug is not easily accessible ATTENTION Le bouchon est consid r e comme la m thode de d connexion du produit d alimentation Ne placez pas le produit...

Page 10: ...buse include but are not limited to subjecting limits and allowing the equipment to become contaminated by fluid materials C In order to obtain warranty repair service and to expedite repair process p...

Page 11: ...paired on site or replacement parts will be sent 8 If the unit must be returned Biodex will provide a return materials authorization number R M A Pack the unit in the carton that it was originally shi...

Page 12: ...gress to baseline norms Indications for Use Of course the Gait Trainer can also be used for many other rehabilitation treadmill applications In the treadmill mode its unparalleled speed control durabi...

Page 13: ...GAIT TRAINER 3 v3 X SOFTWARE 13 Figure 1 1 Leveling Foot Requires an Adjustment Figure 1 2 Loosen the Top Nut Figure 1 3 Adjust the Bottom Nut...

Page 14: ...rner of the home screen followed by Shut Down Figure 1 5 Power down sequence Once the display has finished its shut down sequence power may be removed from the treadmill using the main ON OFF switch l...

Page 15: ...nitialization Screen Note It is important to not be standing on the treadmill deck when OK is selected to perform the footfall initialization The footfall initialization calibrates the treadmill senso...

Page 16: ...s are positioned such that they will not interfere with the patient or get caught in the Gait Trainer 3 platform or handles 7 Refer to the printer manual for directions on installing ink cartridges an...

Page 17: ...rt on the bottom of the display Once the external monitor s cable is connected the Mirror to External Monitor button in System Utilities must be selected This button is accessed by the following navig...

Page 18: ...ning for weight distribution and coordination of balance The Opening Menu displays three icons Gait Trainer Treadmill and Utilities Touch Gait Trainer to advance to the Patient Setup screen This scree...

Page 19: ...lities Similarly the different ways to input height weight and age information can also be configured in system Utilities A brief explanation of each parameter and function on the Gait Training Patien...

Page 20: ...t results will feature the updated information Once a test is performed there is no way to edit the height or weight recorded for that test result Patient height and weight can also be changed at any...

Page 21: ...igure 2 5 Touch Diagnosis to enter diagnostic information for the patient including an ICD code CPT Code Figure 2 3 Touch the CPT Code drop down menu to assign a particular CPT Current Procedural Term...

Page 22: ...necessarily have to feature an ICD Code field this can be activated or deactivated in system Utilities The Biofeedback Options Screen Figure 2 6 The audio visual Biofeedback Options screen The Biofee...

Page 23: ...set entered on the A V screen touch OK to return to the Patient Setup screen The Select Patient Screen Figure 2 7 The Select Edit Patient screen In previous versions of the Gait Trainer software a pat...

Page 24: ...ent records on the device is relatively small it may be easier to scroll through the records with the and arrows The arrows will not scroll through individual records but rather pages of records ten p...

Page 25: ...de data to the patient s tests The G Code result options and categories are discussed in depth in a later section of this document After making any selections to the menus on this screen note that the...

Page 26: ...ent The user can toggle by pressing the blue dots to display speed as cycles sec MPH or meters sec The numbers in the left and right corners of the Footfalls display illustrate the real time average o...

Page 27: ...e the patient to take longer steps NOTE For visual and audio biofeedback the treadbelt speed must be greater than 0 3 mph 0 48 kmh A step cycle is a successive heel strike for the same foot i e right...

Page 28: ...tell the patient what footfall is outside of the range by displaying a prompt to go longer or shorter on the respected foot or feet Figure 2 11 NOTE Because footfalls are projected based on the patien...

Page 29: ...esented in the Biodex Gait Trainer are derived from the reference tables in Gait Analysis An Introduction 2nd Edition Michael W Whittle 1997 pgs 218 219 The cycle time in Whittle s research is measure...

Page 30: ...his is the total distance traveled by the treadbelt which is in essence the distance traveled by the patient Average Walking Speed Normative values have been established and are dependent on age and s...

Page 31: ...ave exercise results for later reporting or export as follows 1 At the Test Results screen touch the Save Results icon to save the results of the latest gait training session NOTE If no patient name h...

