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UNWEIGHING SYSTEM INSTALLATION/ OPERATION MANUAL 945-480 B IODEX Biodex Medical Systems, Inc. 20 Ramsey Road, Shirley, New York, 11967-4704, Tel: 800-224-6339 (Int’l 631-924-9000), Fax: 631-924-9338, Email: [email protected], www.biodex.com FN: 08-149 Rev D 6/16

Biodex Unweighing System - Installation/Operation Manual · UNWEIGHING SYSTEM INSTALLATION/ OPERATION MANUAL 945-480 ... General Mandatory Action ... nha d implied th roughout t

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Page 1: Biodex Unweighing System - Installation/Operation Manual · UNWEIGHING SYSTEM INSTALLATION/ OPERATION MANUAL 945-480 ... General Mandatory Action ... nha d implied th roughout t

UNWEIGHING SYSTEMINSTALLATION/ OPERATION MANUAL945-480

BIODEXBiodex Medical Systems, Inc.

20 Ramsey Road, Shirley, New York, 11967-4704, Tel: 800-224-6339 (Int’l 631-924-9000), Fax: 631-924-9338, Email: [email protected], www.biodex.com

FN: 08-149 Rev D 6/16

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UNWEIGHING SYSTEM

This manual covers installation and operation procedures for the following Biodex product:

#945-480 Unweighing System

Authorized European Community Representative:

Emergo EuropeMolenstraat 152513 BH, The HagueThe Netherlands

— II —

EC REP

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TABLE OF CONTENTS

— III — TABLE OF CONTENTS

1. importaNt safety iNformatioN........................................................................................

• Warning, Caution and Information Symbols ................................................................................

2. before proceediNg .....................................................................................................................

3. iNtrodUctioN ................................................................................................................................

• Partial Weight Bearing Gait Therapy and Balance Training .......................................................

• Benefits of Dynamic Unweighing Therapy ...................................................................................

4. assembly iNstrUctioNs...........................................................................................................

• Assembling The Unweighing System.............................................................................................

5. UsiNg tHe biodeX UNWeigHiNg system .........................................................................

• Steering Casters..................................................................................................................................................

• Positioning the Unweighing System for use with the

Biodex Gait Trainer and RTM Treadmill......................................................................................................

• Positioning the Unweighing System for use with the Biodex Balance System .......................

• Determination of Body Weight Support ........................................................................................

• Using the Universal Air Support Harness .....................................................................................

• Attaching a Patient to the Unweighing System ............................................................................

• Safety Tether Operation ....................................................................................................................

• Free Wheeling.....................................................................................................................................

• Jogging.................................................................................................................................................

• Ambulation Stool ...............................................................................................................................

6. maiNteNaNce aNd safety iNspectioN ...........................................................................

• Cleaning ..............................................................................................................................................

• Inspection............................................................................................................................................

7. specificatioNs ...............................................................................................................................

8. bibliograpHy .................................................................................................................................

9. electromagNetic compatibilty .......................................................................................

10. replacemeNt...................................................................................................................................

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DEFINITION OF SYMBOLS — IV —

DEFINITION OF SYMBOLS

Biodex Medical Systems, Inc. © 2012

D The following symbols and their associated definitions are used and implied throughout this manual. SSyymmbbooll DDeeffiinniittiioonn

Carefully read these instructions prior to use

Caution

General Warning

General Mandatory Action

Dangerous Voltage

“On” Power

“Off” Power

Earth (ground)

Alternating Current

Fuse

USB Connector/Cable

Waste in Electrical Equipment

Date of Manufacture

Type B Applied Part

CE Mark

Certified for Safety by ETL Intertek

owlolffoleThanedsue arr

lloobbmmyySS

ssariehtd nasbolmysgniwwihtedilpmidan httuohguro

nnooiittiinniiffeeDD

Ca ehtdareyllufre

sonitiniffided etaiiaocs.launamsiis

suotr oripsnoitcrutsnies

es

Ca ehtdareyllufre

noituCa

gninraWlarenGe

yrotadnaMlarenGe

suotr oripsnoitcrutsnies

noitAcy

es

gatloVsuoregnDa

rewo” Pn“O

rewoff” P“O

)dnuorg(htEar

e

)dnuorg(htEar

nerrCugnitanretAl

esFu

Ca/rotcennCoBUS

tn

elbCa

lacirtcelEnietsWa

utcafunaMfoetDa

aPd eipplABpeTy

kraMCE

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ytefaSrofdeifitrCe

ketretnILTEyby

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— V — BEFORE PROCEEDING

Before you get started with any of the setups described in this manual, there are a few preliminary points to consider which will help ensure safe and smooth operation of your Biodex Unweighing System.

• This system should be operated only by qualified personnel.

• Be aware that use of Biodex technology requires professional expertise for discerning appro-priate treatment techniques. Each subject’s unique situation should be taken into accountbefore beginning any type of testing or rehabilitation program. Be sure you fully comprehendthe operating instructions, as well as the considerations, both physical and clinical, discussedthroughout the manual before attempting to set up a subject for testing or exercise. Practicesetups and positioning with a healthy subject before attempting to set up an injured patient.

NOTE: Service should be provided by qualified personnel only. Please do not attempt installation orrepair on your own. Call Biodex Customer Service first, they’ll be glad to help.

CAUTION: Modifications to this product are not allowed. Unauthorized modification of the product can result in hazards to the operator and patient and will void the manufacturer’s warranty. Do not modify this equipment without authorization from the manufacturer.

ATTENTION: Des Modifications à ce produit ne sont pas autorisées. Modification non autoriséedu produit peut entraîner des risques pour l'opérateur et le patient et annulera la garantie du fabricant. Ne modifiez pas cet équipement sans l'autorisation du fabricant.

WARNING: If this equipment is modified, appropriate inspection and testing must be conductedto ensure continued safe use of equipment.

AvERTIssEmENT: Si cet équipement est inspection modifiée, appropriée et essais doivent êtreeffectués pour s'assurer a continué l'utilisation sécuritaire de l'équipement

For disposal information at the product’s end of life, contact Biodex.

For additional technical advice, service or education information, please contact:biodex medical systems, inc., 20 ramsey road, shirley, New york 11967-4704 1-800-224-6339 (int’l 631-924-9000) or [email protected]

BEFORE PROCEEDING

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IMPORTANT SAFETY INFORMATION

IMPORTANT SAFETY INFORMATION — VI —

WarNiNg, caUtioN aNd iNformatioN symbols

The following caution and warning symbols and their associated meanings are used throughout this manual:

Refer to Instruction Manual/Booklet

General Warning Sign

General Mandatory Action Sign

Waste in Electrical Equipment

Models that bear the ETL Monogram have been Certified for Safety by ETL Intertek in accordance with CAN/CSA C22.2 No.:601-1-M90. CE conformity to IEC 60601-1, EMC compliance to EN 606 01-1-2.

"ON" (Power)

Caution

Date of Manufacture

CE Mark

Type B applied part

Kg KilogramLb Pound

Follow the unpacking and assembly instructions document.

