Kinetec Maestra User manual

1 GB
Summary
Page
• Definition__________________________________________________________ 2
• Description ________________________________________________________ 3
• Safety ____________________________________________________________ 4
• Electrical connection __________________________________________________ 4
• Use of the hand control
- Select your language ________________________________________________ 5
- Locking the hand control setting ________________________________________ 5
- START/STOP/REVERSE function _________________________________________ 5
- Quick Start_______________________________________________________ 6
- Possible values for each parameter ______________________________________ 6
- How to adjust the basic parameters of the movement? __________________________ 7
- How to modify programs PROGRAM MODE? _________________________________ 8-9
- Using Programs ___________________________________________________ 10
- Reading the values of a program ________________________________________ 10
- How to define the upper and lower movement limits? ___________________________ 11
• Start up
- Setting up the forearm support _________________________________________ 12
- Setting up the driving mechanism________________________________________ 12
- Adjusting the length finger ____________________________________________ 13
• Possible movements
- Pronation / Supination _______________________________________________ 14
- Extension / Flexion of the wrist__________________________________________ 14
- Extension / Flexion of the wrist and the MP joints of the fingers ____________________ 15
- Ulnar deviation ____________________________________________________ 15
- Thumb opposition __________________________________________________ 16
- Complete fist _____________________________________________________ 16
- Intrinsic + _______________________________________________________ 17
- Intrinsic -________________________________________________________ 17
- Selective mobilization of the DIP joint _____________________________________ 18
• Product information
- Maintenance______________________________________________________ 18
- Cleaning ________________________________________________________ 18
- Technical specifications ______________________________________________ 18
- Troubleshooting ___________________________________________________ 19
- Symbols used _____________________________________________________ 19
- Warranty ________________________________________________________ 19
- Maintenance sheet _________________________________________________ 20
SAFETY RECOMMENDATIONS
• The physician defines the protocol and ensures that it is correctly implemented (adjustments, session time and frequency of use).
• We recommend that you lock the hand control when you give it to the patient.
• For optimum safety, always give the hand control to the patient before starting the system.
• Explosion hazard: KINETEC Maestra is not designed for use in the presence of flammable anaesthetics.
• Check that the electrical socket is in good condition and is suitable for the splint power supply cord. The latter complies with current
standards and has a grounding socket. The plug may be connected to any standard socket. The socket must however have a grounded
pin. To connect the power supply, only use the original cable supplied with the machine. Check that the cables remain free around the
device so that they do not get damaged.
Manuel N°467896276 - Update 16/07/09

2
GB
Definition
The KINETEC Maestra is used for passive mobilization of the hand and wrist and permits a wide range of
possible joint movements for:
-The forearm
-The wrist
-The thumb
-The long fingers
• Indications
•Flexor and extensor tenolysis.
•Aponeurectomies for Dupuytren disease.
•Metacarpophangeal arthrolysis.
•Open reduction and internal fixation of intra-articular, diaphyseal, metaphyseal and epiphyseal fractures
of the phalanges
•Prosthetic replacement of the MCP, PIP and DIP joints
•Rheumatoidal/neurological or after-burn stiffness
•Capsulotomies, arthrolysis and tenolysis for post-traumatic stiffness of MCP, PIP and SIP joints
•Synovectomies.
• Clinical Benefits
•Breaks the cycle of trauma, inflammation and the loss of range of motion.
•Prevents joint stiffness.
•Speeds the recovery of post-operative range of motion.
•Maintains the quality of the joint surface.
•Reduces pain and edema.
•Promotes joint cartilage healing.
•Reduces hospitalization time
•Reduces the need for pain medication.
•Provides immediate post-operative continuous passive motion.
•Digital ROM readout on the patient hand control for positive reinforcement.
•Maintains desired positions for stretching and muscular rest
• Contraindications
Bone Cancer, Warped joint surfaces, Spastic paralyses, Unstable fractures, Uncontrolled infection.

