chinesport 06855 Operating instructions

DTIU000264.docx
Rev.002
07/02/2020
06855
06830
05005
INCLINOMETRO D’OSUALDO
D’OSUALDO INCLINOMETER
ANALIZZATORE CRESTE ILIACHE
ANALYZER
DELTA LEG N
05003
05004
05002
ARCOMETRO
ARCOMETER
CALIBRO BRACCI LUNGHI
TRUNK ASYMMETRY INDICATOR
TORSIOMETRO
TORSIOMETER
05001
05000
02049
INDICATORE PIEDE
FOOT SIZE INDICATOR
ALGOGONIOMETRO
ALGOGONIOMETER
GONIOMETRO RETROPIEDE
HINDFOOT PROTRACTOR
06730
06810
SET SPESSORI G
SET OF SHIMS G
FILO A PIOMBO
PLUMBLINE
USER AND MAINTENANCE MANUAL
MANUALE D’USO E MANUTENZIONE
CHINESPORT SPA
ITALIANO
ENGLISH

2
ENGLISH ............................................................................... 5
ITALIANO ............................................................................20
1GENERAL INFORMATION ............................................... 5
1.1 MANUFACTURER .............................................................5
1.2 LIMITATIONS OF USE AND SPECIAL WARNINGS..........5
1.3 SIDE EFFECTS AND CONTRAINDICATIONS...................5
1.4 USERS..........................................................................5
1.5 UNPACKING ................................................................5
1.6 ENVIRONMENT OF USE...............................................5
1.7 STORING .....................................................................5
1.8 MAINTENANCE ...........................................................5
1.9 CLEANING ...................................................................5
1.10 DISINFECTION..........................................................5
1.11 ADDITIONAL INFORMATION ...................................5
2GENERAL WARNINGS..................................................... 5
2.1 SYMBOLS ON THE MANUAL ........................................6
2.2 SYMBOLS ON LABELS ..................................................6
2.3 SYMBOLS ON THE PACKAGING ...................................6
306855 –INCLINOMETER D’OSUALDO............................. 7
3.1 INTENDED USE AND DESCRIPTION..............................7
3.2 MATERIALS .................................................................7
3.3 PACKAGE CONTENT ....................................................7
3.4 SETUP AND USE...........................................................7
406830 - ILIAC CRESTS ANALYZER .................................... 8
4.1 INTENDED USE AND DESCRIPTION..............................8
4.2 MATERIALS .................................................................8
4.3 PACKAGE CONTENT ....................................................8
4.4 SETUP AND USE...........................................................8
505005 –DELTA LEG N..................................................... 9
5.1 INTENDED USE AND DESCRIPTION..............................9
5.2 MATERIALS .................................................................9
5.3 PACKAGE CONTENT ....................................................9
5.4 ADDITIONAL INFORMATION .......................................9
5.5 SETUP AND USE.........................................................10
606730 - SET OF SHIMS G................................................10
6.1 INTENDED USE AND DESCRIPTION............................10
6.2 MATERIALS ...............................................................10
6.3 PACKAGE CONTENT ..................................................10
6.4 SETUP AND USE.........................................................10
705003 –ARCOMETER D’OSUALDO................................11
7.1 INTENDED USE AND DESCRIPTION............................11
7.2 MATERIALS ...............................................................11
7.3 PACKAGE CONTENT ..................................................11
7.4 ADDITIONAL INFORMATION .....................................11
7.5 SETUP AND USE.........................................................12
7.6 PROCEDURE OF MEASUREMENT ..............................12
7.7 ARCOMETER USE ......................................................13
805004 - TRUNK ASYMMETRY INDICATOR......................15
8.1 INTENDED USE AND DESCRIPTION ........................... 15
8.2 MATERIALS............................................................... 15
8.3 PACKAGE CONTENT.................................................. 15
8.4 SETUP AND USE........................................................ 15
9TORSION METER.......................................................... 15
9.1 INTENDED USE AND DESCRIPTION ........................... 15
9.2 MATERIALS............................................................... 15
9.3 PACKAGE CONTENT.................................................. 15
9.4 SETUP AND USE........................................................ 15
10 05001 –FOOT INDICATOR ........................................ 16
10.1 INTENDED USE AND DESCRIPTION ....................... 16
10.2 MATERIALS ........................................................... 16
10.3 PACKAGE CONTENT .............................................. 16
10.4 SETUP AND USE .................................................... 16
11 06810 –PLUMB LINE ................................................ 16
11.1 INTENDED USE AND DESCRIPTION ....................... 16
11.2 MATERIALS ........................................................... 16
11.3 PACKAGE CONTENT .............................................. 16
11.4 SETUP AND USE .................................................... 16
12 05000 –ALGO-GONIOMETER.................................... 16
12.1 INTENDED USE AND DESCRIPTION ....................... 16
12.2 MATERIALS ........................................................... 16
12.3 PACKAGE CONTENT .............................................. 16
12.4 SETUP AND USE .................................................... 16
13 02049 - HINDFOOT PROTRACTOR............................. 17
13.1 INTENDED USE AND DESCRIPTION ....................... 17
13.2 MATERIALS ........................................................... 17
13.3 PACKAGE CONTENT .............................................. 17
13.4 SETUP AND USE .................................................... 17
14 WARRANTY .............................................................. 18
14.1 GENERAL CONDITIONS ......................................... 18
14.2 REPAIRS UNDER WARRANTY ................................ 18
14.3 OUT-OF-WARRANTY REPAIRS............................... 18
14.4 NON-DEFECTIVE PRODUCTS................................. 18
14.5 HOME REPAIRS ..................................................... 18
14.6 SPARE PARTS ........................................................ 18
15 BIGLIOGRAPHY......................................................... 19
15.1 DELTA LEG ............................................................... 19
15.2 ARCOMETER............................................................. 19
INFORMAZIONI GENERALI........................................ 20
1.1 FABBRICANTE............................................................... 20
1.2 LIMITAZIONI D’USO EAVVERTENZE PARTICOLARI ... 20
1.3 EFFETTI COLLATERALI ECONTROINDICAZIONI......... 20
1.4 UTILIZZATORI ........................................................... 20
1.5 DISIMBALLAGGIO..................................................... 20
1.6 AMBIENTE D’USO..................................................... 20
1.7 IMMAGAZZINAGGIO ................................................ 20
1.8 MANUTENZIONE ...................................................... 20
1.9 PULIZIA..................................................................... 20
1.10 DISINFEZIONE ....................................................... 20
1.11 ULTERIORI INFORMAZIONI ................................... 20
AVVERTENZE GENERALI............................................ 20