Before using this device, read the entire operation manual carefully. Failure to read the manual mayresult in user error or inaccurate data. Be sure to save all provided documents for future reference.

Make certain to understand all warning and caution labels as explained in the Before Proceedingsection of this manual.

The Unweighing System should be used only as specified in the operation manual.

The Unweighing System is designed for use in a patient environment.

See Section 7 for Unweighing System specifications.

This medical electrical equipment required special precautions regarding EMC and needs to beinstalled and put into service according to EMC information provided in this manual.Electromagnetic compliance definition is provided in Section 9.

Reference Cleaning and Maintenance Section 6.

Operation for: 9V Battery.

0413

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1. instrumentation

A. This equipment and its accessories are warranted by BIODEX MEDICAL SYSTEMS, INC.,against defects in materials and workmanship for a period of two years from the date of ship-ment from BIODEX MEDICAL SYSTEMS, INC. During the warranty period, BIODEX MED-ICAL SYSTEMS, INC. will in its sole discretion, repair, recalibrate or replace the equipmentfound to have such defect, at no charge to the customer.EXCEPT AS STATED ABOVE, THERE ARE NO WARRANTIES, EXPRESSED OR IMPLIED,INCLUDING WITHOUT LIMITATION WARRANTIES OR MERCHANTABILITY OR FITNESSFOR USE. BIODEX DOES NOT ASSUME LIABILITY FOR INCIDENTAL, CONSEQUENTIALOR INDIRECT DAMAGES INCLUDING LOSS OF USE, SALES, PROFITS OR BUSINESSINTERRUPTION.B. This warranty does not apply if the product, as determined by BIODEX MEDICAL SYS-TEMS, INC., is defective due to abuse, misuse, modification or service performed by other thana BIODEX MEDICAL SYSTEMS, INC. authorized repair and calibration facility. Misuse andabuse include, but are not limited to, subjecting limits and allowing the equipment to becomecontaminated by radioactive materials.C. In order to obtain warranty repair service, the equipment or system component must bereturned freight pre-paid to one of our facilities. The Return Materials Authorization number(R.M.A. #) should be included, along with a statement of the problem. Equipment or systemcomponent will be returned transportation prepaid.

2. calibration

A. Instruments are warranted to be within their specified accuracy at the time of shipment. If aquestion arises and BIODEX MEDICAL SYSTEMS, INC. determines that the initial calibration isin error, the instrument will be recalibrated at no charge.B. Mechanical products are warranted to meet written specifications and tolerances at the timeof shipment.C. The return policy is as stated in paragraph 1.C.

3. Warranty is non transferable.

4. Non-Warranty service

A. Repairs and/or replacements not covered by this warranty may be performed by BIODEXMEDICAL SYSTEMS, INC. at a factory authorized service location. Estimates of repair chargesmay be requested, however, a charge for estimate preparation may apply if the repair is later notauthorized by the customer.B. The cost of transportation into and out of the service location will be the responsibility of thecustomer.

UNWEIGHING SYSTEM WARRANTY

— VII — WARRANTY

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service procedureIf you think you have a service problem, take the following action.

1. Check to see that the problem occurs more than once.

2. Refer to the instruction manual and operations procedure.

3. Refer to the instruction manual Troubleshooting Guide.

If you still think you have a service problem, call BIODEX MEDICAL SYSTEMS, INC., Service Department at (800) 224-6339.

Keep yourself and the phone next to the equipment.1. Service will ask you for a brief description of the problem. We will ask specific questions

about the malfunction that occurred. This diagnostic process may take a few minutes, so call us when you have time to spare.

2. After taking the information, we will advise on the action we will take.

3. Sometimes service personnel must consult with engineering and it may take time to get backto you. Be sure to let the service representative know your schedule so that we can call at aconvenient time.

4. The return call may be from a person other than whom you first reported the problem to.

5. After analyzing the problem, we will decide if the unit must be returned to us for repair, or replacement parts will be sent.

6. If the unit must be returned, it will be given a Return Materials Authorization Number (R.M.A. #) number by us. Pack the system in the carton that it was originally shipped in, or pack it safely and securely to avoid shipping damage. It is the customer's responsibility for any damage that occurs during shipping.

7. Non-warranty/non-service contract charges for repair are as follows:

a. Materials+

b. Time+

c. Shipping Charges

contact informationBiodex Medical Systems, Inc.20 Ramsey Road, Shirley, New York, 11967-4704 Tel: 800-224-6339 (Int’l 631-924-9000)Fax: 631-924-8355 Email: [email protected], www.biodex.com

CONTENTS

WARRANTY — VIII —

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Figure 1. The Biodex Unweighing System adjustment mechanisms.

partial WeigHt beariNg gait tHerapy aNd balaNce traiNiNg

The loss of the ability to ambulate can be one of the most debilitating aspects of many neurolog-

ical and musculoskeletal disorders. Any of the three main components of locomotion - posture,

balance and coordination - can be affected by a variety of neurologic or musculoskeletal

pathologies resulting in the disruption of an individual’s ability to walk normally.

Partial Weight Bearing Gait Therapy (PWB) has shown great promise in helping a wide variety

of impaired patients as they relearn walking function. It is an appropriate modality to use when-

ever gait therapy is prescribed for patients who are unable to support their own body weight or

1. INTRODUCTION

— 1 — INTRODUCTION

Attachment rings - on support vest allow single or two-point pelvic stabilization when desired

Unweighing Harness fits avariety of patients

Two position handle foreasy and efficient patientunloading

Accommodates childrenand adults

Real time digitalscale displays off-loaded weight inpounds or kilograms

Patented off-loadingmechanism maintainsconstant force

Simply dial inamount to offload

Adjust to fit 8' ceilings

Large locking castersfor effortless mobilityover ground

Dynamic suspensionallows for naturalvertical displacementof center of gravity

Offset frame designoffers improved accessto manually assistpatient footfall andweight shift

Removable Therapist seats provide a place to sitduring assistive exercise and provides a saferenvironment for therapist interaction

Removable and adjustablepatient handrails

If pelvic stabilization is required,the Biodex Unweighing Systemincludes Pelvic StabilizationStraps to govern thedegree ofpelvic rotation.Stabilizationstraps aremade of Thera-Band® andadjustable nylon hooks.

Single point suspension permits functional pelvic rotation and versatility whenwalking, side-stepping, retro-walking and turning

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lack the upper body strength to support themselves during assisted ambulation. In addition to

aiding gait pattern regeneration, partial weight bearing therapy allows patients to perform car-

diovascular workouts in conjunction with a treadmill, enhance balance and improve posture.

Partial Weight Bearing Gait Therapy makes use of a patient suspension system, such as the

Biodex Unweighing System, to reduce the amount of weight born by a patient and provide

proper upright posture. The suspension system is used to remove a pre-determined portion of

the weight load from the patient’s legs and redistribute it to the patient’s trunk and upper

thighs, thus freeing up the arms and legs.

