myolino: ottobock pediatric ul system · software / bluetooth technology • evaluation of myo...

Myolino:Ottobock Pediatric UL SystemProfessional & Clinical Services

2018

Children system – Introduction | Academy Wien | © Otto Bock HealthCare | 11.07.2018

Course Overview

• This course is a PDF, READ-ONLY format

• You will not hear any narration

• The color-outlined “Note” boxes throughout the presentation contain

helpful tips and important information

• Plan for approximately 1.5 hours to take this course

• To obtain CEUs, the link to the software, and username/password,

the 15-question quiz must be completed

2

Children system – Introduction | Academy Wien | © Otto Bock HealthCare | 11.07.2018 3

• Introduction

• MovolinoArm Friction

• Wiring the Components

• MyolinoSoft Data Station

• MyolinoSoft Installation

• MyolinoSoft MyoTest Tab

• MyolinoSoft Selection Tab

• MyolinoSoft Setup Tab

• MyolinoSoft Customizing Tab

Overview


1. Minimization of components

2. Improved battery technology

• Higher capacity

• Faster charging process

3. Software / Bluetooth technology

• Evaluation of Myo Signals

• Easy changing of programs and settings

4. Adjustable programs

Introduction

New System Advantages

Changing from 4in1 to 7in1 controller offers:


Control UnitTerminal Device Battery System

Otto Bock Pediatric System (4.8V)

Introduction

4.8 V Battery4in1 ControllerElectric Hand 2000

*Changing programs requires the use of color-coded coding plugs

*External/

Interchangeable

Previous System


Control Unit Terminal Device Battery System

MyolinoLink

7in1

Controller

Otto Bock Pediatric System (7.4V)

Introduction

Electric Hand 2000

*Integrated into

prosthesis

New System


Introduction

• Ages 1 ½ - 13

• Sizes 5, 5 ½, 6, 6 ½

• 28-58mm opening width

• 8-35 NM of force (6-25 lbs)

• Suitable for all levels of UE amputation

• Thumb and fingers rotate around same axis

• Passive rotation

• Reduces compensatory UE motions

• Finger filler and glove complete the hand

Electric Hand 2000


Introduction

Electric Hand 2000

Size 5 for children between 1 1/2 and 3 years old

Size 5 1/2 for children between 3 and 6 years old

Size 6 for children between 5 and 10 years old

Size 6 1/2 for children between 8 and 13 years old


Lamination Ring

11S6=34

Lamination Ring

11S6=36

Children hand size

5, 5 ½ 6, 6 ½

Introduction

Transradial Socket Connections

*Connecting piece between prosthesis and hand

(34mm) (36mm)

*36mm ring has a longer diameter due to higher mechanical load


If limb is very small, use of standard

electrodes is recommended due to

limited space

13E200

Standard Electrodes

13E202

Suction Electrodes

Always recommended if limb has enough

length and volume to accommodate larger

electrode size

Introduction

Choosing Electrodes…

Silicone

Seal


10V51=1 10V51=2

• Additional degrees of freedom (passive)

• Early avoidance of unnatural compensatory movements

• Supports a physiologically correct body posture

Introduction

MyolinoWrist

*laminate into custom forearm*glue into prefab forearm, however NOT the

12K12 prefab; it will not fit (40mm)


• 4 programs selectable by coding plugs

• 9E369 for hand size 5

• 9E370 for hand sizes 5 ½ , 6, 6 ½

• 7 default programs: selectable in MyolinoSoft via Bluetooth

• Works with all hand sizes

• Customizing in MyolinoSoft via Bluetooth

Introduction

4in1 Controller 9E369 / 9E370

7in1 Controller (9E420=R/L)

Control Units


4in1 7in1 Electrodes

DMC plus 2

DMC LowInput 2

AutoControl LowInput 2

Digital 2

VarioControl 1

Double Channel 1

EVO digital 1

Program Options

Introduction


• No disassembling of prostheses for programming (no coding plugs)

