Artus 704ES User manual

User’s Manual
ARTUS-704ES
Safety precautions are intended to protect the user's safety and prevent
property damage. Please read the instructions before use and use them
correctly.

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Contents
Chapter 1. Warning and Caution
1.1 Warning
1.2 Caution
1.3 Information of Electro-Magnetic Compatibility (EMC)
Chapter 2. Product
2.1 Introduction of ARTUS-704ES
2.2 Operation
2.3 Purpose of ARTUS-704ES
2.4 Before reading the user manual
2.5 Safety Precaution
2.6 Caution
2.7 Damaged product during delivery
2.8 Product Configuration
2.9 Label
2.10 Component name
2.11 Product specifications
2.12 Setting
Chapter 3. Explanation of Terms and Symbols
3.1 Explanation of Terms
3.2 Explanation of Symbols
Chapter 4. Installation
Chapter 5. Operation
5.1 How to adjust the device according to the exercise
5.2 How to use Operation Controller and set the exercise
Chapter 6. Maintenance and Troubleshooting
6.1 Storage Conditions
6.2 Treatment and Maintenance
6.3 Troubleshooting
Chapter 7. Warranty
Thank you for purchasing the Shoulder CPM(ARTUS-704ES).
Please refer to the manual in the box to view the components contained within the box
when opening the box.
Be sure to familiarize yourself with this manual before connecting and powering down
the parts, and keep the manuals handy for future use.
The illustrations in this manual may differ slightly from the originals.

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Chapter 1. Warning and Caution
Safety precautions are intended to be used safely and correctly to prevent accidents or risks,
so please ensure that you read and protect them carefully.
Cautions are divided into ‘warning ’ and ‘ caution ’, each meaning :
Warning : If there is a possibility of death or serious injury to the person in violation
of the instructions
Caution : Violation of damaged products or possible minor injury to the human body
when violating the instructions.
1.1 Warning
Please check the power during installation and using.
Violation of this range could cause electric shock and product would be damaged.
Please check the wiring of all terminals before turning on the power.
This could cause electric shock and malfunction.
Please do not use it with wet hands.
This could cause electric shock and malfunction.
Please do not change or extend the power cable arbitrarily.
This could cause fires and electric shock.
Please program the range of motion as prescribed by a physician.
This could cause deterioration in affected area and injury.
Please do not place the product near the fire.
This could cause fires.
If there are any unusual sounds, smells and smoke from the product, please turn off the
main power switch. This could cause a fires and failure.
Please make sure to be careful of water inside the product.
This could cause fires and failure.
Please do not dismantle, repair and remodel arbitrarily.
This could cause fires and electric shock
Please do not keep the product with combustible substance and inflammability gas.
This could cause a fires and failure.
Please do not use the product in gas spill area.
This could cause fires and explosion.
Please turn off the power switch during cleaning.
This could cause fires and electric shock.

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1.2 Caution
Please do not disconnect the power or communication cables during operating.
This could cause injury.
Elderly people and people with disabilities should use it under supervision of product
manager such as doctor or physical therapist.
This could cause injury.
Please do not install the product on unsafe place.
This could cause injury.
Please do not dismantle the product arbitrarily.
This could cause fires and failure.
Please do not allow any metallic foreign substance to enter the inside of the product.
This could cause fires and failure.
Please connect the earth terminal.
This could cause electric shock, malfunction and failure.
Please clean the product with soft cloth and do not use strong cleanser like solvent.
This cause fires and deformation.
Please do not tap with anything sharp or use excessive force to the screen when using
the Operation Controller. This could cause damage the screen or malfunction.
Please check the tightening a bolt before operating.
This could cause injury.
Please avoid sharp object when installing and opening the product.
This could cause product damage.
Please make sure that a part of body or clothing gets caught to device during operating.
This could cause injury.
Please do not use except for rehabilitation treatment purposes.
This could cause failure and injury.
When you disconnect the power plug or Operation Controller, please hold the plug and
do not hold the cable.
This could cause electric shock and product damage.
Please disconnect the power plug from the socket before moving.
This could cause electric shock and product damage.
Please do not exercise too much.
This could cause injury of joints.

