Patterson Medical Rolyan Biodynamic A572-001 Bedienungsanleitung

Rolyan Biodynamic flexion/Extension System:
® ®
A572-001 and A572-002
Figures referred to in the instructions are on
page 7.
INDICATIONS
• To provide dynamic traction for flexion or
extension
• To provide static progressive flexion or
extension
• Can be used following tendon repairs and
grafts, crush injuries, nerve repairs, and burns
• Can be used to help reduce PIP and IP joint
stiffness
CONTRAINDICATIONS
• Not for use in the presence of severe edema,
decreased circulation, and fixed bony
contractures
• Not for use during the acute phase of
fractures
PRECAUTIONS
• This product is to be fitted initially by a
healthcare professional who is familiar
with the purpose for which it is prescribed.
The healthcare professional is responsible
for providing wearing instructions
and precautions to other healthcare
practitioners, care providers involved in the
patient's care, and the patient.
• If unusual swelling, skin discoloration
or discomfort occurs, use should be
discontinued and a healthcare professional
consulted.
• Be careful that the straps and finger wraps
are not so tight that circulation is impaired.
• The patient should never make any
adjustment to the splint or strapping
system. If adjustments are necessary,
the product should be removed and a
healthcare professional consulted.
CARE AND CLEANING
Straps can be washed with soap and water.
They should be allowed to dry thoroughly before
r eapplication.
INSTRUCTIONS fOR USE
Directions for using the gauntlet from the Rolyan
Finger Rehab System instead of a splint base
begin with instruction 20.
Directions for increasing extension begin with
instruction 24.
Using system to increase flexion
1. Fabricate splint base as appropriate for the
d iagnosis.
Attaching line guides
To encourage composite flexion, line guides on
palmar bar of splint are recommended. Attach
one line guide for each involved finger.
2. Hold fingers in passive flexion. Allow room
between fingers for finger wraps. Note that
fingers should converge toward scaphoid
when splint and strapping system are applied.
Mark mid point of each digit on palmar bar of
splint (A).
3. Remove splint from patient.
4. If splint material has protective coating,
remove it with solvent or by scraping with
sharp instrument.
5. Holding line guide with needle-nose pliers,
quickly heat flat portion of line guide with heat
gun.
6. Position heated line guide over mark on splint
so eyelet is approximately
⁄
1
4
distal edge (B). Gently mold line guide into
splint. Repeat for necessary line guides.
7. Heat Polyform attachment piece in heat pan
®
of water heated to 150° to 160°F (65°–70°C)
for approximately one minute. Remove from
water, pat dry, and slide hole in attachment
piece over eyelet portion of line guide (C).
Applying straps
8. Slide forearm pad onto forearm strap so
eyelets in strap are toward the outside when
strap is applied (D).
9. With splint on patient, position forearm
strap near proximal edge of splint so eyelets
in strap are centered on volar surface of
forearm. Attach self-adhesive hook pieces to
splint to secure strap.
10. Position wrist strap so line guide is toward
the outside and centered on volar surface of
wrist. Attach self-adhesive hook pieces to
splint to secure strap.
Attaching finger wrap(s) and monofilament(s)
to splint
For each involved finger, a distal and proximal
finger wrap attached to monofilament is
n ecessary.
11. If line guides on palmar bar of splint are used,
bring together both ends of monofilament and
feed them through corresponding distal line
guide (E).
12. Feed monofilament through line guide on
wrist strap (E).
13. Attach traction device for each involved finger
through large hole in tension-adjustable piece
and eyelet in forearm strap that corresponds
to finger.
14. Attach monofilament to tension-adjustable
piece by sliding both monofilament ends
down through distal hole and back up
through proximal hole (F).
Applying finger wraps
15. With splint on patient, wrap proximal (larger)
finger wrap around proximal phalanx, being
sure the four eyelets are on volar surface.
Secure closure.
16. Place skid-resistant material of distal (smaller)
finger wrap over fingernail and wrap around
finger, securing closure. The two eyelets
should be on volar surface of finger.
Checking splint
17. Check for proper traction force and adjust
if necessary by changing traction device
or increasing or decreasing length of
monofilament.
18. Check all straps. Trim as necessary. Be
careful not to trim close to eyelets and
embedded line guide.
19. A completed system on a dorsal-based radial
bar splint is shown in G.
" (6.4 mm) from
Using system to increase flexion using
gauntlet from Rolyan finger Rehab System
20. Apply finger wraps to fingers (see instructions
15 and 16). Apply gauntlet as shown in H.
21. Thread loose ends of monofilament through
eyelet on tension adjustment strip and tie
them.
22. For static traction, attach hook material on
tension adjustment strip to volar surface of
gauntlet (H).
23. For dynamic traction, attach rubber band to
tension adjustment strip. Tie monofilament
through loop of rubber band.
Using system to increase extension
24. Fabricate splint base as appropriate for the
d iagnosis.
25. Punch hole in distal portion of splint base
corresponding to each affected joint (I).
26. Separate the two finger wraps by removing
monofilament from proximal finger wrap.
Thread loose piece of monofilament through
proximal finger wrap.
27. Attach pieces of loop material to dorsal
surface of splint (I).
28. With splint on patient, wrap proximal (larger)
finger wrap around proximal phalanx, being
sure the four eyelets are on volar surface.
Secure closure.
29. Place skid-resistant material of distal (smaller)
finger wrap over fingernail and wrap around
finger, securing closure. The two eyelets
should be on volar surface of finger.
30. For static traction, thread loose ends of
monofilament through eyelet on tension
adjustment strip and tie them. Attach hook
material on strip to dorsal surface of splint
(I and J).
31. For dynamic traction, attach rubber band to
tension adjustment strip. Tie monofilament
through loop of rubber band.
1