Otto Bock 3R93, Инструкция по эксплуатации

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CAUTION
Risk of falling due to incorrectly mounted tube adapter.
Incorrect mounting of the tube
adapter in the tube clamp (e.g. when using the insertion depth for length adjustment) can
lead to excessive load on the tube clamp and to insufficient force transmission and as a
result cause the patient to fall.
An insufficiently secured connection between the tube adapter and prosthetic foot will also
lead to a risk of falling.
Observe the following instructions.
a. Do not clamp the tube into a vice! Cut the tube using 719R2 Tube Cutter placed at a right
angle to the tube.
NOTICE
Risk of damage to the prosthesis:
For reasons of structural strength, the residual pieces
of cut tube adapters must not be used as components in prostheses.
b. Afterwards carefully deburr the inside and outside of the tube using the 718R1 Tube De-
burring Knife.
c. Do not make any length adjustment by varying the insertion depth. Insert the tube into the
knee joints‘ tube clamp all the way to the stop.
d. Tighten the cap screw of the tube clamp using the 710D1 Torque Wrench. Torque:
10 Nm
(Fig. 2, item D).
e. Connect the tube adapter to the foot. To do so, tighten the 506G3 Set Screws which are
located next to each other at the distal end of the tube adapter using the 710D4 Torque
Wrench. Torque:
10 Nm.
(For completion of the prosthesis, apply 636K13 Loctite® to the
set screws and tighten all set screws with
15 Nm
).
5 Mark the centre of the socket proximally and distally on the lateral side. Draw a line through
both marks from socket brim to the distal end of the socket.
6 Now position the socket such that the alignment reference line passes through the proximal
centre mark. Set the socket flexion to somewhere between 3° and 5° taking the individual situ-
ation (e.g. hip flexion contractures) and the ischial tuberosity to ground distance into account.
CAUTION
Risk of falling as a result of incorrect alignment.
If residual limb flexion is not taken into
account, the joint will be positioned too far to the front. This can lead to malfunction and
premature wear and cause the patient to fall.
7 Connect the socket and modular knee joint using a corresponding adapter (e.g. 4R111,
4R41, 4R55, 4R51 Socket Adapter). Use the 4R112 Sliding Adapter for alignment optimiza-
tion (Fig. 10). When using socket adapters with a 4-hole connection (e.g. 5R1=*, 5R6=*),
the 4R118 Sliding Adapter can be used for a permanent, additional posterior placement of
10 – 25 mm
(Fig. 11).
4.1.2 Static Alignment Optimization with 743L100 L.A.S.A.R. Posture
(Fig. 9
)
After bench alignment of the prosthesis, static alignment using the L.A.S.A.R. Posture is carried
out. In order to ensure appropriate stability combined with easy initiation of the swing phase,
please proceed as follows: