myomo myopro 2 Plus Motion W User manual

PN28009Rev001 1
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User Manual Appendix A
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OperatinginstructionsforMyoPro2+MotionW 
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PN28009Rev001 3
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Contents
MYOPRO2+MOTIONWCOMPONENTS.........................................................................................5 
MYOPRO2+CLOSURECOMPONENTS.............................................................................................6 
MYOPRO2+MOTIONWFOREARMSENSORS.................................................................................6 
MYOPRO2+BICEPS&TRICEPSSENSORS........................................................................................7 
MYOPRO2+CROSS‐BODYHARNESSCOMPONENTS.......................................................................7 
MYOPRO2+FIGURE8HARNESSCOMPONENTS.............................................................................8 
PUTTINGMYOPRO2+MOTIONWON(“DONNING”)..................................................................................9 
WARNINGSREVIEW.......................................................................................................................11 
STEPSFORPUTTINGONMYOPRO2+ORTHOSIS...........................................................................11 
DONNINGPREPARATION...................................................................................................12 
DONNINGINSTRUCTIONS..................................................................................................13 
STEPSFORPUTTINGONMYOPRO2+HARNESS............................................................................19 
HarnessClips.....................................................................................................................19 
CROSS‐BODYHARNESSDONNING.....................................................................................20 
CROSSBODYHARNESSDOFFING:......................................................................................22 
FIGURE8HARNESSDONNING...........................................................................................23 
TAKINGOFFMYOPRO2+(“DOFFING”).....................................................................................................31 
OPERATINGMYOPRO2+...........................................................................................................................35 
CONTROLPANEL............................................................................................................................37 
MODESOFUSE..............................................................................................................................38 
ELBOWMODES..................................................................................................................39 
CHANGEELBOWMODEWITHTHECONTROLPANEL....................................................................41 
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PN28009Rev001 5
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MYOPRO2+MOTIONWCOMPONENTS
ReferencethediagrambelowtounderstandthevariouscomponentsofyourMyoPro2+MotionWOrthosis.
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PN28009Rev001 6
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MYOPRO2+CLOSURECOMPONENTS
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ReferencethediagrambelowtounderstandthevariouscomponentsrelatedtotheMyoPro2+closuresofthe
forearmandhumeralstraps.
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MYOPRO2+MOTIONWFOREARMSENSORS
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ReferencethediagrambelowtounderstandthevariouscomponentsrelatedtotheMyoPro2+forearmsensors.
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PN28009Rev001 7
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MYOPRO2+BICEPS&TRICEPSSENSORS
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ReferencethediagrambelowtounderstandthevariouscomponentsrelatedtotheMyoPro2+biceps&triceps
sensors.
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MYOPRO2+CROSS‐BODYHARNESSCOMPONENTS
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ReferencethediagrambelowtounderstandthevariouscomponentsrelatedtotheMyoPro2+cross‐bodyharness.
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NOTE:YourProvidermayhaveprovidedyouwithaharnesswhichdiffersfromthecross‐bosyharness
shownbelow.Ifyoureceivedafigure8harnesswithyourMyoPro2+,refertofigure8harness
componentsdiagramonpage8.
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PN28009Rev001 8
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MYOPRO2+FIGURE8HARNESSCOMPONENTS
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ReferencethediagrambelowtounderstandthevariouscomponentsrelatedtotheMyoPro2+figure8harness.
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NOTE:YourProvidermayhaveprovidedyouwithaharnesswhichdiffersfromthefigure8harness
shownbelow.Ifyoureceivedacross‐bodyharnesswithyourMyoPro2+,refertocross‐bodyharness
componentsdiagramonpage7.

