Quick User's Guide
Contents
1. 15 Account gt Change password Description Type the old password Chose and type the new password It must be 6 or more characters Click Cancel to go back to the previous screen without applying any changes to the prescription preferences Click Cancel to cancel the action and come back to the home page UTIBIWINJ Click Change Password to submit the password change 16 Account gt Prescription Preferences Description 1 The address included as default in the header of the prescription pdf file Optionally notes can be entered they will be displayed on the header of the prescription pdf file 3 Confirm by typing the new password again The software will validate that the two passwords match Click Add Additional Address to add another address to the prescription preferences set You can add up to 4 different addresses Click Save Note to save the entered notes Click Set Default of an entered address to change the default address with this one Click Delete to eliminate an address 36 TL HEX QUICK USER S GUIDE What is new in the 1 3 Release 1 Landing page depending on the country the user will be automatically redirect to version 1 2 or 1 3 CHOOSE YOUR COUNTRY CCS Ng LE COS ee ee Canada Bram Austria Japan Australia Chile Belgium Malay wa Denmark Singapore France Germany The future of the hexapod system built on solid circular fixation experience Need help Can t find2. Proximal or e Distal Adjust the moving ring second ring position in mm Determine the point of interest for the reference ring position Relative to Deformity Apex or Relative to Osteotomy Fracture Level Refer to Fig 2 for the description of the reference ring position relative to deformity apex a or osteotomy frac ture level b AB Reference Ring Position AB Reference Ring Position BC Horizontal BC Moving Translation Ring Position B CD Moving Ring Position a b dr fi rie OR LIT T ut Me 4 Mew ienrital rawani C Medial 15 2 9 C Porte ja If the AP or ML view translation was entered into the deformity parameters section the osteotomy fracture level is automatically chosen as point of interest Frame Rotation field with the relevant read only value The software will automatically change the orientation offset of the 5 8 ring Click Update Views button after entering the mounting parameters will reveal the preassembled frame con struct and render a set of strut lenghts that will result in the required frame These are the three diagrams in the software AP view corresponding to the AP X ray of the limb ML view representing the ML X ray of the limb Axial view representing the view looking either up or down the limb from the reference segment This area shows the strut mounting parameters for all six
3. long 15 38 26 29 03 2014 20 00 long 0 30 long 32 long 0 2 long 26 53 long 15 38 27 30 03 2014 08 00 long 0 30 long 0 32 long 0 0 long 26 51 long 15 38 28 Pr long 0 des o 32 1003 26 49 long 15 39 29 31 03 2014 08 00 long 0 32 long 0 32 long 80 78 long 26 46 long 15 40 30 31 03 2014 20 00 long 0 32 long 0 31 long 80 76 ong 26 44 long 15 40 31 01 04 201408 00 long 0 33 long 0 31 long 80 75 long 26 42 long 80 67 long 15 40 32 01 04 2014 20 00 long 0 34 long 0 31 long 80 74 long 26 39 long 80 66 long 15 40 33 02 04 2014 08 00 long 0 35 long 0 30 long 80 73 long 26 37 long 80 65 long 15 41 34 02 04201420 00 long 36 long 0 30 long 80 72 long 26 35 long 80 64 long 15 42 35 03 04 2014 08 00 long 0 36 long 0 30 long 80 70 long 26 33 long 80 63 long 15 42 36 03 04 2014 20 00 long 0 37 long 0 30 long 80 69 long 26 30 long 80 62 long 15 42 37 04 04 201408 00 long 0 38 long 0 30 long 80 68 long 26 28 long 80 61 long 15 43 38 04 04 2014 20 00 long 0 39 long 0 30 long 80 67 long 26 26 long 80 60 long 15 44 39 05 04 2014 08 00 long 40 long 30 long 80 66 long 26 24 long 80 59 long 15 44 40 050420142000 tong 40 long 0 30 long 80 65 long 26 22 long 80 58 long 15 44 41 06 04 2014 08 00 long 0 41 long O 30 long 80 64 long 26 21 long 80 57 long 15 44 29 13 Report Descr
4. ring proximal distal along the longitudinal axis of the reference bone segment Proximal or Distal Specify the frame rotation relative to the longitudinal axis of the reference bone segment in degrees on the axial view described as External rotation or e Internal rotation Determine the point of interest for the reference ring position See Screen 9 1 Reference 8 for more details Relative to Deformity Apex or Relative to Osteotomy Fracture Level Click Update Views button at any time to refresh the display according to the parameters entered At this point the software will generate diagrammatic models that reflect the bone deformity and frame position on the X ray In case of discrepancy the surgeon should go back and the check all the variables before proceeding to the next steps These are the three diagrams in the software AP view corresponding to the AP X ray of the limb ML view representing the ML X ray of the limb Axial view representing the view looking either up or down the limb from the reference segment Click Apply First Strut To All Struts to apply the size acute and gradual values of the first strut to all the others This area shows the strut mounting parameters for all six struts Details for each strut are described in three fields e Size Strut size ultra short short medium long Acute Acute length for the strut in mm which is read off the scale relative to the acute l
