Otto Bock Michelangelo Hand Transcarpal 8E550 User manual

Instructions for use (qualified personnel) ........................................................................... 3
Michelangelo Hand Transcarpal 8E550

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1 Foreword English
INFORMATION
Date of last update: 2022-02-07
►Please read this document carefully before using the product and observe the safety
notices.
►Instruct the user in the safe use of the product.
►Please contact the manufacturer if you have questions about the product or in case of prob
lems.
►Report each serious incident related to the product to the manufacturer and to the relevant
authority in your country. This is particularly important when there is a decline in the health
state.
►Please keep this document for your records.
The 8E550=R/L Michelangelo Hand Transcarpal is referred to as the product / Axon-Bus terminal
device / Michelangelo Hand below.
These instructions for use provide you with important information on the use, adaptation and
handling of the product.
Only put the product into use in accordance with the information contained in the accompanying
documents supplied.
According to the manufacturer (Otto Bock Healthcare Products GmbH), the patient is the operat
or of the product according to the IEC 60601-1:2005/A1:2012 standard.
2 Product description
2.1 Function
The Michelangelo Hand is a myoelectrically controlled gripping component in the modular
Ottobock Axon-Bus prosthetic system. The complex gripping kinematics combined with the ana
tomical appearance and low weight support the patient in his or her daily activities, thereby
providing the highest rehabilitation value.
The Michelangelo Hand is equipped with two drives to achieve a natural motion pattern. The main
drive is responsible for the gripping movements and gripping force. The thumb drive facilitates
the two gripping modes 'Opposition Mode' and 'Lateral Mode'. Actively driven components are
thus the thumb, index finger and middle finger. The ring finger and little finger passively follow the
movements.
Gripping modes of the Michelangelo Hand
The following gripping options are possible:
Neutral Position
Natural, physiological appearance in the rest position.
Lateral Power Grip
The thumb moves laterally to the index finger; this laterally fixates medium-
sized objects when the thumb is in the half-open position.
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Lateral Pinch
The thumb moves laterally to the index finger; this laterally fixates flat objects
when the thumb is in the closed position.
Open Palm
In the open palm position, the thumb is positioned all the way out; this
allows for a flat hand position with a completely opened thumb position.
The degree of mobility for internal and external rotation of the forearm
depends on the length of the residual limb. A compensatory movement from
the upper arm may be required in order to hold a flat object in a horizontal
position.
INFORMATION: The starting position of the rotation setting can be
adjusted within a range of ±15° (see page11, see fig.8).
Opposition Power Grip
The opening width makes it possible to hold cylindrical objects with large
diameters and with an open thumb position.
Tripod Pinch
Together with the index finger and the middle finger, the thumb forms a
three-point support; small objects can then be securely fixated with the
thumb in closed position.
Finger Abduction/Adduction
By spreading the fingers, a flat, thin object (<3mm / <0.12inch) can be
held between the fingertips when closing the hand.
2.2 Combination possibilities
This product is to be combined exclusively with components in the Axon-Bus prosthetic system.
Components of the Ottobock MyoBock system or components from other manufacturers cannot
be used with this product.

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3 Intended use
3.1 Indications for use
The 8E550 MichelangeloHand Transcarpal is to be used exclusively for upper limb exoprosthet
ic fittings.
3.2 Conditions of use
The Axon-Bus prosthetic system was developed for everyday use and must not be used for unusu
al activities. These unusual activities include, for example, sports with excessive strain and/or
shocks to the socket connection (pushups, downhill racing, mountain biking, ...) or extreme
sports (free climbing, paragliding, etc.). Furthermore, the Axon-Bus prosthetic system should not
be used for the operation of motor vehicles, heavy equipment (e.g. construction machines),
industrial machines or motor-driven equipment.
The product is intended exclusively for use on one patient. Use of the product by another person
is not approved by the manufacturer.
Permissible ambient conditions are described in the technical data (see page13).
3.3 Indications
The 8E550 MichelangeloHand Transcarpal can be used for unilateral or bilateral amputees from
a transradial to transcarpal amputation level or in the case of dysmelia of the forearm.
• The patient must fulfil the physical and mental requirements for perceiving visual/acoustic sig
nals and/or mechanical vibrations.
3.4 Contraindications
• All conditions which contradict or go beyond the specifications listed in the section on
"Safety" and "Indications for use".
3.5 Qualification
The fitting of a patient with the product may only be carried out by O&P professionals who have
been authorised with the corresponding Ottobock training.
4 Safety
4.1 Explanation of warning symbols
WARNING Warning regarding possible serious risks of accident or injury.
CAUTION Warning regarding possible risks of accident or injury.
NOTICE Warning regarding possible technical damage.
4.2 Structure of the safety instructions
WARNING
The heading describes the source and/or the type of hazard
The introduction describes the consequences in case of failure to observe the safety instruc
tions. Consequences are presented as follows if more than one consequence is possible:
> E.g.: Consequence 1 in the event of failure to observe the hazard
> E.g.: Consequence 2 in the event of failure to observe the hazard
►This symbol identifies activities/actions that must be observed/carried out in order to avert
the hazard.

