MOTOmed Letto
Contents
1. Attention Due to wear and tear the expanders of the TrainCare leg guides are at risk to break and may cause injuries Therefore please check and re place the rubber straps regularly The manufacturer and its distributors don t assume liability for damages due to neglecting maintenance 26 RECH MOTOmed ACCESSORIES The radial adjustment attached to the calf shell can be set individually on the right or left side With the radial adjustment the patient can get hold of his her legs while training with the MOTOmed letto2 helping to avoid the patients legs from sliding laterally To set the radial adjustment please switch off the MOTOmed letto2 and pull the main plug Open the two fixing screws on the back of the radial adjust ment Set the angle of the radial adjustment on both sides and fasten the fixing screws tight again Before you start the MOTOmed letto2 please check if the legs of the patient get enough hold with the settings of the leg guides Lateral sliding of the legs should be avoided Plug the main plug into the wall socket again 27 RECH MOTOmed ACCESSORIES Further accessories Item n 149 Ankle joint adjustment The Ankle Joint Control enables precise targeted movement of the ankle joint Targeted ankle joint movement can significantly increase blood circu lation throughout the body especially in the legs Item n 507 Pedal radius quick adjustment With the pedal radius quick adjustment you are ab2. Open both screw knobs at the bed mount and open the clamp 14 RECH MOTOmed OPERATION RECH MOTOmed OPERATION Open the wing screw of the height adjust ment to raise the MOTOmed letto2 up to the required height Open the wing screw at the handlebar section slide it up as high as possible holding with one hand the handlebar in position Fasten the wing screw with the other hand Bring the MOTOmed letto2 to a position in front of the bedfoot that allows the bed mount to clasp the bed when the MOTOmed is lowered by the height adjustment Fasten the wing screw of the height adjustment and ap ply the brakes of the castors Clamp the bed mount to the footend of the bed and fasten the two screw knobs firmly Set the height of the device so that the safety footshells won t touch the bed during opera tion but still move close to the bed Please open the wing screws of the height adjust ment and the bed mount again and press the MOTOmed letto2 down or up until the re quired height is reached Then fasten the wing screws again You can adjust the pedal unit of the MOTOmed letto2 towards the patient by opening the screws of the horizontal adjustment and moving the pedals towards or away from the patient Don t forget to tighten the screws again afterwards Attention Regularly check the functioning of the pull out prevention string securing the pedal unit from dropping out Make sure when using the MO TOmed letto2 that t
3. Level Electromagnetic Environment Guidance Electrostatic discharge 6 kV contact 6 kV contact Floors should be wood conctrete ESD IEC or ceramic tile If floors are 61000 4 2 8kVair 8kVair covered with synthetic matieral the relative humidity should be at least 30 Electrical fast 2kV 2 kV Mains power quality should be transients burst for power supply lines for power supply lines that of a typial commercial and or hospital environment IEC 61000 4 4 1kVfor 1 kV for input output lines input output lines Surge 1kV 1kV Mains power quality should be differential mode differential mode that of a typical commercial IEC 61000 4 5 and or hospital environment 2kV common mode 2kV common mode Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 lt 5 Ur for 0 5 cycle gt 95 dip in Un 40 Ur for 5 cycles 60 dip in Ur 70 Ur for 25 cycles 30 dip in Ur lt 5 Ur for 5 sec gt 95 dip in Un lt 5 Ur for 0 5 cycle gt 95 dip in Un 40 Ur for 5 cycles 60 dip in Un 70 Ur for 25 cycles 30 dip in Un lt 5 Ur for 5 sec gt 95 dip in Un Mains power quality shoud be that of a typical commercial and or hospital environment If the user of the MOTOmed letto2 requires continued opera tion during power mains inter ruptions it is recommended that the MOT
4. fully stretches out during training you should move him closer to the MOTOmed letto2 or move the MOTOmed letto2 closer to the patient Lay the upper body of the patient in a height ened position so that he she cannot slide back i e away from the MOTOmed letto2 For the training with paralysed or unconscious patients the accessory TrainCare Item no 115 is absolutely essential This leg guide prevents the knee joints of the patient from blocking or dropping down and to the side Warm up If the health situation of a patient doesn t allow MOTOmed train ing with the speed of 5 rpm the parameter speed of the starting parame ter has to be reduced after the start The use of the MOTOmed letto2 has to be adapted to individual health con ditions Training suggestions by the manufacturer or its distributors are given without guarantee No exact instructions can be given for the use of the MOTOmedletto2 in different health situations This applies as well to details of the training functions as their settings have to be adjusted to age height individual situations post surgical health conditions and the general fitness of the user If there is any risk of damaging or causing injury to tendons joints or bones for example users with osteoporosis muscle shortening you can adjust the motor power according to individual needs after switching on the MOTOmed letto2 Always start the training with passive motion legs are moved by the motor
5. 13 4 W39 c 10 08 Lohner Edith D Version c Technical modifications for the purpose of technical improvement are subject to change without notice Reprint even in parts only by approval of the RECK company Instruction manual MOTOmed letto2 RECH VMOTOmed MovementTherapySystems RECK Technik GmbH amp Co KG ReckstraBe 1 4 88422 Betzenweiler GERMANY Phone 49 0 73 74 18 85 Fax 49 0 73 74 18 480 contact motomed com www motomed com Made in Germany
