Saebo SaeboReJoyce User manual

SaeboReJoyce
USER MANUAL
Revision B
2017-08

User Assistance Information
For maintenance or assistance with the device, contact
Saebo, Inc. at:
888-284-5433
For health-related concerns, contact our health care
professional.

SaeboReJoyce User Manual
Waste Electrical and Electronic
Equipment (WEEE) Directive
In the European Union, this s mbol on the
product or on its packaging indicates that
this product must not be disposed of with
our other household waste. Instead, it is
our responsibilit to dispose of our
waste equipment b handing it over to a designated
collection point for the rec cling of waste electrical and
electronic equipment. The separate collection and
rec cling of our waste equipment at the time of
disposal will help to conserve natural resources and
ensure that it is rec cled in a manner that protects
human health and the environment. For more
information about where ou can drop off our waste
equipment for rec cling, please contact our local cit
office, our household waste disposal service or the
shop where ou purchased the product.
32
SaeboReJoyce User Manual
Contents
User Assistance Information...............................................0
General Safet & Device Information................................3
S mbol Conventions.........................................................3
SaeboReJo ce Safet Information.................................3
Warnings........................................................................3
Precautions....................................................................4
Purpose of the Device..........................................................5
S stem Components.............................................................6
Operating Instructions.........................................................9
S stem Requirements......................................................9
Setup Instructions..........................................................10
Patient Orientation........................................................12
Saebo NeuroGaming™ Software.....................................13
General Navigation........................................................13
Main Menu......................................................................13
Apps Menu......................................................................15
Profile Window...............................................................16
Stats Window..................................................................17
SaeboReJo ce Arm Hand Function Test.....................18
Exercise Games...............................................................19
Calibration Utilit ...........................................................20
1

SaeboReJoyce User Manual
SaeboReJo ce Test Tool................................................20
Exercises with the SaeboReJo ce.....................................21
Balance and Trunk Stabilit ..........................................21
Range-of-Motion and Gross Motor Tasks..................21
Fine Motor Tasks............................................................22
Guide to the Manipulanda................................................23
Maintenance.......................................................................25
Moving the SaeboReJo ce............................................25
Cleaning...........................................................................25
Software Updates...........................................................26
Troubleshooting..................................................................27
Customer Support..............................................................29
European Union..............................................................29
Technical Specifications.....................................................30
General Specifications...................................................30
Manufacturer Information............................................30
EMC Compliance............................................................31
Rec cling Information....................................................31
Waste Electrical and Electronic Equipment (WEEE)
Directive...........................................................................32
2
SaeboReJoyce User Manual
EMC Compliance
•This device complies with the Canadian
Interference-Causing Equipment Standard #3
(ICES-003).
•This device complies with the EMC Directive of
the European Union.
•This device complies with part 15 of the FCC
Rules. Operation is subject to the following two
conditions: (1) This device ma not cause
harmful interference, and (2) this device must
accept an interference received, including
interference that ma cause undesired
operation. Note that FCC regulations provide
that changes or modifications not expressl
approved b Rehabtronics could void authorit
to operate.
Recycling Information
Rehabtronics considers the environment in all aspects
of the product lifec cle, from design and engineering
to packaging and rec cling. We recommend that
customers dispose of their used SaeboReJoyce in an
environmentall sound manner. Potential methods
include reuse of parts or whole products and rec cling
of products, components, and /or Materials.
31

