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Bioness VEC-1000, Руководство для клиницистов

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VII

Clinician's Guide

Session Status Section  ..................................................................................................................................   21
Emergency Stop and Emergency Lower Buttons ...........................................................................................   22
Preparing for a Training Session  ...................................................................................................................   22
Attaching a Patient Harness to the Spreader Bar  ..........................................................................................   23
Starting a Training Session  ............................................................................................................................   24

Changing Fall Prevention Mode During a Training Session  ....................................................................   25
Adjusting the Dynamic Unloading Value During a Training Session  .......................................................   25
Adjusting the Fall Limit Value During a Training Session  ........................................................................   25
Changing the Assistance Level During an Active Body Control Session  ................................................   26

Fall Limit Detection  ........................................................................................................................................   26

Auto Recovery  ........................................................................................................................................   27

Stopping a Training Session  ..........................................................................................................................   27
Session Summary Screen  .............................................................................................................................   28
Vector Elite Time-Out Feature  .......................................................................................................................   29

Chapter 6: Advanced Training Features  .....................................................................................   31

Advanced Trolley Tracking  ............................................................................................................................   31

Trolley Cue  ..............................................................................................................................................   31
Enabling Posterior & Anterior Cue  ..........................................................................................................   32
Enabling Anterior Chase  .........................................................................................................................   32
Trolley Range  ..........................................................................................................................................   33

Advanced Body Weight Support  ....................................................................................................................   33

Gait Smoothing ........................................................................................................................................   33
Ascent Assist  ...........................................................................................................................................   34
Enabling Gait Smoothing  ........................................................................................................................   34
Enabling Ascent Assist  ............................................................................................................................   35

Treadmill Integration with the Vector Elite Software  ......................................................................................   35
Connecting the Treadmill to the Vector Elite System  .....................................................................................   35
Treadmill Controls ..........................................................................................................................................   37

Chapter 7: Vector Outcome Measures  ........................................................................................   41

Types of Outcome Measure Tests  .................................................................................................................   41

Timed Up and Go (TUG) Test  .................................................................................................................   41
Walking Tests  ..........................................................................................................................................   41

Preparing for an Outcome Measures Test Run  .............................................................................................   41

Equipment List  ........................................................................................................................................   41
Course Setup  ..........................................................................................................................................   42

Starting an Outcome Measures Test Run  ......................................................................................................   42

Timed Up and Go (TUG) Test  .................................................................................................................   43
Walking Tests ...........................................................................................................................................   46
Adjusting Training Controls During an Outcome Measures Test..............................................................   48

Chapter 8: Manual Control, Summaries, and Reference Library Menus ..................................   49

Manual Control Menu  ....................................................................................................................................   49

Содержание VEC-1000

Страница 1: ...tionsweg 41 3331 LR Zwijndrecht The Netherlands Telephone 31 78 625 6088 Email international nl bioness com Website www bioness com 612 00624 001 Rev L 08 2019 Rx Only 2019 Bioness Inc MEDICAL EQUIPME...

Страница 2: ...Clinician s Guide...

Страница 3: ......

Страница 4: ...c products Bioness does not accept any responsibility for any damage caused to its products either directly or indirectly as a result of use and or repair by unauthorized personnel Environmental Polic...

Страница 5: ...mber Manufacturer SN Serial Number European Authorized Representative Temperature Limitation Humidity Limitation Atmospheric Pressure Limitation This product must not be disposed of with other househo...

Страница 6: ...omagnetic Emissions 5 Warnings 5 Incident Reporting 6 Chapter 3 Patient Harness Fitting Instructions 7 Selecting a Harness Size 7 Donning a Patient Harness 7 Chapter 4 Starting the Vector Elite System...

Страница 7: ...ng Features 31 Advanced Trolley Tracking 31 Trolley Cue 31 Enabling Posterior Anterior Cue 32 Enabling Anterior Chase 32 Trolley Range 33 Advanced Body Weight Support 33 Gait Smoothing 33 Ascent Assis...

Страница 8: ...t Value During a Training Session 66 Changing the Assistance Level During an Active Body Control Session 66 Disabling the Fall Limit 67 Fall Prevention 67 Auto Recovery 67 Using the Remote Control wit...

Страница 9: ...bleshooting WiFi Connection Issues 91 Troubleshooting PC WiFi Connection Issues 91 Troubleshooting Remote Control WiFi Connection Issues 91 Elite Trolley Light Indicators 92 Troubleshooting Error Scre...

