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1 23 456 78 1: ActiGait® Heel Switch 2: ActiGait® Belt Loop 3: ActiGait® Body Clip 4: ActiGait® Belt Clip 5: ActiGait® Control Unit 6: ActiGait® Antenna 7: ActiGait® Heel Sock 8: ActiGait® Antenna Fixture 9: ActiGait® Charger (model FW7711/0.7) incl. plugs 10: ActiGait® Charger Cable 9a9b9c9d 9 10 ActiGait® Implantable Drop Foot Stimulator User Manual 2 1. Introduction ......................................3 2. Intended Use ....................................3 2.1 Medical Purpose ....................................3 2.2 Application.............................................3 2.3 Qualification of Clinician ..........................3 2.4 Follow up Schedule ................................3 3. Indications/Contraindications ....4 3.1 Indications ............................................4 3.2 Contraindications ...................................4 4. Warnings and Precautions ...........5 4.1 Safety precautions .................................5 4.2 Warnings ...............................................5 4.3 General cautions ...................................7 4.4 Potential Risks/Side effects .....................9 5. Service Information ......................11 5.1 Scope of Delivery .................................11 5.2 Service ................................................11 6. Description of the ActiGait® .......12 6.1 The ActiGait® Implant ...........................13 6.2 The ActiGait® .......................................14 7. How ActiGait® works ...................15 7.1 The Control Unit ...................................16 7.1.1 The On/Off Button .............................17 7.1.2 The Stimulation Intensity Buttons .........18 7.1.3 The Mute Button ................................19 7.1.4 The Pairing Button .............................21 7.1.5 The Control Unit Battery Indicator ........22 7.1.6 The Heel Switch Battery Indicator ........23 7.1.7 Training Mode Indicator ......................25 7.1.8 Mute Indicator ...................................27 7.1.9 Stimulation Intensity Indicators ............27 7.2 Putting On the Control Unit ....................27 7.2.1 The Belt Clip .....................................28 7.2.2 The Belt Loop ....................................28 7.2.3 The Body Clip ...................................29 7.3 Putting On the Antenna Fixture ...............30 7.4 Putting On the Antenna .........................33 7.5 The Heel Switch ...................................35 7.5.1 The Heel Sock ...................................36 7.5.2 Heel Switch Feedback........................37 7.6 The Charger ........................................38 7.6.1 Charging the Control Unit ...................39 7.6.2 Travel Kit for Charger .........................41 7.7 Audio Signals and Warnings ..................42 7.7.1 Warnings ..........................................42 7.7.2 Audio Signals ....................................43 8. Lights and Audio Signals............43 8.1 How to Interpret the Light Indicators .......44 8.2 How to Interpret the Audio Signals .........46 9. Troubleshooting for ActiGait® ...49 10. Warranty .........................................51 11. Expected lifetime .......................52 12. Cleaning, Storage and Disposal ...........................................52 12.1 Cleaning ............................................52 12.2 Storage.............................................53 12.3 Disposal ............................................53 13. Available Articles .......................53 14. Technical Data ..............................55 14.1 ActiGait® Control Unit..........................55 14.2 ActiGait® Belt Clip ..............................56 14.3 ActiGait® Belt Loop .............................56 14.4 ActiGait® Body Clip ............................57 14.5 ActiGait® Antenna ..............................57 14.6 ActiGait® Antenna Fixture .....................58 14.7 ActiGait® Heel Switch ..........................58 14.8 ActiGait® Heel Sock ............................59 14.9 19.9 ActiGait® Charger Cable ..............59 14.10 ActiGait® Charger .............................60 14.11 ActiGait® Implant ..............................61 14.11.1 X-Ray Identification .........................62 15. Classification ................................62 16. List of symbols .............................63 16.1 Ingress Protection ...............................65 17. Declaration of Conformity .......65 3 1. Introduction This manual describes the use of the ActiGait® and is directed towards individuals with an ActiGait® Implant. The manual is to be used as an information resource and an instruction manual. The term “User” defines individuals who have an ActiGait® Implant and thereby are users of the ActiGait®. For clinicians the Clinician Manual (647G805=GB) is available 2. Intended Use 2.1 Medical Purpose The ActiGait® is solely to be used as treatment in patients having a drop foot follow- ing an upper motor neuron lesion. 2.2 Application The ActiGait® system is a partially implantable medical device for treatment of drop foot which activates the muscles of the lower leg during walking. The system is intended for use by persons suffering from paralysis of the ankle dorsiflexor muscles caused by damage to the central nervous system. The largest group of potential users are persons with hemiplegia as a consequence of stroke. The system will not function for people with drop foot caused by peripheral nerve damage. 2.3 Qualification of Clinician The selection of users for ActiGait®, setup and adjustment are done by clinicians such as medical doctors, physiotherapists or equivalent. To be able to program and adjust the ActiGait®, the clinician must have obtained a certificate on usage of the Clinical Station software following training by Otto Bock 2.4 Follow up Schedule It is recommended that the ActiGait® is activated 1-3 weeks after implantation, as the wound healing must be finished first. The user should thereafter be followed close…
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