Albrecht CDS SUP-PROSAN User manual

USER INSTRUCTIONS
CDS®SUP-PROSAN
DYNAMIC SPRING-LOADED PRO-/SUPINATION ORTHOSIS

CDS®SUP-PROSAN
User Instructions
00800 03032900 – INTERNATIONAL SERVICE-HOTLINE
2
Contents
1. Introduction .................................................................................................. 5
1.1. Foreword ................................................................................................... 5
1.2. Customer information ............................................................................. 5
1.3. Mode of operation................................................................................... 5
1.4. Application ............................................................................................... 5
1.5. Scope of delivery...................................................................................... 5
1.6. Declaration of conformity........................................................................ 5
1.7. Features..................................................................................................... 6
1.8. Indications ................................................................................................ 6
1.9. Contraindications ..................................................................................... 7
1.10. Safety Instructions.................................................................................. 7
1.11. Warranty.................................................................................................. 7
2. Adjustment by the orthopaedic technician .......................................... 8
2.1. Fitting to the patient ................................................................................ 8
2.1.1. Adjusting the brace to the arm shape by using an
orthopaedic “bending iron” ..................................................................... 8
2.1.2. Setting the shell components ........................................................ 9
2.1.3. Adjusting the length of the brace ............................................... 10
2.2. Setting the limitation .............................................................................11
2.2.1. Setting the limitation when using as a supination brace......... 11
2.2.2. Setting the limitation when using as a pronation brace ......... 12
2.2.3. Adjusting the palm plate.............................................................. 13
2.2.4. Optional conversion from right to left or from left to right ... 14
2.2.5. Adjusting the finger plate............................................................ 16

User Instructions
www.albrechtgmbh.com 3
2.2.6. Inserting the stop wedge............................................................. 17
2.2.7. Changing the position of the supports ...................................... 18
2.3. Application of the brace by the orthopaedic technician
when using as supination orthosis............................................................... 19
2.3.1. Deactivate the spring tension ...................................................... 19
2.4. Application of the brace by the orthopaedic technician
when using as pronation orthosis................................................................ 20
2.4.1. Deactivate the spring tension ...................................................... 20
2.4.2. Attaching the brace to the elbow............................................... 21
2.4.3. Adjust strap lengths as necessary .............................................. 22
2.4.4. Final adjustment............................................................................ 22
2.4.5. Activate the spring tension (supination orthosis)..................... 23
2.4.6. Activate the spring tension (pronation orthosis) ...................... 23
2.4.7. Setting the spring tension to the intensity
needed by the patient ............................................................................. 24
2.4.8. Changing the spring tension ....................................................... 25
2.4.9. Adjusting carrying strap............................................................... 25
3. Handling by the patient........................................................................... 26
3.1. Removing the brace (supination)........................................................... 26
3.2. Removing the brace (pronation) ........................................................... 27
3.3. Putting on the brace.............................................................................. 28
4. Cleaning, maintenance and disinfection ............................................. 29
4.1. Pads and straps....................................................................................... 29
4.2. Supports (hinges)................................................................................... 29

CDS®SUP-PROSAN
User Instructions
00800 03032900 – INTERNATIONAL SERVICE-HOTLINE
4
5. Technical data............................................................................................. 30
6. Size chart and article numbers............................................................... 30
7. Transfer of the brace................................................................................. 31
8. Disposal ....................................................................................................... 31

User Instructions
www.albrechtgmbh.com 5
1. Introduction
1.1. Foreword
Dynamic spring-loaded orthoses can be used
to treat joint contractures caused by both
neurological and orthopaedic conditions.
The shortening of the tissue surrounding the
joint decreases the range of motion affecting
the patient’s everyday life. Therefore, our
CDS concept aims to increase the range of
motion without pain by applying a constant,
appropriate low load prolonged stretch (LLPS).
1.2. Customer information
For your own safety please read through these
User Instructions carefully and accurately
before using the brace. The instructions, notes
and procedures must be read and understood
thoroughly in order to benefit from the correct
operation and use of the device. If anything
in the User Instructions is not clear, or any
instructions, operating procedures or safety
information is not fully understandable, please
contact the appropriate specialist retailer or
albrecht GmbH directly, before you use the
brace. This particularly applies to the safety
instructions.
1.3. Mode of operation
The CDS®Sup-Prosan functions according to
the CDS®-principle and has been designed
to treat a Pro-/Supination deficit. The brace
applies a dynamic low load prolonged stretch
to stimulate growth in the contracted tissue.
The adjustable redression range protects
the tissue from overstretching.
1.4. Application
The brace has been designed exclusively for
the orthotic treatment.
1.5. Scope of delivery
Please check the completeness of the brace at
delivery.
• Brace with padding and straps
• albrecht GmbH hexagon key
• User Instructions
• Strap padding Set
1.6. Declaration of conformity
The albrecht GmbH company as manufacturer
with sole responsibility declares the conformity
of the CDS®Sup-Prosan with European
Council Directive 93/42/EEC for medical
devices.