3
2.1 SIMBOLI PRESENTI NEL MANUALE............................21
2.2 SIMBOLI SULLE ETICHETTE ........................................21
2.3 SIMBOLI PRESENTI SULL’IMBALLO............................21
06855 –INCLINOMETRO D’OSUALDO........................22
3.1 DESTINAZIONE D’USO EDESCRIZIONE
DELL’APPARECCHIATURA ....................................................22
3.2 MATERIALI ................................................................22
3.3 CONTENUTO DELLA CONFEZIONE.............................22
3.4 INSTALLAZIONE ED UTILIZZO ....................................22
06830 –ANALIZZATORE CRESTE ILIACHE ...................23
4.1 DESTINAZIONE D’USO EDESCRIZIONE
DELL’APPARECCHIATURA ....................................................23
4.2 MATERIALI ................................................................23
4.3 CONTENUTO DELLA CONFEZIONE.............................23
4.4 INSTALLAZIONE ED UTILIZZO ....................................23
05005 –DELTA LEG N ................................................24
5.1 DESTINAZIONE D’USO EDESCRIZIONE
DELL’APPARECCHIATURA ....................................................24
5.2 MATERIALI ................................................................24
5.3 CONTENUTO DELLA CONFEZIONE.............................24
5.4 INFORMAZIONI AGGIUNTIVE....................................24
5.5 INSTALLAZIONE ED UTILIZZO ....................................25
06730 –SET SPESSORI G............................................25
6.1 DESTINAZIONE D’USO EDESCRIZIONE
DELL’APPARECCHIATURA ....................................................25
6.2 MATERIALI ................................................................25
6.3 CONTENUTO DELLA CONFEZIONE.............................25
6.4 INSTALLAZIONE ED UTILIZZO ....................................25
05003 –ARCOMETRO D’OSUALDO............................26
7.1 DESTINAZIONE D’USO EDESCRIZIONE
DELL’APPARECCHIATURA ....................................................26
7.2 MATERIALI ................................................................26
7.3 CONTENUTO DELLA CONFEZIONE.............................26
7.4 INFORMAZIONI AGGIUNTIVE....................................26
7.5 INSTALLAZIONE ED UTILIZZO ....................................27
7.5.1 PROCEDURA DI RILEVAZIONE ............................28
7.5.2 USO DELL’ARCOMETRO .....................................28
05004 –CALIBRO BRACCI LUNGHI .............................30
8.1 DESTINAZIONE D’USO EDESCRIZIONE
DELL’APPARECCHIATURA ....................................................30
8.2 MATERIALI ................................................................30
8.3 CONTENUTO DELLA CONFEZIONE.............................30
8.4 INSTALLAZIONE ED UTILIZZO ....................................30
05002 –TORSIOMETRO.............................................30
9.1 DESTINAZIONE D’USO EDESCRIZIONE
DELL’APPARECCHIATURA ....................................................30
9.2 MATERIALI ................................................................30
9.3 CONTENUTO DELLA CONFEZIONE.............................30
9.4 INSTALLAZIONE ED UTILIZZO ....................................30
05001 –INDICATORE PIEDE.......................................31
10.1 DESTINAZIONE D’USO EDESCRIZIONE
DELL’APPARECCHIATURA ....................................................31
10.2 MATERIALI.............................................................31
10.3 CONTENUTO DELLA CONFEZIONE ........................ 31
10.4 INSTALLAZIONE ED UTILIZZO ................................ 31
06810 –FILO A PIOMBO ........................................... 31
11.1 DESTINAZIONE D’USO EDESCRIZIONE
DELL’APPARECCHIATURA.................................................... 31
11.2 MATERIALI ............................................................ 31
11.3 CONTENUTO DELLA CONFEZIONE ........................ 31
11.4 INSTALLAZIONE ED UTILIZZO ................................ 31
05000 –ALGOGONIOMETRO.................................... 31
12.1 DESTINAZIONE D’USO EDESCRIZIONE
DELL’APPARECCHIATURA.................................................... 31
12.2 MATERIALI ............................................................ 31
12.3 CONTENUTO DELLA CONFEZIONE ........................ 31
12.4 INSTALLAZIONE ED UTILIZZO ................................ 31
02049 –GONIOMETRO RETROPIEDE ........................ 32
13.1 DESTINAZIONE D’USO EDESCRIZIONE
DELL’APPARECCHIATURA.................................................... 32
13.2 MATERIALI ............................................................ 32
13.3 CONTENUTO DELLA CONFEZIONE ........................ 32
13.4 INSTALLAZIONE ED UTILIZZO ................................ 32
GARANZIA ................................................................ 33
14.1 CONDIZIONI GENERALI ......................................... 33
14.2 RIPARAZIONI IN GARANZIA................................... 33
14.3 RIPARAZIONI FUORI GARANZIA ............................ 33
14.4 PRODOTTI NON DIFETTOSI ................................... 33
14.5 RIPARAZIONI ADOMICILIO ................................... 33
14.6 PARTI DI RICAMBIO............................................... 33
BIGLIOGRAFIA .......................................................... 34
15.1 DELTA LEG ............................................................... 34
15.2 ARCOMETRO ............................................................ 34