6. Instruction manual MOTOmed letto2 RECH MOTOmed valid from Software Version 3 30 englisch GB NL DK PL HU RUS Please use the MOTOmed only after you have read the instruction manual If you should not understand the language of the present version please re quest the instruction manual in your national language Benutzen Sie das MOTOmed erst nachdem Sie die Gebrauchsanweisung gelesen haben Sollten Sie die vorliegende Sprachversion nicht verstehen fordern Sie bitte eine Anleitung in Ihrer Landessprache an Avant de commencer votre entrainement MOTOmed veuillez lire le mode d emploi Si ce mode d emploi ne correspond pas a votre langue n h sitez pas a nous demander une autre traduction Utilize el MOTOmed s lo despu s de haber le do las instrucciones de uso Si no entiende el idioma de la presente versi n por favor exija un manual en su lengua nacional Use o MOTOmed somente depois que voc leu a instrug o se operando Se voc compreender a vers o disponivel da lingua peca por favor uma ovient a ao em sua lingua nacional Per un ottimo funzionamento del MOTOmed leggere le istruzioni per l uso Se riscontrate qualche difficolt riguardo la vostra lingua madre consultate il vostro servizio assistenza Gebruikt alleen maar MOTOmed nadat u de gebruiksaanwijzing hebt gele zen Als u deze taalkundige versie niet moet omvatten een gids in uw natio nale taal zal willen vragen Anvand MOTOmeden end
7. Omed letto2 be powered from an uninterruptible power supply or a battery 51 RECH MOTOmed EMC INFORMATION Immunity Test IEC 60601 Test Compliance Electromagnetic Environment Guidance Level Level Portable and mobile RF communications equip ment should be used no closer to any part of the MOTOmed letto2 including cables than the recommended separation distance calculated from the equation appropriate for the fre quency of the transmitter Recommended Separation Distance Conducted RF 3 Vans 3 Vins d 3 5 3VP 1 17 P IEC 61000 4 6 150 kHz to 80 MHz d 3 5 10 P 0 35 P Radiated RF 3 Vim Mim 80 MHz to 800 MHz IEC 61000 4 3 80 MHz to 2 5 GHz d 7 0 10 P 0 70 P 800 MHz to 2 5 GHz Where P ist he maximum output power rating of the transmitter in watts W according to the transmtter manufacturer and d ist he recom mended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equip ment marked with the following symbol VD NOTE 1 At 80 MHz and 800 MHz the higher frequency range is to be used NOTE 2 These guide reflection from structures objects and people ines may not apply in all situations Electromagnetic propagation is affected by absorption and a Field strengths from fixed transmitters such as base sta
8. ast efter du har last fungerande anvisningen Om dig b r inte f rst den tillg ngliga spr kversionen f rfr gan var god a v gledning i ditt nationella spr k MOTOmed m forst anvendes nar brugsanvisningen er gennemleest Forst r du ikke vedlagte brugsanvisning rekvirer en dansk vejledning hos ProTerapi Przed skorzystaniem z urzadzenia MOTOmed prosimy zapozna sie z instrukcj obstugi Je li instrukcja obstugi jest napisana w j zyku obcym z dajcie Pa stwo instrukcji w j zyku przez Pa stwa znanym Csak akkor haszn lja a MOTOmed k sz l ket miut n elolvasta a haszn lati utas t st Hogyha nem rti az el terjesztett nyelvet k rj k ig nyeljen egy utas t st az n anyanyelv n Ucnonp3yiite MOTOmeg TOJEKO nocne Toro Kak MPOYHTAETE MHCTPYKUMIO DO akcen yaTau mn Ecin Bam He NOHATEH A3bIK HA KOTOPOM HArIMCaHa MCTpyKUMA 3ar pocHTe Noxaylcta ON Ha pOMHOM A3bIKe Please open D Operating panel _ start stop button red Display Leg insertion aid blue Function buttons blue 6 buttons a TrainCare leg guides Operating panel N accessories Horizontal adjustment Handle for the Bed mount bed mount Height adjustment SE Transport rollers Mains cable RECH MOTOmed MOTOmed letto gentle attractive and intelligent Congratulations You have made an excellent choice by purchasing your MOTOmed letto2 This Move
9. control or with an operat ing panel Normal use During the training the user is laying in bed in front of the MOTOmed letto2 Make sure the MOTOmed letto2 is fixed correctly to the bed and that the users legs are fixed safely to the foot shells You are only allowed to use the MOTOmed letto2 following the instructions and safety precautions in this manual and if no therapist and doctor states any contraindication Adjustments and changes can only be carried out with the pedals not moving and with the legs not being inserted except for the operation via the operating panel 8 RECH MOTOmed INTRODUCTION Restrictions of liability The manufacturer and his distributors don t assume liability for conse quences of abuse and misuse neglect of this instruction manual wanton damage and reckless usage over intensive training use with unsuitable beds or couches use without prior consultation of the responsible doctor and therapist attachment of unapproved accessories repair or other interference by any person non approved by the manufacturer 9 RECH MOTOmed INTRODUCTION 10 RECH MOTOmed Page Set up transport Set up Moving transporting Stand by mode RECH MOTOmed SET UP TRANSPORT Set up Unpack your MOTOmed letto2 and put it in an upright position In case the packaging or the MOTOmed letto2 got damaged through trans portation please contact your MOTOmed representative Movi
10. ctioning of the MOTOmed letto2 Such devices carry the symbol illustrated on the left side and can thus be recog nized 47 RECH MOTOmed SAFETY PRECAUTIONS If the motor is on overload please follow the instructions overheating When cycling actively in small gears the function ServoCycling can be recognized easily This means that through the support of the motor the speed of the MOTOmed letto2 can be significantly increased by applying only little muscle strength Thus the effect of the muscle force applied is enforced by the motor One sided training either with only one leg or with big differences in weight of the limbs should be done only under supervi sion of a person in charge and only in a high gear In case of an amputated leg a counter weight item no 535 is required The MOTOmed letto2 is suitable only for therapeutic use The values displayed are not suitable for diagnostic purposes In order to avoid overheating of the casing you must not expose theMO TOmed letto2 to long term direct solar radiation 48 RECH MOTOmed SAFETY PRECAUTIONS page EMC information 11 50 Manufacturer s declaration electromagnetic emmissions 51 Manufacturer s declaration electromagnetic immunity 53 Recommended separation distance 49 RECH MOTOmed EMC INFORMATION The manufacturer states that the mains cable of the MOTOmed letto2 com plies with the requirements of the EN 60601 1 2 2001 If the original mains cable comin