Страница 10: ...m receives control signals through an encrypted WiFi signal from a PC or remote control The Vector Elite System is designed to be used in a hospital professional healthcare facility Figure 1 1 Vector...

Страница 11: ...e three holes built to accommodate patients of different sizes Patient Harness The patient harness secures a patient during a therapy session The patient harness comes in a variety of different sizes...

Страница 12: ...o the spreader bar is not too narrow or too wide Use care when assisting patients into out of a harness so they do not get tangled and fall Follow instructions carefully to prevent pulling or jerking...

Страница 13: ...he harness and step away from the equipment Do not use equipment if the Vector Elite trolley has become wet e g from sprinklers as there is a risk of electrocution Servicing is required before the equ...

Страница 14: ...ence by one or more of the following measures Reorient or relocate the receiving antenna Increase the separation between the equipment and receiver Consult the dealer or an experienced radio TV techni...

Страница 15: ...lectrotechnical Commission emission requirements The emissions characteristics of this equipment make it suitable for use in industrial areas and hospitals CISPR 11 class A If it is used in a resident...

Страница 16: ...132 cm 142 cm Brown 5X Large 56 60 142 cm 152 cm Pink 1 Waist size is determined by measuring 2 in 5 cm below the umbilicus belly button tightly around the torso Table 3 1 Maine Anti Gravity Systems...

Страница 17: ...re the Velcro 10 Adjust side vertical straps attached to the leg supports if necessary 11 Adjust shoulder straps to the desired length Figure 3 1 Patient Harness Features Shoulder Straps Lower Abdomin...

Страница 18: ...itialize After approximately 90 seconds a green light on the posterior of the trolley body will appear indicating that the power is on and the system started properly 3 After the power has been turned...

Страница 19: ...a single trolley configured system and five menu options for a multi trolley configured system The menu options appear as buttons with descriptive icons on the Main Menu Screen See Figures 4 4 and 4...

Страница 20: ...tions found on the single trolley system Patient Training Manual Control Summaries and Reference Library menus plus the additional option listed below Sync Menu This option allows the user to manually...

Страница 21: ...ion login screen It is recommended to press the logout button after each therapy session Note Exit out of the Vector Elite software application when not in use Exit Button To exit the Vector Elite sof...

Страница 22: ...ta fields Some data fields will have a drop down menu See Figure 5 1 Required fields are marked with an asterisk Verify that all information is correct Note The patient ID is permanent and cannot be e...

Страница 23: ...ining the name Scroll up down or start typing in the patient s name in the blank fields to filter the database results 4 Once the patient has been selected the data fields will auto fill with the pati...

Страница 24: ...sures and Session Status See Figure 5 3 Vector Elite systems may interface with a treadmill The Treadmill Controls will be displayed by selecting the Treadmill Controls tab See Figure 5 4 Figure 5 3 T...

Страница 25: ...tion indicated until the button is released Reference the trolley icon to determine the direction of the movement Moves the trolley 18 inches 45 7 cm along the track in the direction indicated and sto...

Страница 26: ...or anterior to the patient may be desired for exercises such as sit to stand In these cases first reduce unloading to 10 lbs position trolley and then increase unloading to desired value See pages 18...

Страница 27: ...4 5 kgs must be detected in order to initiate DBWS If the static unloading value and the Dynamic Unloading differs by more than 75 lbs 34 kgs the system will not allow DBWS to be activated Manually ad...

Страница 28: ...o red Press the Save button to save the Fall Limit setting value and zero point Make sure the Fall Limit setting value appears in green text If not press the Save button to ensure that the Fall Limit...

Страница 29: ...from descending farther When the patient reaches the original standing position Trolley Tracking and DBWS will resume their normal operation Auto Recovery is enabled when the check box is selected See...

Страница 30: ...Timed Up and Go TUG Test screen From this screen a TUG test may be initiated and recorded with the patient secured in the Vector Elite system Walking Test Button The Walking Test button is used to nav...

Страница 31: ...t value Preparing for a Training Session If the clinician is using an open track place markings on the floor to designate the end of the track if the track does not terminate at a wall or other obstru...

Страница 32: ...nt Connect the patient harness to the outermost attachment points for broader patients and to the innermost points for thinner patients See Figure 5 14 4 Connect the spreader bar carabiners to the D r...

Страница 33: ...10 lbs 4 5 kgs To adjust the setting use the plus or minus buttons The revised value will display in the text between the buttons This value must be within 75 lbs 34 kgs of the current unloading value...

Страница 34: ...minus buttons The adjustment is instantaneous and will be applied while the patient is actively training Adjusting the Fall Limit Value During a Training Session The Fall Limit can be adjusted while...