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4.3 General safety instructions
WARNING
Non-observance of safety notices
Personal injury/damage to the product due to using the product in certain situations.
►Observe the safety notices and the stated precautions in this accompanying document.
WARNING
Operating the prosthetic system near active implanted systems
Interference with active implantable systems (e.g., pacemaker, defibrillator, etc.) due to electro
magnetic interference of the prosthetic system.
►When operating the prosthetic system in the immediate vicinity of active implantable sys
tems, ensure that the minimum distances stipulated by the manufacturer of the implant are
observed.
►Make sure to observe any operating conditions and safety instructions stipulated by the man
ufacturer of the implant.
WARNING
Use of damaged power supply unit, adapter plug or battery charger
Risk of electric shock due to contact with exposed, live components.
►Do not open the power supply unit, adapter plug or battery charger.
►Do not expose the power supply unit, adapter plug or battery charger to extreme loading
conditions.
►Immediately replace damaged power supply units, adapter plugs or battery chargers.
CAUTION
Independent manipulation of the product
Injury due to malfunction and resulting unexpected prosthesis actions.
►Manipulations to the product other than the tasks described in these instructions for use are
not permitted.
►The product and any damaged components may only be opened and repaired by authorised,
qualified Ottobock personnel.
CAUTION
Signs of wear on the product
Injury due to faulty control or malfunction of the product.
►In the interest of the patient's safety and in order to maintain operating reliability, the product
should be serviced at regular intervals.
4.4 Information on Proximity to Certain Areas
CAUTION
Proximity to sources of strong magnetic or electrical interference (e.g. theft prevention
systems, metal detectors)
Injury due to unexpected behaviour of the prosthesis system caused by interference with internal
data communication.

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►Avoid remaining in the vicinity of visible or concealed theft prevention systems at the
entrance/exit of stores, metal detectors/body scanners for persons (e.g. in airports) or other
sources of strong magnetic and electrical interference (e.g. high-voltage lines, transmitters,
transformer stations, computer tomographs, magnetic resonance tomographs, etc.).
►When walking through theft prevention systems, body scanners or metal detectors, watch
for unexpected behaviour of the prosthetic system.
CAUTION
Distance to HF communication devices is too small (e.g. mobile phones, Bluetooth
devices, WiFi devices)
Injury due to unexpected behaviour of the prosthesis system caused by interference with internal
data communication.
►Therefore, keeping the following minimum distances to these HF communication devices is
recommended:
• Mobile phone GSM 850/GSM 900: 0.50m
• Mobile phone GSM 1800/GSM 1900/UMTS: 0.35 m
• DECT cordless phones incl. base station: 0.18 m
• WiFi (routers, access points,…): 0.11 m
• Bluetooth devices (third-party products not approved by Ottobock): 0.11 m
4.5 Information on Alignment/Adjustment
CAUTION
Operator errors during the adjustment process with the adjustment software
Injury due to unexpected product behaviour.
►Participation in an Ottobock product training course is mandatory prior to using the product.
During this product training course you will receive a password giving you access to the
adjustment software. Additional product training courses may become necessary to qualify
for software updates.
►Do not share your unlock PIN.
►Use the online help which is integrated into the software.
CAUTION
Incorrect electrode settings
Injury due to unexpected product behaviour.
►The electrodes are to be placed on intact skin only and with as much electrode-skin contact
as possible. In the case of strong interference from electronic devices, the position of the
electrodes should be checked and changed if necessary. If the interference cannot be elim
inated or if you do not achieve the expected results by adjustment or selection of the appro
priate control programme, please contact the Ottobock branch responsible for your country.
►Set the electrode gain as low as possible in order to reduce interference from powerful elec
tromagnetic radiation (e.g. visible or or concealed theft prevention systems at the
entrance/exit of stores), metal detectors/body scanners for persons (e.g. in airports) or other
sources of strong electromagnetic interference (e.g. high-voltage lines, transmitters, trans
former stations, computer tomographs, magnetic resonance tomographs, etc.).