11. d TROUBLESHOOTING The motor blocks ID Number Ss status 4020d 10e603 An error occured Please unplug the device wait 1min and plug it in again Then restart the device If this happens again please note the ID Number and the status and contact your service partner AD 0049 0 7374 1884 This error message appears as soon as the SpasmControl is activated 25 times at short intervals or if the motor was locked for a period of 3 minutes Please pull the mains plug out of the plug socket and put it in again Then please check if the motor power is adjusted too low or if the pedal radius is adjusted too high in relation to the patient s condition Neither arm trainer nor leg trainer is detected ID Number ra status 4020d 100703 An error occured Please unplug the device wait 1min and plug it in again Then restart the device If this happens again please note the ID Number and the status and contact your service partner FD 0049 0 7374 1884 This error message appears if the pedals are moved before tne MOTOmed letto2 is ready for starting up the green small lamp at the operating panel must burn permanently Please pull the mains plug out of the plug socket put it in again and wait until the green light at the operating panel is burn ing permanently 32 RECH MOTOmed TROUBLESHOOTING Cleaning and Care Before cleaning the MOTOmed letto2 the device must be unplugged from the mains electric outlet so that the pow
12. drugs the health risks of using the MOTOmed letto2 can be increased Such usage is advised against Place the MOTOmed letto2 so that it cannot tilt or fall over and cause inju ries to somebody Don t put weight on only one side of the MOTOmed letto2 The mains cable must not be laid under the device Pay attention especially when transporting the MOTOmed letto2 If you are not sure about the correct connection of the MOTOmed letto2 or have other questions contact our customer service Training and insertion removal of the legs should never be done without supervision of a qualified person if it cannot be made sure that the user understands the functions and purpose of the MOTOmed letto2 and that he is able to switch off the device through the remote control operating panel during the training In general supervision during the training is recom mended 45 RECH MOTOmed SAFETY PRECAUTIONS Ensure before every training session that the screws of all adjustable parts of the device handlebar bed mount are tightened and intact In case they get loose during the operation you have to stop the training immedi ately and fix the screws Suitable clothing must always be worn Wide trousers long towels and scarves that could get caught or tangled in the pedal crank must not be worn Shoes with shoe laces must not be worn either if experiencing any pain nausea circulatory weakness the training should be stopped right away and a doctor sh
13. ed by the button adjust vo lume Now you can adjust the volume by pressing the buttons or Change of duration of displayed information Displayed information during the MOTOmed training changes at certain intervals the manufacturer s setting is 15 seconds You can change these intervals i e you can make the displayed information change faster or slow er Please press button the extras two times followed by the button duration display Now you can adjust the duration of displayed informa tion by pressing the buttons or Button lock on the operating panel While training please press quickly 3 times the leg insertion aid beneath the red start stop button An activated button lock is indicated by a key icon on the top of the display In order to switch off the button lock press the leg insertion aid again three times 23 RECH MOTOmed OPERATION Maximum speed The maximum speed function allows you to limit the speed that should not be exceeded during active training To set the maximum speed press the extras button three times fol lowed by the max rpm button Now you can set the maximum speed with the buttons and Language option The language option function allows the selection between a wide range of available languages All functions and visual feedback will be displayed in the selected language Press the button extras two times followed by the butto
14. er supply is completely discon nected Clean the surface of the MOTOmed letto2 only with a soft and dry cloth It is absolutely crucial that no water enters the device If several users use the MOTOmed letto2 please disinfect the handlebar and the operating panel with a suitable disinfectant Never use caustic corroding or solvent cleaning agents Clean around stickers attached to the MOTOmed letto2 so that they don t get damaged 33 RECH MOTOmed CLEANING AND CARE 34 RECH MOTOmed Technical specifications symbols General data for all MOTOmed viva2 Measurements and weight basic model Height Width Depth Weight Ambience conditions Operation Storage Humiditiy System of protection Class of medical products according to MPG 107 133 cm 42 52 5 inches 51 cm 20 inches 85 cm 33 5 inches 61 kg 134 5 Ib 0 C to 40 C 32 F 100 F 20 C to 60 C 0 F 172 F 10 80 relative not condensing IPXO lla Technical data for 230 V devices Power requirement Mains voltage Mains appliance Power consumption Non operating Operating Class of protection 35 RECH MOTOmed 230 V 50 60 Hz max 7 5 VA max 185 VA class I Type B TECHNICAL SPECIFICATIONS SYMBOLS Technical data for 115 V devices Power requirement Mains voltage 115 V Mains appliance 50 60 Hz Power consumption Non operating max 7 5 VA Operating max 185 VA Class of protect