NOTE: Extreme caution should be taken to assure the stability of autonomic reflexes (in acute stages) aswell as bone and muscle integrity (in chronic cases).

With the patient supported by the suspension system, horizontal movement is provided by set-

ting the treadmill to a slow speed. The constant rate of movement provided by the treadmill

provides rhythmic input to reinforce coordinated, reciprocal movement of the legs. The therapist

can provide further assistance, especially with severely involved patients, by manually placing

the patient’s feet and/or assisting the patient in weight shifting.

Once the patient begins to gain a feel for the proper coordinated movement pattern the tread-

mill speed and/or the amount of weight borne by the patient can be gradually increased to bet-

ter simulate natural walking conditions. The increase in weight bearing and treadmill speed also

helps the patient to relearn dynamic balance.

Having achieved preset goals on the treadmill, the patient can be progressed to ambulating over

ground with the aid of the suspension system. Ultimately, it is hoped the patient will be able to

ambulate over ground independently or with an assistive device.

PWB therapy sessions typically last 30 minutes to an hour and are scheduled three to four times

per week. Each hour of the session can be divided into three or four periods of activity followed

by a rest period. Activity periods can be as short as three minutes with five minutes of rest but

should not exceed 15 minutes if the patient is supported or partially supported by the suspen-

sion system. Each period should end at its predetermined time, especially if the patient’s gait

deteriorates or the patient or therapist feels fatigued. Because the repetition of coordinated walk-

ing patterns is the most essential element to the success of this therapy, be sure to provide con-

sistent training without interruptions or breaks.

Patients are evaluated over a two-week period and are expected to make some gains in their abil-

ity to coordinate movement during treadmill walking in this time frame. Continue the program

for 8 to 12 weeks if sufficient progress is demonstrated. Continue for up to an additional four

weeks for cases showing slower improvement. For acute patients who show little on no progress

after the first two weeks of therapy, time may be better spent on different learning activities.

The Biodex Unweighing System can be used in the recovery of balance and posture for patients

with compromised posture or balance mechanisms. Toss the patient a ball to catch or provide

perturbation manually to challenge their balance. The suspension system will prevent the

patient from falling while providing proprioceptive cues. The amount of support can be reduced

as the patient progresses.

CONTENTS

INTRODUCTION — 2 —

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beNefits of dyNamic UNWeigHiNg tHerapy

Partial Weight-Bearing Therapy, also known as Unweighing, is a concept of rehabilitation that

uses an external device to support a percentage of the patient’s body weight, allowing them to

perform a variety of therapeutic activities in an upright and safe environment. Typically used

with Neurological Pathologies, the patient’s body weight is supported between 20-40% to assist

with developing proper gait patterns and improvements in cardiovascular and muscular

endurance with less physical demand. The ability to initiate exercise early in the rehabilitation

process can benefit the patient by allowing development of neural pathways through muscular

patterning.

benefits

Research has shown the benefits of Unweighing to occur in a variety of physiological ways.

physiological benefits

symmetrical Loading of the Lower extremities - This assists with equal weight distribution over

the base of support. Equal weight distribution in turn provides the proper biomechanics to cor-

rect step length deficits and time distribution between limbs

Reduction of muscular splinting - Parasympathetic tones typically associated with neurological

pathologies can be reduced through partial-weight therapy. Minimizing parasympathetic stimuli

helps to reduce muscular tension in turn allowing for increased range of motion and focus on

motor control exercises.

Reduction of Cardiovascular and metabolic Demands - Relieving graded portions of body

weight allow the patient to exercise with less stress to the cardiopulmonary system, this is benefi-

cial for extremely deconditioned patients as it allows them to initiate exercise without increasing

cardiopulmonary demand. VO2 levels are maintained better at 40% unweighing than at 0%, the

patient can then also exercise for a longer period of time. This application can be beneficial for

cardiac and pulmonary rehabilitation, as well as obese patients as exercise can be prolonged to

enhance conditioning.

other benefits

Acute Injury and Post surgical - Unweighing can also provide a safe environment to start acute

therapy following injury or surgical procedures. This is especially true with patients suffering

from low back pain, whether it’s acute or chronic. Unweighing provides an environment around

the injured joint with reduced gravitational effects, this can be coupled with exercise to enhance

joint stability. Vertical traction is accomplished to provide patient relief. This same approach can

be taken with other orthopedic injuries. By using the Biodex Unweighing System you can be

assured that your patient is working in a dynamic environment unloaded to physician specifica-

tions. Since the weight of the patient is supported, there is increased safety for them and the

clinician, should a fall occur.

Balance Training - The Biodex Unweighing System provides a safe environment during balance

training. Securing your patient in the Unweighing System will eliminate the risk for falling dur-

ing balance training. The somatosensory input provided by the harness provides proprioceptive

feedback in regards to location of the trunk over the base of support and will allow your patient

to work with more confidence during rehabilitation.

— 3 — INTRODUCTION

CONTENTS

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benefits specific to the biodex Unweighing system

Oscillation of Center of Gravity (COG) - Normal oscillation for the center of gravity during gait

is approximately 2" (5cm). This is easily achieved with the dynamic suspension of the Biodex

Unweighing System. By allowing oscillation, the patient is able to maintain a smooth gait pat-

tern (Hoppenfeld). When a static support system is used and the center of gravity is raised, the

system is not able to maintain a constant unweighing. During toe off, the patient may actually

be full weight bearing, which may cause undesired firing patterns of the musculature, resulting

in poor training effects.

Knee Flexion Throughout Gait Cycle - In order to provide for shock absorption and mechanical

efficiency, the knee must flex at various points during the gait cycle. During toe off the COG will

rise, the knee flexes to approximately 40º to counterbalance this effect. A static unweighing sys-

tem will not allow this to occur and will therefore promote poor mechanics during gait training.

Poor mechanics can lead to increased stress placed on compensatory joints and muscles and also

inappropriate motor control patterns. Knee flexion also allows ground reaction forces (GRF) to

occur. GRFs are important for motor firing patterns associated with motor pattern and central

pattern generators. The dynamic environment of the Biodex Unweighing System allows for

development and utilization of these GRF in the re-training of gait.

single Point Design - A single point of suspension allows proper shifts of the COG and proper

pelvic rotation during gait. By providing natural shifts of the COG strengthening and coordina-

tion can be rehabilitated to their original state. Unweighing Systems that provide a two point

support design do not allow for the necessary shift of the COG over vital points necessary for

gait. A two point design suspends the patient in a static "hanging" position, not allowing lateral

pelvic tilts and pelvic rotation necessary for efficient gait mechanics. Lateral pelvic tilt of

approximately 1" allows the body weight to be centered over the hip, this allows the non-weight

bearing leg to swing through. The pelvis then rotates forward with the weight bearing hip act-

ing as a fulcrum allowing forward movement of the non weight bearing limb. The single point

design of the Biodex Unweighing System allows for proper biomechanics of the pelvis and uti-

lization of trunk musculature for stabilization and forward propulsion.