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1.3 Information of Electro-Magnetic Compatibility (EMC)
Warning : Please note that emitted electromagnetic signals from the external environment
may affect the patient and also ARTUS-704ES.
Warning : Do not use ARTUS-704ES near high-power wireless equipment such as mobile
phone, this could cause malfunction.
Caution : ARTUS-704ES is compliant with medical device regulations 93 / 42 / EEC and it
is designed to protect it from electromagnetic signals.
Caution : Portable and mobile frequency (RF) communication device may affect the
electronic medical devices.
Caution : Only the component we provide are recommended to use, other unspecified
devices may cause increasing emissions and immunocompromised status.
The RF of “ARTUS-704ES” emissions are very low and are not likely to cause interference
in nearby electronic equipment.
The “ARTUS-704ES” is suitable for use in all establishments other than domestic and
those directly connected to the public low voltage power supply network that supplies
buildings used for domestic purposes.
Mains (AC) power quality should be that of a typical commercial or hospital environments.
Floors should be wood, concrete or ceramic tile. If floor is covered with synthetic material,
the relative humidity should be at least 30% to avoid excessive static electricity.
Warning : The “ARTUS-704ES” should not be situated adjacent to, or stacked with,
other electronic equipment. If the system must be in installed in close
proximity to other equipment, both the “ARTUS-704ES” and the nearby
equipment should be observed to verify normal operating in that
configuration.
Caution : The “ARTUS-704ES” has been designed to meet the standards of
IEC60601-1-2 for electromagnetic compatibility; however some
computer equipment unintentionally emits strong interfering RF signals.
Portable RF communication devices may also affect “ARTUS-704ES”.
Warning : Use of accessories other than those specified, may result in increased
emissions, or decreased immunity of this system.

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Chapter 2. Product
2.1 Introduction of ARTUS-704ES
Thank you for purchasing ARTUS-704ES.
ARTUS-704ES is a rehabilitative exercise equipment (Continuous Passive Motion Machine)
that recovers the lost function of Shoulder joint quickly through the continuous passive
motion for patient who cannot exercise by themselves. It can also be adjusted angle range of
exercise, exercise time, the number of exercise, etc. And also it is available to set 5 steps
exercising speed. Acceleration mode allows the exercise speed up to 2 steps faster than
previously programmed speed. It also provide a caster to move product easily.
Operation Controller(O/C, fixed on the top of machine) which is adopting 3.5 inch screen and
touch is easy to operate and it provides the information of progressing and programing
exercise on screen.
2.2 Operation
If it is left untreated after the shoulder joint surgery, it may cause problems such as limited
range of motion and muscle contraction. And applying too much load to the shoulder joint
without rehabilitation may worsen the condition of the surgical area. So it is necessary to
exercise properly for the quick recovery of surgical area. ARTUS-704ES is the rehabilitation
equipment to recover the function of shoulder joint quickly through continuous passive
movement.
Range of motion is different depending on the exercise mode and exercising ROM has to be
programmed according to the condition of patient.
Please exercise at a slow speed at first, and then do exercise higher speed and wider angle
after becoming familiar with the equipment. Exercise with a wide range of motion from the
beginning could cause secondary damage to the patient's surgical site.
<FIG 2.1 ARTUS-704ES>

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2.3 Purpose of ARTUS-704ES
ARTUS-704ES is a rehabilitative exercise equipment that recovers the lost function of
shoulder and elbow joint quickly through continuous passive motion for patient who
cannot exercise by themselves at equipped such as hospitals.
The ARTUS-704ES should be used in a properly equipped environment such as a
hospital and must be handled by trained professional who have the proper qualifications
like physical therapists or medical specialists.
2.4 Before reading the user manual
Please read the user’s manual before using ARTUS-704ES.
The user’s manual is for buyer and user, it will help to use the product safely.
The user’s manual is for using the product to ensure safe and proper use.
The user’s manual could be revised any time at the manufacturer's discretion.
2.5 Safety Precaution
ARTUS-704ES uses the power of AC100V ~ 240V, 50 / 60Hz.
Please check the power when using it inside.
The product should be used while the room is at room temperature.
Please be well-informed of the user manual before using.
2.6 Caution
Please use the product as prescribed and do not stab the Operation Controller with
anything sharp.
2.7 Damaged product during delivery
ARTUS-704ES will be shipped securely in an outer box with inner packing.
After receiving the product, please check for damage or something abnormal on product.
If any damage or abnormality is found, contact the company that purchased the product.