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4.6 Information on Use
CAUTION
Improper use
Injury due to malfunction and resulting unexpected prosthesis actions.
►Instruct the patient in the proper use of the product.
CAUTION
Mechanical stress on the product
Injury due to faulty control or malfunction of the product.
►Do not subject the product to mechanical vibrations or impacts.
►Check the product for visible damage before each use.
CAUTION
Risk of pinching between the fingertips
Injury due to pinching of body parts.
►Ensure that no body parts are between the fingertips when using the product.
CAUTION
Operation outside of the permissible temperature range
Injury due to faulty control or malfunction of the product.
►Avoid operation in areas outside the permissible temperature range (see page13).
CAUTION
Penetration of dirt and moisture in the Axon-Bus components
Injury due to faulty control or malfunction of the Axon-Bus prosthetic system.
►Ensure that neither solid particles nor liquids can penetrate into the Axon-Bus prosthetic sys
tem or Axon-Bus components (e.g. the Axon-Bus gripping component).
CAUTION
Storage of the product in the closed state
Injury due to faulty control or malfunction of the product as a result of damage to the sensors
and mechanism.
►Store the product only in the neutral position or in the open state.
NOTICE
Improper product care
Damage to the product due to the use of incorrect cleaning agents.
►Only clean the product with a damp cloth and mild soap (e.g. 453H10=1-N Ottobock Der
maClean).
►Use only the following products for cleaning/disinfecting the inner socket:
Cleaning: 453H10=1-N Ottobock DermaClean
Disinfection: Colourless, conventional medical disinfectants

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4.7 Information on the Power Supply/Battery Charging
CAUTION
Charging the product with soiled or damaged contacts
Injury due to unexpected behaviour of the product caused by insufficient charging.
►Make sure that the contacts are always clean and free of grease.
►Clean the electrical contacts of the charging plug and charging receptacle regularly using
cotton swabs and a mild soap solution.
►Take care to avoid damaging the contacts with pointed or sharp objects.
NOTICE
Charging the Axon-Bus prosthetic system with an incorrect power supply/battery char
ger
Damage to the Axon-Bus prosthetic system due to incorrect voltage, current or polarity.
►Use only power supply units/battery chargers approved for the Axon-Bus prosthetic system
by Ottobock (see instructions for use and catalogues).
NOTICE
Contact of the charging plug with magnetic data carriers
Wiping of the data carrier.
►Do not place the charging plug on credit cards, diskettes, audio or video cassettes.
5 Scope of Delivery and Accessories
5.1 Scope of delivery
• 1pc. 8E550=L/R-M Michelangelo Hand Transcarpal
• 1pc. 10S550=M lamination ring
Includes the lamination dummies for the upper and lower side in addition to the lamination
ring.
• 8pc. 501S101=M4x12 countersunk head screws
• 8pc. 501S84=M4x14 countersunk head screws
• 1pc. Instructions for use (qualified personnel)
• 1pc. Instructions for use (user)
• 1 pc. prosthesis passport
• 1pc. cosmetic case for battery charger and power supply
5.2 Accessories
The following components are not included in the scope of delivery and must be ordered separ
ately:
• "560X500=* AxonSoft" adjustment software
• 757L500 AxonCharge Integral
• 757B501 AxonEnergy Integral
• 13E500 AxonMaster
• 13E200=* electrode
• 13E202=* suction socket electrode
• 13E129=* electrode cable
• 8S501=* AxonSkin Natural for men (different skin colours)
• 8S502=* AxonSkin Natural for women (different skin colours)
• 8S500=* AxonSkin Visual (sheer, translucent)
• 8S511=* AxonSkin Silicone for men (different skin colours)
• 8S512=* AxonSkin Silicone for women (different skin colours)

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6 Preparing the product for use
6.1 Alignment
INFORMATION
The Axon-Bus prosthetic system cannot be used as long as the charging plug is connected to
the charging receptacle. The Axon-Bus prosthetic system is deactivated for the duration of char
ging.
Please observe the following points during alignment of the Michelangelo Hand Transcarpal:
Flexion and ulnar deviation
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The Michelangelo Hand Transcarpal is designed in such a way that the hand is positioned in a
slightly flexed (see fig.2), ulnar deviation (see fig.3) position when the lamination ring is moun
ted at a 90° angle to the socket axis (see fig.1).
This design is based on the relaxed position of the physiological hand and gives the Transcarpal
prosthesis a natural appearance.
The recommended alignment is to be used as a guideline for the prosthetic alignment. Before the
lamination ring is laminated, the position of the lamination ring must be adapted to the patient's
requirements. This cannot be changed later on.
6.1.1 Fabricating the forearm socket
4567
Prerequisites for lamination
• Foaming of the socket and sanding of the inner socket model have been completed.
• The PVA bag has been soaked, pulled over the foam core and knotted at the distal end.
• The lamination ring has been completely assembled with the lamination cover and affixed in
the proper position to the PVA bag using double-sided adhesive tape.
Preparation for lamination
1) Cut off 2 double-length layers of Perlon stockinette.
2) (see fig.4) Pull 1 layer of Perlon stockinette over the socket and tie it off in the proximal
groove.