Page 32: ...ogress report is perfect for showing need progress and outcome Progress reports for specific parameters are available when a patient has multiple exercise reports Figure 4 4 Select any of the patient...

Page 33: ...creen Figure 4 7 Touch the progress parameters that you are interested in viewing and or printing Green boxes indicate selected parameters Also choose to have data points on the report and or Normativ...

Page 34: ...ort showing increase or decrease in average walking speed over the six sessions Figure 4 10 Progress report showing increase or decrease in total distance covered and steps taken Figure 4 11 Progress...

Page 35: ...INER 3 v3 X SOFTWARE 35 Figure 4 12 In this case the progress report shows an increased step length variability over the sessions Figure 4 13 Progress report showing the percentage of time spent on ea...

Page 36: ...ms that do not include the required functional data will be returned for re submission Functional tests will be used to report a functional limitation category G code and a percentage of impairment Se...

Page 37: ...tient by making selections in the drop down menus The top drop down menu allows the user to select a G code Result Option This means that the Exercise Summary Report will feature the Impairment the Se...

Page 38: ...38 Biodex Medical Systems Inc 2017 Figure 5 4 A sample of the Test Results after Both Impairment and Severity Modifier Code has been selected...

Page 39: ...t likely to be associated with the Gait Trainer is the Mobility Walking and Moving Around selection Figure 5 5 The second drop down menu on the G code Calculator Options screen in the Gait Trainer int...

Page 40: ...s If it is the last treatment the Discharge Status should be selected Figure 5 7 The third drop down menu on the G code Calculator Options screen in the Gait Trainer interface allows the user to selec...

Page 41: ...Utilities Figure 5 10 Sample Test Results screen Near the top of the screen the user can see that the G code category has been specified as Mobility Walking and Moving Around The G8978 code is derive...

Page 42: ...how the Gait Trainer software calculates Impairment Percentage In measuring a patient s average walking speed the software assigns an Impairment Percentage score based on the patient s average walking...

Page 43: ...software calculates Impairment Percentage From the Stored Test Results screen the therapist may also choose to alter the Impairment Percentage numbers manually To do so touch the number to be changed...

Page 44: ...44 Biodex Medical Systems Inc 2017 On the Reason for Amendment screen select a reason for the change in the drop down menu Figure 5 14 Reason for Amendment screens...

Page 45: ...ge in impairment percentage is now noted by an asterisk Sample G Code Categories For reference some other G code categories and associated codes are listed below All of these selections are available...

Page 46: ...989 Self care D C status Other PT OT Primary not covered in above category G8990 Other PT OT current status G8991 Other PT OT goal status G8992 Other PT OT D C status Other PT OT Subsequent not covere...

Page 47: ...o begin the exercise session with minimal input Quick Start Operation Although the Gait Trainer offers advanced programming capability it also features a Quick Start function that allows the user to i...

Page 48: ...e point at which the treadbelt begins to move in either direction Distance The distance covered in miles or KM from the beginning to the end of the current exercise session Calories Toggle between Cal...

Page 49: ...ed Limit setting refer to the System Configuration section of this document To set a speed touch a number button The window will close and the treadbelt will start ramping up to that speed Figure 6 3...

Page 50: ...e settings i e miles KM touch the displayed parameter 5 When all parameters are entered selected press Start on the display to activate the tread treadbelt and begin the exercise session The treadbelt...

Page 51: ...GAIT TRAINER 3 v3 X SOFTWARE 51 Figure 6 5 The Numeric display...

Page 52: ...ise profile The Profile Setup Options screen is displayed 3 At the Profile Setup Options screen enter the Time duration user s Body Weight and the Maximum Elevation for the exercise profile Touch Next...

Page 53: ...SOFTWARE 53 Figure 7 1 The Select Profile screen allows the user to choose from five pre defined profiles Figure 7 2 At the Profile Setup Options screen users can enter values for time body weight an...

Page 54: ...Profiles screen is displayed 3 Touch the Empty 1 12 icon of the profile to be designed Touch Edit Profile at the bottom of the screen The Editing Profile screen is displayed 4 Each exercise profile ca...