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2.8 Product Configuration
Please check the product and accessories before installation.
Basic composition for shoulder exercise of Flexion/Extension and Abduction/Adduction
Body
(with basic splinter)
Emergency Stop Switch
Power Cable
Optional composition
for shoulder rotation
Optional composition for elbow Flexion/Extension
Upper arm splinter
for shoulder exercise of
rotation.
(USSR)
Left/Right Upper arm
supporter
for elbow exercise of
flexion / extension
(USEF)
Hand Splinter
for elbow exercise of
flexion / extension
(HSEF)

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2.9 Label
HC label
Side
label
Control box
label
2.10 Component name
Main body
1. Hand splinter location adjustment locking
screw.
2. Hand splinter
3. Elbow angle adjustment locking screw
4. Upper arm splinter location adjustment
fixture
5. Operation controller
6. Shoulder motor and height adjustment part
7. Main frame
8. Upper arm splinter for shoulder exercise of
Flexion/Extension(USSF)
9. Base
10. Caster
Operation Controller

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1. Start/Stop Button
2. Display and touch screen
3. Shoulder height adjustment switch
4. Connect to Emergency switch
5. Locking mount of USEF
2.11 Product specifications
Division
Contents
Rated Power
AC 100V~240V, 50/60Hz
Power Consumption
50VA
Operating Temperature / Humidity
0°C ~ +40°C / 80% or less
Storage Temperature
0°C ~ +60°C
Size
670 X 790 X 910 (Width X Length X Height)
Weight
25 kg
2.12 Setting
3
1
2

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Chapter 3. Explanation of Terms and Symbols
Division
Specification
Shoulder
Exercise
Flexion / Extension
20°~ 180°
Abduction / Adduction
20°~ 160°
Rotation
-60°~ 90°
Elbow Exercise
Flexion / Extension
0°~ 150°
Speed
1 ~5 step(75°~150°/min)
Pause time (at upper or lower limit angle)
0 ~ 9 sec
Timer
1~99 min
Counter
1~99

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3.1 Explanation of Terms
Term
Explanation
Upper limit
Limit angle of flexion and abduction of shoulder
Limit angle of flexion of elbow
Limit angle of inner rotation of Elbow
Lower limit
Limit angle of extension and adduction of shoulder
Limit angle of extension of elbow
Limit angle of outer rotation of Elbow
Upper pause
Pause time at Upper limit angle
Lower pause
Pause time at Lower limit angle
Bypass
The function of adjusting upper and lower limit angle during exercise
operating
Manual
The function to check manually the patient’s available exercising
ROM before exercise operating
Speed/Uni/Accel
Exercise speed level / Uniform speed / Accelerated speed
Timer
Time of Exercise
Counter
Number of Exercise
M1
The exercising motor for Shoulder
3.2 Explanation of Symbols
Symbol
Explanation
Symbol
Explanation
Shoulder flexion/extension
exercise mode
Shoulder abduction/adduction
exercise mode
Shoulder rotation exercise
mode
Elbow flexion/extension exercise
mode
Increment / Decrement
Display of device operating status
Touch locked
Chapter 4. Installation

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Refer to clause 2.8 Product configuration.
<Fig 4.2>
<Fig 4.1> <Fig 4.3>
Remark : The Body is packaged in the assembled state as shown in the illustration.
Step 1. Place the Body of ARTUS-704ES on the floor.(Fig 4.1)
Step 2. Connect the “Power cable” like Fig.4.2
Step 3. Connect the “Emergency stop switch” like Fig 4.3
Warning : Tighten the fixing screw (knob) firmly to prevent the device from
separation during exercise.
Chapter 5. Operation

