Innovative Neurotronics The WalkAide System Clinical Manual Download Page 20

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Precautions

 for WalkAide wear:

Skin irritation under the electrodes can occur in a small percentage of FES users.  Common 

 

causes of irritation are use of lotions or perfumed soaps, recent shaving, non-compliance 
with break-in schedule, failure to properly wet electrodes, poor electrode placement that 
forces an excessively high intensity level, and failure to change the electrodes often 
enough.  The best way to avoid skin irritation is to increase to all day wear slowly, maintain 
proper skin hygiene, practice proper electrode care and choose the placement that allows 
for the least amount of stimulus intensity.  Once irritation has occurred, the WalkAide must 
be discontinued until the skin is 100% clear of irritation.  Using the WalkAide over irritated 
skin will only exacerbate the condition.

5.8  Usage Log

Retrieve Usage Log – Accessible in Standard Program (Figure 45) or the Usage Logs 

 

tab on the Adjustment screen (Figure 42).  Usage data during WalkAide Exercise Mode 

operation are not part of the usage logs.

Collected logs section of the Standard Program archives displays all captured usage logs 

 

labeled with the capture date.

The WalkAide unit collects usage data for up to 69 days since the last usage data reset 

 

date and for the current date.  To reset the WalkAide unit Usage log, click on the Clear 
Usage Log button from the Standard Program interface and Retrieve and Clear Usage logs 
button on the Adjustment screen. 

Graphical view (Total hours/day, # of Stims/day)

 

Tabular view (Total hours/day, # of Stims/day)

 

Reports – Select ‘Print’ icon in the upper right corner of the screen.  Select any of the 

 

walking trials to print a report showing the data analysis screen and associated parameters.

6.0  Evaluation & Reporting

WalkAnalyst provides an option to compare a patient’s gait performance with WalkAide versus 
wearing a brace and no assisted device.  During this evaluation process, it’s 

critical

 that you 

collect walking data for these different conditions for a 

preset distance

.  Select the evaluation 

data and generate comparative reports to highlight the WalkAide performance improvement 
and justify medical necessity of WalkAide.

Evaluation options:

Collect Walking Data - No Device:

When collecting walking data with no assisted device, attach the WalkAide on a cuff and wrap 
the cuff below patient’s knee. The WalkAide device should be turned ON and connected to 
WalkLink.  Disconnect the electrode lead cable from the back of the WalkAide.  Select 

No 

Device

 to launch the data collection window. Press the Start button and ask the patient to 

start walking. The patient’s gait is graphically displayed on the screen.  Monitor the start and 
end points of the preset distance the patient walks. Press Stop to end data collection. Use 
a mouse to select a graphical section of the patient’s gait, between the start and end points 
of the preset distance. When prompted, enter the evaluation distance and number of strides 
taken to travel this distance. Press the Save button to save this evaluation data.

Collect Walking Data With Brace:

When collecting walking data for a Brace, attach the WalkAide on a cuff and wrap the 
cuff below patient’s knee. The WalkAide device should be turned ON and connected to a 
WalkLink. Disconnect the electrode lead cable from the back of the WalkAide.  Select 

With 

Brace

 to launch the data collection window. Press the Start button and ask the patient to 

start walking. The patient’s gait is graphically displayed on screen.  Monitor the start and 
end points of the preset distance the patient walks. Press Stop to end data collection. Use 
a mouse to select a graphical section of the patient’s gait, between the start and end points 
of the preset distance. When Prompted, enter the evaluation distance and number of strides 
taken to travel this distance. Press the Save button to save this evaluation data.

Collect Walking Data With WalkAide:

When collecting walking data with the WalkAide, complete the WalkAide programming 
to operate in the TILT mode. WalkAide device should be turned ON and connected to a 
WalkLink.  Electrode leads should be properly placed and connected to WalkAide.  Select 

With WalkAide

 to launch the data collection window.  Press the Start button and ask the 

patient to start walking.  Patient gait is graphically displayed on the screen.  Monitor the start 

Figure 56: WalkAide evaluation and reporting

Summary of Contents for The WalkAide System

Page 1: ...physician LM06 R6 2013 Innovative Neurotronics All rights reserved All trademarks and registered trademarks are the property of their respective holders No part of this manual may be reproduced in an...

Page 2: ...9 4 1 Configuring initial set up process Pairing 19 5 0 Fitting Process 20 5 1 Pre screening with the Peripheral Nerve Stimulator 20 5 2 Electrode Placements and System Preparations 22 5 3 Fitting a N...

Page 3: ...ions Do not use on persons with implanted demand type cardiac pacemakers or defibrillators Do not place the electrodes in the carotid sinus region throat Laryngeal or pharyngeal spasms may occur when...

Page 4: ...to operate the equipment 1 5 Precautions Heart Disease Use caution in applying electrical stimulation to persons suspected of having heart disease More clinical data is needed to show that such person...