5. 37 long 0 24 45 long 11 26 long 15 34 9 21 03 2014 08 00 long 0 18 long 0 3 long 24 i 12 long 11 24 long 15 34 10 2103 2014 20 00 long 0 19 long 0 36 long 0 22 E 10 long 11 23 long 15 34 11 22 03 2014 08 00 long 0 20 0 36 log 0 20 8 long 11 22 long 15 34 12 22 03 2014 20 00 long 0 20 long 0 36 ong 0 20 S jong 11 20 long 15 34 13 23 03 2014 08 00 long 0 21 long 0 36 long 0 18 3 long 11 20 long 15 34 14 2303 2014 20 00 long 0 22 long 0 35 long 16 long 11 18 long 15 35 15 24 03 2014 08 00 long 0 22 long 0 35 long 0 16 log 11 17 long 15 35 16 24 03 201420 00 long O 22 long 0 34 long 0 14 log 26 77 log 11 16 long 15 36 17 25 03 2014 08 00 long 0 24 long 0 34 long 0 13 long 26 74 long 11 14 long 15 36 18 25 03 2014 20 00 long 0 24 long 0 34 long 0 12 long 26 72 long 11 14 long 15 36 19 26 03 201408 00 long 24 long 0 34 long 0 10 long 26 70 long 11 12 long 15 36 20 26 03 2014 20 00 long 0 26 long 0 34 long 0 9 long 26 67 long 11 11 long 15 36 21 27 03 2014 08 00 long 0 26 log 0 33 9 0 8 long 26 65 long long 15 36 22 27 03 201420 00 long 26 long 0 33 long 0 6 leng 26 63 long long 15 37 23 pre long 0 28 long 0 32 long 0 5 sed 26 60 long long 15 38 24 28 03 2014 20 00 long 0 28 0 32 tong 0 4 26 58 ng long 15 38 25 29 03 20140800 long 0 29 long 0 32 long 0 2 long 26 55
6. View Send Archive Delete 8 items in 1 pages 13 6 2 Send a Case Description 1 Enter the Username of the receiver Optionally enter some notes Click Send to send the case WIN Click Cancel to annul the action and go back to list of cases 6 3 Archive a Case Description 1 Click OK to archive a case and make it read only You cannot revert this action 2 Click Cancel to annul this action 14 TL HEX QUICK USER S GUIDE Log Out 71 HE ORTHOFIX TRUELOK MEXAPOO SYSTEM Patient Case Account About Case Data Deformity Parameters Frame Parameters Postoperative End of Correction Schedule Report Checkup Patient ID A Warning You are not allowed to enter or provide any information that allows directly 1 PATIENT A M or indirectly the identification of your patient e g name birth date address email address phone number etc Please use only an internal confidential code to identify Case Number your patient record when using this Software 2 1 4 Notes History Case Name 3 blount s disease Planning Created 4 Eg Side Bone Type ERR CR Long Bone Foot New Notes 7 Case One Notes Privacy Policy EULA Cookies Contact Us Instructions for Use 15 7 Case 2 Add New Case Description 1 Select the Patient from the drop down selector If no patients have been entered the drop down selector will be empty To create a Patient before beginning a case creat
7. date Enter new case detail Case Number Enter new case detail Case Name Click Create New Case to open a new Case data screen for the newly generated case the deformity frame 7 bare parameters of the selected treatment date will be copied in the new case 8 Click on Previous button to return to the previous tab Report Select the treatment date Default If current day is within the treatment rage the checkup date displayed is the current one If treatment has not yet started the first day of treatment is presented as default and a message is displayed showing the allowed treatment range If treatment has been completed the last day of treatment is presented as default and a message is displayed showing the allowed treatment range 36 TL HEX QUICK USER S GUIDE IL HE Patient Case Account About TRA ELONK PEXAPOO SYSTEM Change Password Old Password New Password Confirm New Password Cancel Change Password Cookies Contact Us 5 Log Out LIL HEX OATHOFDC TRELON MEXAPOD SYSTEM Patient Case Account About Prescription Preferences 1 Default Address Default Prescription Notes Optional 2 Dr Test Clinic Health road 1 Texas US 008 US 512123123 R Ada Additional Address Save Notes Additional Addresses Test Hospital Hospital Street London UK 00000 UK 00000000 6 Set Defauit Delete Privacy Policy EULA Cookies Contact Us Instructions for Use 37
8. struts Details for each strut are described in three fields e Size Strut size ultra short short medium long e Acute Acute length for the strut in mm which is read off the scale relative to the acute length orange mark Gradual Gradual length for the strut in mm which is read off the scale relative to the gradual length green mark Click on Previous button to return to the previous tab Deformity Parameters Click on Next button to move to the next tab Postoperative 22 TL HEX QUICK USER S GUIDE Patient Account 1 pon Pre 2 Reference Ring AP Plane Angle deg Reference Ring ML Plane Angle deg Reference Ring Position Relative To 0 Medial Side Down Medial Side Up 0 Anteriof Side Down AnteriorSideUp Deformity Apex 8 Osteotomy Fracture Level Reference Ring AP Translation mm Reference Ring ML Translation mm 0 Medial Lateral 25 Anteribr Posterior gt Medial Lateral Ref Ring Position nm Ref Ring Frame Rotation deg 3 Anterior Posterior 6 100 Proximal Distal 0 Extenfal intemal Update Views 9 13 Apply First Strut To All Struts Long Long Y Long Medium Long Long Y 12 pr 17 50 35 ds 20 25 13 79 79 34 79 i 10 Postoperative 1 Reference Ring Position 10 11 12 13 14 23 Description Summary of Case Data provided in the Case Data tab Refer to Fig 3 to
9. 45 IL SAPE 42 TL HEX QUICK USER S GUIDE Simplified screen flow The Prescription page has been incorporated in Report A new option has been added 9 Print BOM button Bill of material This button provides a list of all the TL HEX codes used for the surgery including the struts necessary for later exchanges Version 1 2 Version 1 3 Case Dat nd of Correction Sebel Predripaon Rend Check Case Data Deformity Parameters Frame Parameters Postoperative End of Correction Schedule Report Check Please review all information before completing and printing the prescription to ensure that it is accurate Print Prescription PrintBOM Print Report Strut Length A Acutp G Gradual Struti Red Strut 2 Orange Strut3 Yellow Strut4 Green Strut 5 Blue 24 06 2014 00 00 med 33 34 long 0 50 long O 30 long 0 52 med 35 33 med 18 34 24 06 2014 07 00 med 33 34 long 0 50 long O 30 long O 52 med 35 32 med 18 34 Checkup 25 06 2014 07 00 med 33 32 long 0 50 long O J long 52 med 35 32 med 18 32 Damis Chackup 26 06 2014 07 00 med 33 32 iong 0 50 log 0 32 long O 52 med 35 3 med 18 30 Domis Checkup 4 27 06 2014 07 00 med 33 30 long 0 60 log 0 33 long 0 52 med 35 3 med 18 29 Deals Checkup Print BOM button 7 Improved printout for prescription in order to optimize the visualization also in black and white printers Print Date paredi 19 pagna 2014 Added prescription pr