CDS®SUP-PROSAN
User Instructions
00800 03032900 – INTERNATIONAL SERVICE-HOTLINE
6
1.7. Features
• Therapy in pro-/supination
• Individually adjustable spring tension
• Spring tension can be switched on and off
without tools and without varying the set
spring tension
• Infinitely adjustable setting of the redression
range
• With carrying strap
• Individually adjustable shell and strap system
• Easy handling and high comfort in wear
• Adjustable palm plate
• Conversion is possible from supination on
the right to pronation on the left and from
supination on the left to pronation on the
right.
1.8. Indications
The physician will prescribe the type of
treatment to apply based on his or her
diagnostic findings.
Generally, the use is indicated in:
• Joint contractures:
–After surgery
–After conservative treatment of capsular
ligament injuries
–Before and after joint replacement
–In arthrosis and chronic polyarthritis
–After burns
–After strokes
–Paralysis
–After cranio-cerebral trauma (CCT)
–After radius fractures
–After ulna fractures
–Radius head dislocation
–After scaphoid fractures
• Treatment after biceps tendon rupture
• To prevent new contractures after arthrolysis
For all other indications a physician must be
consulted.

User Instructions
www.albrechtgmbh.com 7
1.9. Contraindications
• Bony obstruction, osteoporosis
thrombophlebitis
The brace is intended exclusively for contact
with intact skin.
1.10. Safety Instructions
The optimal effect of the brace is only
achieved when used correctly.
• The brace must only be used in the intact,
complete and mechanically undamaged
condition and with complete and intact
cushioning and walers. This must be verified
by the user before each usage.
• Opening or removing one or more belts,
as well as excessive loosening of the waler
when using the brace leads to a reduction of
the therapeutic effect of the brace and may
lead to injury.
• The brace must not be worn over open
wounds.
• The skin should be free of oils, grease, gels
or other debris, to prevent reactions with the
skin or the structure of the material.
• The orthosis should fit firmly but not
too tight, so as not to restrict the blood
circulation and adversely affect nerve and
lymph vessels. Excessive compression is
therefore to be avoided.
• Combination with other products is currently
not provided for or is to be agreed with the
manufacturer in writing.
• The brace is not intended for single use,
but is intended for multiple use by a single
person.
• The product as delivered is not sterile.
• Contact your physician immediately in the
event of an allergic reaction.
• Please note that cushioned sections can heat
up under direct sunlight. Protect the orthosis
from direct sunlight if necessary.
• Currently there is no test for flammability.
Exercise caution when using the orthosis
in the direct vicinity of open flames such as
lighters and cigarettes.
• The mechanical functions must only be
adjusted using the supplied tools in order to
avoid injuries and damage of the hinge.
• When adjusting the hinge rods to the shape
of the extermity by using an orthopaedic
bending iron, you must not bend the rods in
the area of the hinge housing or the hinge
cover as this could lead to damage or break
of the hinge.
1.11. Warranty
In addition to the legal warranty, we provide
a 6-month durability guarantee for the
orthosis. If properly used, this guarantees
that the orthosis will function without fault.
This excludes the padding and straps, which
are usually liable to a certain amount of
wear and tear. This kind of wear and tear
does not represent a product defect. This
manufacturer’s warranty is subject to the
condition that the orthosis is used as a medical
rehabilitation device and for no other purpose
than that described in the instructions for
use. Changes to the orthosis or the removal /
damage to the quality management seal will
invalidate the warranty.

CDS®SUP-PROSAN
User Instructions
00800 03032900 – INTERNATIONAL SERVICE-HOTLINE
8
2. Adjustment by the orthopaedic technician
2.1. Fitting to the patient
• Our CDS®braces are constructed to be adjustable.
• The position of the shell components can be changed and they can be shaped.
• The hinge rods can be adapted to the shape of the extremity by using an
orthopaedic bending iron.
• The strap lengths can be adjusted to different girths and shortened if
necessary.
2.1.1. Adjusting the brace to the arm shape by using an
orthopaedic “bending iron”
To ensure that the brace fits perfectly, the hinge rods can be adjusted to the
shape of the patient’s arm with the aid of a bending iron.
Bending iron
Bending iron
When adjusting the hinge rods to the shape of the extermity by using
an orthopaedic bending iron, you must not bend the rods in the area
of the hinge housing or the hinge cover as this could lead to damage or
break of the hinge.

User Instructions
www.albrechtgmbh.com 9
2.1.2. Setting the shell components
The shell components are movable.
1.Loosen the screws on the shell components with the supplied tool.
2.Move the shell components into the desired position.
3.Tighten the screws again.
112233
113322
The shell components can be adjusted to the shape of the extremity.

CDS®SUP-PROSAN
User Instructions
00800 03032900 – INTERNATIONAL SERVICE-HOTLINE
10
2.1.3. Adjusting the length of the brace
1.Loosen the clamping screws.
2.Set to the desired length.
3.Tighten the screws again.
1
1
2
2
3
3
2
2
1
1
1
1

User Instructions
www.albrechtgmbh.com 11
2.2. Setting the limitation
2.2.1. Setting the limitation when using as a supination brace
Before setting the limitation, you must deactivate the spring tension.
1.To do this, set the switch to “off”.
2.Bring the brace into pronation.
3.Then turn the stop screw with the supplied tool out of the CDS®housing.
OFFOFF
112233
Before screwing into one of the three holes, bring the brace into maximum
pronation. This prevents the stop screw from striking the movable hinge rod,
which could damage the CDS®housing.
The limitation should be adjusted to the progress of treatment as the patient’s
mobility increases.

CDS®SUP-PROSAN
User Instructions
00800 03032900 – INTERNATIONAL SERVICE-HOTLINE
12
2.2.2. Setting the limitation when using as a pronation brace
Before setting the limitation, you must deactivate the spring tension.
1.To do this, set the switch to “off”.
2.Bring the brace into supination.
3.Then turn the stop screw with the supplied tool out of the CDS®housing.
OFF
OFF
1
1
2
2
3
3
Before screwing into one of the three holes, bring the brace into maximum
supination. This prevents the stop screw from striking the movable hinge rod,
which could damage the CDS®housing.
The limitation should be adjusted to the progress of treatment as the patient’s
mobility increases.

User Instructions
www.albrechtgmbh.com 13
2.2.3. Adjusting the palm plate
1.Loosen the screw in the forearm rod with the supplied tool.
2.Turn the palm plate into the desired position and ensure that the locking pin
of the forearm rod locks into the hole pattern.
3.Then tighten the screws again.
221133

CDS®SUP-PROSAN
User Instructions
00800 03032900 – INTERNATIONAL SERVICE-HOTLINE
14
2.2.4. Optional conversion from right to left or from left to right
1.Example of left side.
2.Loosen the screw in the forearm rod with the supplied tool.
3.Rotate the hand piece through 180°.
1122
33

User Instructions
www.albrechtgmbh.com 15
4.Then tighten the screws again.
5.Change the upper arm shells so that the fasteners are laterally.
6.Example of converted right brace.
44
55
66

CDS®SUP-PROSAN
User Instructions
00800 03032900 – INTERNATIONAL SERVICE-HOTLINE
16
2.2.5. Adjusting the finger plate
1.Loosen the pad beneath the palm of the hand.
2.Remove the pad.
3.Push the finger plate towards the thumb.
4.While pressing on the finger plate, set the desired position. Ensure that the
locking pin locks into the hole pattern.
5.Insert the pad again.
2211
5544
33
Please note that there are slits beneath the pad that can be used for
finger fixation.

User Instructions
www.albrechtgmbh.com 17
2.2.6. Inserting the stop wedge
Insert the stop wedge in the desired position and fix it with the supplied screw.
The spring tension must be activated before inserting the stop wedge.

CDS®SUP-PROSAN
User Instructions
00800 03032900 – INTERNATIONAL SERVICE-HOTLINE
18
2.2.7. Changing the position of the supports
The CDS®Sup-Prosan is constructed on the basis of a 360° hinge. With the 360°
hinge, the spring housing and forearm rod can be pivoted against one another.
1.Remove the pad.
2.Remove the two screws.
3.Adjust the hinge in 15° steps.
4.Replace the screws and tighten them.
5.Insert the pad again.
In addition, you can thereby adjust the range of motion to the patient.
1
1
3
3
2
2
4
4
5
5

User Instructions
www.albrechtgmbh.com 19
2.3. Application of the brace by the orthopaedic technician
when using as supination orthosis
2.3.1. Deactivate the spring tension
Before attaching the brace you must deactivate the spring tension.
1.Turn the green switch to “off”.
2.Bring the brace into pronation.
3.Now open the straps by opening the clips. To facilitate attaching of the brace
on the patients, adjust the length of all brace straps to their maximum length
without unthreading them.
OFFOFF
112233

CDS®SUP-PROSAN
User Instructions
00800 03032900 – INTERNATIONAL SERVICE-HOTLINE
20
2.4. Application of the brace by the orthopaedic technician
when using as pronation orthosis
2.4.1. Deactivate the spring tension
Before attaching the brace you must deactivate the spring tension.
1.Turn the green switch to “off”.
2.Bring the brace into supination.
3.Now open the straps by opening the clips. To facilitate attaching of the brace
on the patients, adjust the length of all brace straps to their maximum length
without unthreading them.
OFF
OFF
1
1
2
2
3
3