4

5
ENGLISH
1GENERAL INFORMATION
This manual contains information for practical, correct and
safe use of the device and is intended for reading by
specialised personnel and the user of the product. It is
recommended that you read the entire manual carefully
before using the product.
If you have any doubts or need clarification, please
contact your dealer who will be able to advise you
correctly.
The importance of reading and understanding the user
manual is highlighted on the product by the following
symbol:
Follow the instructions for use
1.1 Manufacturer
CHINESPORT S.P.A, Via Croazia, 2-33100 Udine Italy
[phone]
https://www.chinesport.com
[email protected]
The company produces in accordance with the quality
standard UNI EN ISO 13485:2016
1.2 LIMITATIONS OF USE AND SPECIAL WARNINGS
The devices must not be used:
•Without having carried out all the foreseen
adjustments and dedicated adjustments
•When use is contraindicated or generates
serious inconvenience to the patient
•With tampering and / or modifications on the
original product
•In an improper configuration or when there is a
suspicion that it may cause harm to the patient
•In a different way from the intended use
1.3 SIDE EFFECTS AND CONTRAINDICATIONS
There are no side effects. Always use the equipment in a
suitable way. Knowledge of this instruction booklet is
recommended.
Before proceeding with use, it is necessary to evaluate the
patient's psycho-physical condition.
1.4 USERS
Trained medical and technical staff
It is up to the specialist to judge the physical
fitness of the patient for whom the product is
intended to be used.
Use under operator supervision is always
recommended.
1.5 UNPACKING
Remove the aids from the packaging without using the
cutter to avoid damaging them and properly dispose of
the packaging.
Any damage due to transport must be promptly reported
to the carrier and to the supplier: damaged aids must not
be used.
1.6 ENVIRONMENT OF USE
Clinical/hospital environment. Use on flat, dry, stable and
obstacle-free surfaces. Not for outdoor use.
1.7 STORING
Room
temperature
Humidity
Pressure
5˚C ~ 60˚C
1% ~80%
70kPa~106kPa
1.8 MAINTENANCE
Keep constantly clean
FREQUENCY
OPERATION
12 moths
General cleaning
Visual and functional inspection of the accessory
1.9 CLEANING
Gently dust and in case of slight stains, pass the surface with
a damp cloth or with a solution of neutral detergent, rinsing
with a little water.
Dry avoiding direct exposure to sunlight.
NEVER USE AGGRESSIVE OR ALCOHOLIC
PRODUCTS OR DETERGENTS!
These detergents damage plastic materials
and screen prints, invalidating the product
warranty
1.10 DISINFECTION
For surface disinfection we recommend the use of
disinfectant products that do not contain alcohol,
ammonia or other aggressive substances.
1.11 ADDITIONAL INFORMATION
Further information available on the website:
www.chinesport.com
2GENERAL WARNINGS
Always refer to this manual for proper use of the device.
-Store the device in an environment that complies with
the labels on the packaging and the specifications in
this manual.
-The manufacturer shall not be liable, to the fullest
extent permitted by applicable law, for any direct or

6
indirect, special, incidental or consequential damages
caused by:
oWrong use of the device
oImproper use of the device and outside of its
intended use
oUsing the device in environments not covered
by this manual
oUse with unsuitable patients
oUse without checking the status of the device
as described in the relevant paragraph
oIncorrect maintenance or lack of
maintenance
oUse with parts or accessories that are not
compatible or not approved by the
manufacturer
oIncorrect disposal or disposal is other than as
described in this manual.
2.1 SYMBOLS ON THE MANUAL
Warning!
2.2 SYMBOLS ON LABELS
Follow the instructions for use
CE certified
Dispose of properly
Manufacturer
Production date
Indoor use only
2.3 SYMBOLS ON THE PACKAGING
Fragile
Recyclable
Keep dry
Keep this side at the top
Do not use sharp blades to open

7
306855 –INCLINOMETER D’OSUALDO
3.1 INTENDED USE AND DESCRIPTION
Instrument for the evaluation of the gibbus (rotation angle
of the trunk in anteroflexion) in the patient suffering from
scoliosis and the Cobb angle on radiographs.
It consists of a nearly rectangular Plexiglas element bearing
a goniometric scale, at the center of which there is a stick
which is free to rotate and bears a bubble; the stick’s free
end bears the reading point for the goniometric
scale.
The longer side of the rectangle features a recess to
facilitate application to the patient (in the case of
the spinous processes being protruding).
3.2 MATERIALS
Plastic, PMMA.
3.3 PACKAGE CONTENT
Inclinometer, 1pc
3.4 SETUP AND USE
The device does not require installation and is ready for use.
Angle of trunk rotation measurement
The Scoliosis Research Society defines the angle of
trunk rotation as the angle between a horizontal
plane and a plane crossing the most prominent point
of the thoracic gibbus.
1. Position the patient as described in Adams’ test or
forward - bending test: bent trunk, extended
knees, arms dangling forward
2. Position the instrument, gently laid on the patient’s
back, searching for the highest point of rotation
(apex of the gibbus)
3. Level the rotating stick
4. Read the degree of rotation
5. Measure any other gibbus

8
N.B. The degree of inclination can be read after removing
the instrument from the patient’s back as well (holding the
stick still between the thumb and forefinger), without the
risk of losing the value.
Cobb angle measuring technique by means of the
inclinometer
The instrument’s edge is drawn near the upper rim sign (the
most inclined vertebra), the stick is then rotated until it is
level; the degree of inclination is read on the goniometric
scale. Then measure the lower rim sign.
The Cobb angle is given by the sum of the two inclination
angles of the rim signs.
406830 - ILIAC CRESTS ANALYZER
4.1 INTENDED USE AND DESCRIPTION
Manual instrument suitable for assessing the heterometry of
the lower limbs in discharge, for supine patient.
4.2 MATERIALS
Plastic, PMMA.
4.3 PACKAGE CONTENT
Iliac Crest Analyzer, 1pc
4.4 SETUP AND USE
The device does not require installation and is ready for use.
Position the articulated arms on the patient's iliac crests so
as to check their flatness using the level / bubble installed
on the central body.
In the event that the instrument highlights the presence of
misalignment of the iliac crests it is generally possible to
apply elevations from the lower side in order to achieve the
alignment of the iliac crests.
06730 - SET OF SHIMS G
By means of this evaluation, it is possible to quantify
the extent of the difference in height of the iliac
crests. Attention, however, this data should not be
assimilated to an assessment of the heterometry of
the lower limbs, in fact a difference in level of the
pelvis (and therefore of the iliac crests) can also
derive from other factors concerning the spine or the
same conformation of the pelvis or the lower limbs,
both for skeletal and functional reasons.