10. ENT A Side Left Bone Type Long Bone em Para tasa Sues ee Cm Treatment Date Displaying Report line number 0 based on treatment range of 17 03 2014 06 04 2014 2 3 8 AP Angle deg 25 Valgus ML Angle deg 25 ApexAnterior Rotation deg 0 AP Translation mm 0 ML Translation mm 0 Axial Translation mm 0 Total Strut 5 trem 214 4 Size Long Long Long Medium Long Long Acute 0 0 0 34 14 15 Gradual 44 40 35 34 35 33 To Create New Case 5 New Case Number CopyOf_1 6 e New Case Name Case 1_Copied on 13 03 2014 7 Create New Case 35 14 Checkup Description 1 Summary of Case Data provided in the Case Data tab Provides the position of the bone segments and the frame with corresponding strut adjustment values at any particular day of treatment deformity correction 2 Select the treatment date As default the screen shows the data for the current day during the treatment period These are the three diagrams in the software considering the deformity and the frame for the corresponding day time of the prescription AP view corresponding to the AP X ray of the limb 2 ML view representing the ML X ray of the limb Axial view representing the view looking either up or down the limb from the reference segment All the deformity and frame parameters are transferred from the previous case at the date of check up A These are the values of the struts size acute gradual for the corresponding day time of the prescription treatment
11. Parameters Frame Parameters Postoperative End of Correction Schedule Report Checkup Surgery Date Latency Period days 2 E3 5 Calculate By Daily Correction Rate mm day v 6 Treatment Start Date luned 17 marzo 2014 Correction Time s Calculate O 42 00 AM 06 00AM 112 00PM 06 00 PM Calculation Results H 01 00AM 07 00AM 01 00PM 07 00PM Daily Correction Rate mm dey 16 i Angular M deg d 1 6 02 00AM 08 00AM 02 00PM 08 00 PM nguier Mex Speed Rotate Max Speed deg day 0 0 M 03 00 AM 09 00AM 03 00PM 09 00PM Days Of Correction 21 04 00AM F 10 00AM 04 00PM 10 00 PM 05 00AM 11 00AM 05 00PM 11 00 PM racy Policy EULA Cookies Contact Us instructions for Use 27 12 Schedule Description 1 Summary of Case Data provided in the Case Data tab 2 Indicate the Surgery date 3 Indicate the latency period in days By default it is 5 days 4 The software determines the treatment start date considering surgery date plus latency period 5 Indicate up to 4 correction time s to have the prescription calculated for one or more frame adjustments per treatment day Specify a calculating rate Daily Correction Rate maximum rate of the bone segment translation mm day 6 Angular Max Speed maximum rate of the bone segment rotation degrees day Rotate Max Speed maximum rate of the bone segment angular correction degrees day Days of Correction Click Calculate
12. QUICK USER S GUIDE TRUELOK HEXAPOD SYSTEM Quick User s Guide Software Version 1 3 9 ORTHOFIX WORKFLOW 1 REQUEST A NEW ACCOUNT 2 LOGIN PAGE 3 HOME PAGE 4 PATIENT gt ADD A NEW PATIENT 4 1 ADD PRESCRIPTION PREFERENCES 5 PATIENT gt LIST OF PATIENTS 5 1 SEARCH 6 CASE gt LIST OF CASES 6 1 VIEW A CASE 6 2 SEND A CASE 6 3 ARCHIVE A CASE 7 CASE gt ADD NEW CASE 8 DEFORMITY PARAMETERS 9 FRAME PARAMETERS 9 1 PREOPERATIVE MOUNTING PARAMETERS 10 POSTOPERATIVE 11 END OF CORRECTION 12 SCHEDULE 13 REPORT 13 1 PRESCRIPTION PDF 13 2 BOM PDF 13 3 REPORT PDF 14 CHECKUP 15 CHANGE PASSWORD 16 PRESCRIPTION PREFERENCES WHAT IS NEW Orthofix wishes to thank the following surgeons for their contribution to the development of this User s Guide Franz Birkholtz M D Alexander Cherkashin M D Mikhail Samchukov M D William Terrell M D 11 11 13 15 17 19 21 23 25 27 29 31 33 35 37 37 38 moe user s ue 1 The following provides a sequential overview of the process for a case management with TL HEX software LOG IN PREOPERATIVE If the frame IS not pre assembled go directly to the Postoperative phase POSTOPERATIVE Obtain an account at www tlhex com following the onscreen instructions Log in the TL HEX software https app tlhex com Create a New Patient Create a New Case related to a patient Specify the Deformi
13. USER S GUIDE 8 6 Pe RE ORTHOFIX Patient Case Account About ES Patient ID PATIENT A Side Left Frame Parameters End of Correction Proximal Support Ring Distal Support Ring Select Proximal Ring Select Distal Ring 9 4 Preoperative Mounting Parameters Reference Ring AP Translation mm Reference Ring ML Translation mm Reference Ring Position Relative To gt 0 Medial Lateral o Anterior Posterior Deformity Apex Osteotomy Fracture Level Reference Ring Position mm Reference Ring Frame Rotation deg 50 Proximal Distal x Medial Lateral i Second Ring Position mm Anterior Posterior 50 10 13 Posterior 11 ro Size Medium Medium Short Ultra Short Short Medium Acute 18 0 3 28 15 6 12 Gradual 1 17 14 13 14 1 21 9 1 Preoperative Mounting Parameters Section PREOPERATIVE MOUNTING PARAMETERS SECTION optional The default assumption is that both proximal and distal external sup ports are perpendicular to the corresponding bone segment axis and located at 50mm distance from the point of interest 10 11 12 13 14 Description Adjust the position of the reference ring in the coronal plane AP translation in mm Medial or e Lateral Adjust the position of the reference ring in the sagittal plane ML translation in mm Anterior or Posterior Adjust the reference ring position in the axial direction in mm described as