• Wireless connection allows user to move during adjustments

• Operating distance/range: 5 m

MyolinoLink 60X6

BionicLink PC 60X5

Bluetooth Connection

Introduction

*Plugs into charging

port for battery

*Plugs into computer to

communicate with MyolinoLink


System with 4,8 V

Interchangeable Battery

757B13

System with 7,4 V

MyoEnergy Integral

757B35=1 / 757B35=3

Design Interchangeable Integrated

Technology NiMh Li Ion

Charging time 5 h 2.5 h

Capacity 300 mAh 600 / 1150 mAh

FeaturesOn/Off switch

•Multifunctional magnetic

charging plug

•LED battery status indicator

•Acoustic feedback signal

Battery Systems

Introduction


• Enables natural socket shape/appearance

• Thin and foldable Flex-print cable

• Battery status shown with LED lights

• Magnetic connection

MyoCharge Integral

MyoEnergy Integral

MyoEnergy Integral 757B35=1 / 757B35=3

MyoCharge Integral 757L35

Power Management

Introduction

(charger)

(600mAh) (1150 mAh)


• Ages 3-5 years

• Hybrid Design:

- Mechanical elbow; Myoelectric Hand

• Adjustable Friction (using included 3mm Allen key)

- humeral rotation

- flexion/extension of forearm

• One size available (cut forearm to length)

• Adaptable for right and left side

Introduction

MovolinoArm Friction Elbow (12K12)


• 6° pre-flexion

• Maximum flexion of 135°

• Damped flexion/extension end stop

• Humeral rotation limited up to an range of 160°

(80º internal, 80º external)

Introduction

MovolinoArm Friction Elbow (12K12)


• Lamination ring for gluing into the distal end of MovolinoArm Friction

• Connection between the prosthetic hand and forearm of elbow

11D12=34

Introduction

Transhumeral Connection


Adaption of prosthesis control to the child’s needs

Adjustable Parameters:

• Control mode (7 programs)

• Threshold

• Grip force

• Signal “boost”

Introduction

MyolinoSoft 560X3=V1.0

Software


Small components

Easy adjusting in MyolinoSoft via Bluetooth

No coding plugs

Evaluation of myo signals in MyolinoSoft

Higher battery capacity Longer battery life

Wireless adjusting while child is using the prosthesis

Introduction

Summary of 7.4 System Benefits


Easy charging; magnetic charger connection

LED lights on charging port display battery status

Enables a smooth transition to adult system

(Similar programs)

Integrated battery allows for a natural socket shape

Introduction

Summary of 7.4 System Benefits


Introduction

23

What to order…

*Indicates need for additional number or letter (right, left, size, etc)

8S20N* Cosmetic Glove

8S20N* Cosmetic Glove


• Introduction

• MovolinoArm Friction: Componentry Assembly








Overview


• Componentry compatibility for Movolino Arm Friction 12K12

• Important information for MovolinoArm Friction

• Humeral rotation of the MovolinoArm

• Adjusting friction for flexion and extension

• Cutting the forearm

• Gluing the lamination ring distally (12D12=34)

• Opening the assembly panel to integrate components

• Cutting out the hole for the charging plug

• Connecting the electrode cables

• Preparation for lamination

• Inserting the lamination aids into the proximal lamination ring

Componentry Assembly

Content


Myo-Components

(hybrid: mechanical elbow,

myoelectric hand)

Movo-Components

(body powered)

Physo-Components

(passive)

Children‘s Electric Hand 2000,

sizes 5, 5½

Cable activated hook for

children (10A25)

Wrist10V18=34

Lamination Ring 11D12=34 Adapter Wood 10A40

Contact Plate 9E414 8S6

7in1 Controller

9E420=L/=R

8S9

MyoEnery Integral Battery

757B35=1

12K12 Compatibility



The forearm and the elbow unit must not be separated.

Disengaging of the screw-connection of the elbow axis is only allowed by

authorized Ottobock Service branches.

Important Information

Torxscrews of the elbow axis are

not allowed to be disengaged.

Forearm: Cannot be changed!

Elbow unit

MovolinoArm Friction


Separation is not necessary for fitting!


Allen key

MovolinoArm humeral rotation adjustment screw

3mm Allen key included in delivery

Note

Humeral Rotation


Rotation allows

movement of

prosthesis away from

or toward the body


Allen screw

Adjusting friction for flexion and extension

• Resistance is adjustable with Allen screw

• Fully flex or extend elbow

• When adjusting friction, take into account the limited strength of children

Friction Adjustment



• Use center of elbow axis on sound side as reference point (laser level very helpful)

• Take into account any assymetric position of the shoulders

• User should stand straight with shoulders relaxed; run laser horizontally from sound side

• Make sure limb is pulled all the way into socket, or measurement will be incorrect

• If shoulder range of motion is limited, forearm may need to be cut slightly shorter

Maximum:165mm

Minimum:115mm

Cutting the Forearm



Stand prosthesis straight up on a smooth surface.

Rotate prosthesis to mark a parallel cut line around forearm.

Note

The forearm can be

shortened by max.

of 55mm

Cutting the Forearm


Stabilize pencil while

rotating prosthesis


Glue:

Sealing resin

Contact glue (636K18)

Smoothing the cutting surface

Bonding Lamination Ring


12D12=34

Can use sealing resin, however

contact glue (gel) is easier to work with


• To integrate components, the assembly panel has to be opened

• Insert the following components:

- battery

- charging port

- 7in1 controller

- contact plate (9E414)

Assembly Shutter


*See instruction manual for further information

• All components should be secured with adhesive

tape/Velcro; do not leave loose in forearm


Charging plug MyoEnergy Integral

Shape of the charging

plug is visible on the

backside

Backside of the forearm

Charging Plug


1. Drill out the 2 starter hole marks

2. Grind out remainder of charge plug shape

3. Be careful and precise!

4. Charging socket must fit into hole without

pressure, yet without too much clearance


Electrodes:

13E200 MYOBOCK standard electrodes

13E202 MYOBOCK suction socket electrode

Port 1: Electrode (CLOSE)

Port 2: Electrode (OPEN)

Suction socket electrode

Silicone GreasePlease seal all plug connections with silicone grease

for humidity and corrosion protection!

Note

Electrode Cable Connection


Blue side of cable faces down

(same direction as electrode

contacts)


Always trim end of cable with sharp scissors or knife

Note

2=OPEN1=CLOSE

13E129=300 MovoLino Forearm

Insert electrode cable (blue side down) into holder as far as is will go




To make definitive socket:

• Loosen Allen screw in middle of ring to release from elbow

• Take out plastic parts of the lamination ring

Lamination Prep



• Lamination aids are inserted into the lamination ring

• Insert both lamination aids correctly and completely

• To insert the white lamination aid, greater pressure is necessary

(pressure)

Lamination Prep



• Introduction









Overview


• Comparison of 4in1 and 7in1 controllers

• 7in1 Controller

• Sealing the Plug Connection

• Connecting the Electrode Cables

• Attaching the Connection Plate

• Attaching the MyoEnergy Integral Battery

• Summary: Wiring Children‘s Hand System

Wiring

Content


4in1 Controller ; 4.8V Battery system with 757B13

Program selection => colored coding plugs

7in1 Controller; 7.2V MyoEnergy Integral

• 2 separate order numbers for right side and left side: 9E420=R or 9E420=L

• Program Selection => Bluetooth: MyolinoSoft, Myolino Link & 60X5

Left side prosthesis

Right side prosthesis

Wiring

4in1 vs 7in1 Controller


8E51=L51/2 8E51=L5 8E51=L6 8E51=L61/2

Controller for all Electric Hand 2000

sizes for the left-side prosthesis

Wiring

7in1 Controller: LEFT SIDE


8E51=R51/28E51=R5 8E51=R6 8E51=R61/2

Controller for all Electric Hand 2000

sizes for the right-side prosthesis

Wiring the components

7in1 Controller: RIGHT SIDE


Contact Plate 9E414

Lamination Ring 10S16=*

Hand Symbol on 7in1

7in1 Controller

Wiring

Contact Plate Connection: 7in1

*NOTE: 4in1 contact plate (9E371) is NOT

compatible with 7in1 controller! If changing from

4in1 to 7in1, must change to 9E414 contact plate!!

1. Insert hand connection cable into port

marked with hand symbol


MyolinoWrist and Electric Hand 2000Contact Plate 9E414

2. Add contact plate 9E414 into the MyolinoWrist

Wiring

Contact Plate Connection: 7in1

*Please see the manual for assembling the contact plate into the MyolinoWrist.