15. g with the MOTOmed letto2 is nottaken into use the electromagnetic emission of the MOTOmed letto2 may increase and the immunity may decrease Manufacturer s declaration electromagnetic emissions The MOTOmed letto2 is suitable for use in the specified electromagnetic environment The customer and or the user of MOTOmed letto2 should as sure that it is used in an electromagnetic environment as described below Emissions Test Compliance Electromagnetic Environment Guidande RF Emissions Group 1 The MOTOmed letto2 uses RF energy only for its CISPR 11 internal function Therefore its RF emissions are very low and are not likely to cause any interfe rence in nearby electronic equipment RF Emissions Class B The MOTOmed letto2 is suitable for use in all CISPR 11 establishments including domestic establish ments and those directly connected to the Harmonic emissions Class A public lowvoltage power supply network that supplies buildings used for domestic purposes IEC 61000 3 2 Voltage fluctuations flicker Complies Emissions IEC 61000 3 3 50 RECH MOTOmed EMC INFORMATION Manufacturer s declaration electromagnetic immunity The MOTOmed letto2 is suitable for use in the specified electromagnetic environment The customer and or the user of the MOTOmed letto2 should assure that it is used in an electromagnetic environment as described below Immunity Test IEC 60601 Test Level Compliance
16. he patient is not at risk of getting injured During ad justments the body of the patient should be out of the danger zone Before operation please make sure once more that the safety foot shells don t touch the bed and bedfoot S e esp 7 7 Pedal unit Horizontal adjustment zg 2 screws for horizontal adjstment Wing screw for Shee height adjustment Insertion and securing of legs Make sure the patients feet are positioned correctly in the foot shells This means that the heels fit snugly against the back edging of the foot shells Furthermore the soles of the feet are completely touching the base of the foot shells Put the Velcro straps around the ankle joints and toes and secure them to the outside of the foot shell Please ensure that the length of the leg guides and the radial adjustment calf shells are ideally adjusted to the legs of the patient 16 RECH MOTOmed OPERATION Operation of MOTOmed letto2 Leg insertion and removal aid Press the small blue button SS O Now you can move the foot shells with the button pedals forwards or pedals backwards so that you can easiliy insert the legs of the patient one after the other Hint If the legs of the patient are not equally flexible step in first with the leg that is less flexible than the other Now fix the feet and legs with Velcro straps or with the self operating foot holders item no 506 to the foot Shells To remove the leg
17. ice date During the 12 months warranty period the RECK Technik GmbH amp Co KG grants replacement of defective parts of the MOTOmed letto2 at no cost or repair of the device at the company premises or by an au thorized MOTOmed representative technician at no cost provided that 1 the parts are not damaged due to normal wear and tear 2 repairs have only been effected by personnel authorized by the RECK company who have special knowledge training and the necessary means for a proper implementation 3 only RECK parts have been fitted to and used with the MO TOmed letto2 no modifications have been made 4 the MOTOmed letto2 has been used in accordance with the instructions and safety precautions listed in the instruction manual and has not been used inappropriately 5 the failure is not due to wanton destruction abuse neglect improper maintenance or unapproved modifications 6 the warranty claim has been asserted within the fixed period of time and on presentation of a receipt which certifies the pur chase of the MOTOmed letto2 Recycling The MOTOmed letto2 is a high quality all metal construction it is long lasting environmentally compatible and recyclable Most parts can be recycled via scrap metal recycling The remaining electronic parts can be disposed of via electronic industrial waste 39 RECH MOTOmed WARRANTY 40 RECH MOTOmed Service Should you have any questions please call us and we will gladly
18. ion class I Type B Technical data for 100 V devices Power requirement Mains voltage 100 V Mains appliance 50 60 Hz Power consumption Non operating max 7 5 VA Operating max 185 VA Class of protection class I Type B Technical data specific for devices with external power supply 30VDC Power requirement of external power supply Mains voltage 100 240 V Mains appliance 47 63 Hz Power consumption of external power supply Non operating max 26 VA Operating max 150 VA Power requirement of MOTOmed Voltage 30 V Current 4A Class of protection class Il Type B 36 RECH MOTOmed TECHNICAL SPECIFICATIONS SYMBOLS According to IEC 601 1 all poles switch off of the MOTOmed viva2 is en sured by pulling the mains plug Signs and symbols A E gt C 0124 Stag Applied part type B Applied parts are parts which are in contact with the user during normal use and which are therefore subject to special safety criteria Attention consult ACCOMPANYING DOCUMENTS Attention Follow operating instructions The MOTOmed letto2 meets the standards for medi cal devices 93 42 EWG Construction year of the MOTOmed letto2 e g 2007 Environment friendly waste disposal Serial number 37 RECH MOTOmed SIGNS AND SYMBOLS 38 RECH MOTOmed Warranty The RECK company offers a warranty on material and manufacturing faults of 12 months on the MOTOmed letto2 valid as of day of deli very or invo