3 GB
Description
The KINETEC Maestra is a portable machine, single unit device that can be used on a table.
It consists of the following components:
1 • Casing encloses the motor and the power PCB.
2 • Forearm support.
3 • Transport handle.
4 • Driving mechanism
5 • Case
6 • Wrist mobilization accessories.
7 • Thumb mobilization accessories.
8 • Long fingers mobilization accessories.
9 • Spare parts.
10 • Miscellaneous textiles.
11 • Ulnar deviation mobilization accessories
12 • Power supply cable transport position.
13 • Hand control
14 • Liquid-crystal display (2 lines of 16 characters).
15 • Selective movement of long fingers key.
16 • Complete fist key.
17 • Thumb opposition key.
18 • Wrist key.
19 • Pronation / supination key.
20 • Upper limits setting.
21 • Lower limits setting,
22 • Increase / decrease keys.
23 • START key.
24 • STOP key.
25 • FORCE key.
26 • SPEED key.
27 • PAUSE key.
28 • TIMER key.
29 • PROGRAM access key.
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4
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KINETEC
Maestra V01.0
Please wait
KINETEC
Maestra V01.0
1
23
Safety
The physician defines the protocol and ensures that it is correctly implemented (adjustments, session duration and
frequency of use).
The patient must know the start/stop/reverse function on the control handle. Hand control must be accessible to patient
at all times. (See page 7).
KINETEC Maestra complies with Directive 93/42/CEE.
EXPLOSION HAZARD:
KINETEC Maestra is not designed for use in the presence of flammable anaesthetics.
In case of electromagnetic interference with other devices move the device.
KINETEC Maestra is in compliance with standards in force (IEC 601.1.2), electromagnetic compatibility standard for
medical devices.
Please, do not touch the moving parts while the unit is running, pinching risk.
Electrical Connection
KINETEC Maestra is a type B class I device.
Before connecting the device to the power supply, check that the mains voltage matches that shown on the identification
plate (100-240 V~ 50-60Hz).
Connect the hand control (1)
Connect the power supply cable (2).
IMPORTANT
Check that the electrical socket is in good condition and is
suitable for the splint power supply cord. The latter complies with
current standards and has a grounding socket.
The plug may be connected to any standard socket.
The socket must however have a grounded pin.
To connect the power supply, only use the original cable supplied
with the machine.
Check that the cables remain free around the device so that they
do not get damaged.
Starting the unit
Switch on (3).
While the unit begins an auto diagnostic, the display shows the following
Your KINETEC Maestra is ready to be used.

5 GB
PRONA/supination
-10 STOP 5
Pl
ease
w
a
it
KINETEC
Maestra V01.0
Language:
en
g
lish
Language:
french
Ok
Switch on/off
Use of the hand control
Select your language
Beginning Keys to press Display Remarks
Switch the unit ON Check if the hand control is not blocked
(See page 5).
Press the 2 keys in the same time The display indicates the language selected.
To change the language or
The English language is selected.
English
French
German
Italian
Spanish
To validate the new language. To exit and confirm the new language, switch
OFF and Switch ON the unit.
Locking the hand control setting
The hand control allows the patient to control the machine as appropriate.
Simultaneously press the and keys to lock the hand control,
The display reads "LOCK", you can not change the parameters, if you try the display reads "LOCK".
To unlock the hand control, simultaneously press the and keys, The display reads "UNLOCK”.
We recommend that you lock the hand control when you give it to the patient.
Comment: The hand control is unlocked when you switch the unit ON/OFF.
START/STOP/REVERSE function
As with all KINETEC systems, KINETEC Maestra is equipped with a START/STOP/REVERSE function.
When the unit is running, the display reads RUN
Press the key of the hand control. The movement stops. The display reads STOP.
Press the key of the hand control. The movement starts in the opposite direction and the display reads RUN.
Caution:
For optimum safety, always give the hand control to the patient before starting the system.

