BTE Technologies Multi-Cervical Unit User Manual Download Page 2

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Summary of Contents for Multi-Cervical Unit

Page 1: ...40040005 rev 000 USER MANUAL...

Page 3: ...r permission from BTE Technologies BTE Technologies Inc may have patents or pending patent applications trademarks copyrights or other intellectual property rights covering subject matter in this docu...

Page 4: ...the BTE Technologies Inc product remains in the possession of the original purchaser and has not been subject to accident misuse abuse unauthorized modification failure to follow instructional use fa...

Page 5: ...rev 000 01 Installation and Setup 02 General Operation 03 Client Information 04 Templates 05 Calibration 06 Protocols 07 Reports 08 Cervical Conditioning 09 Maintenance 10 The Melbourne Protocol USER...

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Page 7: ...3 Multi Cervical Station 3 Calibration Tools 4 Computer Equipment and Cart 4 Assembly Instructions 4 Setting up the MCU Station 4 Setting up the Computer Equipment and Cart 6 Strongly Recommended Add...

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Page 9: ...nt as well as the clinical documenta tion you provide the Objective Documentation Evaluation System ODES computer diagnostic system component BTE Technologies recommends that the Multi Cervical Unit b...

Page 10: ...to provide maximum protection in transit and ease of installation The caster assemblies provide adjustable ground clearance The system is shipped in the highest position to clear ramps curbs and thre...

Page 11: ...secure it to the PCB Figure 1 8 Figure 1 5 Location of Weight Stack Pins ROM STop Pin Figure 1 6 Head Braces Secured to Column Figure 1 7 Location of Calibration Tools Figure 1 8 Attaching the Antenna...

Page 12: ...ight shines on your hand this confirms the PCB is receiving power Figure 1 10 B SETTING UP THE COMPUTER EQUIPMENT AND CART 1 LCD MONITOR If you haven t done so remove the small bag from the top shelf...

Page 13: ...he cord into the CPU 6 WIRELESS HUB Locate the wireless Hub and place it on the 2nd shelf of the computer cart Note that inside of the Hub are magnets which are intended to keep the Hub stable on the...

Page 14: ...ct sunlight next to a radiator or an air condi tioner Do not install any additional software onto the controlling computer The BTE Technologies MCU system is in constant communication with the compute...

Page 15: ...7 Global Settings 8 URFIO Configuration Application 8 User Manager 9 Import Export and Archive Data 10 Job Demand Templates 11 Superficial Tenderness Reports 11 Protocol Hibernation 12 Remove Current...

Page 16: ...ation 16 Import Admin Information 17 Snapshots 17 Creating a Snapshot 18 Emailing Saving Removing and Viewing a Snapshot 18 Forms Drop Down Menu 18 Utilities Drop Down Menu 18 Standing Sitting Toleran...

Page 17: ...he BTE Technologies MCU is controlled through its own unique software Use this section as both an initial primer and a to the point quick reference guide to your ODES software A THE WINDOWS XP ENVIRON...

Page 18: ...Help This bar changes depending on which area of the software you are using Taskbar items Items listed under each menu title which allow you to perform an opera tion or to pull up a report Text field...

Page 19: ...ison of Job De mand vs Ability Demonstrated L Self Reports Patient Filled Question naires M Cardio Cardiovascular Measurement Protocols N ROM Tests Range of Motion Protocols O Strength Tests Muscular...

Page 20: ...n by pull ing up the clinic s screen modify ing the necessary information and then clicking New Previous Next or Close Remove a clinic by clicking Remove Change the default clinic by clicking Next or...

Page 21: ...d by another within the Edit screen Once the changes have been made click on Add Remove the health practitioner information by highlighting the name from the list and then clicking Remove C ENVIRONMEN...

Page 22: ...urate The accuracy of your equipment is extremely important particularly if your reports will be used in litigious cases In addition the Reminder can be set up as Remind only or Must Be Done Spell Che...

Page 23: ...assword case sensitive and select a security level from the drop down menu Click Add to include the new user When the user signs into the software he or she will use the name and password assigned in...

Page 24: ...export according to clients start date new templates custom tests and super protocols are imported exported as well Status import export according to clients status new templates custom tests and sup...