9
What we collect with this tool is therefore a datum
that finds meaning only in the context of a more
complete examination of the locomotor system.
505005 –DELTA LEG N
5.1 INTENDED USE AND DESCRIPTION
Manual instrument suitable for measuring the heterometry
of the lower limbs in discharge, for the supine patient.
5.2 MATERIALS
Plastic, PMMA.
5.3 PACKAGE CONTENT
Body delta leg N, 1pc
Left footboard, 1 pc
Footboard right foot, 1pc
5.4 ADDITIONAL INFORMATION
A few considerations on lower limb heterometry:
As the term indicates, by heterometry, we mean a
difference in length of the lower limbs, whatever the cause;
with the same meaning, we can find various terms:
disparity, discrepancy, unequal length; they are all
essentially synonyms.
However, it is a good idea to avoid the term “dysmetria”,
occasionally used by some authors, because it is used with
a completely different meaning in the neurological field.
In Anglo-Saxson literature, heterometry is usually indicated
by the expression “leg length discrepancy - LLD”.
What does heterometry come from?
There are two distinct categories:
a) anatomical or structural heterometry - is an effective
difference in the length of the skeletal segments (due to
congenital or acquired causes);
b) functional heterometry - when the difference is tied to
muscular contractures, axial deviations, subluxations,
articular lassitude, asymmetry of the pelvis, etc.; factors
that when present in the limb, determine an apparent
shortening of it.
When is a heterometry important?
Scientific literature isn’t in agreement on what value of
heterometry is to be considere clinically revelant. For
some authors, 5 mm are already significant while for
others, 2 cm can be unimportant.
Generally, they are personal opinions based on
anecdotal observations.
At the root of these uncertainties is first of all the
indeterminateness of the clinical measure, tied to the
ample error margin associated with evaluation methods
that have been available up to now.
Methods for evaluating heterometry that are available to
date
1.
X-ray examination: this represents the “gold-standard” and
is essential for programming a surgical operation in the
clinicallyrelevant forms.
On the other hand, it presents obvious limitations of use tied
to radiological risk and therefore is usually not used for the
more modest forms, which are also the most common.
2.
Methods of clinical observation (commonly used in
specialized outpatient departments and in gymnasiums):
a) tape measure method: using a tape measure, different
anatomical references can be used:
- SIAS - internal malleolus
- SIAS - external malleolus
- Navel - internal malleolus
Whit these measurements, the error (evaluated by
repeating the measurement various times by the same
observer or by two different observers) can exceed one
centimeter and in some controlled studies, differences
greater than 2 cm have been unacknowledged.
b) Evaluation in upright posture while observing the height
of the:
- iliac crest
- upper, anterior iliac spines
- sacral recesses
With these methods, the difference can be “estimated” or
calculated by placing lifts until achieving compensation
(checked with a level).
These methods too - although used at length - have ample
uncertainty and only rarely have been subjected to
checking the error range linked with every measuring
procedure.
From these brief considerations, the fact emerges that with
the common clinical evaluation methods, heterometry of
0,5 cm cannot be evaluated and even an apparent
difference of 1 cm is to be cautiously evaluated before
making even a simple clinical decision such as adopting a
lift.
To obviate the evaluation limits available, a product has
been ideated: the DeltaLeg. It is a manual, non-invasive
instrument suited to value draining lower limb heterometry.
It is made of a bar on which two orthogonal platforms are
applied: one is fixed and acts as a reference while the
second is mobile along the longitudinal axis of the bar and
is equipped with a pointer.
The pointer indicates the positive or negative numerical
value of the heterometry on a millimetric scale located on
the upper surface of the bar. The value “zero” corresponds
to the reference platform

10
5.5 SETUP AND USE
1Patient in supine position and well aligned (head aligned
with nose pointing towards the zenith, torso aligned, lower
limbs parallel with rotulas pointing towards the zenith).
2Ensure that the instrument’s longitudinal axis is well -
aligned with the legs.
3Bring the fixed platform close to the left foot and apply
moderate pressure in order to ensure good adhesion of the
entire sole and the heal in particular (NB. in the event of a
retraction of the Achilles tendon, only functional
heterometry can be measured).
4Bring the left mobile platform closer while exercising
equal pressure.
5The difference on the millimetric scale can be read at this
point or after having removed the instrument (paying
attention not to change the ratios between the platforms).
Recording the difference value
Considering that the right side is the reference point, the
difference can be expressed with a single number;
negative in the event the left side is shorter and positive in
the even the left side is longer. For example: -2 heterometry
means that the lower left limb is 2 cm shorter; +3 means that
the left limb is 3 cm longer than the right.
Note: The instrument’s stiff structure, the precise sliding
system of he mobile platform and the presence of the
millimetric scale allow taking reliable and rapid
measurements of the differences in length of the lower
limbs with an uncertainty margin of a few millimeters.
606730 - SET OF SHIMS G
6.1 INTENDED USE AND DESCRIPTION
Set of shims for postural correction. Measure 44..
6.2 MATERIALS
Plastic.
6.3 PACKAGE CONTENT
Shims 1cm, 6pcs
Shim 0.5cm, 1pc
6.4 SETUP AND USE
Installation is not necessary.
Place under the patient's foot to evaluate postural
correction.