6
GB
Use of the hand control
Quick Start
Set up the patient and proceed as below:
Beginning Keys to press Display Remarks
Switch the unit ON
Check if the hand control is not blocked
(See page 5).
To choose the movement
The display shows the new movement selected
and the default settings of the upper and lower
limits of this movement.
Successive presses on the keys
or
allows to select different movements.
Start the session with the original parameters of the
movement (default setting). The value change at the speed of the movement.
Possible values for each parameter:
1
st press 2nd press 3rd press 1st press 2nd press 3rd press
• Lower limit -90° -50° -50° -30° 0° -30° 0° 0° 0°
• Upper limit 90° 90° 140° 60° 180° 225° 90° 180° 70°
• Speed 1 to 9 (from 150° to 440° per minute)
• Force 1 to 6
• Extension Pause 0 to 900 seconds (15 minutes)
• Flexion Pause 0 to 900 seconds (15 minutes)
• Timer No timer (00H00) to 24H00
Default setting values for each parameter
1
st press 2nd press 3rd press 1st press 2nd press 3rd press
• Lower limit -10° -20° 0° 0° 0° 0° 0° 0° 0°
• Upper limit 10° 20° 60° 40° 90° 50° 40° 90° 40°
• Speed 2
• Force 6
• Extension Pause 0
• Flexion Pause 0
• Timer 0
Pl
ease
w
a
i
t
KINETEC
Maestra V01.0
Prona/supination
-10 STOP 5 10
dip ext/fle
0 run 20 40
Prona/supination
-10 STOP 5
WRIST
EXT/flex
WRIST+MP
EXT/fle
Ulnar dev.Add/ab
0 STOP 94 40
Thumb opposition
0 STOP 94 90
Tpm ext/fle
0 STOP 94 50
Intrin.+ ext/fle
0 STOP 94 40
Intrin.- ext/fle
0 STOP 94 90
dip ext/fle
0 STOP 94 40

7 GB
Use of the hand control
How to adjust the basic parameters of the movement?
Beginning Keys to press Display Remarks
To stop the unit
Check if the hand control is not blocked
(See page 5).
To choose the movement
The display shows the new movement selected
and the default settings of the upper and lower
limits of this movement.
Successive presses on the keys
or
allows to select different movements.
To display the extension or flexion limit of the movement
or
The value blinks.
To change the limit if necessary Or The new value blinks.
To validate the new value, press another key
or wait more than 3 seconds.
While the value blinks press
the or key
to change if necessary.
Or
Or to display pause in extension or flexion limit
Successive presses on this key selects the
pause at the extension or flexion limit.
To change the pause if necessary or The new pause value blinks.
To validate the new value press another key
or wait more than 3 seconds. The display shows the
selected mode.
The unit is ready to start with the new
parameters.
Comments:
• The values shown in the ‘Display’ column are examples.
Prona/supination
-10 STOP 5 10
dip ext/fle
20 Flex 15 70
dip ext/fle
0 Ext 94 40
dip ext/fle
20 FleX 94 40
dip ext/fle
SPEED 2
No timer
dip ext/fle
PAUSE HIGH
Pause low 0
LOAD _ _ _ _ _ _
dip ext/fle
PAUSE low 15
dip ext/fle
20 STOP 94 70
Prona/supination
-10 STOP 5
WRIST
EXT/flex
WRIST+MP
EXT/fle
Ulnar dev.Add/ab
0 STOP 94 40
Thumb opposition
0 STOP 94 90
Tpm ext/fle
0 STOP 94 50
Intrin.+ ext/fle
0 STOP 94 40
Intrin.- ext/fle
0 STOP 94 90
dip ext/fle
0 STOP 94 40

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Use of the hand control
How to modify programs PROGRAM MODE
Beginning Keys to press Display Remarks
To switch off the unit
Press the two keys at the same time and switch the unit
ON
Welcome text during 3 seconds.
Then
The program number blinks.
To change the program if necessary or The new program number blinks.
To choose the movement
The display shows the new movement selected.
Successive presses on the keys
or
allows to select different movements..
To display the extension or flexion limit of the movement
or
The value blinks.
To change the limit of movement if necessary or The new value blinks.
To validate the new value, press another key
or wait more than 3 seconds
While the value blinks press
the or key
to change if necessary.
To record the program 10
Then
The program 10 has been recorded and the
display indicates the next program so you can
change another program.
OR
To cancel the program
The program 10 has been cancelled and the
display indicates the next program so you can
change another program.
To exit program mode, switch OFF and switch ON the unit.
To use the modified program see page 10.
Program 10
0 Ext 94 40
Program 10
20 Fle 94 40
KINETEC
maestra V01.0
Program 2
EMPTY
Program 10
25 kinetec 110
Program 10
Prona/su
p
ination
Program 10
WRIST
Program 10
WRIST+MP
Program 10
Ulnar dev.
A
dd/ab
Program 10
Thumb o
pp
osition
Program 10
T
p
m ext/fle
Program 10
Intrin.+ ext/fle
Program 10
Intrin.- ext/fle
Program 10
di
p
ext/fle
Program 10
20 Fle 94 70
Program 10
SPEEd: 2
No time
r
Pause low 0
FORCE _ _ _ _ _ _
Program 10
Save:+ clear:-
Program 10
Save
Program 11
EMPTY
Program 10
clearing
Program 11
EMPTY
KINETEC
Maestra V01.0