7in1 Controller can only be used with MyoEnergy Integral Battery

Wiring

MyoEnergy Integral Battery

Important functions of MyoEnergy Integral:

Switch the prosthesis ON/OFF

Battery status display

- Green LED = battery full

- Yellow LED = 50% battery

- Orange LED= battery empty

Charging of prosthesis (2.5 hrs max)

Connection with MyolinoLink


Charging socket

Communication cable

Supply cable (2-pole)

1

3

2

1

2

3

• Communication cable is important for the communication between 7in1

Controller, MyolinoLink and MyolinoSoft.

• MyolinoLink cannot send/receive any data to the PC without this cable.

Wiring

MyoEnergy Integral Connections


Please seal every plug connection of the 7in1 with

silicone grease for humidity & corrosion protection!

Electrode cable connection

Battery connection and hand connection

Electrode cable connection

Wiring

Plug Connections


Charging socket of the

MyoEnergy Integral Battery

Contact Plate 9E414

Supply cable (2-pole)

Communication cable

Wiring

7in1 Controller

Electrode Ports

(can use 1 or 2)


Electrode Options:

13E200 MYOBOCK standard electrode

13E202 MYOBOCK suction socket electrode

Electrode cable 13E129=*

Port 1: CLOSE signal

Port 2: OPEN signal

Wiring



• Introduction









Overview


• Start MyolinoSoft 1.0 from the Data Station

• First-time login

• Enter Unlock-PIN

• Set your personal password

• Start MyolinoSoft 1.0 in the MyoTest tab

MyolinoSoft

Content


The Otto Bock Data Station houses all Ottobock software.

During installation no extra desktop icon for MyolinoSoft is created.

Note

1. Double click on Otto Bock Data Station on desktop

2. Program starts

MyolinoSoft

Data Station


MyolinoSoft

Data Station

3. Add Patient

*If patient is already listed

in column on right side,

highlight their name, then

click “Add Job” instead


4. Click Upper Limb Prosthetics

5. Click level of amputation

6. Click on MyolinoSoft

MyolinoSoft

Data Station

4

5

6


• First time login requires the use of

Ottobock issued password

• Then you will be prompted to choose a

password of your choice

• You will now only need the Ottobock

issued password for logging into

software on any new device

• Passwords are case sensitive!

MyolinoSoft

Enter the Unlock-PIN

7. Enter Username & Password


The MyolinoSoft 1.0 starts in

the MyoTest Tab

MyolinoSoft

Initial Screen


• Introduction









Overview


Operating System and Hardware Requirements

MyolinoSoft Setup Assistant

Register MyolinoSoft

Complete MyolinoSoft Installation

Myolinosoft Installation

Content


MyolinoSoft enables optimum adjustment of programs in 7in1.

•Required Hardware:

• PC/Notebook with MyolinoSoft

• MyolinoLink (60X6)

• BionicLink PC (60X5)

MyolinoSoft Installation

Hardware

If you have never used a 60X5 BionicLink, please

install the drivers found here:

https://professionals.ottobockus.com/Software

https://professionals.ottobockus.com/Software


System Requirements


Note:

Ottobock Software is not

compatible with Apple products

(Mac, iPad, iPhone, etc.)

*Internet/email access required to

complete software registration



Instructions

1. Click on software installation

link you were emailed after

completing this course and test

2. Click “open”



Instructions

3. Double-click on

MyolinoSoft 1.0 folder

4. Scroll down list of files and double-

click on setup; do not choose setup 32

or setup64



Instructions

5. Extract all


6. Extract


Instructions



Instructions

7. Run



Instructions

8. Follow prompts on

InstallSheild Wizard

NOTE:

If this does not pop up

automatically, look at

the task bar at the

bottom of the screen

for this icon, and click

to open:



Instructions

9. Accept terms


• Type in your name & company

• Product code is found in your course

completion email or on CD-Case

• Click “Next”

Product code is case-sensitive!