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Please review warning and caution in Chapter 1.
Please check the connection of the power cable.
Explanation of symbols in the control unit is covered in Chapter 3.
5.1 How to adjust the device according to the exercise
Warning : Tighten the fixing screw (knob) firmly to prevent the device from
separation during exercise.
Warning : It is forbidden to exercise two people at the same time.
Shoulder Flexion/Extension
Shoulder Abduction/adduction
(Use basic splinter)
Shoulder Rotation
(Use basic splinter and USSR)
Elbow Flexion/Extension
(Use upper arm splint of
basic splinter, USEF and HSEF)
Remark) USSR, USEF, HSEF refer to clause 2.8.
Two chairs can be placed on each side of the device.
The exercise of Flexion/Extension, Abduction/Adduction do not require updating the
splinter settings according to the arm to be treated.
The exercise of shoulder Rotation and elbow Flexion/Extension require updating the
splinter settings according to the arm to be treated.
5.1.1 Device adjustment for Shoulder Flexion/Extension, Abduction/Adduction

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<Fig 5.1.1>
Explain based on right arm treatment
Step 1. A patient sit comfortably in the separate chair placed left side of device
and has his back tightly attached to the chair back.
Step 2. Adjust height of Shoulder motor axis to the patient’s shoulder
using height adjustment switch being upper side of Operation Controller.
Step 3. Loosen the lower arm length adjustment screw(1), and adjust the location
of the Hand splinter to fit to the length of patient’s arm.
And then tighten the screw to fix it.
Step 4. Full the upper arm splinter fixture(2) up and adjust location the upper arm
splinter to make patient feel comfortable during exercise.
In case of Abduction/ adduction, sit down by turning the chair to the left from
the device.
Warning : Tighten the fixing screw (knob) firmly to prevent the device from
separation during exercise.
5.1.2 Device adjustment for Shoulder Rotation
1
2

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<Fig 5.1.2>
Explain based on right arm treatment
Step 1. Insert USSR to upper arm splinter of basic splinter like <Fig.A>.
Step 2. Tighten the locking screw(1) to fix USSR on upper arm splinter.
Step 3. A patient sit comfortably in the separate chair placed left side of device
and has his back tightly attached to the chair back.
Step 4. Loosen the lower arm length adjustment screw(2) and adjust the location
of the Hand splinter to fit to the patient’s arm.
And then tighten the screw to fix it.
Step 5. Full the upper arm splinter fixture up and adjust location the upper arm
splinter to make patient feel comfortable during exercise
How to change USSR insertion direction
Exercise for right shoulder Exercise for left shoulder
Warning : Tighten the fixing screw (knob) firmly to prevent the device from
separation during exercise.
5.1.3 Device adjustment for Elbow Flexion/Extension
<Fig. A>
<Fig. B>
①Loosen the locking screw(1)
②Change direction of insertion bar
③Fasten the locking screw

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< Fig 5.1.3>
<Fig A> < Fig B> <Fig C>
Explain based on right arm treatment
Step 1. Loosen locking screw of Hand Splinter(see. Fig A) of Basic Splinter and
pull out the Hand Splinter.
Step 2. Insert HSEF instead of Hand Splinter.(see Fig B)
Step 3. Install USEF to the locking mount (see Fig C)
Step 4. A patient sit comfortably in the separate chair placed left side of device
and has his back tightly attached to the chair back.
Step 5. Adjust the location of HSEF and USEF to fit to the patient’s arm.
Warning : Tighten the fixing screw (knob) firmly to prevent the device from
separation during exercise.
5.2 How to use Operation Controller and set the exercise