11
705003 –ARCOMETER D’OSUALDO
7.1 INTENDED USE AND DESCRIPTION
Measurement of the curves of the spine on the sagittal
plane (kyphosis and lordosis).
7.2 MATERIALS
PMMA, PE.
7.3 PACKAGE CONTENT
Arcometer, 1pc
Addiotional arm, 1pc
Cobb angles table, 1pc
7.4 ADDITIONAL INFORMATION
Dorsal kyphosis is a physiological curve, with a not-well
defined normality range; moreover we do not have clear
cut end points to identify its beginning and its end.
(Boseker EH e al, J Pediatric Orthopaedics, 2000; Wenger DR, Frick
S, Spine, 1999).
In the clinical practice an upper limit of normality for kyphos
between 40° and 45° is usually accepted.
Lordosis normality values are even more vague, nor there is
an agreement as what end vertebrae regards (e.g. lower
limit of L5 or upper limit of S1).
(VAL: agreement concerning the end vertebrae to
consider).
A normal subject continously modifies its kyphosis and
lordosis as consequence of postural adjustements.
Kyphosis can be described by two values only:
• The angle comprised under the curve (Cobb angle).
• The radius of the circumference.
Current evaluation of kyphosis and lordosis relies on
radiographs
On a radiograph taken in upright posture (usually arms
forward), in a side projection, Cobb angle can be
measured (end vertebrae D1-D12; L1-L5) with the same
procedure usually adopted for scoliosis.
In order to avoid excessive exposure to X-rays, radiographs
should be taken only if strictly necessary; as consequence
they cannot be requested in every clinical evaluation or to
verify the efficacy of a brace or the action of exercises.
Tecnique to build Cobb angle
Error connected with the
measurement of Cobb angle on
radiographs.
It is usually accepted a reading
error between 3°-5° (up to 10° in
congenital scoliosis)
It depends on:
- the experience of the
examinator;
- the quality of radiographs;
- the amount of the curve;
- the avalability of tecnologicol
devices.
(Shea K.G. et al 1998).
The measurement of Cobb angle on radiographs can
be quicker and more precise by using an inclinometer.
- Whittle MW, Evans M: Instrument for measuring the Cobb angle in
scoliosis. The Lancet, 1979, Feb: 414).
- D’Osualdo F., Schierano S., Iannis M; The levelprotractor, a new
simple instrument to measure back hump and Cobb angle; Eur
Med
Phys 2000; 36:191-196.
On the same curve, Cobb angle varies with the lenght of
the arch, radius value does not.
Starting from the end of the XIX century several instruments,
to measure kyphosis from the surface, have appeared in
scientific literature; among them we can quote:
1Neugebauer device; 2Debrunner kyphometer;

12
3Myrin Inclinometer; 4Spinal Pantopraph; 5Flexicurve
7.5 SETUP AND USE
The arcometer is a manual device made of a ruled bar
bearing three perpendicular arms on it: the first one fixed
at one end, the intermediate one is mobile on two axes
and the third one mobile on one axis only.
The ends of the three arms identify three points through
which a single
circumference can be drawn. Using the arcometer we can
measure the chord and the rise. These two values allow us
to calculate the radius of the curve and Cobb angle by
using a two entry table.
NB: the arcometer works according to the trigonometric
assioma that through three points only a single
circumference can be drawn. For this pourpose the
segment of the spine is arbitrary approximated to a part
(arch) of a circumference.
Arcometer schema with its working way: note that, in order
to make calculations easier, the intermediate arm has to
be placed into the median point between the lateral arms.
The validation of the insturment was made studying two
aspects:
Concordance X-rays –arcometer: the mean difference
between two series of measurements was 2.9° Cobb; the
concordance between the two methods of measurement
was good, without sistematic errors.
The lenght of the chord can have an influence on the
results since a shorter chord bears a risk of underestimating
the angle.
Concordance intra-observator: the concordance
between two series of measurements was good, without
sistematic errors: The mean of the differences risulted 0.1°
Cobb (90% of the cases difference within ±10° Cobb; 82%
of the cases within ±5° Cobb; the difference shows a small
increase for kyphosis values between 44° and 63.5°).
Bibliography: D’Osualdo F., Schierano S., Iannis M. Validation of
clinical measurement of kyphosis with a simple intrument, the
arcometer.
Spine 1997; 22:408-13.
7.6 PROCEDURE OF MEASUREMENT
To measure the spine on the sagittal plane (Kyphosis and
lordosis) the arcometer is placed with the external bars at
the end of the segment: the length is the chord.
The central bar is then fixed on the middle point of the
length, then gently approached to the back: on the same
bar one can read the value of the rise.
Cobb’s angle along with the radius value can be easily
read on a two entry table.

13
The arcometer can be used to measure kyphosis (and
lordosis) in different postures:
- Standing, spontaneous posture (standard posture)
- Standing, arms forward (comparison with X-rays)
- Self-correction while sitting
- Self- correction while prone
- While wearing the brace
NB: being the measurement easy, quick and without any
adverse effect, it can be repeated as many times as
needed.
The instrument comes with table to calculate the Cobb
angle (current
use to integrate the clinical examination.
The values of the Cobb angle are easily obtained crossing
the values of the rise and of the chord given by the
instrumen.
7.7 ARCOMETER USE
DEFINING DORSAL KYPHOSIS
The upper and the
lower limit of
kyphosis are
identified clinically
and made visible
through a
dermographic
pencil
In order to use the measurement for comparisons through
time it is wise to register not only Cobb value but also:
- the chord length
- the end vertebrae of the choosen segment (the kyphotic
curve may not correspond to the entire dorsal segment)
In a curve considered pathological for its location (e.g.
dorso-lumbar), Cobb angle is particularly important for
comparisons through time (more than for its absolute
value).
KYPHOSIS MEASUREMENT IN STANDING SPONTANEOUS
POSTURE
SELF-CORRECTION WHILE SITTING

14
SELF-CORRECTION WHILE PRONE
MEASUREMENT WHILE WEARING THE BRACE
In order to measure kyphosis within the brace one needs:
- to adapt the brace by making a 2 cm wide round hole in
the dorsal pad;
- to adapt the instrument by changing the intermediate
arm: the arm used to this pourpose is provided with a
smaller foot in order to enter the hole of the dorsal pad.
To measure the correction within the brace it is advisable
to take 3 measurements as it follows:
- First measurement while wearing the brace (fixing the
lenght of the chord pay attention not to invade lordosis).
- Second: mark with a dermographic pencil the point
corresponding to the hole (or intermediate foot).
- Third: remove the brace and take a second measurement
in standard posture without changing the lenght of the
chord and using the skin mark as a reference for the
intermediate foot.
- Forth: take a third measurement while making a self-
correction.
- Since the segment measured in-brace usually does not
correspond to the entire kyphosis,it is advisable to use the
radius table (to prevent any confusion with Cobb values).
The more the measurement taken in-brace approaches to
self correction measurement, the better the brace is
working.