Instructions


XXXXXXXX-XXXXXXXX

10. Customer Info


• Fields marked with * are required

• Use caution with abbreviations

• If software is ever reinstalled, the

address data will need to be identical

to this first entry

• Take a screenshot or picture to

document for future use if necessary


Instructions

[email protected]

XXXXXXXX-XXXXXXXX

11. Registration



Instructions

1. Click “Copy to Clipboard”

2. Open a new email message

3. Leave Subject blank; delete any

automated email signature information

4. Right click and paste in body of email;

registration information will appear

5. Send email to

[email protected]

6. You will receive an email back within a

few minutes containing your license

number

7. Enter license number and click “Next”

XXXXXXXX-XXXXXXXX

XXXXXXXX

[email protected]

Registration needs to be done on

each device MyolinoSoft is installed

mailto:[email protected]



Instructions

• Notification of successful

registration

• Click “Next”

12. Complete Registration



Instructions

Follow instructions on

InstallShield Wizard

13. Complete Installation



Instructions

• Click “Finish”

• You can now access

MyolinoSoft by opening

Ottobock DataStation on

your desktop

14. Installation Complete


• Introduction









Overview


Testing Myo-Signals


MyolinoSoft Adjustments

Evaluation of Myo-Signals

Working with the user

Documentation

MyoTest

Content


Complete children‘s hand prosthesis Laptop with MyolinoSoft and

Bionic Link PC 60X5

System 2000 Hand,

all sizes available

MyolinoLink

Integrated into socket: MyoEnergy

Integral battery, 7in1 Controller and

electrodes


MyoTest


• The MyolinoLink Bluetooth is plugged into the charging socket

• Activates automatically, regardless if prosthesis is turned ON or OFF

• When link is removed, prosthesis will revert to previous condition (ON or OFF)

Contact is made:

• Short beep

Bluetooth Connection:

• LED blue (flashing)


MyoTest


Press charging receptacle with thumb for 1 sec:

Battery Status Display

MyoTest


Battery Status

MyoTest


• Start MyolinoSoft

• Create a new patient

• MyoTest for evaluation for Myo-Signals

Important Parameters:

• Exact positions of the electrodes

• How many sites are there? (1 vs 2)

• Adjusting the electrode gains (start at 4)

• Classifications of the signals: NONE, ON, LOW and HIGH

• Co-Contraction ability

Testing Myo-Signals

MyoTest


To start myotesting, the hand must be connected to prosthesis

or a warning will be displayed

Warning: Hand Connection

MyoTest Tab


Summary:

Children‘s hand connected to

prosthesis

Battery fully charged

MyolinoLink on charging socket

60X5 BionicLink plugged into USB

port on computer

Open Data Station

Start MyolinoSoft

Myolino Link Connection (7in1)

MyoTest Tab


• Menu

• Display Window

(graphic presentation of the

Myo-Signals)

• Virtual MyoBoy-Scale

• Open/close signals

• Scroll function

• Start/Stop myo-signals

• Active Mode (if checked,

hand will operate)

Functions

MyoTest Tab

*Otto Bock Data Station Online help:

Press F1 key.


• 7in1 Controller reacts to Myo-Signals when

box is checked.

• 7in1 Controller doesn‘t react to Myo-

Signals. Signals are shown on screen.

• Uncheck Active mode while user is donning

prosthesis, as movement of the hand can be

frustrating

• After turning prosthesis ON/OFF, controller

always defaults to Active mode ON

Active Mode

MyoTest Tab


• Start MyoTest with “Start

EMG” button

• Start/stop signals by

pressing space bar

• If space bar does not work,

click into display area of

MyoTest

• Start/stop is helpful to

show user which signals

are “good”, and also for

documentation/recording

purposes

Start/Stop SignalsMyoTest Tab


• Time axis defines display area of signals

• Allows adjustment of the speed of myo-

signals running on screen

• Adjustable from 4s to 16s

• Longer time range => runs signals

more slowly

Time AxisMyoTest Tab


Arrows

Signal History

MyoTest Tab

• Signal sequence can be shifted to

left and right side.

• 60 seconds are temporarily saved on

the screen, which can be printed

• This function supports the evaluation

of signals and is a good feedback

tool for the user.

• Each sequence can be analyzed

through scrolling on the screen.

• User gets feedback and that helps

for further Myo-Training.


HIGH

ON

LOW

1sec

• Classification of signal quality: ON, LOW or HIGH

• LOW-threshold => green line

Signal ThresholdsMyoTest Tab

ON Signals:

The user can hold the signal for approx.

