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