SaeboReJoyce User Manual
echnical Specifications
General Specifications
SaeboReJoyce 1.0
Model
Medical Device Class I Medical Device (Canada, EU)
Class Class II Medical Device (USA)
Weight 5.53 kg (Arm, Base &
Manipulandum onl )
Storage and -18°C to ~60°C (32°F to ~140°F)
Transport 15% to 90% Relative Humidit (non-
Conditions condensing)
perating 5°C to 35°C (41°F to 95°F)
Conditions 25% to 90% Relative Humidit (non-
condensing)
101kPa to 81kPa (approximate
altitude pressures between sea-
level and 1,950m (6,398 feet))
Manufacturer Information
Rehabtronics, Inc.
#4352, 10230 Jasper Avenue
Edmonton, AB, Canada T5J4P6
Phone: [phone]
Web: www.rehabtronics.com
30
SaeboReJoyce User Manual
General Safety & Device Information
Symbol Conventions
Symbol Meaning
Warning
Caution
Pinching Hazard
Read Instructions
Do not dispose with household waste
SaeboReJoyce Safety Information
Warnings
Safet warnings are important instructions that, if not
followed, ma lead to irreparable damage to the
SaeboReJoyce, or severe injur . The following warnings
should alwa s be followed:
Do not use other cables or power-
adaptors other than those supplied with
the SaeboReJoyce.
Do not operate the device near water or other
liquids.
To avoid risk of electrical shock, the
SaeboReJoyce computer should alwa s be
connected to an outlet with a protective earth.
3

SaeboReJoyce User Manual
Never attempt to disassemble or service the
SaeboReJoyce or an of its components.
Precautions
Safet precautions are instructions that should be
followed in order to avoid minor injur or damage to
the SaeboReJoyce.
Exercise caution when unpacking – The arm is
spring-loaded.
Do not lean or hang an thing on the
SaeboReJoyce arm - The SaeboReJoyce arm
is not intended to support weight.
Use onl under clinician supervision –
Overuse can result in ph sical exhaustion or
injur .
Ensure that the SaeboReJoyce is properl
installed prior to each use:
oAlwa s check that the table clamp is
tight before use.
oEnsure that the table surface is flat,
stable, and sturd enough to support
the weight of the SaeboReJoyce.
Exercise caution while using and handling the
SaeboReJoyce.
oEnsure adequate space when operating
to avoid collisions with other objects or
b standers.
oDo not place our hands or fingers in
the SaeboReJoyce arm joints.
4
SaeboReJoyce User Manual
Customer Support
NOTE: On the back of the SaeboReJoyce Base and
Manipulandum are labels indicatin the device
serial numbers. Please refer to these labels when
contactin customer support.
Contact SaeboReJo ce customer support via an of the
following channels:
Phone: [phone]
Email: [email protected]
Website: www.saebo.com
European Union
The manufacturer declares that the CE marked device is
in compliance with the applicable essential
requirements of the Council Directive 93/42/EEC.
29

SaeboReJoyce User Manual
1. Ensure that the USB cable is securel connected
to both the computer and to the SaeboReJoyce.
2. Ensure that the Manipulandum is securel
attached to the SaeboReJoyce arm. The
threaded metal sleeve should be tightened
such that no threads are visible.
3. Run the SaeboReJoyce Test Tool, and check to
see if moving the SaeboReJoyce results in the
appropriate movement of the on-screen 3D
model.
4. If not, run the Calibration Utilit to re-calibrate
the s stem.
5. If the problem persists, there ma be an issue
with the hardware. In this case, please contact
our customer support as detailed in the
following section.
28
SaeboReJoyce User Manual
Purpose of the Device
The SaeboReJoyce is a rehabilitation device intended
to measure, evaluate and increase the strength of
muscles and the range of motion of joints of the upper
extremities.
The SaeboReJoyce helps patients to retrain and
condition their muscles b using their hands and arms
to pla interactive computer games.
The activities required b the computer games are
similar to tasks used in ever da life, such as pouring a
drink or opening a jar. Practicing these motions will
help patients to replicate them in real life.
NOTE: The SaeboReJoyce is intended
to be used only under clinician
supervision.
5

SaeboReJoyce User Manual
System Components
The SaeboReJoyce S stem has four parts (see Figure 1
on the following page):
1. The Base:
•Clamps to our computer desk or table
•Attaches to the USB cable
2. The Arm:
•Supports the Manipulandum
•Provides resistance to motion in all
directions
3. The Manipulandum:
•Consists of the peg, coins, jar lid, doorknob,
ke , gripper, and handles used to pla the
computer games
4. The computer, USB Cable and Power-Suppl
Adaptor:
•Supplies power to the SaeboReJoyce
(draws power from the wall outlet and
supplies power via the USB connection)
•Runs the interactive SaeboReJoyce
NeuroGaming™ software
6
SaeboReJoyce User Manual
roubleshooting
This section lists common questions and issues that can
arise when using the SaeboReJoyce s stem. In case the
answers given are insufficient, or ou experience other
issues, please contact our support staff (see Contact
Information in the following section).
Issue: I already have my own personal computer. Can I
use it with the SaeboReJoyce?
No. The software is pre-installed on the supplied
computer onl . This is done to ensure that the s stem
has adequate hardware requirements, and that there
are no software or operating s stem conflicts.
Issue: The application is slow to respond or there is
a problem with the software.
Close the application and reboot the computer. If the
problem persists please contact customer support as
detailed in the following section.
Issue: The hardware is not responding or is
behaving unpredictably.
Do the following:
27

SaeboReJoyce User Manual
An alcohol-based cleaning solution, similar to that used
in sterilization pads, is ideal for cleaning our
SaeboReJoyce.
WARNING: D N T immerse the device when
cleaning. D N T use water to clean the
device.
Remember to unplug the USB cord before
cleaning.
Software Updates
The software will check for updates automaticall each
time the program is run.
The auto-update requires that the computer be
connected to the internet.
26
SaeboReJoyce User Manual
Figure 1: SaeboReJoyce Hardware Components
7

SaeboReJoyce User Manual
Figure 2: Manipulandum Components
8
SaeboReJoyce User Manual
Maintenance
Moving the SaeboReJoyce
NOTE: While the SaeboReJoyce system is desi ned
to be portable, it is recommended that physical
relocation of the device is minimized.
1. Turn off the computer and unplug the
USB cable and power-suppl .
2. Re-appl the Velcro safet -strap around the
tubes of the arm.
3. Loosen the clamp securing the base to the
table-top.
4. Move the SaeboReJoyce using two hands and
supporting it at the base.
Cleaning
Regular cleaning of the SaeboReJoyce ensures that no
bacteria or viruses are transmitted during use of the
device. If the device is used dail , it is recommended
that cleaning be done at least once a week. If the
SaeboReJoyce is to be used b multiple people, it
should be cleaned between uses.
25

SaeboReJoyce User Manual
Jar
-Spherical grasp
-Grasp and release
Key
-Later “ke ” Pinch
-Pronation and supination
Peg
-Tip-to-tip pinch
Swing
-Pronation and supination
Swivel
-Wrist flexion and extension
-Functional range-of-motion
24
SaeboReJoyce User Manual
Operating Instructions
System Requirements
•A sturd table or desk between .75 inches to 1.5
inches (2cm and 4cm) thick is required to mount the
SaeboReJoyce.
•The SaeboReJoyce is intended for use in indoor
environments between 40°F and 95°F (5°C and
35°C). Operation outside this temperature range
ma affect hardware performance.
•The SaeboReJoyce must onl be used with the
supplied computer, which has the necessar
hardware requirements and s stem software pre-
installed.
•Onl the supplied USB cable should be used to
connect the SaeboReJoyce to the computer. The
supplied USB cable ensures adequate data transfer
rates and electromagnetic shielding.
•Onl the supplied power-adaptor should be used to
power the SaeboReJoyce s stem (through the
supplied PC). The supplied adaptor ensures
adequate and safe power is delivered to the
SaeboReJoyce.
9

SaeboReJoyce User Manual
Setup Instructions
NOTE: Ensure adequate space around the table
where the SaeboReJoyce is to be installed. At least
28” (70cm) of space is required behind and to the
left and ri ht of the ed e of the table. There
should be at least 40” (1m) of unobstructed space
in front of where the SaeboReJoyce is to be
mounted.
1. Clear the desk or table of an loose objects
or obstructions other than the supplied
computer.
2. Remove the Base/Arm assembl from its
packaging.
Do not unfasten arm retainer strap
until installation is complete.
Alwa s use 2 hands when moving
and/or installing the SaeboReJoyce.
Alwa s support the SaeboReJoyce at
the base.
3. Slide the Base/Arm assembl onto the table
so that the table is between the bottom of the
base and the top of the clamp screw.
4. Tighten the clamp b rotating the black handle
clockwise until it cannot be easil loosened.
5. Remove the Manipulandum from its packaging.
10
SaeboReJoyce User Manual
Guide to the Manipulanda
The following table lists the various manipulanda used
in the SaeboReJoyce games, and the t pes of exercises
to which the are conducive.
Coins
-Fine motor tasks
-Pinch grip
-Small object manipulation
Doorknob
-Spherical or tripod grasp
-Pronation and supination
-Grasp and release
Gripper
-Grip strength
-Grasp and release
Handles
-C lindrical Grasp
-Wrist flexion and extension
-Grasp and release
23

