Otto Bock Genium X3 User manual

Genium X3
Set-up Guide
Information for practitioners

2 Ottobock | Genium X3 Set-up Guide
This set-up guide will provide additional hints and tips to
assure high quality ttings and thus optimal outcomes.
If you have additional questions please do not hesitate to
contact a member of our professional and clinical
services sta.
Genium X3
Set-up Guide

Genium X3 Set-up Guide | Ottobock 3
Content
1 Waking up and charging ...................................................................................................................................... 4
2 Necessary appliances: Energy saving mode
and disconnecting tube adapter including bug-fix ....................................... 5
3 Determination of system height ........................................................................................................... 6
3.1 Adapting the tube adapter length ............................................................................................................... 9
3.2 Cutting the tube adapter ......................................................................................................................................... 10
4 Connecting the tube adapter .................................................................................................................. 11
5 Alignment and adjustment via X-Soft ................................................................................. 13
5.1 Connecting with the knee joint ................................................................................................................... 13
5.2 Entering the user data ................................................................................................................................................ 13
5.3 Alignment ............................................................................................................................................................................................ 14
5.4 Flexion stops ................................................................................................................................................................................. 16
5.5 Basic Mode .................................................................................................................................................................................... 20
6 Information and safety signals .......................................................................................................... 26
7 Programming the MyModes .................................................................................................................... 28
8 Configuration of Safety Mode ............................................................................................................. 29
9 Data overview ...................................................................................................................................................................... 30
10 How to print the data overview ........................................................................................................ 31

4 Ottobock | Genium X3 Set-up Guide
Charging the knee completely before use is strongly recommended.
1 Waking up and charging
Connect the tube adapter + insert the tube adapter in the frame and take care that the cable
is placed in the tube.
Charge the knee completely: The ve lights should glow when Genium X3 is fully charged.
When the charger is disconnected, the system will do a self test. The knee will beep and vibrate one time.
1 2 3
4 5 6
After disconnecting the charger the knee joint will conduct a self test. Be sure not to move the
knee joint during this brief self test, since it can cause an error.

Genium X3 Set-up Guide | Ottobock 5
Once the knee is fully charged, you’ll need to perform the following sequences
of events before disconnecting and cutting the tube adapter to the correct length.
If a knee error is detected, the knee will beep and/or vibrate repeatedly
2 Necessary appliances: Energy saving
mode and disconnecting tube adapter
including bug-fix
Ensure the tube adapter is connected properly.
Connect the charger.
Check the battery status using the charger.
Disconnect the charger.
The knee will perform a self test.
If the knee beeps more than one time when the
charger is removed, contact the Ottobock service center.
Flex the knee to 90 degrees.
Start with the knee in full extension.
Flex the knee until it reaches the exion stop.
Leave it fully exed.
Disconnect the tube adapter.
Wait 5 seconds, power saving mode
will be activated.
After disconnecting the charger the knee joint will
conduct a self test. Be sure not to move the knee joint
during this brief self test, since it can cause an error.
If the knee head is fully flexed while the joint is standing upright, the joint switches
to sitting or energy-saving-mode after 2seconds. Then the tube adapter can be
disconnected without triggering an error message. This function can be used for
storage, shipping or replacing the tube adapter.

6 Ottobock | Genium X3 Set-up Guide
3 Determination of system height
In order to take proper positioning into account, Ottobock
species an alignment reference point and 2system heights
for every knee joint. The portion of the total system height
that is situated above the alignment reference point is called
the proximal system height; the portion below the align-
ment reference point is called the distal system height. Mini-
mum and maximum values are specied when using tube
adapters that can be cut to length.
Positioning the alignment reference point 20mm above the
medial tibial plateau (MTP) is recommended. The distance
between the alignment reference point and oor is also
called the knee axis-oor measurement. It corresponds to
the MTP-oor measurement plus 20mm.
The minimum distal system height of the knee prosthesis
system (joint and tube adapter) combined with the system
height of the foot is the minimum distal structural height
of the prosthesis. It corresponds to the minimum required
knee axis-oor measurement for the user. For users of
smaller stature in particular, this measurement can have a
pronounced impact on the selection of prosthesis compo-
nents and is therefore of great importance.
An example: Aer measuring from the socket end to the
oor, you have a structural height of 58cm for various com-
ponents. Then you measure the MTP-oor distance – for ex-
ample 49cm. Your calculated knee axis-oor distance then
measures 51cm. To nd out whether the available MTP-oor
distance for the user is sucient to integrate the desired
components, you simply need to check if the knee axis-oor
distance (MTP-oor distance +20mm) is greater than/equal
to the minimum distal structural height. Using the gures
from the example above, you can opt for a prosthetic system
with a minimum distal structural height of 51cm or less.
The overview below not only illustrates the composition
of the minimum distal structural height, but helps you to
select the prosthetic foot.
+ 20mm
Structural height
MTP-floor
measurement
Proximal structural height
Distal system height,
Genium X3
Proximal system height,
Genium X3
Tube adapter system
height (variable)
Prosthetic foot
system height
Distal structural height
Crucical for component selection