14. ber of patients you want to display on a page using the page size drop down 7 Click Modify Patient to edit patient details Click Delete Patient to delete definitively a Patient The application prompts for a confirmation of the 8 deletion Delete cannot be undone and implies that all the cases related to that patient will be deleted 5 1 List of Patients gt Search Description Enter one or more search criteria Click on Search to view the results 3 Click on Clear to cancel all the search criteria 10 TL HEX QUICK USER S GUIDE 4 3 m D Gr HEX Nr E ORTHOFIX TRUELOX HEXAPOO SYSTEM Patient Case Account About 1 Search 2 d New Patien Add New Case PATIENT C je 4 gt Page size 10 6 items in 1 pages 5 L TL HEX rr TRUELOK HEXAPOO SYSTEM Patient Case Account About 1 Case Version 1 3 Viewed On giovedi 17 luglio 2014 14 58 53 Case Number 1 Patient ID 1 Case Name tibia Side Left Reference Segment Proximal Bone Type Long Bone Proximal Ring Distal Ring AP Plane Angular Deformity deg 30 Valgus ML Plane Angular Deformity deg 0 ApexAnterior Rotation deg 0 External AP Plane Translation mm 0 Medial ML Plane Translation mm 0 Anterior Axial Translation mm 0 Short 3 Bone Length mm 0 Short 11 6 Case gt List of Cases Description 1 Expand Search bar in order to search through the list of cases
15. creen 8 for details Indicate the ring type and size that will be used for the frame see screen 9 for details If desired complete this section with details of the planned frame position relative to either the deformity apex or the osteotomy fracture level Strut types and lengths are being suggested see screen 9 1 for details Provide the actual frame parameters and position as mounted and adjust modify the struts configuration to adapt them to the configuration obtained during the surgery see screen 10 for details Visualize the expected results at the end of correction If necessary specify the eventual over under correction parameters to be considered in the treatment see screen 17 for details Define the schedule by specifying the latency period the maximum rates and speeds of correction or the desired days of correction see screen 12 for details Once all data is approved by the surgeon the schedule will be calculated and the prescription is generated The prescription can be saved and a hard copy will be given to the patient For each correction step the number of turns the patient must make are indicated for each strut for both acute and gradual adjustments A hard copy of the bill of materials and the report may be generated The report is a more detailed view for the surgeon indicating the length settings for the gradual and acute setting on the strut see screen 13 for details Surgeon can use the checku
16. cription Preferences to view and manage other addresses related to this account see screen N 16 for details Select Change password to invoke the change password procedure see screen N9 15 for details 4 Click About to view more information about the product 5 Click on Log Out to disconnect from the application 4 Patient gt Add New Patient Description Insert the Patient ID Insert Patient Initials or other reference associated with the patient 3 Select Patient Gender Male or Female By clicking Cancel all the entered information is discarded and the application returns to i the List of Patients screen see screen N 5 for details 5 Click Save Patient to create a new patient and move to the List of Patients screen see screen N 5 for detail 6 Click Save amp Create Case to create a new patient and a brand new case linked to it You will be promptly redirect to Add New Case screen see screen N 7 for details Expand Prescription Preferences to choose a set of contact information that will be displayed on the prescription pdf A Warning Under the Orthofix Terms of Use the surgeon should never enter information that directly identifies a patient The patient number is intended to be used as an identifying link to the patient within the surgeon s patient management system 4 1 Add Prescription Preferences Description 1 Enter some optional notes related to this Patient ID 2 Choose the addres
17. de any information that allows directly or indirectly the identification of your patient e g name birth date address email address phone number etc Please use only an internal confidential code to identify your patient record when using this Software Patient Initials PA Gender Male Female 4 Prescription Preferences Prescription Notes for PATIENT A Optional Select Prescription Address for PATIENT A e Ur o Dr Test Clinic Test Hospital Health road 1 Hospital Street Texas US 008 London UK UK 00000 512123123 00000000 Preview Create Case eve curcx users ue P 3 Home Page MENU STRUCTURE Reported in all the application pages when user is logged in Description 1 Click Patient to access to the Patients Menu functionalities Select List of Patient to view all the registered patients see screen N 5 for details Select Add New Patient to start a new patient registration see screen N 4 for details All cases are related to a patient therefore a new patient who doesn t exist must be created prior to begin a new case 2 Click Case to access to the Cases Menu functionalities e Select List of Cases to view all the cases see screen N 6 for details e Select Add New Case to start a new case see screen N 7 for details 3 Click Account to access to the Account Menu functionalities Select Account Information to view the registered information about the account Select Pres