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PN28009Rev001 9
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PUTTINGMYOPRO2+MOTIONW
ON(“DONNING”)

PN28009Rev001 10
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PN28009Rev001 11
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Thefollowingpagesincludestep‐by‐stepinstructionsforputtingtheMyoPro2+MotionWon,referredtoas
“donningtheMyoPro2+”.
WARNINGSREVIEW
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BeforedonningtheMyoPro2+,reviewthewarningsbelow:
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WARNING:DONOTexposetheMyoPro2+toflameorexcessiveheat;personalinjurymayoccur.
WARNING:TheMyoPro2+isaprescriptiondeviceandshouldonlybeusedasindicatedunderclinical
supervisionofaProvider,orafterreceivinginstructionfromaclinicalProviderforat‐homeuse.
WARNING:TheMyoPro2+isonlytobeusedbythepersonforwhomitisprescribed.
WARNING:Eachcomponentofthedeviceissuppliedforsafetyandbestperformance.Useallprovided
componentsforoptimaloperation.
WARNING:ONLYusetheMyoPro2+upperlimborthosisontheprescribedelbow,wristandhand
joints.EachMyoPro2+isbuiltspecificallyforaleftarmorarightarm;neverweartheMyoPro2+
ontheotherarm.
WARNING:TightstrapsmayrestricttheUser’scirculation.Therefore,alwayscheckthatstrapsarenottoo
tightthroughouttheUser’srangeofmotion.
WARNING:DonotsleepwhilewearingtheMyoPro2+asstrapsmayaltertheUser’scirculation.
▲ CAUTION:Ifyoudetectfumes,flames,meltingofcomponentsaroundthebatteryorbatterycharger,or
thedeviceishottotouch,TURNTHEDEVICEOFFIMMEDIATELYandcontactyourProvider.
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STEPSFORPUTTINGONMYOPRO2+ORTHOSIS
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Toensureproperfitandfunction,itisessentialtheMyoPro2+isdonned(puton)correctlybeforeeachuse.IftheMyoPro2+
isdonnedincorrectly,youmayexperiencediscomfort,soreness,and/orpain.YoumayneedassistancetodonyourMyoPro
2+andifso,whomeverassistsyoushouldreceivetrainingforproperMyoPro2+donning.
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MyomooffersdonninginstructionalvideosfortheMyoPro2+onitswebsite(www.myomo.com).Ifyoustillhavedifficulty
donningtheMyoPro2+,consultwithyourProviderand/ortherapistfortipsandstrategiesspecifictoyoursituation.
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ConsulttheillustrationsabovetoreferencetheindividualcomponentsoftheMyoPro2+,whichareidentifiedasitalicized
wordsinthefollowinginstructions.

PN28009Rev001 12
DONNINGPREPARATION
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BeforedonningyourMyoPro2+,performthefollowingsteps:
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1. EnsurethattheMyoPro2+ispoweredoff.
NOTE:Padsandstrapsshouldbefullyair‐driedfromtheprevioususe.
▲CAUTION:DonotuseahairdryertodrycomponentsoftheMyoPro2+.
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2. Loosenthehandstrapbyremovingthehandstraphookfromthehandstrapanchorbypullingontheredrelease
tab..
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3. Positionthewristflexion/extensionjointinaneutralposition(noflexionorextension).Unlockthejointbydepressing
theflexion/extensionbutton(pushtheblacksideofbutton).Positionthewristflexion/extensionjointinaneutral
position.Lockthewristflexion/extensionjointafterpositioning.
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4. Positionthewristsupination/pronationjointinaneutralposition.Yourwrist/forearmshouldbeinthesamevertical
positionasifyouwereholdingamug.Unlockthejointbypullingthesupination/pronationlatch.Positionthewristin
aneutralposition.Securethesupination/pronationlatchafterpositioningtolockthewristjoint.