15
805004 - TRUNK ASYMMETRY INDICATOR
8.1 INTENDED USE AND DESCRIPTION
Instrument composed of an orthopedic technician caliber,
with a plumb line applied on a sliding guide. The
combination of these two elements makes it possible to
describe the trunk asymmetries in quantitative terms.
8.2 MATERIALS
PMMA.
8.3 PACKAGE CONTENT
Trunk indicator, 1pc
Plombe line, 1pc
8.4 SETUP AND USE
To measure the offset of a column point from a midline - for
example the line interglutea - the following procedure must
be followed:
.1 Position the caliper on the patient's body at the
height of the point of the column to be evaluated
.2 Adjust the plumb line so that it passes through the
medial reference (intergluteal line or support base)
.3 Read the value of the size of the caliber and
calculate that of the shortest segment
.4 Based on the measurements just taken, use the
attached table which will provide the percentage
of translation of the anatomical part of interest
9TORSION METER
9.1 INTENDED USE AND DESCRIPTION
D’Osualdo-Corazza’s torsion meter is a manual tool for the
assessment of the degree of rotation of the trunk in
standing position.
9.2 MATERIALS
Plastic, alluminium
9.3 PACKAGE CONTENT
Torsion meter, 1pc
9.4 SETUP AND USE
The assessment of a subject with suspected scoliosis is
carried out in a stand-up position.
The base of the instrument is placed near the sacred; in this
way zero reference plane is defined, with respect to which
the alignment of the trunk on the transverse plane at the
desired level will be read. When the mobile element is in
turn approached to the back, it will slip in its housing by a
number of degrees corresponding to the rotation of the
trunk. An index on the housing accurately indicates the
degrees of rotation.
The tool is suitable for a diversified use:
•in stand-up position, it accurately identifies a rotation
of the trunk, one of the most sensitive clinical signs for
identifying true scoliosis;
•we can compare the rotation in static with the
rotation in anteroflexion (scoliometer, inclinometer),
data not always superimposable and in turn
correlated, but inaccurately, with the vertebral torsion
measured on the radiograph;
•in orthostatism or even seated we can verify the
possible change of rotation with a stretching exercise
(information on defect reducibility);
•with a stabilized pelvis (preferably sitting) we can
evaluate the excursion of the trunk in an active
rotation movement (range and symmetry).

16
10 05001 –FOOT INDICATOR
10.1 INTENDED USE AND DESCRIPTION
Foot length tool.
10.2 MATERIALS
PMMA.
10.3 PACKAGE CONTENT
Foot indicator, 1pc
10.4 SETUP AND USE
This is a simple but accurate tool which offers some data
which is generally overlooked, the foot length. Its
importance is given by the fact that the culmination
moment of growth of the foot is one or two years before
the culmination moment of the height, thus during the
developing stage considerable changes can be seen in
the relation between foot and height. A rather high value
of this relation, over 16% indicates a phase of fast growth of
the foot at the first stages of puberty. A rather low value of
this relation, less than 14,5% indicates a culmination
moment of growth already completed. This value can be
useful especially during a first visit when the clinician does
not have enough information about the growth stages of
the young patient.
11 06810 –PLUMB LINE
11.1 INTENDED USE AND DESCRIPTION
Tool for the evaluation of postural deviations and scoliotic
attitudes.
11.2 MATERIALS
Metal.
11.3 PACKAGE CONTENT
Plumb line, 1pc
11.4 SETUP AND USE
Position the plumb line as in the image, proceed with the
evaluation.
12 05000 –ALGO-GONIOMETER
12.1 INTENDED USE AND DESCRIPTION
Strumento composto destinato a
- documentare il livello di dolore tramite scala visuale
- svolgere valutazioni angolari e lineari.
12.2 MATERIALS
PMMA.
12.3 PACKAGE CONTENT
Algo goniometer, 1pc
12.4 SETUP AND USE
The intensity of the pain is represented along a scale, in
which one end indicates absent pain, the other a very
strong pain.
In the Wong-Baker scale, more suitable for children over 3-
4 years of age, the graduations are represented with smiley
faces, the expression of which, by analogy, indicates the
intensity of the painful experience (nothing, little, enough,
strong, very strong).
In the numerical VAS scale, suitable for children over 8
years and adults, the painful experience gradations are
indicated with numbers, from 0 to 10, where 0 indicates no
pain and 10 the worst possible pain, with all intermediate
graduations.
There are two measuring instruments associated with the
algometer. Their composition is functional for the execution
of angular and linear measurements: the assemblage point
forms a mobile protractor for the measurement of the joint
ranges, their contiguous position forms a graduated line,
while a fixed protractor is printed on one of the two parts.