2 sec above the ON threshold

LOW Signals:

The user can hold the signal approx. 2

sec above the LOW threshold

HIGH Signals:

The user can hold the signal approx. 2

sec at the HIGH threshold


ATTENTION:

Careful and precise evaluation of Myo-Signals is crucial.

The results are essential for the quality of the prosthetic fitting.

MyoTest:

• Show signals

• Print signals

• Save signals

Evaluating Myo-Signals

MyoTest Tab


Various factors can disrupt the signal:

• Oily skin

• Dry skin

• Wet skin

• Scars/Skin transplants


MyoTest Tab

To ensure accurate readings,

take frequent breaks.

The user will fatigue quickly!


Weak Signals & Interference

Cause Effect Remedy

Oily Skin Weak signal Clean with alcohol and then

dampen with water

Skin too wet Noise Dry the skin

Skin too dry Weak signal or noise Dampen skin with water

Scars and Skin grafts Weak or artificial signals Make sure diff-amps are on

skin of similar characteristics

or avoid totally

Electro-magnetic interference

(EMI)

Noisy signal Find and remove the source

(try running computer on

battery) and use grounding bar


MyoTest Tab


Origin of muscle

Innervation

Muscle belly

End of

muscle

Evaluation of Myo-Signals MyoTest Tab

• Best sites are

typically over largest

part of muscle belly

• Electrodes must run

parallel with muscle

fibers

• Find one site first,

then the second,

before trying to train

both simultaneously

• Use wet paper towel

to slightly dampen

skin for best results


• Start at 4; work from there for optimal setting

• If set too low, user will have to work too hard

to generate signal and will fatigue (and

frustrate) quickly

• If set too high, the user will feel it is difficult

to control the hand, and the system will be

prone to interference

• Adjustment will be necessary throughout the

first month or two

• As user builds muscle strength, gains will

need to be reduced for optimal prosthetic

control


MyoTest Tab

Electrode Gain Adjustment


• Examine signal levels: (none, ON, LOW, HIGH)

• Correct electrode position

• Good signal separation?

• Co-contraction ability?


MyoTest Tab

Ideally only one signal should cross ON threshold at a time, however perfect

isolation is not required.

The first signal to cross the ON threshold will be recognized.


Co-Contraction

TRANSRADIAL: Movements with phantom limb

TRANSHUMERAL:Movements with residual limb

Make a quick fist Quickly press newspaper under arm

Snap fingers “Flinch” as though something was

coming at you (slightly abduct limb and tense up)

Flick water off of fingertips

*If co-contraction isn’t working, it’s usually because they are

holding contractions for too long; needs to be quick!

MyoTest Tab

Tips to elicit a co-contraction:


Document:

Signal strength

Signal separation

Proportional control

Co-contraction ability

Progression with training

Documentation

MyoTest Tab

These facts will assist with insurance coverage!


• Test results can be saved by clicking “Save Signals”

• Test results can be retrieved by clicking “Open Signals”

Start Signals Save Signals Open Signals

DocumentationMyoTest Tab

Saving Signals


• Saves current signals

• Display stops automatically


Saving Signals


• Choose signals section

• Ruler can be positioned on

a certain signal section

• Signal sequence is saved

exactly between selection

points.

Documentation

MyoTest Tab



Enter Right or Left

The selected signal section will be

displayed in the actual job

Save with a unique name to easily

recognize the signal recording

Left Right

Jane Doe’s Best Signals DD/MM/YYYY


• Gain settings of electrodes

can also be documented

• You must enter the gain

settings manually

• Please note Channel 1 is

usually for flexors (blue)

and Channel 2 is usually

for extensors (red)

• Clicking “Save” will save

the last 60 seconds of

signals


Save


• All saved signals of the job

are displayed in box

• Signal name, signal type

(MyoTest), date and time

are saved

Documentation

MyoTest Tab

Loading of a signal section:


• Preview of saved signals

• Amputation side and electrode settings are displayed.


Loading of a signal section:


Notes on print-out Enter electrode

gain settings!