18. determine the reference ring angulation translation and rotation parameters in AP view a ML view b and axial view c f AP view Reference Ring ML translation Reference Ring Reference Ring AP angle ML angle Frame Rotation Reference ks T Reference Ring position Reference Ring Ring position AP translation pua ias ao a b M d 8 d Fg Enter the reference ring angle on the AP view in degrees as the angle between the projection of the ring and the axis of the bone segment with the medial side of the ring Medial side up or Medial side down Enter the reference ring angle on the ML view in degrees as the angle between the projection of the ring and the axis of bone segment with the anterior side of the ring Anterior side up or Anterior side down Adjust Enter the position of the reference ring in the coronal plane AP translation in mm as translation of the cen ter of the reference ring in relation to the longitudinal axis of the reference bone segment Medial or Lateral Adjust Enter the position of the reference ring in the sagittal plane ML translation in mm as translation of the center of the reference ring in relation to the longitudinal axis of the reference bone segment Anterior or Posterior Adjust Enter the reference ring position in the axial direction in mm described as the translation of the reference
19. e 9 Click on Next button to move to the next tab Checkup 30 TL HEX QUICK USER S GUIDE Dr test2 account2 Print Date venerdi 18 luglio 2014 Hospital name test address City State Test 012344 Case Number Test BL AT 012345675 Case Name TestBL AT Patient ID 12 Side Left Bone Type Long Bone Notes notes for patient Strut Adjustments in CLICKS Strut Reference Length 07 07 2014 14 00 08 07 2014 14 00 09 07 2014 14 00 11 07 2014 14 00 12 07 2014 14 00 13 07 2014 14 00 14 07 2014 14 00 16 07 2014 Te 00 11 17 07 2014 14 00 12 18 07 2014 14 00 a 13 19 07 2014 14 00 is 21 07 2014 14 00 16 22 07 2014 14 00 17 23 07 2014 14 00 24 07 2014 14 00 25 07 2014 14 00 31 13 1 Prescription PDF Description Prescription Preferences are presented here The default is the registration address but it is possible to enter and choose among up to 4 different addresses 2 Information about date of print and case details are presented here Notes entered on the prescription preferences notes or if this last one are not present on add new patient screen are presented here 4 Strut Adjustments in CLICKS Represent the adjustment for each strut by number of clicks 1 2 rotation of the strut adjustment knob It can be positive if strut length increases or negative if strut length decreases Strut Reference Length Represent the gradual adjustmen
20. e Agreement subscribed for the application 5 Click Cookies to review the Cookies statement 6 Click Contact us to find how to contact the TL HEX Customer Care support 7 Click Instruction for Use to access the TL HEX support materials area Login 8 Enter a valid username and password in the appropriate text fields Please note that username and password are case sensitive 9 Click Sign In button to access to the TL HEX software 10 Click the link Forgot your Username or Password and follow the displayed instructions to recover username and or password 11 Check the version of the SW 6 TL HEX QUICK USER S GUIDE Patient Case Account About Add New Patient Add New Case No records to display e Am Page size 10 0 items in 1 pages EULA Cookies Contact US Instructions for Use TL HEX Patient Account About Add New Patient Patient ID PATIENT A A Warning You are not allowed to enter or provide any information that allows directly P or indirectly the identification of your patient e g name birth date address email Patient Initials PA address phone number etc Please use only an internal confidential code to identify your patient record when using this Software Gender Male Female v Prescription Preferences Save amp Create Case Privacy Policy EULA Cookies S instructions for Use Patient Case Account Modify Patient Patient ID PATIENT A A Warning You are not allowed to enter or provi
21. eferences ape coment 2 bis LIA Com ame Tibia waraz Patient De 1 Strut Reference Length mani RED VILLON CHIEN BLUE FURFLE New layout for the prescription printout Strut Strut Struts Siruta Strats Strut D 14 06 7014 00 00 0 0 35 BS a i 14 06 2014 07 00 0 0 0 m 2 I A 250620140700 2 1 50 N i x i 2104830140700 so o5 1 200620140700 3 gt E 0 30 IEDE7014 07 00 0 2 0 0 3i 30 29006 2014 07 00 a i a 50 300420140700 9 1 n 56 01 07 2014 07 00 22 0 50 15 50 9 029720140700 0 T 50 9 lio 01072014 07 00 6 d 0 Mu m 0 ah 50 47 48 Il 0407720 1407 00 Manufactured by ORTHOFIK Srl Via Delle Nazioni 9 37012 Bussolengo Verona Italy Your Distributor is Telephone 39 045 6719000 Fax 39 045 6719380 CC a o www orthofix com ORTHOFIX TL 1409 QR E0 A 07 14
22. ength orange mark e Gradual Gradual length for the strut in mm which is read of the scale relative to the gradual length green mark Confirm or adjust the data if necessary Correct any additional errors prior to proceeding with the next steps An error is highlighted in red and the strut size and length should be corrected Click on Previous button to return to the previous tab Frame Parameters Click on Next button to move to the next tab End of Correction 24 TL HEX QUICK USER S GUIDE P _ NA D ORTHOFIK Patient Case Account About arami End of Correction Schedule All the corrections in this section are over under corrections relative to biomechanically aligned segment AP Over Under Correction deg L Over Under Correction deg Over Under Rotation deg 2 0 Valgus Varus 0 Apex Anterior Apex Posterior 0 External internal 4 Over Under Translation mm ML Over Under Translation mm Over Under Bone Length mm 5 0 Medial Lateral 04 Anterior Posterior 20 Shortening 9 Lengthening 7 11 Posterior 10 Total Strut 5 mm 281 Size Long Long Long Long Long Long 25 11 End of Correction Description 1 Summary of Case Data provided in the Case Data tab The software assumes that at the end of the treatment the bone segments should be in perfect alignment or in case of a foot case the segments should be perfectly perpendicular However su