17
13 02049 - HINDFOOT PROTRACTOR
13.1 INTENDED USE AND DESCRIPTION
Tool for assessing the alignment of the hindfoot.
13.2 MATERIALS
PMMA.
13.3 PACKAGE CONTENT
Goniometer, 1pc
13.4 SETUP AND USE
The hand is oriented parallel to the hindfoot axis and the
value of valgus or varus is immediately readable in
degrees. The limits of normality cannot be indicated in an
absolute way, since they vary in relation to age and
loading methods (mono or bipodalic); however one can
roughly indicate as a threshold of attention a valgus
greater than 10 °, any varus value and significant
asymmetries between the two sides. In doubtful cases, it is
not so much the absolute value as the trend over time that
can guide us for a physiological situation or not and for this
purpose the instrument, due to its ease of use and
precision, is particularly useful.
The complete evaluation can also be carried out with the
support of Chinesport podoscopes:
02990 –PODOSCOPIO LUX
02992 - PODOCOLOR
02991 - PODOLUX

18
14 WARRANTY
14.1 GENERAL CONDITIONS
All Chinesport products are warranted against defects in
materials or workmanship for a period of 24 months from
the date of sale of the product, except for any exclusions,
limitations or conditions defined at the time of delivery of
the product.
The warranty is not valid in case of improper use, tampering
with the device, abuse or modification of the product or for
any use or operation not explicitly mentioned in this
manual.
The warranty is not valid if the device has not been
correctly maintained and documented in accordance
with this manual, or if the instructions regarding storage,
cleaning and sanitation are not followed.
The manufacturer is not responsible for any damage or
injury or any situation caused by incorrect installation or
configuration of the device or using equipment that does
not comply with the instructions in the installation, assembly
and operating manuals.
The manufacturer does not guarantee its products against
defects or damages in the presence of extraordinary
conditions such as: natural disasters, unauthorised
maintenance and repairs, improper power supply (where
applicable), use of parts or components or accessories not
original, shipping damage not directly managed by the
manufacturer, lack of maintenance, obvious negligence
on the part of the user or operator.
The warranty does not cover consumables, rechargeable
batteries, and in general, all material subject to wear,
failures caused by impacts, falls, misuse or improper,
accidental events, damage caused by transport. If the
equipment is tampered with, the warranty expires
automatically.
14.2 REPAIRS UNDER WARRANTY
In the case of a report of defects in materials or
workmanship, the manufacturer assesses whether the
defect is covered by warranty
Warranty repairs must be expressly requested and are to
be understood in our laboratory, subject to authorisation
and with the issue of the return number.
For products sent in their original packaging, the return
shipment will be made freight free.
For warranty repairs, a fiscal document is required where
the date of purchase is within the warranty period (sales
note, purchase invoice, fiscal receipt).
Labour costs for warranty repair (when the warranty
conditions are valid) are borne by the manufacturer.
Repairing or replacing a product does not renew or extend
the terms and expiration dates of the warranty.
14.3 OUT-OF-WARRANTY REPAIRS
Non-warranty products can be repaired by the
manufacturer by returning them after having been
authorised by the technical assistance service. The costs of
repair, including shipping, materials and labour, are to be
understood as being borne by the customer or the retailer.
The parts and components being repaired are considered
to be covered by warranty for 24 months from the date of
receipt of the repaired device.
14.4 NON-DEFECTIVE PRODUCTS
In the event that the manufacturer does not find any
malfunction or defect in the returned products, it is
concluded that the product is not to be considered as
defective. Shipping and device management costs will be
charged to the customer or distributor.
14.5 HOME REPAIRS
In case of repair at the customer's premises, a written
request must be made indicating the complete details of
the applicant, the type of machine and the fault.
The kilometric cost for the technician's transfer is to be
agreed in relation to the customer's urgency.
In the event that the machine in question is under warranty,
only the costs of the transfer will be charged.
The time is counted from the departure of the technician
from our laboratory until his return, the time of return will be
estimated on the basis of the time spent on the outward
journey.
14.6 SPARE PARTS
A detailed list of all spare parts can be obtained from the
manufacturer.
Spare parts are sold following a formal request for an offer
to the technical assistance service. Processing times are
related to the availability of the parts. Returns for spare
parts are not accepted.
The payment will be cash on delivery unless otherwise
agreed.

19
15 BIGLIOGRAPHY
15.1 Delta leg
Woerman AL, Binder-Macleod A. (1984) Leg Lenght discrepancy
assessment: accuracy and precision in five clinical methods of
evaluation. The Journal of Orthopaedic & Sports Physical Therapy
1984, vol 5(5); 230-239.
Beattie P, Isaacson K, Riddle DL, Rothstein J. (1990) Validity of
derived measurements of leg-lenght differences obtained by us of
a tape measure. Physical Teraphy 1990 vol 70(3); 150-157.
Brady RJ, Skinner TM. & Gross MT. (2003) Limb Lengh Inequality:
Clinical implications for assessment and intervention. Journal of
Orthopaedic & Sport Physical Therapy 2003: 33(5); 221-234.
Inoltre per una riflessione sulle difficoltà di misurazione nel
bambino: D’Osualdo F. - Schierano S. - Cilento F. - Cazzagon M. e
con la collaborazione di De Piero M. - Federigo D. - Iervolino M. -
Pavan C.
(1997). La variabilità interosservatore nella valutazione clinica
dell’arto inferiore del bambino sano. Eur Med Phys, vol 33, n 3 (135-
142), (1997).
15.2 Arcometer
D’Osualdo F., Schierano S., Jannis M. La misurazione della cifosi –
rassegna dei metodi disponibili e proposta di un nuovo strumento
denominato arcometro. Temi di Riabilitazione, vol 1, pp 105-115,
Ed Goliardiche, Trieste
1996
D’Osualdo F., Schierano S., Jannis M. Validation of clinical
measurement of kyphosis with a simple instrument named
arcometer. Spine, vol 22, n° 4 (408-413), Feb 1997
Schierano S., D’Osualdo F. Un nuovo dispositivo per la misurazione
di superficie del rachide. Presentazione del sistema BACES In Atti
convegno Triveneto “Argomenti di Riabilitazione”, pp 83-06,
Venezia Nov 1997
Schierano S., D’Osualdo F. La valutazione del rachide attraverso
l’esplorazione di superficie – note storiche e nuove proposte: il
sistema BACES Riabilitazione e Apprendimento, anno 17, n° 1, pp
73-85, 1997
D’Osualdo F., Schierano S., Iannis M., Righini E. The levelprotractor,
a new simple instrument to measure Cobb angle and back hump
Eur Med Phys, vol 36, n° 5 (101 - 106), 2001
D’Osualdo F., Schierano S., Soldano F. M., Isola M. A new
tridimensional approach to the evaluation of the spine through
surface measurement: the BACES System. Medical Engeneering
and Technology 2002, vol 26, n° 3 (95-105)
D’Osualdo F., Cisotti C., Schierano S. Studio della posizione seduta
su uno sgabello ad inclinazione variabile mediante valutazione di
superficie del rachide con il Sistema BACES. Third SIAMOC
Congress –Bologna 2002; Gait & Posture 2002, vol 16, Suppl 1 pp
206
D’Osualdo F., Schierano S., Cisotti C. The Evaluation Of The Spine
Through The Surface Europa Medicophysica 2002, vol 38, n° 3 (147-
152)
D’Osualdo F., Schierano S., Cisotti C., Battel M.A., Saccavini M.
Short- Term Effect Of Standard Milwaukee And Thoracolumbar
Braces For Dorsal Kyphosis Evaluated With A Computerized Surface
Technique (Italian Acronyme: B.A.C.E.S.). ESMAC Seventh annual
Meeting –Leuven 2002;
Gait & Posture 2002, vol 16, Suppl 1 pp 150
D’Osualdo F., Schierano S., Zacquini S., Cisotti C. Valutazione non
invasiva del rachide. Il Fisioterapista, 2003, n° 3: 43-45
Schierano S., D’Osualdo F., Zacquini S. Analisi degli invii a visita
specialistica per problemi di colonna, in una popolazione di
adolescenti
La Pediatria Medico Chirurgica 2005, vol 27 n° 1-2, 86-91
Cisotti C., D’Osualdo F., Fachin E., Scherano S., Ursig P. Scoliosi
idiopatica: quanto funziona la ginnastica correttiva nel
trattamento delle rotazioni?
Il Fisioterapista 2006, vol 4 n° 29-44