19. ive percentage e g left leg 63 right leg 37 Whenever the display of the SymmetryTraining shows 50 on both bars the activity of the left and right leg is equal To change the SymmetryTraining display press the button extras three times and finally the button symmetry display Break If you want to interrupt the MOTOmed Training press the red start stop button If you want to continue the training press the button continue End of training At the end of the training you should have the patient moved passively for some minutes to relax his muscles and if necessary spasms The training can be finished at any time by pressing the button start stop Press the button analysis before the curtain on the display is closed It will be analysed for example how long the patient had been in passive and active mode Training suggestions hints At the end of any training there are further MOTOmed letto2 training sug gestions available Just press the button hints O to read them through Remark The training suggestions are general advice A doctor or therapist has to decide if they apply to special conditions of the patient as well 20 RECH MOTOmed OPERATION MovementProtector and SpasmControl During the training the MOTOmed MovementProtector constantly monitors the muscle condition of the user Due to this the MovementProtector the motor power automatically adapts to the muscle condi
20. le to adjust the range of movement size of orbit of the foot shells The pedal radius is adjustable to four fixed settings and can also be set between those settings if required 28 RECH MOTOmed ACCESSORIES 29 Page 48 48 48 Troubleshooting Safety instructions for troubleshooting The MOTOmed letto2 is jerky runs uneven or makes noises The MOTOmed letto2 does not work at all or the operating panel does not react Error reports on the display Overheating The motor blocks Neither arm trainer nor leg trainer is detected RECH MOTOmed TROUBLESHOOTING Saftey instructions for troubleshooting Before making any physical adjustments to the MOTOmed the device must be turned off and unplugged from the main socket For safety reasons it is crucially important that the device is completely disconnected from the power supply A damaged main cable must be replaced by a qualified person qualified distributor technician or employee of the RECK company Never operate the MOTOmed letto2 with a damaged main cable In case of a malfunction that isn t listed below or if you have any questions please refer to your MOTOmed representative or the RECK customer service department Upon requirement the RECK company can provide further technical docu mentation in order to support qualified personnel regarding adjustments repair and maintenance The MOTOmed letto2 runs unevenly and jerky or makes noises Please check the foll
21. mentTherapySystem provides outstanding per formance Supported by the latest computer technology it is an innovative quality product made in Germany by RECK This user manual will help you to get to know the MOTOmed letto2 It will guide you through the functions of the MOTOmed letto2 and will give you some tips and suggestions on how to use the new movement ther apy device so as to gain optimal benefit from the training Before using the device please follow the safety precautions listed in chapter 12 If you have further questions or comments please don t hesitate to call your MOTOmed representative or the RECK customer service team We are pleased to assist you Enjoy training with the MOTOmed letto2 3 RECH MOTOmed INTRODUCTION RECH MOTOmed Page 7 25 29 33 35 37 39 41 43 49 Introduction Set up Transport 2 Operation 3 Accessories 4 Troubleshooting 5 Cleaning and Care 6 Technical specifictions Symbols 7 Warranty 8 Service 9 Safety precautions 10 EMC information 11 Index 12 RECH MOTOmed INTRODUCTION RECH MOTOmed Page Introduction 10 Appolication 10 Normal use 11 Restriction of liability RECH MOTOmed INTRODUCTION Application The MOTOmed letto2 is suitable only for the active and passive movement of a person s lower extremities while being in a lying position During the training the MOTOmed letto2 can be operated with a remote
22. n language options Now you can select and save the desired language 24 RECH MOTOmed OPERATION Page 28 38 38 25 Accessories TrainCare leg guides with knee protection Further accessories Ankel joint adjustment with SlidingScales Pedal radium quick adjustment RECH MOTOmed ACCESSORIES Leg guides with knee protection TrainCare For paralysed or unconscious patients it is absolutely vital that you use the TrainCare leg guides The TrainCaire leg guides support the lower legs and prevent them from unintentional movement to the side as they also prevent the knee joints from overstretching and blocking i D al A Expander drum TrainCare ee na I Eet Snap in knob Radial adjustment Fixing screws The support level of the TrainCare leg guides can be adjusted on each leg guide seperately and thus may differ from one side to the other This is necessary as the patient may require fine tuned support according to his lying position or different weight of the legs To increase the support please wind up the expander by turning the expander drum until the ex pander is strong enough to prevent an overstretching of the knees Pulling the snap in knob decreases the tension of the expander Please take care to hold firmly the respective expander drum and pull the snap in knob only slowly Otherwise with taut expanders the leg guides and the inserted legs are at risk to drop down abruptly
23. ng transportation The MOTOmed letto2 is equipped with two large transport rollers so that it can be easily moved within a building To move the MOTOmed please release the breaks and push the MOTOmed on the handlebar Pay attention not to overrun the mains cable Stand by mode Please plug the the mains plug of the MOTOmed letto2 into a wall socket sl The green light next to the start stop button on the display module is now blinking for 6 seconds Then blinking changes to a continuous light the MOTOmed letto2 is now in stand by mode Only when the start stop but ton is pressed the MOTOmed letto2 will go into operation 12 RECH MOTOmed SET UP TRANSPORT Page Operation In general Fixing the MOTOmed to the bed Insertion and securing of legs Operation RECH MOTOmed OPERATION In general All functions can be adjusted via the operating panel Any changes you make to the settings will appear on the display Pressing any button will also be confirmed with a beep sound Please note the values shown on the display can vary slightly from the real values They are not suitable for a diagnostic evaluation but do give a good indication of performance and progress At low temperatures below 0 C 32 F the display can be affected this will not however lead to any long term damage Fixing the MOTOmed to the bed The MOTOmed letto2 is attached to the footboard or footend of the bed Proceed as follows