SaeboReJoyce User Manual
•Reaching and grasping objects – Example:
reaching for and moving the handles, rotating
and moving the doorknob
•Placement tasks – Example: repositioning and
squeezing and releasing the gripper
•Large object manipulation tasks – Example:
undoing a jar lid or practicing a pouring
motion b swinging the gripper
Manipulanda ideall suited for this training include the
handles, the gripper, the jar lid and the doorknob.
Fine Motor asks
These exercises involve the careful manipulation of
small objects in order to improve skilled reaching and
manipulation.
Manipulanda ideall suited for this training include the
coins, peg and ke .
22
SaeboReJoyce User Manual
6. Insert the threaded part of the Manipulandum
into the connector at the end the arm.
Ensure that the ellow guides on the
Manipulandum connector align with the
ones on the arm connector, and that
the red marks are aligned.
7. Turn the threaded metal sleeve at the end of
the arm clockwise until it cannot be easil
loosened, and the Manipulandum is secured
to the end of the arm.
8. Unfasten the Velcro strap from the arm.
9. Plug in the computer using the supplied
power-adaptor.
10. Start the computer and wait for the
operating s stem to load.
11. Use the supplied USB cable to connect
the computer to the back of the base of
the SaeboReJoyce.
12. Double-click on the SaeboReJoyce icon on the
screen to launch the SaeboReJoyce application.
11

SaeboReJoyce User Manual
Patient Orientation
NOTE: Patients should under o clinician
examination prior to be innin use of the
SaeboReJoyce. Patients with trunk weakness,
balance impairments, or other stability issues may
be at risk of fallin . If necessary, make sure
patients have sufficient support such as chair
straps BEFORE usin SaeboReJoyce.
Position the patient in a stable, armless chair in front of
the SaeboReJoyce such that the patient's affected
shoulder and arm is in-line with the SaeboReJoyce, and
that the Manipulandum is suspended just above the
patient's leg, half-wa between the patient's knee and
hip.
12
SaeboReJoyce User Manual
The advanced mode displa s a graph of each of the
sensors on the SaeboReJoyce. It outputs the sensor
values in real-time.
Exercises with the SaeboReJoyce
The SaeboReJoyce can be used for a variet of
functional uni-manual and bi-manual upper
extremit exercises including balance, trunk stabilit
training, functional range of motion exercises, gross
motor training and practicing fine motor tasks.
Balance and runk Stability
The SaeboReJoyce can be used to train reaching and
movement abilities b having the patient extend one or
both arms awa from the bod , thereb forcing the
individual to stabilize the movement with his or her
trunk muscles. Difficult can be increased b having the
patient sit on an exercise ball.
Manipulanda ideall suited for this include the handles
and the gripper.
Range-of-Motion and Gross Motor asks
These exercises involve combining gross motor
movements with functional tasks in the
following categories:
21