Page 5: ...Glossary AutosetWalkAide Parameters This calculation process adjusts the threshold settings to more closely match the individual data collected Audible Beep Optional Biofeedback Feature Audible signal...

Page 6: ...d Stims Per Day information since log was last cleared Restore Original Reverses Autoset Optimize functions and manual adjustments returning thresholds and control times to original values Save and An...

Page 7: ...video One free USB port for the Bluetooth Adapter Windows XP with SP2 or Windows 7 A peripheral nerve stimulator can be purchased separately The peripheral nerve stimulator uses a 9 volt battery to op...

Page 8: ...mode A non audible alarm with only a red blinking light indicates hibernation mode Establish a Bluetooth connection with WalkAnalyst to automatically clear hibernation mode If the hibernation mode do...

Page 9: ...Washing Instructions To wash the WalkAide Cuff fabric liner first remove the electrodes and then remove the liner from the cuff Do NOT remove the Black and Red Electrode Locators Make sure to Hand Wa...

Page 10: ...click on Setup exe and choose Run as Administrator Follow the set up instructions that will appear 4 The WalkAnalyst program will be installed in the Program Files Innovative Neurotronics directory un...

Page 11: ...to the WalkLink This is called the pairing process Following the guidelines below to accomplish this process Plug in your USB Bluetooth adapter with the computer powered ON Start the WalkAnalyst appl...

Page 12: ...ot close to a neutral alignment 3 Clean the skin in the area around the head of the fibula with soap and water and wipe dry Failure to adequately prepare the skin may cause improper contact and provid...

Page 13: ...de lead cable Make sure the BLACK lead negative is connected to the BACK electrode and the RED lead positive is connected to the FRONT electrode Figure 26 5 Turn the WalkAide ON by turning the blue In...

Page 14: ...nt Profile Add basic information patient ID location primary diagnosis etc and save the patient file Select Program During the initial fitting you have the following programming options Rapid Program...

Page 15: ...rrow Upon releasing the mouse the WalkAide settings are calculated and an optimization error is displayed An optimization error of less than 20 is recommended Press the Next button to program the Walk...

Page 16: ...e Log to set the internal date time stamp and start a new 69 day tracking sequence For an existing user Select Retrieve Usage Log to download the most recent walking activity data This Usage Log will...

Page 17: ...the Data Data processing involves following the sequence of icons from left to right displayed above the Tilt data graph Zoom Autoset and Optimize are the first three steps involved in processing the...

Page 18: ...cise settings Figure 41 Usage Logs Select Usage Logs tab to view and or clear usage data Figure 42 Preferred Setting You can use the checkbox Set as Preferred Setting to tag a setting as preferred set...

Page 19: ...ual Users should proceed through the daily wearing schedule and increase wearing time only if no skin irritation and or muscle soreness is present Figure 55 ON Time OFF Time Days 1 3 15 60 minutes 30...

Page 20: ...performance improvement and justify medical necessity of WalkAide Evaluation options Collect Walking Data No Device When collecting walking data with no assisted device attach the WalkAide on a cuff...

Page 21: ...de is to be stored for an extended period of time and not used remove the battery from the battery compartment When the alkaline batteries become depleted please dispose of properly in accordance with...

Page 22: ...of the leg The stimulation is optimized if it enters at the motor nerve and exits after traveling in the direction of the muscle Electrode position varies with each patient Conductivity is enhanced b...

Page 23: ...poorly timed on and off cycles that may occur with abnormal tibial motion during swing usually from ataxia Adjustment to the Min Time also addresses periods of faster walking or faster steps when the...

Page 24: ...e testing to prevent possible overstimulation of the user Recommended for pediatric or more sensitive patients a low Pulse Width may provide a less forceful stimulation and allow for a softer contract...

Page 25: ...ur methods to re optimize the user s walking program These are outlined below with clinical descriptors of when each method may be most indicated Option 1 Rapid Adjustment Adjust stimulation parameter...

Page 26: ...trial listed below Save WalkAide Settings and make any clinical comments relevant to this walking program Click on 4 Verify WalkAide Settings and change the Stimulation Mode to Hand Send Parameters to...

Page 27: ...nutes of non use Turn the WalkLink off for a few seconds and then turn it on again Click on the Bluetooth icon in the upper right corner of the screen and Search for Previously Connected WalkLinks Che...

Page 28: ...f another Bluetooth driver software is causing the conflict you may need help from your IT support team Call the Innovative Neurotronics technical support team if you have trouble resolving this probl...

Page 29: ...Reference Part Numbers 20 1000 WalkAide Patient Kit 21 1000 WalkAide Patient Kit Japan 20 1000 WalkAide Patient Kit Reprocessed 20 0100 WalkAide 21 0100 WalkAide Japan 20 0100R WalkAide Reprocessed 2...

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