Genium X3 Set-up Guide | Ottobock 7
System height, foot (1C60) + minimum distal system height (3B5-X3 + 2R19)
= minimum distal clearance (1C60) + (3B5-X3 + 2R19)
Minimum distal system height 3B5-X3 Genium
Foot type Foot size System height, foot
(mm)
Minimum distal system height
(mm)
3B5-X3 + 2R19
Minimum distal structural height
(mm)
3B5-X3 + 2R19 + foot
1M10=S
Adjust
2 2 – 2 3 38
298
336
2 4 – 2 5 44 342
26 49 347
1M10=N
Adjust
22 46
298
344
23 48 346
2 4 – 2 5 53 351
26 57 355
27 59 357
2 8 – 3 0 64 362
1D35
Dynamic
Motion
22 57
298
355
23 60 358
24 63 361
25 66 364
26 68 366
27 72 370
28 74 372
29 75 373
30 77 375
1C30=S
Trias
2 1 – 2 2 82
298
380
2 3 – 2 4 85 383
2 5 – 2 6 93 391
1C30
Trias
21 82
298
380
22 86 384
2 3 – 2 4 88 386
2 5 – 2 6 95 393
27 104 402
28 106 404
2 9 – 3 0 108 406
System height 129
Foot size 25
Proximal system height 0 Min. distal system height 298
Min. distal clearance

8 Ottobock | Genium X3 Set-up Guide
Foot type Foot size System height, foot
(mm)
Minimum distal system height
(mm)
3B5-X3 + 2R19
Minimum distal structural height
(mm)
3B5-X3 + 2R19 + foot
1C40
C-Walk
2 4 – 2 5 71
298
369
26 – 28 81 379
29 – 30 87 385
1E56
Axtion
22 34
298
332
23 – 26 35 333
27 – 30 36 334
31 37 335
1E57
Lo Rider 2 2 – 3 1 18 298 316
1C60=S
Triton
1C64=S
Triton
Heavy
Duty
21 116
298
414
22 117 415
23 118 416
24 120 418
25 124 422
26 125 423
27 136 434
1C60=N
Triton
1C64=N
Triton
Heavy
Duty
24 126
298
424
25 129 427
26 131 429
27 140 438
28 141 439
29 154 452
30 156 454
1C61=S
Triton
Vertical
Shock
1C62=S
Triton
Harmony
21 163
298
461
22 164 462
23 166 464
24 167 465
25 175 473
26 177 475
27 177 475
1C61=N
Triton
Vertical
Shock
1C62=N
Triton
Harmony
24 173
298
471
25 175 473
26 177 475
27 181 479
28 183 481
29 189 487
30 191 489
1C63=S
Triton
Low
Profile
2 1 – 2 3 35
298
333
24 36 334
25 40 338
26 40 338
27 45 343
1C63=N
Triton
Low
Profile
24 42
298
340
25 43 341
26 45 343
2 7 – 2 8 49 347
29 52 350
30 55 353
1C60
1C64
1C61
1C62

Genium X3 Set-up Guide | Ottobock 9
3.1 Adapting the tube adapter length
1 Leave the knee exed when disconnecting the tube adapter.
2Open X-So, create a new user, and open a new job.
3Do not connect to the knee! First, click on the “Job Speci-
cations” tab and then click on the “Ankle adapter congu-
ration tool”.
4Open the tube adapter conguration tool.
5Fill in the requested information.
6The correct cutting length is displayed in the last line.
Please note, that the knee
center-ground distance from
the prosthetic side may be
significantly different than the
knee center ground on the non
prosthetic side: for example
long residual limb.