23. ing on the relevant amount of bone length discrepancy in mm Click Update Views button at any time to refresh the display according to the parameters entered These are three diagrams in the software AP view corresponding to the AP X ray of the limb ML view representing the ML X ray of the limb Axial view representing the view looking either up or down the limb from the reference segment Click on Previous button to return to the previous tab Case Data Click on Next button to move to the next tab Frame Parameters 7 18 TL HEX QUICK USER S GUIDE lan x L M ORTHOFIX IL HEX Patient Case Account About 1 lumber Patient ID PATIENT A Side Left Bone Type Long Bone Postoperative End of Correction Schedule Report Checkup 19 9 Frame Parameters Description 1 Summary of Case Data provided in the Case Data tab External Supports specification Ring Type available Ring Size available Footplate Size available Full Ring 100mm 120mm Full Ring 5 8 plus 3 8 120mm 140mm 5 8 Open Anteriorly Ring 140mm 160mm 5 8 Open Medially Ring 160mm 180mm 5 8 Open Posteriorly Ring 180mm 220mm Footplate 200mm 220mm 240mm 280mm 300mm Select proximal support ring type and size from the drop down selectors 3 Select distal support ring type and size from the drop down selectors Optionally expand Preoperative Mounting Parameters bar to do a pre planning of the case see screen N 9 1 for details 20 TL HEX QUICK
24. ion see screen N 4 for details 2 Assign the Case Number 3 Specify the Case Name reference associated with this case 4 Select the Planning Date by clicking the calendar icon Select the side 5 e Left or e Right Select the Bone Type 6 Long Bone or Foot Specify additional notes if any Review the inserted notes if they exist Click Next to proceed with the next steps in the treatment planning process Deformity Parameters Warning Under the Orthofix Terms of Use the surgeon should never enter information that directly identifies a patient The patient number is intended to be used as an identifying link to the patient within the surgeon s patient management system gt 16 TL HEX QUICK USER S GUIDE ORTHOFIX Patient Case Account About Rotation deg 2 Proximal Distal 0 External Internal 5 AP Plane Angular Deformity deg Plane Angular Deformity deg Axial Translation mm 3 0 Valgus Varus 0 Apex Anterior Apex Posterior 0 Short Long 8 AP Plane Translation mm ML Plane Translation mm Optional Bone Length mm 6 07 Medial Lateral 047 Anterior Posterior Short Long Update Views 9 11 10 1 8 Deformity Paramaters 1 Deformity Parameters 2 ANGULATION 3 TRANSLATION 6 11 12 Description Summary of Case Data provided in the Case Data tab Choose the reference segment as Proximal
25. iption Summary of Case Data provided in the Case Data tab 2 Click Print Prescription to generate a prescription in pdf format This document can be saved for the record and printed as hard copy to be issued to the patient see screen N 13 1 for details 3 Click Print BOM to generate a bill of materials in odf format This document lists the materials that only cover the TL HEX components needed for the treatment see screen N 13 2 for details 4 Click Print Report to generate a report in pdf format This document can be saved for the record or printed as hard copy see screen N 13 3 for details 5 The table report provides number of line date and time of the treatment for each line information for each strut and line about size acute and gradual adjustments in millimeters actions that can be made on each line The report and prescription rows will be highlighted when strut readjustments shaded blue or exchanges shaded red are required The rows of the lighter shading indicate the allowable range of days that Is suitable for the readjustment excahnge the heavier shaded row indicates the last possible day for the strut change 6 Click Details of a row to view three views of the deformity and the frame for the corresponding date time of the treatment and the related struts values 7 Click Checkup to launch the Checkup for the selected day and time Click on Previous button to return to the previous tab Schedul
26. or Distal Refer to the Fig 1 for the description of the moving bone segment translation depending on proximal or distal location of the reference segment AP aes Proximal Reference aes Lateral Translation an Translation Distal Reference Segment Fig 1 In the software diagram 10 the reference segment is colored in blue while the moving segment is colored in green Insert coronal plane angulation AP view in degrees This can be either Valgus or Varus depending whether the distal segment is bent towards or away from the midline Insert sagittal plane angulation MP view in degrees It is described as Apex Anterior procurvatum or Apex Posterior recurvatum Insert horizonal plane angulation Axial view in degrees It is described as e External rotation or e Internal rotation Insert coronal plane translation AP view in mm It is described as e Medial or e Lateral Insert sagittal plane translation MP view in mm It is described as Anterior or e Posterior Insert axial translation Axial view in mm as Short used when the moving bone segment is translated compressed towards the reference bone segment or Long used when the moving bone segment is translated distracted away the reference bone segment Bone length is a clinical paramater indicating limb length discrepancy relative to the contralateral limb Short or Long Depend