Page 25: ...es You must also indicate whether you will be importing all the templates in the source ODES database or just the current template Print the Job Demands Templates by clicking Print The report can also...

Page 26: ...rotocol pages Figure 2 18 Hibernate a test by highlighting the test on the left hand side of the screen and then click ing Put into Hibernation The test should now appear on the right screen and not t...

Page 27: ...uble clicking the name in the Search Results field modifying the name within the Database Location text field clicking Rename and then confirming you would like to rename this database Remove a databa...

Page 28: ...and off throughout the day By logging off rather than exiting the speed of ODES will be enhanced It is recommended you exit the program at the end of each day and shut down the com puter B CALIBRATION...

Page 29: ...ents by searching various crite ria Figure 2 24 Case Manager Employer Physician Attorney Referral Source Insurance Company Supervising Practitioner Status Pre Post off of employment Start End Date Inj...

Page 30: ...lude when exporting Step 3 Specify your target popula tion including client status gender and age range or target dates Step 4 Select a file name and a directory your data will be saved as a text file...

Page 31: ...ure 2 28 Step 1 Locate the directory you would like to import from Step 2 Enter the password if needed and click Start Restore D SNAPSHOTS This screen allows you to create PDF like files from reports...

Page 32: ...his menu offers a variety of questionnaires and forms available for printing The client can fill out these forms and the information can be entered manually into the software F UTILITIES DROP DOWN MEN...

Page 33: ...below the file name text field Step 7 An entire page of pictures may be printed deleted and created by using the Print Delete and New icons at the top of the screen I HELP DROP DOWN MENU 1 HELP MANUA...

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Page 35: ...4 Adding a Family Physician Specialist Attorney Referral Source Insurance Company Employer 4 Adding Current Medications 4 Client Photos 4 Client Status 5 Start End Time 5 Evaluator 1 and 2 5 Adding in...

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Page 37: ...information Figure 3 2 Step 1 Click on Client Information within the Home Screen The Client Information screen will appear Step 2 Click on New Client Step 3 Enter all the demographics of the client T...

Page 38: ...added by double clicking in the white text box The Current Medications screen will appear and this allows you to enter in the name of the medication as well as a description of its purpose and usage...

Page 39: ...V B on directions for adding a digital signature G ADDING IN ICD 9 CODES ICD 9 codes can be stored within ODES for later use Double click the blank ICD 9 Codes box on the Client Case page and a screen...

Page 40: ...ent or case using various probes Within the Client Infor mation screen click on Find a Client or Find a Case to access these options Figure 3 4 You may search using any of the fields Remem ber that th...

Page 41: ...the test in the right box and use the up and down arrows under Change Protocol Order Perform the test assigned to a client either by highlighting the test in the right box and click ing on Perform Tes...

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Page 43: ...section 04 page 1 40040005 rev 000 04 TEMPLATES Pre Programmed Templates 3 Custom Templates 4...

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Page 45: ...Progress Analysis Cover Letter I PRE PROGRAMMED TEMPLATES To access the pre programmed templates click on one of the categories listed on the left side of the Home Screen Click on the template icon i...

Page 46: ...when there are several options to describe the situation and you must pick the most applicable one i e condition is either controlled by medication in remission or has resolved itself Any text within...

Page 47: ...a merge field by selecting the field from the Insert Field drop down menu and click ing Insert The merge field will be inserted where the text cursor is located The merge field should have brackets ar...

Page 48: ...the template you just viewed This will bring you to the corresponding screen Figure 4 10 Step 6 While in the home template screen click within the white text box to place the cursor and paste in the...

Page 49: ...y You can then add fields by selecting the desired field from the Insert Field drop down menu and clicking Insert or delete fields using the delete key on your key board The text may also be modified...

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Page 51: ...section 05 page 1 40040005 rev 000 05 CALIBRATION VERIFICATION Introduction 3 Performing the Calibration 3 Performing the Verification 7 Calibration Reports 8...

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Page 53: ...an option of requiring that the calibration and verifica tion must be done II PERFORMING THE CALIBRATION Calibration may be performed for the head braces halo 2 locations and the seat Access the Calib...

Page 54: ...n Step 1 Secure the head brace you wish to calibrate to the calibration plate Make sure the RJ45 cable is plugged into the head brace as well to the jack closest to the front of the unit on the top of...