10 Ottobock | Genium X3 Set-up Guide
3.2 Cutting the tube adapter
Bevel and smooth the internal and external surfaces of the
tube adapter where it was cut.
Pull the cable out through the distal opening as illustrated
in the photo below to prevent cutting the cable – only pos-
sible with tube adapter 2R19 (without torsion unit).
How to cut the tube adapter
Gently insert the cable as deeply as possible into the tube adapter
without cutting the cable

Genium X3 Set-up Guide | Ottobock 11
4 Connecting the tube adapter
Mark the insertion length
Calculate the max./min. insertion length
Standard:
60 mm
60 mm
Calculated insert length:
373 mm
Insertion example = 373mm
Genium X3 frame
Max.
70 mm
Caution:
Don’t force tube adapter
insertion beyond 70 mm.
Standard
60 mm
Caution:
This is the calc ulated
length by X-soft.
Min.
40 mm
Caution:
It’s possible to use an adapter
between the foot and tube.

12 Ottobock | Genium X3 Set-up Guide
How to mark the adjustment range How to connect the tube adapter
How to roll the cable gently into the tube and insert the tube into the frame
Adjustment range: 30 mm total Caution: Do this gently!
The grid on the tube adapter must face anterior. Warning! Tube adapter insertion beyond 70 mm may cause damage to the
main electronics. When the Tube adapter is cut to the shortest length, please insert the blue plug into the recesses of the tube
adapter axial load sensor as seen in the photo below on the right side of the page.
40 mm
min.
insert
depth
70 mm max.
insert depth

Genium X3 Set-up Guide | Ottobock 13
5 Alignment and adjustment via X-So
5.1 Connecting with the knee joint
5.2 Entering the user data
Make sure you are con-
nected by checking the
Bluetooth illumination data
transfer light on the back of
the knee.
This is very important for ensuring proper function of the joint. Be precise when measuring
and entering numbers in X-So.
Re-enter the data on this tab if any changes are made to the prosthetic height, foot type,
foot size, or user’s body weight.

14 Ottobock | Genium X3 Set-up Guide
5.3 Alignment
Patient data
1Hip exion angle:
Use the Thomas test and a goniometer.
2Measure the eective heel height of the user’s shoe.
The heel height measuring gauge is a useful tool.
A–B = Effective heel height
3Choose amputation side
4Choose amputation level
goniometer (662M4) heel height tool (743S12)

Genium X3 Set-up Guide | Ottobock 15
ASBAR – Amputee Specic Bench Alignment Recommendations
• Ensure the knee is in full extension during
bench alignment.
• 3 important reference points:
A personal alignment will be generated for the
user in X-So based on the information you en-
tered. The (P.R.O.S.A) assembly tool will lead to a
more accurate and reproducible alignment result.
1 Hip rotation point
Position in front of the bench alignment line
(the exact distance is displayed in X-soft)
2 Knee rotation point
Position through the bench alignment line
(the exact distance is displayed in X-soft)
3 Foot middle
Positioned in front of the bench alignment line
(the exact distance is displayed in X-soft)
Ensure the socket is not touching the hy-
draulic unit when the knee and/or adapters
are placed in maximum exion.
Alignment and adjustment
Socket reference point
1 Position socket in a neutral position
2 Indicate the middle of the socket using the 743A80 (50-50 tool)
3 Draw a line through both points to the top of the socket
4 Find Ichial Tuberosity level and mark it on the line
5 Socket reference point = Ichial Tuberosity level +30 mm
30 mm
With shoe
around
the foot.