Страница 35: ...ce level is exceeded When the system detects and prevents a fall the trolley locks and goes into Static Unload mode 1 When the Vector Elite system software detects a fall the Fall Prevented window wil...

Страница 36: ...winch up or down button on the Fall Prevented window Stopping a Training Session Both DBWS and Trolley Tracking should be turned off inactive before stopping a training session Depending on the unloa...

Страница 37: ...des the average speed and total time is empty The contents of the Session Summary section will be completed after the training session 1 From the Training Session screen press the Session Summary butt...

Страница 38: ...ctor Elite Time Out Feature If Vector Elite software detects no activity for 15 minutes the system logs out automatically See Figure 5 22 The Time Out feature will not activate during a training sessi...

Страница 39: ...30 Clinician s Guide...

Страница 40: ...Note The option to disable Homing is only available from the Training Screen on the Vector PC Homing cannot be disabled from the Vector Remote software Anterior Chase This feature encourages the patie...

Страница 41: ...e the rope angle from the vertical orientation by selecting the Minimum Moderate or Maximum radio buttons See Figure 6 3 Note The trolley will remain in its overhead position before the patient begins...

Страница 42: ...kward motion of the trolley e g setting the range to 5 ft allows the trolley to move forward 5 ft and backward 5 ft for a total of 10 ft of movement Advanced Body Weight Support Advanced Body Weight S...

Страница 43: ...nitors the difference between the set unloading and the actual force applied to the rope and determines if the patient is descending in a controlled manner If the difference is sufficiently large the...

Страница 44: ...Ascent Assist button to disable it When disabled the button will turn green again Figure 6 10 Ascent Assist Active Figure 6 9 Patient Weight Confirmation Treadmill Integration with the Vector Elite So...

Страница 45: ...dmill button See Figure 6 12 Note Manual controls are hidden when accessing the Treadmill Controls tab To access manual controls for the trolley and spreader bar select the Manual Controls tab Note If...

Страница 46: ...l times regardless of which device is being used to control the trolley Figure 6 14 Training Session Screen with Treadmill Controls Enabled Note With an established treadmill connection the treadmill...

Страница 47: ...ine See Figure 6 16 4 The treadmill belt direction can be reversed by pausing the treadmill session then selecting the Reverse check box See Figure 6 16 Note The belt direction cannot be changed while...

Страница 48: ...readmill session press the Stop button and confirm on the dialog box See Figure 6 18 Note After the Stop button is selected the previously used treadmill settings will be cleared even if the Cancel bu...

Страница 49: ......

Страница 50: ...ng for either a specified distance or a specified length of time Tests are timed and speed and distance are recorded The Outcome Measures software module has four different Walking Tests 5 10 meter Wa...

Страница 51: ...for acceleration and deceleration If possible use a straight section of track Place markers optional at 0 2 12 and 14 meters 2 6 Minute Walk Set up a course of the longest length possible marked on ei...

Страница 52: ...Tracking and Dynamic Body Weight Support by pressing the Trolley Tracking and DBWS buttons 2 Press the Timed Up and Go TUG Test button See Figure 7 1 Figure 7 1 Training Session Screen 3 The Outcome M...

Страница 53: ...l then stand walk out 3 meters to the cone turn around by walking around the cone walk back and return to a seated position in the chair Once the patient sits back in the chair press the Stop button t...

Страница 54: ...As Baseline button See Figure 7 5 11 To export the current test screen as a screen capture image press the Export Screen button See Figure 7 5 When the Export Screen button is pressed the software sa...

Страница 55: ...ake a secondary selection of 2 minutes or 6 minutes Figure 7 6 Outcome Measures Walking Tests Timed Distance Screen 8 When you and the patient are ready say Ready and Go 9 For the 5 or 10 meter walk t...

Страница 56: ...results If the button is not pressed before starting another test run or before leaving the screen the current test run results will not be saved to the patient summaries 14 To save the current test a...

Страница 57: ...active Outcome Measures test screen press the Back button See Figure 7 7 2 The software will navigate back to the Training Session screen The current test type Outcome Measures button will appear in r...

Страница 58: ...Main Menu Screen Manual Control Menu From the Main Menu screen press the Manual Control menu button to open the Manual Control menu This menu allows the operator to control the trolley manually witho...

Страница 59: ...rum finger guard and rope If at any time a manual winch down is initiated or in process and the minimum tension cannot be detected by the system a warning message window will be displayed See Figure 8...