Page 55: ...GAIT TRAINER 3 v3 X SOFTWARE 55 Figure 7 4 At the Editing Profile screen clinicians enter values for speed elevation and time for each of up to ten stages for any profile...

Page 56: ...atient Management Reports System Maintenance and Advanced System Maintenance not displayed screens NOTE The Advanced System Maintenance is an icon that is normally hidden instructions on accessing it...

Page 57: ...option the user must enter 159 at the Access ID Code prompt and touch OK System Configuration The System Configuration screen allows the user to choose between various display options and to set spec...

Page 58: ...Saver causing it to turn green Use the and icons to increase or decrease the value displayed in 1 minute increments The time out range is from 00 00 to 50 00 To enable a mirror image of the display o...

Page 59: ...device software To change the access ID code select a new Access ID Code by pressing this button and entering the value using the and arrows or the numeric buttons on the key pad Press OK to save the...

Page 60: ...eed limits can be set in either MPH or KMH by toggling the Units function in the bottom left portion of the screen The device will be shipped with the Speed Limit functionality disabled Figure 8 8 Gai...

Page 61: ...ative Data Configuration Normative data can be specified to each facility s needs Select a particular row of demographic information and touch the pencil icon beside the row to edit the norms for perf...

Page 62: ...ord Touch this checkbox to require that users input a specific Patient ID for each new patient that performs gait training sessions Enable Additional Information on Patient Setup Touch this checkbox t...

Page 63: ...GAIT TRAINER 3 v3 X SOFTWARE 63 Figure 8 13 The Patient Management Select a Patient screen Figure 8 14 The Patient Management Test Results screen Figure 8 15 The Stored Test Results screen...

Page 64: ...s screen just to mention two options the user can add details about the facility where the patient is being treated or create customized drop down menus 4 After inputting the new patient information t...

Page 65: ...he selected file is to be deleted 3 Touch OK to delete all test results associated with the patient The system returns to the Patient Management screen To Delete An Entire Range of Patient Files 1 Tou...

Page 66: ...mport by touching a particular row 3 Touch Import Selected Data 4 A confirmation screen is displayed prompting the user whether or not to proceed Touch OK to update the system s data set with the pati...

Page 67: ...y or the Export CSV button again to complete the export process The selected files are exported to the attached flash drive in the designated format 5 Touch Back to return to the Patient Management Se...

Page 68: ...out a patient histogram At the Print screen the user has the option to send the record to a connected printer or to export the document to a PDF on a USB flash drive without printing it Note When Expo...

Page 69: ...h the types of files they contain BioBackup The backup of system settings with database BioCsv Both individual CSV file and multi data CSV file BioData The patient test results as Binary file BioExpor...

Page 70: ...one of the device s USB ports selecting the Backup to USB icon will generate the following screen Figure 8 24 Backup to USB Screen Restore from USB The Restore from USB function allows users to resto...

Page 71: ...illustrated below Figure 8 26 Restore from USB Confirmation Screen Depending on the size of the database it can take some time to reach the Database Restore Complete screen The Gait Trainer applicatio...

Page 72: ...preference performing speed and elevation calibration and performing strain gauge calibration To access the System Maintenance screen 1 Touch Utilities NOTE The next step requires pressing the hidden...

Page 73: ...performance The strain gauges can be reset to the factory calibration and the strain gauge board can be re initialized Touch for the elevation until the elevation motor stops The reported elevation c...

Page 74: ...Screen Hours The Hours of Use screen provides a breakdown of device usage along with the option to reset the hour count Figure 8 31 Hours Screen View Event Log The Event Log screen contains informatio...

Page 75: ...n Settings Screen Language Use this function to set a language preference for the system Product Type The product type can be designated as either Gait Trainer or RTM 600 Keep the Product Type selecti...

Page 76: ...re from www biodex com to a portable thumb drive Be sure to save the file in the root directory of the drive 2 While the device monitor is displaying the main screen with the Gait Trainer and Treadmil...