Documentation

MyoTest Tab

Printing

1. Click on

printer icon

2. Select items

to print


Notes will be displayed

Documentation

MyoTest Tab

Printing

Form will be generated


• Introduction









Overview


• Specification of signal strength

• Definition of different signal strengths

• Program specification

• Check settings

• Programming the 7in1 Controller

- 1st Example: 2 HIGH Signals

- 2nd Example: 2 LOW Signals

- 3rd Example: 1 HIGH Signal

• Otto Bock DataStation Help Function

• “Show All” Mode

Selection Tab

Content


• Enter signal strength

for each signal

• Possible program

options will be

automatically displayed

based on signal

strengths entered

Signal Strength

Selection Tab

NONE

Specifications


Specification of patient‘s signal strength in the drop down menu.

• Signal strength of input 1

(blue, flexor: closes hand)

• Signal strength of input 2

(red, extensor: opens hand)

Signal Strength

Selection Tab

NONE


Able to hold

signal above

ON for 2 sec

“ON” “LOW”

ca.

1sec

Signal Strength Definition

“HIGH”

Selection Tab

Able to hold

signal above

LOW for 2 sec

Able to hold

signal above

HIGH for 2 sec


Classification of Muscle Signals

Select program for user

Program Specification

Selection Tab


Chosen

Program:

Program 1

Chosen Signal Quality:

2 electrodes @ “HIGH”

Checking the Settings

Selection Tab


Otto Bock program recommendation:

Program #1: DMC

Programs

Selection Tab

Example:2 high signals



Program #2: DMC Low Input

Programs

Selection Tab

Example:

2 low signals



Program #5: VarioControl

Programs

Example:

1 High Signal

Selection Tab

NONE


Start Data Station Help

2. Data Station Help Window opens

3. Select MyolinoSoft

Help Function

Selection Tab

1. Select “Content” from Help menu


Program Description

Program Descriptions:

1. Hover cursor over program

OR

2. Select “Control Mode Selection”

in Help Content

ToolTips

Cursor

Selection Tab


ToolTips

Selection Tab

*Program description obtained through Help Content


• “Show All” will display all program options, independent from muscle

strength indications

• Favorites (Programs saved with patient-specific settings) are also displayed

Show All Mode

Selection Tab

Show All


If you have finished the settings,

click on the right arrow of the

assistant to proceed to Setup Tab.

Closing Tab

Selection Tab


• Introduction






• MyolinoSoft Specification Tab



Overview


Overview: Programs of the 7in1 Controller

Program 1: DMC

Program 2: DMC LowInput

Program 3: AutoControl LowInput

Program 4: Digital

Program 5: VarioControl

Program 6: Double Channel

Program 7: EVO

Setup Tab

Content


# Program Name # of Electrodes

1 DMC 2

2 DMC LowInput 2

3 AutoConntrol LowInput 2

4 Digital 2

5 VarioControl 1

6 Double Channel 1

7 EVO 1

Programs: 7in1 Controller

Setup Tab


• For user with 2 strong sites

• “Blue” signal 1 =>

closes hand

• “Red” signal 2 =>

opens hand

• Open/close is proportional

to intensity of muscle

contraction

• Grip force and speed are

proportional.

Program 1 - DMC

Setup Tab


Reduced working range of the Low Input control

• For user with 2 medium signals

• Reduced working range

• Max speed & grip force reached

when signal passes “LOW”

threshold

Program 2 - DMC Low Input

Setup Tab

Proportional speed &

grip force in this range


Reduced working range of the Low Input control

Working range for

closing the prosthesis

Program 3 - AutoControl LowInput

Setup Tab

Max speed and grip force reached for

closing when signal passes “LOW”

*For user with 2 weak sites


• For user with 2 weak sites

• “Blue” signal 1 above ON

=> hand closes

• “Red” signal 2 above ON

=> hand opens

• Open/close with constant

speed.