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PN28009Rev001 13
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5. Completelyloosentheforearmmagneticlatchandthehumeralmagneticlatchbypullingontheredreleasetabs.
Openthehumeralandforearmshellswiththerespectivestrapspositionedoutoftheway.
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6. Ifyouhavetone/spasticityinyourhand/fingers,itmaybebeneficialtoemployvarioustechniquestorelaxyourwrist
flexor/extensormusclesbeforeproceedingwithdonning.Consultwithyourtherapist/physicianfortone/spasticity
managementsolutions.
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DONNINGINSTRUCTIONS
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PN28009Rev001 14
1. Whendonning,positiontheMyoPro2+onasurfacewithadequatefrictiontopreventitmovingawayfromyou,such
asyourlap.
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2. Beginbyplacingyouraffectedhandontothehandshell.Notethethumbshouldbepositionedbetweenthedorsal
andpalmarhandstraps.
NOTE:Themotorandbatterycaseshouldrestontheoutsideofthearm.Ifthemotorandbattery
caseisalignedalongtheinteriorofthearm,youmaybedonningupsidedownoronthewrongarm.
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3. Positionyourhandsothebaseofthethumbisinfullcontactwiththehandshell.Thisisessentialtoensuretheentire
MyoPro2+iscorrectlypositionedonyourarms,withalljointsinalignment.
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4. Securethehandstraphooktothehandstrapanchor.Tightenthepalmarhandstrapand/ordorsalhandstrapas
necessary.
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PN28009Rev001 15
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5. Securetheforearmshell.Tucktheforearmlinerintotheforearmshell,ensuringthehandextensor(open)EMGsensor
isnotcovered.Closetheforearmshellandattachtheforearmmagneticlatchtotheforearmbucklebase.Securethe
forearmstrapcompletelybyclosingtheforearmbuckle.
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PN28009Rev001 16
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6. Securethehumeralshell.Tuckthehumerallinerintothehumeralshell,ensuringthebicepsEMGsensorisnotcovered.
Closethehumeralshellandsecurethehumeralmagneticlatch.Attachthehumeralmagneticlatchtothehumeral
bucklebase.Securethehumeralstrapcompletelybyclosingthehumeralbuckle.
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PN28009Rev001 17
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PN28009Rev001 18
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TheMyoPro2+isnowapplied.Forinstructionsondonningtheharness,pleasereferencethenextpages’instructions
todeterminewhichharnessyouareusingandtheinstructionsforapplication.
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PN28009Rev001 19
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STEPSFORPUTTINGONMYOPRO2+HARNESS
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AharnessisprovidedwiththeMyoPro2+.ItservestobothprotectyourshoulderjointandtosuspendtheMyoPro2+in
correctpositiononyourarm,soitdoesnotslideoff.
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WARNING:AharnessshouldalwaysbewornwhentheMyoPro2+isdonned,unlessdirectedotherwise
byyourphysicianand/ortherapist.Failuretowearaharnessmayresultinshoulderjointdiscomfort,
pain,and/orinjury.
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TheMyoPro2+isavailablewithtwoharnessmodelsdepictedbelow.Followingtheappropriateinstructions,dependingon
whichharnessmodelyouhave.
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CROSS‐BODYHARNESS  FIGURE8HARNESS 
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HarnessClips
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HavingtheharnessconnectedtotheappropriateretentionclipwillinfluencethealignmentoftheMyoPro2+.Yourclinician
willhavemarkedorindicatedwhichcombinationofretentionclipstouseforoptimaloutcomes.Ensuretheanteriorand
posteriorretentionclipsaresecurelylockedinplacebeforedonningtheharness.Eachharnessoptionwilluse(1)anterior
retentionclipand(1)posteriorretentionclip.
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Twoanteriorclipoptions
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Threeposteriorclipoptions

PN28009Rev001 20
CROSS‐BODYHARNESSDONNING
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IfyourMyoPro2+wasprovidedwithafigure8harness,skipthissectionandproceedtothefigure8harnessdonning
instructionsinthenextsection.
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Fordonningthecross‐bodyharness,followthestepsbelow:
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1. Placetheharnesssaddleonyourshoulder.Thesuspensionstrapsshouldstraddleyourshoulder.Themiddleofthe
saddleshouldbeatthemidlineoftheshoulder,touchingneithertheneckorshoulderjoint.Youmayhavetoliftyour
armouttothesideinordertomovethesaddleintothecorrectposition.
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2. Grabthecross‐bodystrapbehindyourbackandpullitunderneathyourarmpitonthesideoppositetheMyoPro2+.It
mayhelptoholdthesaddleinplacewithyourchintopreventmigration.
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