Страница 60: ...from any patient press the Summaries Menu button on the Main Menu 2 Once a patient has been selected a list of their training sessions will appear in the Sessions List See Figure 8 4 Figure 8 4 Sessio...

Страница 61: ...istive device used level of exertion and any comments related to the training session 5 Press the Save button to save any session notes that were entered 6 Press the Save PDF Report button to save the...

Страница 62: ...n Summary screen press the Training Session Summary button 9 To go to the Training History screen press the Training History button See Figure 8 8 10 You can access the Training History screen from th...

Страница 63: ...le 11 If your system features the Outcome Measures software module you will see an Outcome Measures Summary button on the Patient Training Summaries screen See Figure 8 9 Figure 8 9 Outcome Measures S...

Страница 64: ...he Save button Main Menu Button Takes the user to the Main Menu screen Save As Baseline Button Saves the currently selected test run as the Baseline Test for that test type organized by tab Button is...

Страница 65: ...ected The graph will display key results of multiple test runs over a selected number of tests The graph will also display the Baseline score and daily average summary See Figure 8 11 15 You can selec...

Страница 66: ...ce Library Menu button to open the Reference Library Menu screen See Figure 8 12 Press the Training Videos button to access a folder where training videos are stored Press the Instruction Guide button...

Страница 67: ......

Страница 68: ...or Elite system Starting the Vector Elite Remote Control 1 Turn on the Vector Elite remote control 2 To launch the Vector Elite software press the Vector Elite software application icon on the remote...

Страница 69: ...is not detected you will see a warning message See Figure 9 2 Figure 9 2 Remote Control Warning Message Window Once the minimum tension of 0 5 lbs 0 23 kgs or more has been applied by allowing the spr...

Страница 70: ...he Take Control button to transfer control from the PC to the remote control See Figure 9 3 Once control has been transferred the Take Control button on the remote control will be disabled and the Tra...

Страница 71: ...as well as the four screens discussed in the previous section of this chapter The remote control can be used to start and stop an Outcome Measures test and will display a subset of the data collected...

Страница 72: ...Figure 9 7 The exceptions to this rule are the Emergency Stop and Emergency Lower buttons If a compatible treadmill is connected to the Vector software the treadmill controls is also an exception The...

Страница 73: ...s communication with the Vector Elite trolley the trolley will automatically transfer control to the other device For example if the remote control battery dies while in use the trolley will automatic...

Страница 74: ...press the Take Control button 5 Once the remote control establishes connection with the Vector Elite trolley the status display will state Ready and the Take Control button will be disabled 6 Press th...

Страница 75: ...the down arrow button to decrease the amount The new setting will appear in red text between the buttons and the Save button will turn red 2 Press the Save button The text between the buttons and the...

Страница 76: ...patient to standing position You can also use the Emergency Lower button to lower the patient to the ground 3 Press the Close button to close the Fall Prevented window If the patient is in standing p...

Страница 77: ...m the Remote Control after it is connected to the Vector software 1 Ensure that the treadmill is powered on and plugged into the PC using the cables provided For more information on cable connection s...

Страница 78: ...be activated and a training session can be initiated using the Start button See Figure 9 15 Note If the system does not detect a minimum of 10 pounds on the spreader bar an error will be displayed and...

Страница 79: ...Reverse check box See Figure 9 17 Note The belt direction cannot be changed while the treadmill belt is in operation and the Reverse checkbox will not be enabled for selection until the treadmill ses...

Страница 80: ...mill session press the Stop button and select Disconnect on the dialog box See Figure 9 19 Note After the Stop button is selected the previously used treadmill settings will be cleared even if the Can...

Страница 81: ...Swipe back to the Training Controls tab 5 Make the desired adjustments to the training controls Swipe to the right on the tabs and select the TUG Test tab to return to the TUG screen Note The trainin...

Страница 82: ...Press the Start button when the patient begins to walk The patient must continuously walk as far as possible during a 2 or 6 minute period The test collection will continue and automatically stop when...

Страница 83: ...nt must be selected from the PC for training data to be saved To control the Vector Elite system without capturing training data 1 Turn on the Vector Elite trolley and then turn on the remote control...

Страница 84: ...e button will turn red See Figure 9 24 3 When finished with the Gait Smoothing feature press the red Gait Smoothing button to disable it When disabled the button will turn green again Note Gait smooth...

Страница 85: ...anced Training tab to display the Trolley Cue controls The Cuing drop down will be displayed 2 Open the drop down menu and select the Posterior Cue or Anterior Cue mode See Figure 9 27 3 Select Normal...