27. p function to generate a new case starting from a specific date of the treatment This new case will report all the parameters updated to the selected date The Surgeon can then proceed to setup a new deformity correction treatment see screen 14 for details 2 TL HEX QUICK USER S GUIDE O ORTHOFIX PRODUCT INFORMA TION TRAINING The future of the hexapod m system built on solid circular fixation experience vex curcx user s ue 3 1 Request a New Account Description 1 Click Login to access the software if the account is already activated and the user has his her own username and password 2 Click Request an Account button and follow the onscreen instructions to obtain a valid access to the TL HEX software 4 TL HEX QUICK USER S GUIDE ORTHOFIX V IL HEX TRUELOK HEXAPOD SYSTEM Username The future of the hexapod system built on solid circular Password 5 fixation experience Sign In 9 Forgot your Username or Password 10 version 1 3 11 eve curcx user s curve 9 2 Login Page Description This section is reported in all the application pages 1 Click the TL HEX logo to go to the product website www tlhex com 2 Click the Orthofix logo to go to the Company website intl orthofix com FOOTER This section is reported in all the application pages 3 Click Privacy Policy to display the Privacy Policy statement 4 Click EULA to review the End User Licenc
28. rgeon could override the default position as desired ANGULATION 2 Override Over Under AP correction in degrees This can be either Valgus or Varus 3 Override Over Under ML correction in degrees This can be either Apex anterior or Apex posterior 4 Override Over Under rotation in degree It is described as External or e Internal TRANSLATION 5 Override Over Under AP translation in mm It is described as e Medial or Lateral 6 Override Over Under ML translation in mm It is described as Anterior or Posterior 7 Select the bone length Shortening or Lengthening 8 Click Update Views button at any time to refresh the display according to the parameters entered and check the bottom of the screen for struts that are out of range 9 These are the three diagrams in the software AP view corresponding to the AP X ray of the limb ML view representing the ML X ray of the limb Axial view representing the view looking either up or down the limb from the reference segment 10 This area shows the strut size for all six struts 11 Click on Previous button to return to the previous tab Postoperative 12 Click on Next button to move to the next tab Schedule 26 TL HEX QUICK USER S GUIDE B a IL HEX IM Patient Case Account About 1 Case Number 1 Case Name Case 1 Patient ID PATIENT A Side Left Bone Type Long Bone Case Data Deformity
29. s to be displayed on the prescription pdf for this patient 3 Click on Preview to have a sample of the Prescription Preferences on the prescription pdf 8 TL HEX QUICK USER S GUIDE ORTHOFIX Patient Case Account About Search Add New Patient Add New Case PATIENT A 12 03 2014 Patient wm Modify View Send 4 blount s disease 12 03 2014 31 Archive Delete Modify Patient Delete PATIENTB Patient i Delete PATIENT GC Patient le a te gt gt Page size 10 3 items in 1 pages Privacy Policy EULA Cookies Contact Us Instructions for Use TIL HEX TRUELOK HEXAPOD SYSTEM Patient Account About 4 Search Patient ID Date Created This Date Case Number Case Name Add New Patient Add New Case PATIENT A PATIENT B PATIENT C Modify Patient Delete Patient 4 La gt I Page size 3 items in 1 pages Contact Us Instructions for Use serouervsasevo 9 5 Patient gt List of Patients Description Expand Search bar in order to search through the list of patients using a set of specific criteria 2 Click Add New Patient to create a new patient see screen N 4 for details 3 Click Add New Case to start a new case see screen N 7 for details 4 Click on any of the header a part from Action to sort the list accordingly 5 Click on the arrow near a Patient ID to expand the list of cases related to it 6 Navigate through the list of patients using the arrow and set the num
30. t scale value in millimeters as reference for each strut 13 2 BOM PDF Description 1 The information about the case is presented here along with the printing date 2 The table summarize the type quantity and number of the items needed during the treatment period The listed materials only cover the TL HEX components needed for the treatment This includes rings foot plates and struts 32 TL HEX QUICK USER S GUIDE Case Number Test BL AT Print Date venerdi 18 luglio 2014 Case Name TestBL AT Patient ID 12 Side Left Bone Type Long Bone 0 07 07 2014 00 00 33 1 short 33 33 Lies 09 07 2014 14 00 10 07 2014 14 00 11 07 2014 14 00 12 07 2014 14 00 13 07 2014 14 00 is 15 07 2014 14 00 16 07 2014 14 00 17 07 2014 14 00 18 07 2014 14 00 19 07 2014 14 00 14 20 07 2014 14 00 15 21 07 2014 14 00 16 22 07 2014 14 00 17 23 072014 14 00 18 24 07 2014 14 00 5 19 25 07 2014 14 00 3 1 26072014 14 00 33 13 3 Report PDF Description Information about date of print and case details are presented here 2 Provides a more detailed prescription In addition to the patient prescription it includes Strut size Acute adjustment in millimeters Gradual adjustment in millimeters for each strut 34 TL HEX QUICK USER S GUIDE cP y 5 ORTHOFIX IL HEX Patient Case Account About 1 Case Number 1 Case Name Case 1 Patient ID PATI
31. to calculate the speed of correction after having selected one of the rate above It is neces sary to enter at least one value in the Calculate By box and Correction time s box prior to click Calculation Results box shows the resulting values of calculation for each rate automatically calculated using also decimal Click Previous button to return to the previous tab End of Correction 10 Click Next button to move to the next tab Report 26 TL HEX QUICK USER S GUIDE ORTHOF IX About 1 5 z Patient ID PA Please review all information before completing and printing the prescription to ensure that it is accurate Print Prescription Print BC Print Report paci dedi ESRI ae nge 3 Yellow Strut4 Green Strut5 Blue St 17 03 2014 00 00 14 0 long 0 long 0 40 long 0 35 long 11 35 long 15 33 6 1 17 03 2014 08 00 long 0 14 long 0 40 long 0 34 long 11 34 long 15 33 2 17 03 2014 20 00 long 0 15 long 0 40 long 0 32 long 11 33 long 15 33 7 3 18 03 2014 08 00 long 0 16 log 0 39 long 0 32 long 11 32 long 15 33 4 18 03 2014 20 00 long 0 16 0 38 iong 0 30 ong 11 30 long 15 34 S 1903 201408 00 long 0 16 long 0 38 long 0 28 2 long 11 29 long 15 34 6 19 03 2014 20 00 long 0 17 long 0 38 long 0 28 220 long 11 28 long 15 34 7 20 03 20140800 long 0 18 log 0 38 iong 0 26 48 long 11 26 long 15 34 8 20 03 2014 20 00 long 0 18 long 0