Page 55: ...e calibration block before proceeding with the rest of the calibration Step 5 If it isn t already set the halo rotation to 0 degrees Figure 5 7 Click OK on the cali bration screen Step 6 Unlock the ro...

Page 56: ...to 70 degrees flexion and then insert the ROM stop pin Figure 5 10 Click OK on the calibration screen Step 10 Remove the ROM stop pin set the halo flexion extension angle back to 0 degrees and insert...

Page 57: ...N It is recommended that the accuracy of the device be verified after calibration In addition verification should be completed prior to testing each day or after the equipment has been set up Note tha...

Page 58: ...ully verified a screen will appear requesting the name of the individual who just completed the calibration In addition the verification screen will show the weight that you entered compared to the we...

Page 59: ...e of the person who performed the calibration verification the date when the calibration verification occurred and actual weight vs measured weight and any deviation from the accuracy of the device Fi...

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Page 61: ...xion Test 15 Utilizing the ROM Extension Test 17 Strength Protocols 18 Positioning the Patient for a Neutral Cervical Isometric Strength Protocol 18 Positioning the Patient for an Isometric Flexion Ex...

Page 62: ...Utilizing the Strength Protraction Test 36 Utilizing the Strength Retraction Test 37 Creating Custom Cervical Integration Protocols 38 Clinical Protocols 39 Utilizing Clinical Protocols 39 Editing an...

Page 63: ...patient s perceived level of injury and pain A UTILIZING SELF REPORTS Access the pre programmed Self Reports protocols by clicking the Self Reports icon on the Home Screen This will bring you to the...

Page 64: ...ample of an edited test will be given but the same guidelines apply for creating a test The following can typically be ed ited or created on Custom Self Report Tests A Test Name Type in the name of th...

Page 65: ...test in the left box Step 2 Once a test has been assigned to a client highlight the test name in the right box and click Perform Test to bring up the testing screen Step 3 Follow the instructions on...

Page 66: ...e Increase from Initial Select whether to view the percent heart rate increase from the initial within the test screen G View Recovery Heart Rate Select whether to view the recovery heart rate within...

Page 67: ...or to each type of ROM testing Outlined after these 7 initial steps are the subsequent steps which vary according to the test being performed Step 1 Insert the range of motion stop pin in the zero deg...

Page 68: ...ote that the bottom of the back brace is located at the external occipital protuberance Figure 6 10 Step 9 Set the halo to 15 degrees below the horizontal Figure 6 11 Step 10 Position the head brace s...

Page 69: ...required for this test 2 POSITIONING THE PATIENT FOR A ROM L R ROTATION TEST Step 8 Insert both of the head braces in the halo Figure 6 14 Step 9 Set the halo to 0 degrees with respect to the horizon...

Page 70: ...r this test 3 POSITIONING THE PATIENT FOR A ROM LATERAL FLEXION TEST Step 8 Unlock the rotation pin and rotate the halo to 90 degrees right rotation Lock the rotation pin back into place Figure 6 18 S...

Page 71: ...E CERVICAL RANGE OF MOTION ROM PROTOCOL 1 ACCESSING THE CERVICAL ROM PROTOCOL Access the pre programmed ROM protocols by clicking the ROM Tests icon on the Home Screen This will bring you to the ROM P...

Page 72: ...Cervical Range of Motion protocol screen contains the following features Name of the test Test number Start Test icon which changes to Stop Test after the test has begun New icon to begin a new set of...

Page 73: ...sition the patient as described in Section 06 III of this manual Step 3 Click Start Test to begin testing Step 4 Once the test is completed a pain scale will appear Ask the patient to rate his her pai...

Page 74: ...can not be retested 3 UTILIZING THE ROM ROTATION TEST The ROM Rotation test measures the patient s range of motion with respect to the lat eral rotator muscle group Step 1 Select the L R Rotation icon...

Page 75: ...tion to the test results the screen will tabulate the average ROM peak ROM co efficient of variation COV the percent of normal and the percent difference between the left and right side The pain ratin...

Page 76: ...ateral Flexion test calls for three trials to be performed per side As the protocol is performed the screen will display the results and averages via a line graph table pie chart and bar graph These f...