Digital Display of Unweighing Load - The digital display incorporated on the Biodex

Unweighing System provides feedback in regards to the amount of weight being relieved from

the patient. This is beneficial as it allows for consistency between treatments thus providing a

therapeutic environment to improved gait mechanics and neurological patterning.

INTRODUCTION — 4 —

CONTENTS

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assembliNg tHe UNWeigHiNg system

In some instances, the Biodex Unweighing System is shipped assembled. If your system is not

assembled complete the following steps.

Tools Required: 9/16” socket wrench, small knife

WARNING: At least two people are required to complete the following procedure. Ensure that theunweighing system will be assembled on a level surface. Ensure that there is enough room to moveeasily around the unweighing system frame during installation.

Au moins deux personnes sont tenues d'accomplir la procédure suivante. Garantissez que le système nonpesant sera rassemblé sur une surface de niveau. Garantissez qu'il y a assez de pièce pour bouger facilementautour de la charpente de système non pesante pendant l'installation.

1. Open the large box to reveal the top frame assembly (horseshoe). Remove the packing from

around the top of the horseshoe. The side with the stop indicator and rope inspection window

should face up from the floor.

2. Using a knife, slice open the box at the corners toward the foot end of the horseshoe.

3. From the smaller box, remove the left and right support legs. Lay each on the floor next to the

appropriate side of the top frame assembly (See Figure 2). Lock both locking casters on each

support leg.

4. Select one support leg and rotate it up so that the patient support handle pull pin points

toward the floor. The high edge of the angled cut at the top end of the support leg should face

toward the inside of the top frame assembly.

5. Slide one end of the top frame assembly into the support leg (See Figure 3).

6. Slide the other side of the top frame assembly into the remaining support leg as in step 5.

Push both sides of the top frame assembly into the support legs until they reach the desired

height as indicated by the support height label on the outside edges of the top frame assembly.

NOTE: There are four position holes allowing selection for 8, 8.5, or 9-foot and greater ceilings. You mustselect the same hole setting for each side. Height should be determined by ceiling height of the area wherethe unit will be used. Be aware of exit signs, lights, fire sprinklers, etc. For the 8’5” and 9’ settings, use thesupplied slotted screws and lock washers to fill the open holes on each side of the top frame assembly.

7. Secure the top frame assembly to the support legs on each side using a 9/16”socket wrench to

install four sets of finishing washers, lock washer and 3/8” x .5” hex head bolt on each support

leg. At this point, you only need to install the four sets on top of the support legs.

8. With the aid of another person, lift the unweighing system from the top of the horseshoe and

stand it on the support legs.

9. Using a 9/16” socket wrench, install the remaining four sets of finishing washers, lock washer

and 3/8” x .5” hex head bolt (two sets on each support leg.)

— 5 — ASSEMBLY INSTRUCTIONS

2. ASSEMBLY INSTRUCTIONS

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10. Snap a black finishing cap into each of the finishing washers (eight in all).

11. Insert patient support handles into the handrail receiving tubes (See Figure 4) so that they

face in toward the center of the unit.

Figure 2. Lay the left and right support legson the floor next to the top frame assembly.

Figure 3. Slide the Top Frame Assemblyinto the support legs.

Figure 4. Insert patient support handles into thehandrail receiving tubes.

Figure 5. Attach the Safety Harness.

ASSEMBLY INSTRUCTIONS — 6 —

CONTENTS

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— 7 — USING THE BIODEX UNWEIGHING SYSTEM

ATTENTION: Never leave a patient unattended on this device. Check all cables, harnesses andfittings before each use. See Chapter 4, “Maintenance and Safety Inspection,” for additionalinstructions.

ATTENTION: The Biodex Unweighing System uses a special harness to support the patient. It isvital that the harness fits properly on the patient. Refer to the Biodex Standard Unweighing HarnessOperation Manual, supplied with your harness, for specific information about harness use.

steeriNg casters

The Biodex Unweighing System has four locking casters. Two are also steering casters. The pair

of steering casters are located at the front of the system (the side with the Stop Indicator and

Rope Inspection Window near the top frame corners).

positioNiNg tHe UNWeigHiNg system for Use WitH tHe

biodeX rtm treadmill

(See Figure 6.)

1. Unlock the four locking casters.

2. Roll the unweighing system into position so the display faces toward the back of the treadmill

deck. (The display should be on your right side.) The treadmill control panel should be easily

accessible. The patient should be placed in the center of the treadmill belt and closer to the front

than the back.

3. Lock all four locking casters.

4. Adjust unweighing as needed.

ATTENTION: When using the Unweighing System with a treadmill, the steering casters shouldbe positioned at the rear of the treadmill. This will make it easier to maneuver around the treadmill deck.

positioNiNg tHe UNWeigHiNg system for Use WitH tHe

biodeX balaNce system

(See Figure 7.)

1. Unlock the four locking casters.

2. Roll the Unweighing System over the Balance System so the Unweighing System display

faces away from the Balance System display. (The display should be on your right side.)

3. Lock all four locking casters.

4. Adjust unweighing as needed.

3. USING THE BIODEX UNWEIGHING SYSTEM

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determiNatioN of body WeigHt sUpport

Heel/g round contact during ambulation is lost in patients when weight relief is in excess of 40%

body weight (Visintin and Barbeau, 1989). Gardner, et al., (1988,) chose a level of weight relief in

which the patient achieved heel/ground contact bilaterally for ten consecutive steps.

When determining body weight support, keep in mind the patient's pathology level of involve-

ment and comfort. A patient who is considerably challenged may require a greater percentage of

weight relief.

Use the scale to determine how much body weight is being lifted. The scale will show the relief

amount in pounds or kilograms. For example, a reading of 30 pounds means that 30 pounds has

been lifted off the patient. For a 150-pound patient, this would equal 20% of body weight.

CONTENTS

USING THE BIODEX UNWEIGHING SYSTEM — 8 —

Figure 6.The Biodex Unweighing Systempositioning for use with theBiodex RTM Treadmill.

Figure 7.The Biodex Unweighing System

positioning for use with theBiodex Balance System.

Figure 8.The Biodex Unweighing Systemready for free wheeling.

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X

— 9 — USING THE BIODEX UNWEIGHING SYSTEM

UsiNg tHe UNWeigHiNg HarNess

(See Figures 9-25.)

The New Biodex Unweighing Harness is designed to provide vertical lift through three shared

points of pressure; through the hip straps, gluteal fold straps and the lumbar-thoracic harness.

The design improves comfort and prevents slippage without limiting lower extremity range of

motion. Patient comfort is important so that the Unweighing System can be used for the extend-

ed periods of time necessary to achieve the vast amount of step cycles needed to improve gait.

Figure 9. Optional wrap helper -Take the provided neoprene wrapand apply it low across the hipsin the area that the harness willeventually rest. Apply a moder-ate amount of tension on thewrap so that it will not slip onitself during use. This wrap pre-vents sliding of the harnessproximally while unloading.