9 GB
Use of the hand control
Comments:
• When a program has been deleted, the display shows
Program table:
Timer
Pause on lower limit
Pause on upper limit
Force
Speed
Upper Limit
Lower limit
Movement type
• Program
number
1 2 3 4 5 6 7 8 9
10 11 12 13 14 15 16
Program 11
EMPTY

10
GB
Use of the hand control
Using Programs
The KINETEC Maestra allows you to store up to 16 programs, including the type of movement, ROM, speed, load, pauses and timer.
The original parameter values of the program are empty.
These values can be modified and recorded at any time (see ‘How to enter a program’ page 10).
Beginning Keys to press Display Remarks
To stop the unit Check if the hand control is not blocked
(See page 5).
To access the program mode The program number blinks.
To change the program if necessary or The new program number blinks.
To exit and validate the selected program The current parameters have been recorded in
program 3.
To exit without validation of selected program Back to the starting parameters.
Start the unit The value change at the speed of the
movement.
Reading the values of a program: example SPEED
Beginning Keys to press Display Remarks
To stop the unit Check if the hand control is not blocked
(See page 5).
To access the program mode The program number blinks.
To change the program if necessary or To change the program if necessary.
To read the speed value Displays the speed value.
After 5 seconds or after pressing on another key
To exit and validate the selected program The current parameters have been recorded in
program 3.
Start the unit The value change at the speed of the
movement.
Comments:
• The values shown in the ‘Display’ column are examples. They actually depend on the stored programs.
• The current movement parameters can be changed while using that program but no data will be stored in the original program.
See the programming mode (p 8) to modify programs.
Prona
/
supination
-10 STOP 5
PROGRAM 1
Prona/supination
PROGRAM 3
WRIST EXT/flex
WRIST EXT/flex
Please wait
WRIST EXT/flex
25 run 20 90
Prona/supination
-10 STOP 5
10
WRIST EXT/flex
25 STOP 20
PROGRAM 1
Prona/supination
PROGRAM 3
WRIST EXT/flex
PROGRAM 3
Speed 5
PROGRAM 3
WRIST EXT/flex
WRIST EXT/flex
25 STOP 20
WRIST EXT/flex
25 RUN 20 90

11 GB
Use of the hand control
How to define the upper and lower movement limits?
• At the start of a session
The MANUAL MODE is a way to set within the tolerance of a patient at the beginning of a session.
Set up the patient and proceed as below:
Beginning Keys to press Display Remarks
Switch the unit on
Check if the hand control is not blocked
(See page 5).
To select the MANUAL MODE for upper limits by
continually holding pressure on the key continuous press The unit is moving to the upper limit of the
movement.
To set the pain level when reached, immediately press
The new upper value limit of the movement is
recorded.
To select the manual mode for lower limits continuous press The unit is moving to the lower limit of the
movement
To set the pain level when reached, immediately press The new lower value limit of the movement is
recorded.
To start the session with the new movement limits The angle display changes with current
movement.
• During the session
This function, The BY-PASS MODE is a way to address the pain threshold of a patient during a session.
IMPORTANT: Can be used only when the machine RUN.
Début Appuyer sur
touches Affichage Commentaires
The unit is running
Check if the hand control is not blocked
(See page 5).
To select the BY-PASS MODE continuous press The unit exceeds the recorded upper limit.
To set the new pain level when reached, immediately
press The new upper value limit of the movement is recorded.
To select the BY-PASS mode for lower limits continuous press The unit is moving to the lower limit of the
movement.
To set the new pain level when reached, immediately
press The new lower value limit of the movement is recorded.
Continue the session with the new movement limits. The angle display changes with current
movement.
Comments:
• The values shown in the ‘Display’ column are examples.
Prona/supination
-5 Manual 5 15
Prona/supination
-5 Manual 5 15
KINETEC
maestra V01.0
Pl
ease
w
a
i
t
Prona/supination
-10 STOP 5 10
Prona/supination
-10 Manual 15 5
Prona/supination
-10 Manual 15
Prona/supination
-10 Manual 5 15
Prona/supination
-10 STOP 5 10
Prona/supination
-30 Bypass 30
Prona/supination
-30 RUN 10
Prona/supination
-10 BYPASS 40
Prona/supination
-10 B
yp
ass 40
Prona/supination
-30 B
yp
ass 30