16 Ottobock | Genium X3 Set-up Guide
If no flexion stop is desired, the knee joint can also be used without a flexion stop (the screws
are removed together with the flexion stop). In this case, it must be ensured that the socket
and the hydraulic unit do not collide.
5.4 4H101/4H102/4H104 Flexion stops
Errors in prosthesis alignment
Errors made during the alignment of the prosthesis can damage the hydraulic unit of the joint. A defective hydraulic unit
can lead to joint malfunction up to loss of function due to structural failure. This can cause the patient to fall. The hydraulic
unit may be destroyed if it comes into contact with the socket! At maximum exion, it is essential to maintain a minimum
distance of 3mm (1/8") between the hydraulic unit and the socket. At maximum exion, the knee joint must be equipped
with a exion stop if contact with the frame of the knee joint cannot be avoided (voluminous residual limbs).
When delivered, the knee joint is equipped with the 4H102 Flexion Stop, which reduces the maximum exion angle by 15°,
thus preventing contact with the hydraulic unit. It is also possible to equip the knee joint with the smaller 4H101 Flexion Stop,
which reduces the exion angle by 7.5° or the larger 4H104 Flexion Stop (available as a spare part), which reduces the exion
angle by 22.5°.
To switch to the smaller 4H101 Flexion Stop
1 Loosen the screws with the included TORX T10 bit (Fig. 1).
2 Remove the 4H102 Flexion Stop and insert the 4H101Flexion Stop (Fig. 2).
3
Clean the thread with a brush. Apply Loctite® 243 to the thread and tighten the
screws (TORX T10) with a torque wrench to 0.6 Nm.
Use the same procedure when switching to the larger 4H104 Flexion Stop.
4H102, 15° 4H101, 7.5° 4H104, 22.5°
1 2

Genium X3 Set-up Guide | Ottobock 17
Torque all adjustment screws to the appropriate recommendations.
Use these unique alignment
reference points for the posi-
tion of the foot, knee, and
socket if you’re using a
LASAR assembly.
Use these unique alignment
reference points for the posi-
tion of the foot, knee, and
socket if you’re using a plumb
line, laser line, or vertical
reference line for setting up
the prosthesis.
1 2 3

18 Ottobock | Genium X3 Set-up Guide
SASAR – Sensor Assisted Static Alignment Recommendations
Important hints
• The goal is to ensure that the Ground
Reaction Force line is in the middle
range of the green zones and that the
horizontal forces are either zero or
only slightly negative!
• Be aware of the users body posture
and ensure they stand on a hard and
level surface, relaxed and looking
straight ahead, with the toes of both
feet on the same level and their arms
hanging relaxed on either side of
their body.

Genium X3 Set-up Guide | Ottobock 19
Optimizing the Alignment
Options for optimization
1Check the height of the prosthesis and frontal alignment (using L.A.S.A.R. Posture).
2Push the pause button and then make any needed adjustments to the static alignment.
3Press the play button to take a new measurement or press the walk button to let the user walk.
4Perform the dynamic alignment.
5Check the alignment again using L.A.S.A.R. Posture and SASAR.
Socket flexion Socket position Plantar flexion Foot position
(combination!)

20 Ottobock | Genium X3 Set-up Guide
5.5 Basic mode
Stance phase
• Default setting is based on the user’s body weight entered
in X-So
• Adjust during sitting and optimize this setting by increas-
ing or decreasing stance resistance aer the user has
walked down stairs and (steep) inclines.
Genium X3 created default settings that will be very close to
the physiologic settings of this user. When the need is there
this can be individualized by the:
CPO: Using X-so in the whole range
User: Using the remote control in smaller range
Swing phase
• Default setting is the physiologic swing angle: 65 degrees
• Changing 1° can have a signicant eect
• Let the user walk allowing several steps to get used to this
function
•
Have the user walk at a slow, self selected and fast cadence
Functions
• Train the user to use these functions.
•
We recommend “using” the Genium X3 Gait training DVD.
Genium. Gait Training
© Ottobock · 646DV50=M_US-1203
Genium X3.
Gait Training
Otto Bo ck HealthCare
Two Carlson Parkway Nor th, Suite 100
Minneapolis, MN 554 47 · USA
T [phone] · F [phone]
usa.customerservice@ottobockus.c om · www.ottobockus.com
DVD
NTSC
w
w
w
.
o
t
t
o
b
o
c
k
.
c
o
m
©
O
t
t
o
b
o
c
k
·
6
4
7
D
V
X
X
X
=
M
_
E
N
-
0
1
-
1
3
0
7
·
A
l
l
r
i
g
h
t
s
r
e
s
e
r
v
e
d
.
U
n
a
u
t
h
o
r
i
z
e
d
c
o
p
y
i
n
g
,
h
i
ri
n
g
o
r
r
e
n
t
a
l
o
f
t
h
i
s
s
o
ft
w
a
r
e
p
r
o
h
i
b
it
e
d
.
DVD/NTSC
Genium X3.
Gait Training