• Grip force is

time- proportional

Program 4 - Digital

Setup Tab


• For user with 1 strong site

• Signal increases =>

prosthesis opens

• Signal decreases =>

prosthesis closes

• Proportional control with

rise and fall of signal

Working range of the VarioControl control

Program 5 - VarioControl

Setup Tab


• For user with 1

strong site

• Strong/fast signal =>

prosthesis opens

• Weak/slow signal =>

prosthesis closes

• Grip force is time-

proportional

Adjustable threshold

Program 6 – Double Channel

Setup Tab

ELE Option


• EVO = Electronic

Voluntary Opening

• For user with 1 weak site

• Signal above ON =>

prosthesis opens

• Signal below ON =>

prosthesis closes

• Digital control/ speed

independent of electrode

signal

Program 7 – EVO Digital

Setup Tab

ELE Option


• Introduction


• Wiring the components




• MyolinoSoft Specification Tab



Overview


• MyoGraph

• Signal Boost

• ELE Options

• Grip Force Limitation

• Defining Working Range

• Defining the Hand-control Option

• “Set to default” Button

Content

Customizing Tab


1. MyoGraph

2. Signal Boost

3. ELE Options

4. Grip Force Limitation

5. Defining Working Range

6. Defining the Hand-

control Option

7. “Set to default” Button

MyoGraph

1

2 34

56

7

Overview

Customizing Tab

*This tab allows standard programs to be customized

*Settings can be saved as a “favorite” program for future use


Original Signals (signals without

boost) are shown hereBoosted Signals shown on myograph

• MyoGraph allows analyzing of signal behavior in detail.

• Signal disconnection, co-contraction, boost & threshold settings can be checked

MyoGraph

Customizing Tab


Boost for

“close“ signal

Boost for

“open“ signal

• Only use boost if the electrode gains

have already been maxed out (6.5)

• Each electrode signal can be

enhanced individually

• Boost range of 0.25x – 4x (400%)

Signal Boost

Customizing Tab


“Blue“ signal can be changed

to open the hand

• In ELE Options you can define

the body side of the prosthesis

• Assign which signal is used for

opening or closing.

• Simple fix if electrodes were

accidentally wired backwards

Electrode Reallocation

Customizing Tab


• Gripping Force Limitation: 0% equals ~ 1 lb to 2.2 lbs

• Gripping Force Limitation: 100% equals maximum strength

- Hand size 5 ~ 3.3 LBS

- Hand size 5,5 ~ 7.8 LBS

- Hand size 6, 6,5 ~ 12.3 LBS

Grip Force Limitation

Customizing Tab


Working range hand control

“Open” direction

Working rang hand control

“Close” direction

0%

100% 100%

Working Range

Customizing Tab

Closer to 0 = signals are

more sensitive, as max

speed is reached at a

lower level of signal

Reducing the working range

lowers the ”HI” threshold,

which reduces the

proportional range


Signals below the ON threshold are ignored.

Example for the reduced working range:

- Prosthesis is opening with maximum speed at selected level (50%)

- Goal should be to use full working range (lever @ 100)

Working Range

Customizing Tab


• 2-ELE: 2 electrode control, DMC control

• 1-Vario: 1 electrode control, VarioControl control

• 1-Double: 1 electrode control, double channel control

• 1-EVO: 1 electrode control, Electronic Voluntary Opening

Control Options (Hand)

Customizing Tab


• Open and Close the prosthetic hand proportionally to the strength of

the electrode signal (DMC control)

• Grip force is proportional

Control Options: 2 ELE

Customizing Tab


• Used with 1 strong site

• Strong/fast signal => hand opens

• Weak/slow signal => hand closes

• Grip Force proportional to signal fall

Control Options: 1 Vario

Customizing Tab


Adjustable threshold for double channel control:

Quick/strong signal=opens hand @ max speed above adjustable threshold

Slow/mild signal=closes hand when signal doesn’t reach threshold

Control Options– 1 Double

Customizing Tab


ON threshold

Prosthesis opens when signal is above the ON-threshold

Prosthesis closes

when signal is

below the ON-

threshold

Control Options – 1 EVO

Customizing Tab

*Used with 1 weak site


• Each 7in1 Controller is delivered in Program 1 DMC control

• This button is available in every tab; use to return to default settings

Factory Conditions

Factory Settings

Customizing Tab


Course Completion

If you would like to take the quiz to obtain CEUs, a link to install the MyolinoSoft Software, and a username/password, please proceed to the quiz link at https://professionals.ottobockus.com/Online-Trainingunder the Myolino Pediatric UL System Online Training section.

147

https://professionals.ottobockus.com/Online-Training

Thank you for your attention!

www.ottobock.com

Questions?

Please call 1-800-328-4058 and ask to be directed to

an Upper Limb Clinical Specialist on the PCS team.

myolino: ottobock pediatric ul system · software / bluetooth technology • evaluation of myo...

Documents