Figure 10. Take the remainingfasten straps and fasten to thewrap.

Figure 11. The bottom of thewrap should rest between thegreater trochanter and theASIS.

Figure 12. Begin to apply theharness. While standing makesure the “O” rings on the harness shoulder straps fallaround the level of the ears.This can be accomplished byraising or lowering the over-head bar of the BiodexUnweighing System.

Figure 13. Adjust the shoulderharness straps length, which inturn adjusts the height of theharness. The bottom of the har-ness should be adjusted to thelower edge of the neopreneunder wrap.

Figure 14. Adjust the backstraps on the vest so that theanterior buckle (picture 7)falls near the greatertrochanter.

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CONTENTS

USING THE BIODEX UNWEIGHING SYSTEM — 10 —

Figure 15. Tighten the frontstraps to a moderate tensionso that the vest feels secure tothe patient.

Figure 16. Notice how the anterior buckle is resting nearthe greater trochanter. Alsonotice how the lower edge ofthe harness falls close to thelower edge of the neopreneunderwrap.

Figure 17. Using the coloreddots as a guide, fasten the posterior buckle of the glutealfold strap.

Figure 18. Take the remainingbuckle (anterior strap) andbring it through the inside ofthe leg and fasten it to the anterior buckle.

Figure 19. Next, fasten thethigh cuff (the thigh cuffshould not be too tight, it isprimarily there to hold thegluteal fold strap in place).

Figure 20. Tension the glutealfold strap until it is snugunder the gluteals.

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CONTENTS

— 11 — USING THE BIODEX UNWEIGHING SYSTEM

Figure 24. Fasten the thighcuff.

Figure 25. A completed anteri-or view of proper vest place-ment.

Figure 21. Notice, when proper-ly fitted, the anterior buckletilts forward and allows theanterior strap to ride aroundthe inside of the leg and not upinto the crotch.

Figure 22. Now is the time toapply the opposite side glutealfold strap. Insert the posteriorstrap into the posterior bucklewith the color-coded dots.

Figure 23. Fasten the anteriorbuckle by bringing it alongthe inside of the leg.

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the inguinal strap

(See Figures 26-30.)

In the case where you feel an inguinal strap is necessary for unweighing, there is one provided.

It is simple and easy to use...just follow these five steps.

USING THE BIODEX UNWEIGHING SYSTEM — 12 —

CONTENTS

Figure 26. Attach the left andright posterior straps to theposterior buckles, also colorcoded.

Figure 27. A completed lookafter the posterior straps arein place.

Figure 28. Bring the strap-ping system through the legsand place the color-codedstrap into the correspondingcolor-coded anterior buckle.

Figure 29. Do the same on theopposite side.

Figure 30. Completed look ofinguinal strapping system inplace.

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prone Harness fixation

(See Figures 31-33.)

other features

(See Figures 34-36.)

CONTENTS

— 13 — USING THE BIODEX UNWEIGHING SYSTEM

Figure 34. Release Tab. Torelease the patient from theUnweighing System withoutremoving the harness, simplypull on the red tab. Make sureboth you and the patient areprepared for this as the systemwill no longer support thepatient’s load after the clampis released.

Figure 35. Side handles. Usedto stabilize the patient's trunkor guide them laterally ineither direction.

Figure 36. Strapping ring.Used to load the patientlaterally and to stabilize orprevent excessive trunkrotation.

Figure 31. To apply the har-ness while supine, first lay theharness on a table or plinthlow enough to transfer thepatient.

Figure 32. Apply the underwrap as mentioned above andseat the patient below the har-ness. Please make sure thepatient is seated so the bottomedge of the wrap aligns withthe bottom edge of the harnesswhen you lay them down.

Figure 33. Lay the patientdown on the harness andrepeat the previously men-tioned steps depending onyour application.

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Adjustment: The shoulder straps can be lengthened or shortened using the end of the

strap located near the seat belt buckle. The cross bar is used to adjust for patient height.

ATTENTION: Be aware of incontinence concerns. Use of the unweighing harness can put pres-sure on the patient’s abdominal area, including the bladder. Should a harness become soiled, it canbe hand-washed in warm water with mild soap - air dry.

attacHiNg a patieNt to tHe UNWeigHiNg system

(See Figures 9 - 37.)

ATTENTION: The Unweighing System is designed to meet the hospitalrequirements of an eight-time load rating. The device is rated for use withpatients to provide up to 180 pounds (82 kg) of unweighing load, (50%unweighing of a 360-lb patient.)

NOTE: Patient set-up should be conducted over the desired walking surface (i.e,treadmill or floor,) as moving from the floor to the treadmill will require the set up procedure be repeated.

1. Turn on the display on the right side of the unit. Toggle ON pounds/

kilograms and then use the round knob to zero out the display.

NOTE: The display shuts OFF automatically after 30 minutes. To turn the display back ON, press the <ON> button.

2. Use Handle #2 on the right side of the unit to dial in the approximate amount of weight to

remove from the patient as displayed on the color-coded unloading scale.

3. Use Handle #1 on the left side of the unit to lower the patient harness bar so that it rests

approximately 2 inches above the patient's head.

4. With the harness adjusted to the patient for a tight, comfortable fit, slip the large harness rings

onto the safety harness clips at the end of the support rope. To do this, pull on the red tabs to

release the clips. Slide the harness rings onto the clips and then lock the clips back in place.

5. Crank Handle #1 on the left side of the unit to raise the patient harness until the red stop

indicator bar on the front right side of the top assembly is at the approximate middle of the

scale. This mid-scale position for the stop indicator must be maintained.

6. Check the display to see how much weight has been lifted from the patient. Use Handle #2

on the right side of the unit to fine-adjust the weight removed until the display shows the

desired level. Ensure that the red stop indicator is still in the middle of the scale.

7. Ensure the patient is comfortable and that the vest is properly fitted. Be sure the shoulder

straps do not rub against the patient’s ears. Make sure the bar does not hit the patient’s head.

The Unweighing System is now ready for use.

NOTE: Handle #1 can be used two different ways. Pull out the handle knob and slide it to the innerposition to crank the handle and adjust the crossbar height quickly. Use the outer position to improve your mechanical advantage when assisting the patient to a standing position.

CONTENTS

USING THE BIODEX UNWEIGHING SYSTEM — 14 —

Figure 37.

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CONTENTS

— 15 — USING THE BIODEX UNWEIGHING SYSTEM

safety tetHer operatioN

(Refer to Figure 38.)

The Safety Tether is factory installed but a few simple adjust-

ments are required to ensure proper operation during

unweighing. The length of the tether strap should equal the

length of the harness rope plus four inches when the harness

rope is fully extended. Follow the steps below to adjust the

safety tether to the correct length.

1. Adjust spreader bar to accommodate patient height.

2. Adjust safety tether strap so that it equals rope length

and add four inches. To adjust the strap length, press in

on the safety tether release and pull up on the strap to

create more slack. Pull down on the free end of the strap

to tighten.