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23
1
54
6
Start up
Setting up the forearm support
The forearm support should be attached on the RIGHT hand for the Left hand on the
LEFT for the RIGHT hand. For Pronation-supination of the wrist, the support should
be attached to the base directly IN FRONT of the motor axis.
The support is set on a telescopic rod (1) which has two notched joints (2 and 3).
These joints enable placement of the wrist in any of following positions:
• Dorsal flexion,
• ZERO position,
• Palmer flexion
The joints also permit the forearm support to be tilted up or down.
However, if this is done, the angle of tilt should be taken into account when setting
the range of motion on the display.
Setting up the driving mechanism
The driving mechanism should be attached to the motor axis.
In order to facilitate the setting up of the driving mechanism, use the intrinsic + movement and to stop the unit at 0°.
LEFT Hand RIGHT hand
CAUTION
Make sure that when the driving mechanism is inserted on the motor axis,
the cable (4) is ABOVE the groove of the cam (5). The driving mechanism
should then be locked in place by tightening the screw (6) with the Allen
key included in the accessory case.

13 GB
Start up
Adjusting the length finger
To better fit individual hand lengths and polar radii depending on the fingers or thumb to be mobilized the guide will be oriented as
follows by unscrewing the nut (8) and lifting the guide (7), in position (A) or in position (B)..
Guide in position A
Guide in position B
8
7
8
7

14
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Possible movements
Pronation / Supination
The KINETEC Maestra provides a motion from 90° of pronation to 90° of supination
• Choice of the Pronation / Supination movement:
- Press and adjust your parameters (see page 9).
- Or select a program (see page 13).
Extension / Flexion of the wrist
The KINETEC Maestra provides a motion from -50° to 90°.
• Choice of the 1st movement of the wrist:
- Press and adjust your parameters (see page 9).
- Or select a program (see page 13).

15 GB
Possible movements
Extension / Flexion of the wrist and the MP joints of the fingers
The KINETEC Maestra provides a motion from -50° to 140°.
• Choice of the 2nd movement of the wrist:
- Press 2 times and adjust your parameters (see page 9).
- Or select a program (see page 13).
Ulnar deviation
The KINETEC Maestra provides a motion from -30° to 60°.
• Choice of the 3rd movement of the wrist:
- Press 3 times and adjust your parameters (see page 9).
- Or select a program (see page 13).

16
GB
Possible movements
Thumb opposition
The KINETEC Maestra provides a motion from 0° to 180°.
• Choice of the thumb opposition movement:
- Press and adjust your parameters (see page 9).
- Or select a program (see page 13).
Complete fist
The KINETEC Maestra provides a motion from -30° to 225°.
• Choice of the complete fist movement:
- Press and adjust your parameters (see page 9).
- Or select a program (see page 13).

17 GB
Possible movements
Intrinsic +
The KINETEC Maestra provides a motion from 0° from 90°.
• Choice of the intrinsic + movement:
- Press 1 time and adjust your parameters (see page 9).
- Or select a program (see page 13).
Intrinsic -
The KINETEC Maestra provides a motion from 0° to 180°.
• Choice of the intrinsic - movement:
- Press 2 times and adjust your parameters (see page 9).
- Or select a program (see page 13).

