Innovative Neurotronics The WalkAide System Скачать руководство пользователя страница 17

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Step 4:

Verify WalkAide Settings

This screen captures the current WalkAide 

 

settings.  Setting adjustments can be made 

to accommodate specific clinical needs of 
a patient.  (i.e, Reduce pulse duration for a 

sensitive patient; or modify Exercise Settings 

to pre-set the exercise program).

Settings are sent to WalkAide as soon as they 

 

are changed on the screen.

Step 5:

Collect WalkAide Data

Prepare patient to walk.  Assure the cuff and 

 

WalkAide are properly positioned and there 
are no dangling cables that might impede 
walking. 

Select Start.  This collects real-time data 

 

which appears on screen.  Stand shoulder 
to shoulder on the same side of the patient’s 
affected limb, provide support assistance as 
needed.  Prompt the patient to begin walking 
with their sound side.

Activate dorsiflexion by pushing the WalkLink 

 

stim button from heel off through heel strike.

Step 6:

Select Stop.

Step 7:

Select Save and Analyze.

Process 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 walking trial.

1. ‘Zoom’ - Press and hold the left mouse button 

and then drag the cursor to select the desired 
steps.  This ‘Selection’ process will highlight 
selected steps to create the most effective 
walking program.

2. ‘Autoset’ - automatically modifies the settings 

based on statistically calculated values from 
the walking data.  Click ‘OK’ to accept the 
statistical calculations and standard deviation.

3. ‘Optimize’ - optimizes the calculated statistical 

settings in reference to Hand or Heel 
stimulations and calculates error rates.  An 
error rate of less than  20% is recommended.  
Select the preferred reference signal and 
associated error by clicking either the Use 

Hand Data or Use Heel Data. (Figure 51)

Figure 47: (Standard) Verify WalkAide settings

Figure 48: (Standard) Collect walking data

Figure 49: (Standard) Select (zoom) walking data

Figure 50: (Standard) Autoset operation completed

Figure 51: (Standard) Optimize operation completed

Содержание The WalkAide System

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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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