3. After adjusting tether length, there may be excess strap

length that could interfere with patient. If so, use the clip

to adjust the slack strap so it is out of the patient’s way.

free WHeeliNg

The Biodex Unweighing System can be used over the floor

or with other exercise devices. Be aware of the adjustments

required when moving from one device to another. For

example, when stepping down from a treadmill, the step-

up height of the treadmill must be taken into account. This is accomplished by rotating Handle

#1 and lowering the patient. The opposite is true when going from the floor to the treadmill.

When traveling across the floor there is no need to spin the entire unweighing system around when

the patient runs out of floor space. Simply turn the patient and head in the opposite direction.

ATTENTION: It is best if the steering casters are behind the patient if the therapist will be steer-ing the unit from behind the patient. If the patient will be steering the unit, the steering castersshould be in front.

JoggiNg

The dynamic suspension provides ample dynamics to allow patients to walk briskly or even jog

while attached to the unweighing system.

ambUlatioN stool

(See Figure 39.)The Ambulation Stool can be used to provide a posi-

tion from which the clinician can easily observe or

assist patients with foot placement and weight shifting.

To install the stool, hold both stool hinges up (on the

underside of the seat) and slide the stool onto the base

of the left or right support. Lock the hinges in the down

position to secure the stool in place.

Figure 39. The Ambulation Stool

Figure 38. Adjust the Safety Tether so that it is equal in length to the harness rope, plus four inches.

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cleaNiNg

• As needed, wipe down the frame with a solution of warm water and mild detergent.

• Hand-wash patient support vest in warm water with mild soap. Air dry.

iNspectioN

(Refer to Figures 40 - 43.)Although the Biodex Unweighing System is designed for trouble-free operation, simple daily

and monthly inspections should be made of the rope to assure patient safety. A more compre-

hensive inspection should be performed every six months to the pulley assembly to ensure

proper operation and safe applications.

daily

Inspect the Harness Rope and Safety Tether. Lower the harness rope using Handle #1 until the

rope is at its maximum length of approximately 50 inches (150cm). The Harness Rope should

lower smoothly to its full length. Inspect both rope and safety tether for any signs of wear,

which may include: fraying, cuts or kinks. Firmly tug on the rope to assure it is secure.

CAUTION: If Harness Rope or Safety Tether show any signs of wear, immediately contact BiodexCustomer Service at 1-800-224-6339.

Inspect Harness Spreader Bar and clips for signs of wear. Make sure to release clips and lock them

into place to ensure they are functioning properly.

Inspect the four casters for

uneven wear. Ensure they are

attached firmly to the

Unweighing System. Check

that the wheels lock and

unlock properly.

monthly

Crank the crossbar all the way

down while inspecting the

entire length of the rope

through the Rope Inspection

Window.

Figure 40. Unweighing System daily inspection check-points.

MAINTENANCE AND SAFETY INSPECTION — 16 —

4. MAINTENANCE AND SAFETY INSPECTION

Check All Casters (4 total)

HarnessSpreader Barand Clips

Harness Rope (length approx. 50")

Safety Tether

Rope Inspection Window

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Every six months the following inspection procedure should be performed to visually examine

the entire length of the Harness Rope and Pulley Assembly. You will need a 1/8" Allen Wrench

as some disassembly is required.

1. Inspect the harness rope. Lower the harness rope using Handle #1 until it is at its maximum

length of 50 inches (150cm). The harness rope should lower smoothly to its full length. Inspect

for any signs of wear, which may include fraying, cuts, or kinks in the rope.

2. Remove the Safety Harness and Safety Tether.

3. Remove the Safety Tether routing pins by removing the c-clips with c-clip pliers.

4. Remove the top cross bracket cover secured with 1/8" Allen screws. There are 22 screws total,

ten located in front, ten in the back, and two near each upright. Support the bracket cover with

your hand as you remove the screws. Once all the screws have been removed, gently pry the

bracket cover off.

5. Inspect the upper pulley and harness rope for any signs of wear, which may include fraying,

cuts, or kinks in the rope .

ATTENTION: Should you find any signs of wear or defects inthe harness rope or pulley assembly during the inspection, contactBiodex Customer Service immediately at 1-800-224-6339 or 631-924-9000 (international).

6. Replace the three Safety Tether routing pins, Safety Harness

and Safety Tether.

7. Replace the cover bracket and screws.

8. Inspect casters and verify that they are attached securely to the

Unweighing System. Check that the wheels lock and unlock

properly.

— 17 — MAINTENANCE AND SAFETY INSPECTION

CONTENTS

Figure 42: Gently pry free the top bracket. Figure 41: Remove all (22) Allen screwsthat secure the top bracket.

Routing Pins

Allen screws

Figure 43: Inspect theupper pulley and harness ropeunder the top bracket for signsof wear.

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• Dimensions: 49" w x 50" depth x 104" h (124 x 127 x 264 cm) accommodates patients from pediatric

up to 6'11" (210 cm) on a standard treadmill; alternate height setting for facilities with low ceilings:

94" (239 cm) accommodates patients from pediatric up to 6'2" (188 cm) on a standard treadmill

• Accommodates Treadmill up to 35" wide

• Vertical Adjustment: 60" (152 cm)

• Unloading Weight Capacity: 180 lb (82 kg)

• Patient Capacity: 500 lb (227 kg)

• Operating Temperature Range: 59° to 86° F (15° to 30° C)

• Operating Humidity Range: 30% to 75%

• Transport/Storage Temperature Range: -4° to 140° F (-20° to 60° C)

• Transport/Storage Humidity Range: 20% to 80% non-condensing

• Power: 9V Battery

• Certification: ETL listed to UL 60601-1 and CAN/CSA C22.2 No.:601.1.M90.

CE conformity to EN 60601-1, EMC compliance to IEC 60601-1-2.

• Warranty: Two-years parts; one-year labor

Authorized European Community Representative:

Emergo EuropeMolenstraat 152513 BH, The HagueThe Netherlands

SPECIFICATIONS — 18 —

5. SPECIFICATIONS

0413

EC REP

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BARBEAU, H, et al.WALKING AFTER SPINAL CORD INJURY: CONTROL AND RECOVERY

Neuro Scientist 4(1): 14-24 / 1998Biodex #91-119

A NOVEL INTERACTIVE LOCOMOTOR APPROACH USING BODY WEIGHT SUPPORT TO RETRAIN GAIT IN SPASTIC PARETIC SUBJECTS

Wernig A (ed) Plasticity of Montoneuronal ConnectionsAmsterdam: Elsevier Science Publishers: 461-474 / 1991Biodex #91-166*