18
GB
Possibles movements
Selective mobilization of the DIP joint
The KINETEC Maestra provides a motion from 0° to 70°.
• Choice of the Selective mobilization of the DIP joint movement:
- Press 3 times and adjust your parameters (see page 9).
- Or select a program (see page 13).
Product information
Maintenance
After 2,000 hours of operation, KINETEC Maestra requires a few lubrication and maintenance operations (lubrication of the joints, pointer stops and ball screws).
The need for maintenance is indicated by display of the message SERV. MOTOR when the system is switched on.
Despite that warning, you can continue to use your KINETEC Maestra by pressing START, but you should contact your nearest KINETEC technician to have the
maintenance
operations conducted as soon as possible.
• A motor running time counter is available. Simultaneously press keys and , the displays shows
this counter can be resetting by pressing the key .
Cleaning
Before conducting any cleaning operation, SWITCH the unit OFF and disconnect the power supply.
Use a DISINFECTANT (PROPANOL/ISOPROPANOL or ALDEHYDE-based solution). Spray the disinfectant on the SURFACES (plastic shells and metal components).
In order to ensure optimal hygiene, you are advised to clean the covers for each new patient. All the consumables enable hazard-free disposal.
Technical specifications
Product:
Weight: 8 Kg (without case)
Unit dimensions:
35 x 41 x 30cm
14 x 16 x 12 inches
Angular limits: see page 6
Spedd: from 150 to 440°/min
Patient sizing:
all hand sizing until 7 years old
Electricity:
Power supply: 100-240 V~
Frequency: 50-60 Hz
Power consumption: 50 VA
Device of type B class I
IP 20.
Fuse T 750mA 250V 6.3x32mm
(KINETEC order: 4610007434)
Environment
- Storage/transport conditions:
Temperature: -40 to 70°C / -40 to 160°F
Relative humidity: up to 90%
- Operating conditions:
Room temperature: 10 to 40°C / 50 to 105°F
Relative humidity: up to 80%
RESET TIME 924H
Reset: limit low

19 GB
Product information
Troubleshooting
A spare parts list and technical catalog are available to you on request from your KINETEC distributor.
If, after connecting the power supply cable to the power supply and switching on KINETEC Maestra:
• The display does not indicate any information:
- Check that the electrical socket is live using another device.
- Replace the fuse(s) (32) of the connector with fuses of the same type and calibre:
2 fuses T 750 mA 250V (6.3 x 32) (KINETEC order: 4610007434).
- If the display still does not indicate any information, contact your nearest KINETEC technician.
• Your KINETEC Maetsra does not work and the display indicates 50 STOP 25 115,
Press START again.
Your KINETEC Maestra still does not function: Contact your nearest KINETEC technician.
• Your KINETEC Maestra does not function and the display indicates:
ANGULAR POSI.: angle measurement function failure,
or NO MOVEMENT: no movement,
or BAD WAY: motor rotation failure,
or LOAD MAXI: abnormal consumption,
or POWER SUPPLY: power failure;
Contact your nearest KINETEC technician if the same message is displayed after having switched
the device off, then on, and started it by pressing START.
Symbols used
TYPE B device
(protection against electric shocks) Speed
Upper limit
Caution
(consult the accompanying
documents) Timer
Pronation / supination movement
STOP (power off) Force Wrist movement
ON (power on) Pause Thumb movement
Start movement Increase Complete fist movement
Stop movement Decrease Selective movement
Program access Lower limit
~
Alternative current
Warranty
The KINETEC warranty is strictly limited to the replacement free of charge or repair in the plant of the component or components found to be defective.
KINETEC guarantees its joint passive mobilization systems for 1 year against all defects of manufacture from the date of purchase by the consumer.
KINETEC is the only organization able to assess the application of the warranty to its systems.
The warranty will be considered null and void if the device has been used abnormally or under conditions of use other than those indicated in the user's manual.
The warranty will also be considered null and void in the event of deterioration or an accident due to negligence, inappropriate surveillance or inappropriate
maintenance, or due to transformation of the equipment or an attempt to repair the equipment.
1

20
GB