24. nnect the MOTOmed letto2 to is also properly earthed The MOTOmed letto2 must only be used if the power cable is free from grazes bruises porous points kinks or buckles wires should never be exposed Before using the MOTOmed letto2 each time check that there is no damage to the power cable and that the power cable cannot interfere with the mechanical operation of the device Further place the mains cable during training in a way that no mechanical damage can occur Make also sure that nobody will trip over the mains ca ble During transport of the MOTOmed letto2 make sure not to overrun the mains cable Only use fuses which match the specifications indicated for the MOTOmed letto2 Prior to transporting the unit please roll up the mains cable to prevent a pull out of the plug connector Please be advised to keep the mains cable from getting trapped between the patient and the bed machine Multiple sockets or extension cords that you may use with the MOTOmed have to comply with the standards for medical equipment In order to avoid fire hazard or electrical shock the MOTOmed letto2 must never be operated if the casing has been removed In the same way the MOTOmed letto2 must never be operated in any wet or damp environments The MOTOmed letto2 must never be opened by any unqualified person and metal objects must never be inserted Portable or mobile communication devices like mobile phones or amateur radio stations can influence the fun
25. ons Equipment and the MOTOmed letto2 Rated Maximum Output Separation distance m Power of Transmitter Watts 150 kHz to 80 MHz 80 MHz t0 800 MHz 800 MHz to 2 5 GHz d 1 17 P d 0 35YP d 0 70 P 0 01 0 12 0 04 0 07 0 1 0 37 0 11 0 22 1 1 17 0 35 070 10 3 70 1 11 2 21 100 11 70 3 50 7 00 For transmitters rated at a maximum output power not listeabove the separation distance can be estimated using the equation in the corresponding column where P is the maximum output power rating of the transmitter in Watts W according ot the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the higher frequency range is to be used NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 53 RECH MOTOmed EMC INFORMATION 54 RECH MOTOmed INTRODUCTION Index A 27 Accessories 21 Active ServoCycling 21 Active Training 37 Ambience conditions 30 Ankle joint control 10 Application B 22 Break 25 Button lock 19 Buttons of the operating panel c 38 CE sign 37 Class of medical products 37 Class of protection 35 Cleaning and Care 38 Construction year 23 Continuous operation 24 Contrast 33 Cool motor 55 RECH MOTOmed INDEX 20 16 50 51 49 22 31 43 16 20 17 21 12 D Direction change Display E Electromagnetic Emissions Electromagnetic Immuni
26. ould be consulted The manufacturer and its distributors do not assume responsibility for im proper or over intensive use by the user While the pedals foot shells are turning neither the user nor any other per son should make any mechanical alterations to the MOTOmed letto2 pedal radius height adjustment of handlebars or arm upper body trainer etc Never try to grab hold of any moving parts The MOTOmed letto2 must not be moved while legs are inserted or secured to the device Please train only after you ve switched on the MOTOmed letto2 Children should never use the MOTOmed letto2 without supervision If the red start stop button fails to stop the MOTOmed letto2 immediately adjust the speed to O rpm and end the training right away You can use the MOTOmed letto2 again as soon as the malfunction is eliminated Being an electronic medical device the MOTOmed letto2 has to comply with special safety standards in regard of electromagnetic compatibility During installation and operation the EMC information has to be followed 46 RECH MOTOmed SAFETY PRECAUTIONS Before you plug the MOTOmed letto2 into a mains socket please check that the voltage of the device stated on the marking corresponds with the volt age of the power supply The MOTOmed letto2 is earthed by the ground wire in the mains cable In order to avoid electric shock please make sure that the electrical system in your house clinic and the wall socket you co
27. owing points 1 Are the wing nuts of the leg guides securely tightened 2 Please make sure that the cotter pins on the left and right pedal crank are pointing in opposite directions on each side 3 Is the pedal radius set to the same level on both sides 4 Is the pedal radius set at a level too large for the level of mobility of the user 5 Are all Allen screws of the pedal radius quick adjustment tightened sufficiently 6 Please check the position of the MOTOmed letto2 The safety foot musn t touch the bed 7 For stroke patients it is possible that the pedal movement is uneven due to the uneven sides of the body especially when using a low gear 30 RECH MOTOmed TROUBLESHOOTING The MOTOmed letto2 does not work at all or the operating panel does not react Please check whether the cockpit is mounted correctly and whether the main cable is plugged into the main socket electric outlet correctly Also check the functioning of the main socket electric outlet by connecting another electric device to it Error reports on the display MOTOmed letto2 Overheating Overheating Please let the MOTOmed letto2 cool off The MOTOmed letto2 overload detection is responding Please wait several minutes until the motor has cooled down and the buttons of the operating panel react again If overheating occurs twice please interrupt the training for approx two hours in order to let the motor cool down completely 31 RECH MOTOme