Page 77: ...d from the factory with the Music Therapy option the sound bar will already be installed on the display NOTE The sound bar on the actual gait trainer may be a different model than those displayed in t...

Page 78: ...tened with the two screws from the Gait Trainer display bracket The sound bar has two cables one for power and one for sound see Figure 9 4 Both plug into the display directly above it The sound bar a...

Page 79: ...ay vary depending on the display model The software will activate automatically once the flash drive is inserted If the Gait Trainer was ordered with the Music Therapy option the flash drive is includ...

Page 80: ...ic The Music Therapist using the toggle button on the left side of the screen converts the patient s walking pace from the walk test speed measurement usually MPH to steps per minute This is how the t...

Page 81: ...Figure 9 8 Setting the Beats per Minute BPM To match the BPM of the song with the steps per minute reading on the left touch the up Metronome button until the BPM reads 78 Figure 9 9 Pressing the Pla...

Page 82: ...g the patient out of a shuffling gait into a long stride Compositions such as Animals Everywhere 70 80 90bpm offer a bass line at half tempo for the clinician to cue slowed long strides without having...

Page 83: ...ly and dynamically during training exercises The patient walks i e gait trains using the music therapy informed compositions to achieve entrainment the repetition of the gait training aids in the reco...

Page 84: ...ted a library of songs composed specifically for music therapy will be displayed A different flash drive can be inserted although not at the same time and the software will display any audio files tha...

Page 85: ...ive seconds it will restart the current song at its default tempo Next Song Navigates to the next song on the flash drive Tempo Adjustment On the top of the screen the two buttons with metronomes are...

Page 86: ...3 Metronome Only Woodblock 60BPM mp3 Metronome Only Woodblock 80BPM mp3 Metronome Only Woodblock 100BPM mp3 Metronome Only Woodblock 120BPM mp3 Genre Compositions with Metronome The following composit...

Page 87: ...ck Norworth music by Nora Bayes Norworth copyright Jerome H Remick of New York and Detroit 3 On Moonlight Bay 1912 lyrics by Edward Madden music by Percy Wenrich Street Walking is an original Music Th...

Page 88: ...Figure 10 3 Be sure to adhere to the hours of usage guidelines in Table 10 1 NOTE Without proper maintenance excessive wear to drive components will occur To assure trouble free operation scheduled ma...

Page 89: ...GAIT TRAINER 3 v3 X SOFTWARE 89 Figure 10 1 Main Screen Figure 10 2 Main Menu followed by right left right touches to activate Advanced System Maintenance button...

Page 90: ...all exterior surfaces excluding the display with a light application of disinfectant and wipe dry with paper towels NOTE DO NOT use solutions containing ammonia Hardware computer components should be...

Page 91: ...continue to use If any cracks or tears are apparent replace the treadbelt Maintenance Procedures Belt Deck Lubrication 1 Using the large syringe provided squirt one half tube of the lubricant undernea...

Page 92: ...stems Inc 2017 Figure 10 4 Squirt one half tube of lubricant between the belt and deck Treadbelt Adjustment 1 Remove the 6 Phillips head screws from the cover Lift the cover off the treadmill Figure 1...

Page 93: ...ction and adjust the speed to 1 0 MPH 3 Walk on the treadmill at 1 0 MPH and stop the treadbelt with a foot Front roller should slip under the treadbelt Figure 10 7 Treadmill shown without cover Note...

Page 94: ...so that the distance between the end of the roller and the edges of the belt are equal on both sides 7 Turn the right hex bolt half turn clockwise to move the belt toward the left side of the roller...

Page 95: ...lower board inop 64 Safety Lanyard Removed 32 Control fault no amplifier 16 Grade Error 8 Motor Tach Output Exceeds Selected Speed 4 Motor Tach Output is Below Selected Speed NOTE The above faults in...

Page 96: ...nd cables other than those specified with the exception of accessories transducers and cables sold by the manufacturer of this equipment as replacement parts for internal and external components may r...

Page 97: ...Therefore its RF emission is very low and is not likely to cause any interference in nearby electronic equipment RF emissions CISPR 11 Class A The Gait Trainer 3 is suitable for use in all establishm...