NEW EXPERIMENTAL APPROACHES IN THE TREATMENT OF SPASTIC GAIT DISORDERSMed Sport Sci 36: 234-246 / 1992Biodex #91-167*

BEHRMAN, A L, et al.LOCOMOTOR TRAINING AFTER HUMAN SPINAL CORD INJURY: A SERIES OF CASE STUDIES

Physical Therapy: Vol. 80 (7):688-700 / July 2000Biodex #91-174

BREEN, JC, et al.BODY WEIGHT SUPPORT TREADMILL TRAINING IMPROVES WALKING IN SUB-ACUTE AND CHRONIC SEVERELY DISABLED STROKE PATIENTS

Adapted by Mobility Research from a Poster PresentationBiodex #93-119

CHEN, G, et al.TREADMILL TRAINING WITH HARNESS SUPPORT: SELECTION OF PARAMETERS FOR INDIVIDUALS WITH POSTROKE HEMIPARESIS

J of Rehabilitation Research & Dev: Vol 43, No. 4: 485-497Biodex #92-265

da CUNHA, IT, et al.GAIT OUTCOMES AFTER ACUTE STROKE REHABIITATION WITH SUPPORTED TREADMILL AMBULATION TRAINING: A RANDOMIZED CONTROLLED PILOT STUDY

Arch Phys Med Rehab, Vol. 83:1258-1265, September 200292-238

DeBRUIN, E, et al.CHANGES OF TIBIA BONE PROPERTIES AFTER SPINAL CORD INJURY:EFFECTS OF EARLY INTERVENTION

Arch Phys Med Rehabil 80: 214-220 / 1999Biodex #91-120

DOBKIN, B, et al.RECOVERY OF LOCOMOTOR CONTROL

The Neurologist, 2(4): 239-249 / 1996Biodex #91-168*

SENSORY INPUT DURING TREADMILL TRAINING ALTERS RHYTHMIC LOCOMOTOR EMG OUTPUT IN SUBJECTS WITH COMPLETE SPINAL CORD INJURY

Proceedings of the Annual Meeting of the Society of NeuroscienceAnaheim, CA – 1403, 1992Biodex #91-169*

TRAINING INDUCES RHYTHMIC LOCOMOTOR EMG PATTERNS IN SUBJECTS WITH COMPLETE SCINeurology, 42 (Supp 3): 207-208 / 1992Biodex #91-170*

MODULATION OF LOCOMOTOR-LIKE EMG ACTIVITY IN SUBJECTS WITH COMPLETE ANDINCOMPLETE SPINAL CORD INJURY

J. Neuro Rehab – 9(4): 183-190 / 1995Biodex #91-171

8. BIBLIOGRAPHY

BIBLIOGRAPHY — 19 —

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FINCH, L, et al.HEMIPLEGIC GAIT: NEW TREATMENT STRATEGIES

Physiotherapist, Canada – 38: 36-41 / 1986Biodex #91-172

GARD, SA, et al.THE INFLUENCE OF STANCE-PHASE KNEE FLEXION ON THE VERTICAL DISPLACEMENT OF THE TRUNK DURING SPINAL CORD INJURY: A SINGLE SUBJECT EXPERIMENTAL DESIGN

Arch Phys Med Rehabil – 80: 26-32 / 1999Biodex #91-121

GARDNER, M, et al.PARTIAL BODY WEIGHT SUPPORT WITH TREADMILL LOCOMOTION TO IMPROVE GAIT AFTER INCOMPLETE SPINAL CORD INJURY: A SINGLE SUBJECT EXPERIMENTAL DESIGN

PT, 78: 361-374 / April 1998Biodex #91-122

HESSE, S, et al.TREADMILL TRAINING WITH PARTIAL BODYWEIGHT SUPPORT COMPARED WITH PHYSIOTHERAPY IN NON AMBULATORY HEMIPARETIC PATIENTS

Stroke 26(6): 976-981 / 1995Biodex #91-162

TREADMILL WALKING WITH PARTIAL BODY WEIGHT SUPPORT VERSUS FLOOR WALKING INHEMIPARETIC SUBJECTSArch Phys Med Rehabil, Vol. 80: 421-427 / April 1999Biodex #91-123

HODGSON, J, et al.CAN THE AMMALIAN LUMBAR SPINAL CORD LEARN A MOTOR TASK?

Med Sci Sports Exerc 26: 1491-1497 / 1994Biodex #91-173

HUNTER, DL, et al.ENERGY EXPENDITURE OF BELOW THE KNEE AMPUTEES DURING HARNESS SUPPORTED TREADMILL AMUBLATION

Platform Presentation – APTA, CSM, 1994Biodex #91-124

THE EFFECTS OF HARNESS SUPPORT ON LOWER EXTREMITY MUSCLE ACTIVITY OF ABLE BODIED AND TRAUMATIC BRAIN INJURED SUBJECTS DURING GAIT

Abstract, PT – 77 / May 1997Biodex #91-125

MacKAY-LYONS, M, et al.EFFECT OF 15% BODY WEIGHT SUPPORT ON EXERCISE CAPACITY OF ADULTS WITHOUT IMPAIRMENTS

Physical Therapy, Vol. 81, No. 11:1790-1800, Nov. 2001Biodex #92-235

MALOUIN, F, et al.USE OF AN INTENSIVE TASK-ORIENTED GAIT TRAINING PROGRAM IN A SERIES OF PATIENTS WITH ACUTE CEREBROVASCULAR ACCIDENTS

Physical Therapy 72(11): 781-793 / 1992Biodex #91-157

MASSION, J, et al.COORDINATION BETWEEN POSTURE AND MOVEMENT: WHY AND HOW?

NIPS, 3: 88-93 / 1988Biodex #91-175*

6. OPTIONAL

— 20 — BIBLOGRAPHY

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Rev: December 7, 2007

BIBLOGRAPHY — 21 —

CONTENTS

MULCARE, JA, et al.PHYSIOLOGICAL RESPONSES DURING UNWEIGHTED AMBULATION: A PILOT STUDY

Abstract PT – 78(5) / May 1988Biodex #91-126

NELSON, AJ, et al.USING THE BIODEX UNWEIGHING SYSTEM, BALANCE SYSEM AND GAIT TRAINER IN ANINTEGRATED REHABILITATION PROGRAM

Abstract, May 2001Biodex #92-217

NORMAN, K, et al.A TREADMILL APPARATUS AND HARNESS SUPPORT FOR EVALUATION AND REHABILITATION OF GAIT

Archives Phy Med Rehab – (76): 772-778 / August 1995Biodex #91-165

SCHINDL, MR, et al.TREADMILL TRAINING WITH PARTIAL BODY WEIGHT SUPPORT IN NONAMBULATORY PATIENTS WITH CEREBRAL PALSY

Arch Phys Med Rehabil March 2000, Vol. 81:301-206Biodex #91-181

SIMPSON, S, et al.UNLOADED TREADMILL TRAINING THERAPY FOR LUMBAR DISC HERNIATION INJURY

J Athletic Training, Vol. 31(1):57-60 / March 1996Biodex #91-128

STEFFEN, TM, et al.LONG-TERM LOCOMOTOR TRAINING FOR GAIT AND BALANCE IN A PATIENT WITH MIXED PROGRESSIVE SUPRANUCLEAR PALSY AND CORTICOBASAL DEGENERATION