20
ITALIANO
INFORMAZIONI GENERALI
Questo manuale contiene le informazioni per un uso
pratico, corretto e sicuro del dispositivo ed è destinato alla
lettura da parte del personale specializzato e
dell’utilizzatore del prodotto. È consigliata l’attenta lettura
dell’intero manuale prima dell’utilizzo del prodotto.
Nel caso in cui vi fossero dubbi o si necessitasse di
chiarimenti siete pregati di contattare il rivenditore che
sarà in grado di consigliarvi correttamente.
L’importanza della lettura e comprensione del manuale
d’uso è evidenziata sul prodotto dal seguente simbolo:
Seguire le istruzioni per l’uso
1.1 Fabbricante
CHINESPORT S.P.A, Via Croazia, 2-33100 Udine Italy
[phone]
https://www.chinesport.com
[email protected]
L’azienda produce in accordo con lo standard di qualità
UNI EN ISO 13485:2016
1.2 LIMITAZIONI D’USO E AVVERTENZE PARTICOLARI
I dispositivi non devono essere utilizzati:
•Senza aver effettuato tutte le previste regolazioni
e messe a punto dedicate.
•Quando l’uso è controindicato o genera gravi
disagi al paziente.
•Con manomissioni e/o modifiche sul prodotto
originale.
•In configurazione impropria o quando ci sia il
sospetto che possa arrecare danno al paziente.
•In maniera diversa rispetto alla destinazione d’uso
indicata
1.3 EFFETTI COLLATERALI E CONTROINDICAZIONI
Prima di procedere all’uso è necessario valutare le
condizioni psico-fisiche del paziente
1.4 UTILIZZATORI
Personale medico e tecnico formato
È compito dello specialista giudicare
l’idoneità fisica del paziente per cui si
prevede l’utilizzo del prodotto.
È sempre raccomandato l’utilizzo sotto la
supervisione dell’operatore.
1.5 DISIMBALLAGGIO
Estrarre i sussidi dall’imballo senza utilizzare il taglierino per
evitare di danneggiarli e smaltire correttamente gli imballi.
Eventuali danni dovuti al trasporto devono essere
prontamente segnalati al trasportatore e al fornitore: i
sussidi danneggiati non devono essere utilizzati.
1.6 AMBIENTE D’USO
Ambiente clinico / ospedaliero
1.7 IMMAGAZZINAGGIO
Temperatura
Ambiente
Umidità
Pressione
5˚C ~ 60˚C
1% ~80%
70kPa~106kPa
1.8 MANUTENZIONE
Mantenere costantemente pulito
FREQUENZA
OPERAZIONE
12 mesi
Pulizia generale
Ispezione visiva e funzionale dell’accessorio
1.9 PULIZIA
Spolverare delicatamente e in caso di macchie lievi
passare la superficie con un panno umido o con una
soluzione di detergente neutro, risciacquando con poca
acqua. Asciugare evitando l’esposizione diretta alla luce
del sole.
NON USARE MAI PRODOTTI O DETERGENTI
AGGRESSIVI O CONTENENTI ALCOL! Tali
detergenti danneggiano i materiali plastici e
le serigrafie, invalidando la garanzia del
prodotto
1.10 DISINFEZIONE
Per la disinfezione delle superfici si consiglia l’utilizzo di
prodotti disinfettanti che non contengano alcool,
ammoniaca o altre sostanze aggressive.
1.11 ULTERIORI INFORMAZIONI
Ulteriori informazioni disponibili sul sito:
www.chinesport.it
AVVERTENZE GENERALI
Per un utilizzo corretto del dispositivo fare sempre
riferimento al presente manuale.
-Stoccare il dispositivo in un ambiente consono a
quanto riportato sulle etichette presenti sull’imballo e
sulle specifiche riportate nel presente manuale
-Il fabbricante non si ritiene responsabile, entro i limiti
massimi consentiti dalla legge in vigore, di danni diretti
o indiretti, particolari, incidentali o consequenziali
causati da:
oErrato utilizzo del dispositivo
oUtilizzo improprio del dispositivo ed al di fuori di
quanto previsto come destinazione d’uso
oUtilizzo del dispositivo in ambienti non previsti
nel presente manuale
oUtilizzo con pazienti non idonei
Non si riscontrano effetti collaterali. Utilizzare sempre
l’apparecchiatura in maniera consona. È raccomandata
la conoscenza del presente libretto di istruzioni.