Page 98: ...T 30 of dip in UT for 25 cycle 5 UT 95 of dip in UT for 5 sec 5 UT 95 of dip in UT for 1 2 cycle 40 UT 60 of dip in UT for 5 cycle 70 UT 30 of dip in UT for 25 cycle 5 UT 95 of dip in UT for 5 sec Mai...

Page 99: ...el NOTE 2 At 80 MHz and 800 MHz the higher frequency range applies NOTE 3 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflections from st...

Page 100: ...ccording to Frequency of Transmitter m 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz d 1 2 P d 1 2 P d 2 3 P 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 F...

Page 101: ...peed limited to 3 mph 4 8 km h Elevation 0 15 Grade Heart Rate Monitoring Polar contact handgrips telemetry compatible User Capacity Tested to 400lb 182kg Certification ETL listed to UL 60601 1 and CA...

Page 102: ...rk and London Taylor and Francis Group Bibliography BARBEAU H et al WALKING AFTER SPINAL CORD INJURY EVALUATION TREATMENT AND FUNCTIONAL RECOVERY Arch Phys Med Rehabili 80 225 235 February 1999 Biodex...

Page 103: ...ANCE OF SEATED REACHING TASKS AFTER STROKE Vol 28 4 722 728 Biodex 91 155 WHITTLE MW GAIT ANALYSIS AN INTRODUCTION SECOND EDITION ISBN 0 7506 2222 9 Butterworth Heineann Linacre House Jordan Hill Oxfo...

Page 104: ...104 Biodex Medical Systems Inc 2017 15 Parts and Assembly Illustrations...

Page 105: ...GAIT TRAINER 3 v3 X SOFTWARE 105...

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Page 107: ...GAIT TRAINER 3 v3 X SOFTWARE 107...

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Page 109: ...ta Sets section of the manual Table A 1 Gait Trainer CSV File Format Single Test Export CSV File A B C D E F 1 Name Shahidul Mahfuz 2 Patient ID 12345566 3 TestDateTime 11 4 2015 16 01 4 Height 208 5...

Page 110: ...information Any Gait Trainer exercise performed with the G Code functionality turned on will have additional fields as illustrated below Table A 2 Single Test Export CSV File Field Heading Definition...

Page 111: ...ormation UnitAddress Unit address of the device GCodeResultsOption Indicates whether or not the G Code option was turned on or off GCodeCategory The category for the G Code GCodeStatus Status of G Cod...

Page 112: ...41 54 59 61 68 41 54 58 61 69 41 56 59 61 70 Data end CSV File Format Explanation Multiple Record CSV File The Gait Trainer application allows exporting multiple records to a single CSV file and can b...

Page 113: ...orted CSV file illustrates values of AvgSpeed 0 25 and the normative data minimum and maximum for this category as 0 96 and 1 68 respectively see Figure A 3 extracted from the Test Results screen that...

Page 114: ...esponses to music and music programs They then began to set up music plans to help patients regain movement This occurred in facilities all throughout the country Over the last 50 years music therapy...

Page 115: ...of music to begin the gait training using one of the particular walk tests that apply to the patient s ability e g 6 MWT 6 meter walk test Lower level patients can ambulate for 15 seconds with the th...

Page 116: ...tion is observed and return to metronome option until the correct fit of music is determined to improve the person s overall functional movement IMPORTANT Reassess the person s progress at the next sc...

Page 117: ...osite side which helps bilaterally during ambulation 42 108 BPM Upper Trunk Mid Swing Guitar RAS PSE provides anticipatory pattern for lift mild swing Facilitates trunk rotation and anterior trunk pos...

Page 118: ...notes towards end to support progressive feel at end of song when fatigue can become issue 72 36 BPM 0 00 0 26 Stronger layering of down beat for heel strike and initiation of movement Use bass line a...

Page 119: ...ts 90 BPM 26 Heel strike first With smooth progression of movements coordination to integrate hip flexion rotation and more open relaxed natural arm swing Silvery Moon Medley All Tempos Simple RAS Hee...

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