Страница 86: ...rior Chase 3 Set the target speed by pressing the arrow buttons See Figure 9 28 Note The target speed can be adjusted at any time including before and after the patient begins walking Figure 9 29 Warn...

Страница 87: ...78 Clinician s Guide...

Страница 88: ...ored to their patient files using any of the available Vector Elite trolleys The databases will automatically sync multiple times throughout the day It is recommended that at the end of the day on eac...

Страница 89: ...hronization window appears press the Sync Now button 6 Go back to the first computer and press the Sync Now button Confirm that the window states Syncing with primary database See Figure 10 3 7 Go bac...

Страница 90: ...istrator privileges include Managing the patient database including patient import and export Managing user accounts create and close accounts Data backup and restore Troubleshooting System settings A...

Страница 91: ...dmin Menu Options Patient Database menu Add Users menu Backup Restore Database menu System Settings menu Patient Database Menu The Patient Database Menu is used to manage patient records 1 From the Ad...

Страница 92: ...cannot be edited Create a New Patient Account To create a new patient account 1 Press the Add button See Figure 11 3 2 Fill in the required patient data fields Required fields are marked with an aste...

Страница 93: ...omatically imports the data if imported data is newer than existing data Different Patient 1 If the importing patient has a Patient ID matching that of an existing patient but is not the same patient...

Страница 94: ...Figure 11 4 Add Users Screen Create a New User Account To create a new user account 1 Enter data in all fields with an asterisk The user name and passwords are set for each user account 2 To give the...

Страница 95: ...box next to Disabled 4 Press the Save button 5 To return the Admin Menu screen press the Back button See Figure 11 6 Backup and Restore Database Menu The Backup and Restore Database Menu allows the ad...

Страница 96: ...11 6 3 Press the Backup Database button to backup the system database onto a disc or external hard drive 4 A Save As window will appear The content will be save as a dat file Select the location to s...

Страница 97: ...that is installed See Figure 11 9 Tracking Responsiveness This feature allows the clinician to adjust how responsive the trolley is to patient movements Depending on patient capability and mobility le...

Страница 98: ...e Save button To change the formatting settings 1 Pick the appropriate region from the drop down menu 2 A preview of the date time and numerical formatting will be displayed 3 Press the Save button To...

Страница 99: ...Measures PDF reports 4 To upload a logo press the Upload button The Select a Picture window will appear Select the file and press the Check Mark button to save The logo and clinic information will app...

Страница 100: ...oes not appear on the wireless network list then check to make sure the wireless adapter is properly connected to the PC The back of the wireless adapter in the USB slot should be flashing slowly If i...

Страница 101: ...em requires power cycling to reboot Turn the power off Turn the power back on Restart the Vector Elite software application Table 12 1 Vector Elite Trolley Indicator Lights Troubleshooting Error Codes...

Страница 102: ...l distributor outside of the United States for troubleshotting assistance 55 A non specific trolley error has occurred 81 Trolley firmware error 87 Watchdog error 92 WiFi interlock error 90 Internal n...

Страница 103: ......

Страница 104: ...6 Option 3 in the United States or your local distributor outside of the United States for a service appointment Inspect the patient harness for tears material separation and Velcro degradation Inspec...

Страница 105: ...e To check the PC for Disk Storage Space 1 Bring up Windows OS File Explorer by simultaneously pressing the Windows key and E key 2 Click on the computer icon on the left panel The right panel will sh...

Страница 106: ...ric pressure range up to 80kPa Relative humidity range 20 to 60 Environmental conditions for transport and storage Temperature range 25C to 70C Atmospheric pressure range up to 67kPa Relative humidity...

Страница 107: ...98 Clinician s Guide...

Страница 108: ...ions IEC 61000 3 2 Class A The Vector Elite System is intended to be used in a hospital Professional Healthcare facility environment Voltage fluctuations flicker emissions IEC 61000 3 3 Complies Guida...

Страница 109: ...e System requires continued operation during power mains interruptions it is recommended that the equipment be powered from an uninterruptible power supply or a battery Power frequency 50 60 Hz magnet...

Страница 110: ...om structures objects and people NOTE 3 P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in met...

Страница 111: ...80 MHz to 800 MHz d 0 4 P 800 MHz to 2700 MHz d 0 7 P 0 01 0 12 m 0 04 m 0 07 m 0 1 0 38 m 0 13 m 0 22 m 1 1 2 m 0 4 m 0 7 m 10 3 8 m 1 3 m 2 2 m 100 12 m 4 m 7 m NOTE 1 At 80 MHz and 800 MHz the high...

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