Page 77: ...an not be retested 5 UTILIZING THE ROM EXTENSION TEST The ROM Extension protocol measures the patient s range of motion with respect to the extensor muscle group Step 1 Select the Extension icon The E...

Page 78: ...of normal The pain rating determined by the patient will also appear in the pain scale text field Figure 6 32 You may retest a trial by clicking on the R icon to the left or right of the trial table...

Page 79: ...n of the seat the position of the back of the chair the height of the back of the chair and the arm rests to accommodate the patient s size height and posture Set the halo height to 3 as a starting po...

Page 80: ...5 degrees below the horizontal Figure 6 39 Step 10 Position the head brace against the patient s head Step 11 Make fine adjustments to the seat and halo such that C5 C6 of the patient s spine lines up...

Page 81: ...tested Figure 6 43 Step 10 Set the halo to 0 degrees with respect to the horizontal Make sure the flexion extension angle is set to 0 degrees as well Figure 6 44 Step 11 Position the head brace again...

Page 82: ...this will prevent any injury during testing The following 7 steps are required prior to each type of strength testing Outlined after these 7 initial steps are the subsequent steps which vary according...

Page 83: ...chair the height of the back of the chair and the arm rests to accommodate the patient s size height and posture Figure 6 49 Step 6 Secure the patient with the waist strap and shoulder straps Figure...

Page 84: ...ke fine adjustments to the seat to line up C5 C6 of the patient s spine with the pivot point of the halo Figure 6 54 Step 12 While holding onto the side of the halo unlock the rotation pin which is lo...

Page 85: ...eft when testing the patient s right side Figure 6 57 Note that the figures show a set up for testing the patient s right side Step 9 Attach the head brace to the halo on the side being tested Figure...

Page 86: ...osition the patient this will prevent any injury during testing The following 7 steps are required prior to each type of strength testing Outlined after these 7 initial steps are the subsequent steps...

Page 87: ...back of the chair and the arm rests to accommodate the patient s size height and posture Set the halo height to 3 as a starting position Figure 6 64 Step 6 Secure the patient with the waist strap and...

Page 88: ...justments to the seat to line up C5 C6 of the patient s spine with the pivot point of the halo Figure 6 69 Step 12 While holding onto the side of the halo unlock the rotation pin which is lo cated at...

Page 89: ...e patient s right side Figure 6 72 Note that the figures show a set up for testing the patient s right side Step 9 Attach the head brace to the halo on the side being tested Figure 6 73 Step 10 Set th...

Page 90: ...main page From this page you have the ability to access all the pre programmed protocols including those in hibernation add and remove tests to clients create new isometric strength tests edit tests...

Page 91: ...e the selected test s results Close icon to return to the protocol screen Next Protocol icon to move on to the next protocol Flexion icon which switches to the Flexion test screen Extension icon which...

Page 92: ...ible Click on the number the patient stated and then click OK The Strength Flexion test calls for three trials to be performed As the protocol is performed the screen will display the results and aver...

Page 93: ...n not be retested 3 UTILIZING THE STRENGTH EXTENSION TEST The Strength Extension test measures the patient s strength with respect to the exten sor muscle group Step 1 Select the Extension icon The Ex...

Page 94: ...ddition to the test results the screen will tabulate the average force peak force coefficient of variation COV and the percent of normal The pain ratings determined by the patient will also appear in...

Page 95: ...lick on the number the patient determined and then click OK The Strength Lateral test calls for three trials to be performed per side As the protocol is performed the screen will display the results a...

Page 96: ...e trials can not be retested 5 UTILIZING THE STRENGTH PROTRACTION TEST Step 1 Select the Protraction icon The Protraction Testing screen will appear Figure 6 85 Note that the screen shown in the figur...

Page 97: ...e trial table de pending on which trial you would like to redo However once a test has been closed the trials can not be retested 6 UTILIZING THE STRENGTH RETRACTION TEST Step 1 Select the Retraction...

Page 98: ...ocols A Cervical Protocol Name Type in the name of the test B Maximum Trial Duration Set the maximum amount of time seconds for the trial duration C Rest Period Between Trials Set the amount of time s...

Page 99: ...ient may have A UTILIZING CLINICAL PROTOCOLS Access the pre programmed Clinical protocols by clicking the Clinical icon on the Home Screen This will bring you to the Clinical Protocols main page From...

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