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5.2.1 Explanation of full screen
Function of each area
1) [Timer / Lower pause / Upper limit] area
Touch this area to set the exercise time, pause time at the lower limit angle and upper limit angle to
exercise. Upper limit angle means the maximum angle of exercise of Flexion, Abduction and inner
Rotation.
2) [Present Angle / Bypass / Manual] area
Touch this area to select Bypass or Manual function and display present exercising angle.
3) [Counter / Upper pause / Lower limit] area
Touch this area to set the number of exercising, pause time at the upper limit angle and lower limit
angle to exercise. Lower limit angle means the minimum angle of exercise of Extension, Adduction
and outer Rotation.
4) [Up arrow / Down arrow] area
Touch this area to change a setting value and select a function.
5) [Available Exercises setting] area
Press and hold this area for 2 seconds to set the exercise.
Use the arrows to select the exercise mode (the exercise indicator is blinking), pressing the [M]
button while the desired exercise mode is blinking completes the exercise setup.
6) [Speed / Uniform / Acceleration] area
Touch this area to select the exercising speed level and uniform or accelerative exercising mode.
7) [Progressive] area
Touch this area to select progressive exercising mode.
8) [Touch Locked] symbol
This symbol means touch function being locked.
9) [M] symbol
Touch this area to save the set value and return to the previous screen at setting mode, and it
display exercise operating(circle of M is circulating) or stop status.
5.2.2 Set the Exercise
<Touch, setting and Display area>
1) Timer/Lower pause/Upper limit
2) Present Angle/Bypass/Manual
3) Counter/Upper pause/Lower limit
4) Up/Down arrow
5) Available Exercises
6) Speed/Uniform/Acceleration
7) Progressive exercise
8) Symbol of Touch Locked
9) Exercise status

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1) To set the exercise to do, press and hold [exercise setting] area(5) for 2 seconds.
Symbol of shoulder Flexion/Extension is flickering and the other exercise symbols are
displayed.
2) Select exercise using [Up/Down] arrow, selected exercise symbol is flickering.
3) After selection of exercise, touch the [M](9) to complete setting of exercise.
4) ROM setting range for each motion
Flexion/extension
Abduction/Adducti
on
Rotation
Elbow Flexion/Extension
5.2.3 Set the range of exercise and pause time
※The name of each touch area refer to clause 5.2.1.
1) Upper limit (angle) and Lower limit (angle)
● It means exercise range to do an exercise.
● Touch the [Upper limit] display area(1) - the number is flickering, and set upper limit
(angle) with [Up/Down] arrow(4).
● Touch the [Lower limit] display area(3) - the number is flickering, and select lower limit
: Flexion / Extension of Shoulder
: Abduction / Adduction of shoulder
: Rotation of Elbow
: Flexion / Extension of Elbow

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(angle) with [Up/Down] arrow(4).
● Touch the symbol [M](9) or just wait for 6 seconds to complete setting of limit angle.
2) Upper pause (time) and Lower pause (time)
●It is the exercise pause time at the upper or lower limit angle.
● [Upper pause] will be displayed when touched twice the [Lower limit] display area(3) –
the number is flickering, and set upper pause (time) with [Up/Down] arrow(4).
● [Lower pause] will be displayed when touched twice the [Upper limit] display area(1) –
the number is flickering, and set lower pause (time) with [Up/Down] arrow(4).
● Touch the symbol [M](9) or just wait for 6 seconds to complete setting.
5.2.4 Set the Exercising Speed and Uniform(Uni) or Accelerative(Accel) exercising
※The name of each touch area refer to clause 5.2.1.
1) Exercising Speed
● It means exercise speed of device. (Speed is refer to clause 2.12.)
● Touch the [Speed] display area(5) –the number is flickering, and select speed level
with [Up/Down] arrow(4). Bigger number level is faster.
● Touch the symbol [M](9) or just wait for 6 seconds to complete setting.
2) Uniform / Acceleration mode
● It is available to select uniform or accelerative exercising speed by touching twice
the [Speed] display area(5).
● The present mode is flickering and it is available to change that with [Up/Down]
arrow(4).
● Touch the symbol [M](9) to complete setting.
●See the next page about explanation of Uniform and Acceleration mode.
● Uniform Mode : The device moves with uniform exercising speed in the ROM.