32. ty Parameters Indicate the Frame Parameters Complete the Mounting Parameters section to pre assemble the frame Confirm or adjust postoperative values and struts configuration Visualize the end of correction parameters providing added over under correction if required Determine the schedule for the correction planning Visualize and print the report Visualize and print the prescription for the patient Use the checkup function to create a new case starting from the date selected parameters Access to the TL HEX software is controlled by Username and Password These can be obtained at www tlhex com by requesting a new account and following the onscreen instructions see screen 1 for details Enter a valid Username and Password in the appropriate text fields and click Sign In to gain access to the software see screen 2 for details In the Add New Patient screen create a new patient if the patient doesn t exist Each case must be linked to an existing patient see screen 4 for details To start a new treatment create a new case Select patient from the ones available in the drop down list providing the information required Case Name Case Number Side Bone Type see screen 7 for details Describe the deformity starting from the reference segment identification Then provide the relevant parameters relative to the angular deformity rotation translation and bone length discrepancy see s
33. using a set of specific criteria see screen N 5 1 for details 2 Click Add New Patient to create a new patient see screen N 4 for details 3 Click Add New Case to start a new case see screen N 7 for details 4 Click on any of the header a part from Action to sort the list accordingly 5 Navigate through the list of cases using the arrow and set the number of cases you want to display on a page using the page size drop down 6 Click on Modify to make changes to a case You cannot modify received or archived cases Click on View to see a read only version of a case see screen N 6 1 for details 8 Click on Send to send a case to another TI HEX SW user see screen N 6 2 for details You cannot send a received case 9 Click on Archive to close a case and make it read only see screen N 6 3 for details This action cannot be undone You cannot archive a sent case 10 Click on Delete to delete a case Delete action cannot be undone 6 1 View a Case Description 1 Click Print Page to print a summary of the full case Click Cancel to go back to the list of cases The summary displays all the details about the deformity the frame and the prescription along with the AP ML and Axial views 12 Log Out ORTHOFIX IL HEX Patient Case Account About TRUELOK FEUAROO SYSTEM Search Send C Add New Patient Adel Case Number PATIENTA 1 PATIENT A Case Name Receiving UserName Actions Modif
34. y View Send Archive Delete Modify View Send Archive Delete Modify View Send Archive Delete Modify View Send Archive Delete Modify View Send Archive Delete Send Notes Optional A PATIENT A A Warning You are not allowed to enter or provide any information that allows directly or indirectly the identification of your patient e g name birth date address email address phone number Please use only an internal confidential code to identity your patient record when using this Software PATIENT B Modify View Send Archive Delete Modify View Send Archive Delete PATIENT B PATIENT C Page size 10 7 items in 1 pages Log Out JEK pae ue ORTHOFIX Patient TYUELOK HEXAPOO femme Account v Search Add New Patient Add New Case Patient ID Case Number Case Name Status Date Created v Days Left Actions RECEIVED CASES Case from TestUser Case from TestUser Received 13 03 2014 24 View Delete Modify View Send Archive Delete Modify View Send PATIENT A Ca 53 2014 24 PATIENT PATIENT A PATIENT B PATIENT B PATIENT C 6 19 OC NOTE You cannot modify this case after it is archived Are you sure you want to archive this case Case 5 Case 6 Page size 10 23 2014 33 2014 12 03 2014 12 03 2014 Archive Delete Modify View Send Archive Delete n odify iew enc Modify View Send Archive Delete Modify View Send Archive Delete Modify
35. your country Contact our Customer Care Q EMAIL US TL HEX QUICK USER S GUIDE 39 2 Warning Cases done with the older sofwtare version will be READ ONLY 3 Better look and Feel i agi edi New buttons to move to the next or previous screen 4 Preoperative option collapsed The user can skip directly the preplanning if this option not used Preoperative option collapsed 40 TL HEX QUICK USER S GUIDE Apply first strut to all struts button This option copies applies the size acute and gradual values of the first strut to all the others Apply first strut button to all struts 6 New foot option The user can now plan a case also using a foot plate Foot plate option Foot option TL HEX QUICK USER S GUIDE 41 Better patients cases visualtization and management The possibility to archive and send a case to others users has been added New and expanded searching options Case options Modify View Send Archive Delete 8 New prescription possibilities the user can choose which address link to a patient selecting it from a set of up to 4 preferences ex ni Add New Patient ET Mic a hA E ea ee Pi A a sir de detsan of yaa pakai s p nam Da Kia eee anas ire piaga agan wi Pema kan yA an eteta ini ode e Option to add more references for the users Balai Prescription dde a Di it bore venia vis Poma 1 Mano Lian IT 073
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