28. pressing the button extras and the button motor power the motor power can be adjusted according to individual needs Starting parameters If you want to save the parameters SpasmControl speed duration gear rotation forward backward motor power of the MOTOmed letto2 you set individually during training proceed as follows Primarily set the values that you would like to save Press the button extras followed by the button starting parameters and individual parameters By confirming the set parameters with button yes they are saved as the patient s own starting parameters for the next training sessions If you wish to start the next training with the standard parameters set by the manufacturer press button extras followed by button starting parameters and standard parameters By confirming with the yes but ton the manufacturer s pre set parameters are saved as starting parame ters Adjust the contrast of the display By this function you can adapt the contrast of the display to the lighting conditions Press the button extras two times followed by the button adjust con trast Now you can adjust the contrast by pressing the buttons or Your adjustment will be saved 22 RECH MOTOmed OPERATION Adjust the volume By this function you can adjust the acoustic feedback during pressing buttons i e when choosing a gear Press the button extras two times follow
29. rength without motor If the patient is relaxed enough he may cycle with his own strength after the warm up phase Please press the button SercoCycling As soon as the bicycle icon appears on the display the patient is cycling actively This happens as well if he just starts cycling with his own strength so that the display gives the following fieedback You are cycling yourself Upon pressing the buttons light small weight and heavy big weight you can shift to a lower or higher gear The MOTOmed letto2 provides 20 gears Whenthe patient would like to get moved by the MOTOmed letto2 again just tell him to stop cycling The motor automatically takes over and moves his legs gently SymmetryTraining SymmetryTraining is a function which can only be used while actively cycl ing with own strength indicated by the bicycle icon SymmetryTraining divides the entire individual performance into right and left leg activity i e it shows the activity of the left and right leg separately This function is supposed to help the user to train towards an even force output of each leg You can hold the display upon pressing the button hold display Upon pressing the then appearing button change display the displays rotate again 19 RECH MOTOmed OPERATION You can choose between two displays as SymmetryTraining feedback op tions The pre set bar graph shows the activity of both legs in two bars with the respect
30. return your call Please have the serial no of your MOTOmed letto2 available which you can find on the identification plate SN T16 LET2 11 irae Manufacturer Distributor RECK Technik GmbH amp Co KG Reckstrasse 1 4 8842 Betzenweiler GERMANY Customer service Export Jos Poyatos Phone 49 0 73 74 18 486 Edith Lohner 18 481 Fax 49 0 73 74 18 480 E Mail service motomed com It is important for us to constantly improve our products In order to do this we need to hear about your experiences with the MOTOmed We would therefore appreciate your feedback Please contact us on the telephone numbers above or in writing by email or fax either to us or to your MOTOmed representative If you have friends or family to whom you would like to recommend the MOTOmed letto2 we are always happy to send information about the MOTOmed MovementTherapySystems either to you or directly to your friends at no cost and with no obligation 41 RECH MOTOmed SERVICE 42 RECH MOTOmed Safety precautions 10 The first time use of the MOTOmed letto2 must always be supervised by a qualified person giving instructions Assessment of MOTOmed traininig in regard to the patient s health situation as well as the time duration and intensity of the training periods have to be discussed with a doctor and physiotherapist before start of the training Please pay attention to the preset adjustments of the MOTOmed letto2 when
31. s of the patient after training please press the button leg removal aid Press the button pedals forwards or pedals backwards until the foot shell has reached the appropriate position Now you can re move the first leg Just proceed in the same way to remove the other leg as well Last press again the red start stop button to switch off the MOTOmed Start of training Press button start stop Automatically the foot shells start moving slowly and the display O turns on The MOTOmed letto2 starts with a short and gentle warm up phase Adjustment of speed With the speed button the revolutions of the foot shell per minute can be changed Upon pressing the button turtle the speed is reduced upon pressing the button rabbit the speed is increased Upon pressing the button direction the rotation of the foot shells can be adjusted from forwards to backwards and vise versa During active training the buttons to have different functions as in passive mode 18 RECH MOTOmed OPERATION Hold change display In the mode ServoCycling you have the possibility to stop the display rota tion Upon pressing the button hold display you can hold the informa tion currently shown on the display A small pin on the top of the display indicates that you are holding the display If you wish to reactivate the change of information just press the button change display Active cycling with one s own st
32. switching it on The MOTOmed letto2 is a movement therapy trainer only to be used when lying down on a bed While the MOTOmed letto2 therapy trainer is in use ensure that the health condition of the user is under supervision and that no unauthorized persons visitors temporary staff are allowed to make any adjustments to the MOTOmed letto2 or the bed that the patient is lying in Always make sure that the MOTOmed letto2 is properly secured to the bed and the brakes on the large castors are on Before starting the training make sure that the legs of the user are properly secured The electrical or manual height adjustment of the bed should not be ad justed either by the patient or by the medical staff after the MOTOmed letto2 has been secured to the bed or during the training Only put the feet into the footshells while the patient is lying Make sure that he she never steps in while sitting or standing upright Do not put more than 13 kg 28 5 lb at a radius of 7 cm 2 7 inches of weight onto either pedal Never bring your hands into the pedal area nor change the pedal radius or other adjustments during operation Take care to position the MOTOmed letto2 in a distance from the patient that doesn t make the knees fully block when stretched out 43 RECH MOTOmed SAFETY PRECATIONS Fully stretched knee joints may lock the rotation of the pedals Over stretched knee or hip joints may also cause spasms When the knee joint of the patient