SaeboReJoyce User Manual
Calibration Utility
NOTE: Avoid re-calibration unless you have
been instructed to do so by support personnel.
The Calibration Utilit allows software to be re-
calibrated to the SaeboReJoyce hardware. The s stem
is shipped pre-calibrated, but in the event of hardware
change or troubleshooting, recalibration ma be
necessar .
When using the calibration utilit , ensure that after
ever task the SaeboReJoyce is returned to its resting
position before continuing. It is recommended that
following calibration, the SaeboReJoyce Test Tool app
be run to verif correct calibration.
SaeboReJoyce est ool
The SaeboReJoyce Test Tool is used for diagnosing
hardware problems. It consists of two modes: basic and
advanced.
The basic mode displa s a 3D model of the
SaeboReJoyce which is updated in real-time. It also
allows testing of the Manipulandum LEDs, gripper,
rotar -sensors and binar -sensors.
20
SaeboReJoyce User Manual
Saebo NeuroGaming™ Software
General Navigation
At the top-right of most screens in the software are
the following buttons:
Button Description
Click this to exit the program at
an time. Progress will be saved
automaticall .
Click this to return to the Main Menu.
Click this to open help text about the
current screen.
Main Menu
With the computer plugged in, and connected to the
SaeboReJoyce, open the SaeboReJoyce application.
After a quick check for software updates, the
application will displa the Main Menu, shown in Figure
3.
13

SaeboReJoyce User Manual
Figure 3: Main Menu
The Main Menu consists of the following options:
Button Description
Click this if ou onl want to pla
the games, without keeping
track of statistics.
Click this to load a pre-existing
patient-profile.
Click this to create a new
patient-profile.
Click this to access software
settings such as language
preferences, sound volume and
default game difficulties.
14
SaeboReJoyce User Manual
Exercise Games
SaeboReJoyce's NeuroGaming™ software challenges
patients to use the SaeboReJoyce to perform
movements that mimic tasks of dail living. From the
Apps Menu, games can be selected and configured.
Figure 7: Game ptions
Depending on the game selected, the following
options can be adjusted:
Game ption Description
Control Select the control component that will
Component be used to pla the game. A picture of
the selected control component is
shown at the right of the screen.
Hand Select the affected hand.
Difficulty The selected difficult will affect factors
such as the pace and the range-of-
motion necessar to pla the game.
19

SaeboReJoyce User Manual
Button Description
This will export the statistics to a
Comma Separated Values (CSV)
file, which can be opened using
common spreadsheet applications
such as Excel.
This will export the statistics to a
PDF file which can be emailed or
printed.
SaeboReJoyce Arm Hand Function est
The SaeboReJoyce Arm Hand Function Test
objectivel assesses the functional abilit of the
patient's affected arm. The results of each test are
time-stamped and stored in the patient Stats Window.
The most recent results are also used to suggest
difficult levels for the rehabilitation games.
The test is full automated, and will give instructions
for each task. The test will take between 4 and 15
minutes, depending on the patient’s abilities.
NOTE: In order to derive the most meanin ful
results, it is recommended that no assistance or
uidance be iven to the patient durin the test.
NOTE: The test must be completed in full for
statistics to be recorded. Statistics will not be kept
for tests that are exited midway.
18
SaeboReJoyce User Manual
Apps Menu
Once a patient profile is selected, the Apps Menu will
be displa ed, shown in Figure 4.
Figure 4: The Apps Menu
The left column of the Apps Menu allows ou to
select from the following apps:
•Games
•Hand Function Test (not available
through Quickstart)
•Calibration Utilit
•Testing/Debug Utilit
In addition, there are three tabs at the top which
allow access to patient-specific information.
15

SaeboReJoyce User Manual
Tab Description
Displa s the Apps Menu where ou
can select apps.
Opens the Profile Window for the
currentl selected patient. Here,
ou can record patient information.
Opens the Stats Window for the
currentl selected patient. Shows
results of Hand Function Tests.
Profile Window
The Profile Window, shown in Figure 5, allows information
to be recorded about the currentl selected patient. All
information entered is saved automaticall .
Figure 5: The Profile Window
16
SaeboReJoyce User Manual
While all the fields are optional, it is recommended
that the following items be set:
•Treated Hand – This will set the default
hand selected when running apps.
•Preferred Game Difficult – This will set
the default difficult when pla ing games.
Stats Window
The Stats Window keeps track of all the Hand Function
Test results for the currentl selected patient. The
software keeps track of both the scores and times taken
for each task.
Figure 6: The Stats Window
At the bottom-right are buttons that allow for the
statistics to be exported.
17