Physical Therapy: Vol. 87, No. 8, 1078-1087Biodex #92-273

SULLIVAN, KJ, et al.STEP TRAINING WITH BODY WEIGHT SUPPORT: EFFECT OF TREADMILL SPEED AND PRACTICE PARADIGMS ON POSTSTROKE LOCOMOTOR RECOVERY

Arch Phys Med Rehabil, Vol. 83, May 2002 - 683-691Biodex #92-242

SVENDSEN, BTREATMENT OF THE HEMIPLEGIC PATIENT: NEW STRATEGIES FOR GAIT TRAINING

Phys Ther Prod: 32-34 / March 1996Biodex #91-129

VAN EMMERIK, R, et al.IDENTIFICATION OF AXIAL RIGIDITY DURING LOCOMOTION IN PARKINSON’S DISEASE

Arch Phys Med Rehab – 80: 198-191 / 1999Biodex #91-131

VISINTIN, M, et al.A NEW APPROACH TO RETAIN GAIT IN STROKE PATIENTS THROUGH BODY WEIGHT SUPPORT AND TREADMILL STIMULATION

Stroke – 29: 1122-1128 / 1998Biodex #91-130

WERNIG, A, et al.IMPROVEMENT OF WALKING IN A SPINAL CORD INJURED PERSON AFTER TREADMILL TRAINING

In: Wernig A (ed.) Plasticity of Motoneuronal ConnectionsAmsterdam: Elsevier Science Publishers: 475-485 / 1991Biodex #91-176*

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conformance to standards

This equipment conforms to the following safety standards:

standard Edition and/or date

IEC60601-1-2 First edition, 2007

Table 1.1 Safety standards

accompanying emc documents

This medical electrical equipment needs special precautions regarding EMC and needs to beinstalled and put into service according to the EMC information provided in this manual.

• Portable and mobile RF communications equipment can affect medical electrical equipment.

• Use of accessories, transducers and cables other than those specified, with the ex¬ception of accessories, transducers and cables sold by the manufacturer of this equipment, as replacementparts for internal and external components, may result in increased emissions or decreasedimmunity of the equipment.

• The Unweighing System should not be used adjacent to or stacked with other equipment. If theUnweighing System is used while positioned adjacent to other equipment, it should beobserved to verify normal operation in the configuration in which it will be used.

list of cable accessories

There are no accessory cables supplied with the Unweighing System for which the manufacturerof this equipment claims compliance to EN 60601-1-2 when used with the Unweighing System.

9. ELECTROMAGNETIC COMPATIBILTY

— 22 — ELECTROMAGNETIC COMPATIBILITY

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declaration of conformity

immunity

CONTENTS

ELECTROMAGNETIC COMPATIBILITY — 23 —

Manufacturer’s declaration electromagnetic immunity The Unweighing System is intended for use in the electromagnetic environment specified below. The customer or the user of the Unweighing System should assure that it is used in such an environment. Immunity test IEC 60601-1-2

Test level IEC 60601-1-2 Compliance level

Electromagnetic environment – guidance

Electrostatic discharge (ESD) IEC 61000-4-2

± 6 kV contact ± 8 kV air

Contact ± 6 kV Air ± 8 kV

Floor should be wood, concrete or ceramic tiles. If floor is covered with synthetic material, the relative humidity should be at least 30%

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CONTENTS

— 24 — ELECTROMAGNETIC COMPATIBILITY

Immunity test IEC 60601-1-2 Test level

IEC 60601-1-2 Compliance level

Electromagnetic environment – guidance

Power frequency (50/60 Hz) magnetic field IEC 61000-4-8

3 A/m 3 A/m If image distortion occurs, it may be necessary to position the Unweighing System display further from sources of power frequency magnetic fields or to install magnetic shielding. The power frequency magnetic field should be measured in the intended installation location to assure that it is sufficiently low

Radiated RF IEC 61000-4-3

3 V/m, 80 MHz to2.5 GHz

3 V/m, 80 MHz to2.5 GHz

Portable and mobile RF communications equipment should be used no closer to any part of the Unweighing System, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance: d = 1.2! P 150 KHz to 80 MHz d = 1.2! P 80 MHz to 800 MHz d = 2.3! P 800 MHz to 2.5 GHz where P is the maximum output power rating of the transmitter in watt (W) according to the transmitter manufacturer, and d is the recommended separation distance in meters (m). Field strengths from fixed RF transmitters, as determined by an electromagnetic site surveya, should be less than the compliance level in each frequency rangeb. Interference may occur in the vicinity of equipment marked with the following symbol:

Note 1. UT is the a.c. mains voltage prior to application of the test level. Note 2. At 80 MHz and 800 MHz, the higher frequency range applies. Note 3. These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflections from structures, objects and people

a Field strength from mixed transmitters, such as base stations for radio telephones and land mobile radios, amateur radio, AM or FM broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the Unweighing System is used exceeds the applicable RF compliance levels above, the Unweighing System should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the Unweighing System. b Over the frequency range 150 KHz to 80 MHz, field strengths should be less than 3 V/m.

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recommended separation distances

operating temperature

Do not expose the equipment to a temperature change of more than 5° F (3° C) per hour.

Limits of low and high operating temperature ranges are 59° to 86° F (15° C to 30° C).

CONTENTS

ELECTROMAGNETIC COMPATIBILITY — 25 —

Recommended separation distances between portable and mobile RF communications equipment and the Unweighing System. Table 6 The Unweighing System is intended for use in the electromagnetic environment in which radiated RF disturbance are controlled. The customer or the user of the Unweighing System can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communication equipment (transmitters) and the Unweighing System as recommended below, according to the maximum output power of the communication equipment.

Separation distance according to frequency of transmitter [m] Rated maximum output power of transmitter [W] 150 kHz to 80 MHz

d = 1.2! P 80 MHz to 800 MHz d = 1.2! P

800 MHz to 2.5 GHz d = 2.3! P

0.01 0.12 0.12 0.23 0.1 0.38 0.38 0.73 1 1.2 1.2 2.3 10 3.8 3.8 7.3 100 12 12 23 For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. Note 1. At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. Note 2. These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.

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10. REPLACEMENT

REPLACEMENT — 26 —

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8. REPLACEMENT

— 27 — REPLACEMENT

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CONTENTS

REPLACEMENT — 28 —

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CONTENTS

— 29 — REPLACEMENT

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CONTENTS

REPLACEMENT — 30 —

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CONTENTS

— 31 — REPLACEMENT

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CONTENTS

REPLACEMENT — 32 —

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CONTENTS

— 33 — REPLACEMENT

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CONTENTS — 34 —

CONTENTS

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BIODEXBiodex Medical Systems, Inc.

20 Ramsey Road, Shirley, New York, 11967-4704, Tel: 800-224-6339 (Int’l 631-924-9000), Fax: 631-924-9338, Email: [email protected], www.biodex.com