33. tion and is therefore optimally sensitive at any time As soon as the weakest spasm occurs the MovementProtector stops the pedals automatically The SpasmControl eases the spasm through a gentle back and forth movement of the legs This is similar to what a therapist does Suggestion SpasmControl and thus also the MovementProtector are acti vated by the manufacturer In some cases however it is necessary to switch them off Please consult a doctor and therapist before doing so or call your MOTOmed representative or the RECK company Duration of training It is possible to pre set the duration of the training period similar to setting a timer When the set training time is over the MOTOmed letto2 stops au tomatically The duration of training can be changed at all times Uponn pressing the button duration the duration of training can be adjusted Continous operation is pre set by the manufacturer Change of motor power The motor power should be reduced if the patient is at risk of easily injuring his bones tendons joints and ligaments due to high motor power applied by the MOTOmed letto2 i e individuals suffering from strong osteoporosis muscle shortening etc 21 RECH MOTOmed OPERATION If the patient s legs are very stiff they prevent the motor from performing a complete and round pedal movement You should increase the motor power to avoid the SpasmControl changing the direction several times in a row Upon
34. tions for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survy should be considered If the measured field strength in the location in which the MOTOmed letto2 is used exceeds the applica ble RF compliance level above the MOTOmed letto2 should be observed to verify normal operation If abnormal per formance is observed additional measures may be necessary such as re orienting or relocating the MOTOmed letto2 b Over the frequency range 150 kHz to 80 MHZ filed strengths should be less than 3V m 52 RECH MOTOmed EMC INFORMATION Recommended separation distances between portable and mobile RF communications equipment and the MOTOmed letto2 The MOTOmed letto2 is supposed to be operated in an electromagnetic environment where the RF interference is controlled The customer or user of the MOTOmed letto2 can help avoid electromagnetic interference by keeping the separation distances between portable and mobile RF commu nications equipment transmitters and the MOTOmed letto2 which de pends on the performance of the communication device as described below Over the frequency range 150 kHz to 80 MHz filed strengths should be less than 3V m Recommended Separation Distances between Portable and Mobile RF Communicati
35. to warm up If the patient is able to train actively make him her train his her first sessions at low resistance Avoid overexertion it is recom mended to rather cycle in low gears for longer times and more frequently 44 RECH MOTOmed SAFETY PRECATIONS If the following conditions apply to the patient you must not use the MO TOmed letto2 without first consulting a doctor and therapist rupture of the crucial ligament arthrosis of knee and hip lately replaced hip and knee joint stiff knee joint advanced stage of osteoporosis extreme deformity of limbs extreme muscle shortening pressure sores risk of hip or shoulder dislocation acute thrombosis Training is not recommended if there is the risk of skin abrasions pressure marks or other injuries due to the health situation position of feet or the adjustment of the leg guides with calf shells You can train however if you take the right safety measures insert buffer material etc Special elastic calf shell pads are available as accessory item no 521 You must consult a doctor and therapist or assume the responsibility if you allow the patient to train on his her own having open wounds or being at risk to get pressure sores e g due to sensitive skin or tissue particularly at those body parts touching the therapy trainer e g legs The manufacturer does not assume liability for injuries caused by neglecting these instruc tions Under the influence of alcohol medicine or
36. ty EMC information End of training Error messages F First time use Fixation at the bed Forwards backwards H Height adjustment Hold change display 41 51 18 26 20 39 37 23 23 15 19 19 33 56 Identification plate Immunity Inserting and securing the legs Introduction L Language option Leg insertion removal aid M Maintenance Measurements Motor power MovementProtector N Normal use 0 Operating guide Operating panel Operation Overload RECH MOTOmed INDEX 20 22 30 37 37 43 28 53 39 21 11 32 17 53 41 41 21 38 23 23 20 25 14 14 24 21 37 P Passive Training Pause Pedal radius quick adjustment Power Consumption Usage Power Requirement Precautions R Radial adjustement Recommended Separation Distance Recycling Resistance Restrictions of liability S Safety Safety foot shells Separation distances Serial number Service ServoCycling Active Training Signs and Symbols SpasmControl Spasticity Speed Stand by Stand by mode Starting parameters SymmetryTraining System of protection 37 23 28 22 20 22 23 14 14 31 57 T Technical data Time TrainCare leg guides Training analysis Training start Training suggestions Training time Transport rollers Transportation Troubleshooting U Unpacking RECH MOTOmed INDEX 25 20 39 37 V Volume W Warm up phase Warranty Weight GB 7
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