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  9. STANMORE IMPLANTS JTS MLE3 User manual

STANMORE IMPLANTS JTS MLE3 User manual

JT
S
M
o
For
U
JTS
Lim
b
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r
S
D
o
de
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se
w
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b
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ation
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w
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dibl
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then
Man
e
U
M
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ing
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ual
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it
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1.0
2.
0
3.
0
4.
0
5.
0
6.
0
7.
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0
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0
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TS
S
1.1
1.2
1.3
1.4
1.5
2.1
2.2
2.3
2.4
2.5
2.6
T
2.7
S
W
T
T
System Inf
o
Glossary
Required F
o
System Des
Patient Spe
c
Magnetic Fi
e
Limb Leng
t
Drive Unit C
Before Use
Equipment
S
Patient Posi
t
Limb Lengt
h
Trouble Sh
o
Completion
o
Sample Pa
t
Warnings a
Cleaning a
n
Technical
S
Labelling S
Testing No
t
Manufactu
r
o
rmation
o
r a Lengthe
n
cription
c
ific Instructi
o
e
ld Generati
o
hening Pro
t
onnections
S
et Up
t
ioning
h
ening Proto
c
o
oting
o
f Lengthen
i
ient Specifi
nd Precaut
i
n
d Mainten
a
S
pecificatio
n
pecificatio
n
t
es
r
er Contact
D
n
ing
o
ns
o
n
t
ocol
c
ol
ng
c
Operatio
n
ons
a
nce
n
n
D
etails
n
Drawing
Page|2

3
6
13
14
15
15
16
18
21
1
1.1 G
l






1.2 R
e
Lengthe
n
outpatie
n







1
J
T
l
ossary
o
JTSMLE–Ju
v
DriveUnit–
A

PowerUnit–

MagneticCoi
PowerUnitC
DirectionalC
o
On/OffSwitc
h
CoilCable–
C
e
quired
f
n
ingoftheJ
T
n
tsetting.Th
e
AtrainedHe
a
completedt
h
AJTSMLE(D
r
AJTSMLELe
n
Acopyofth
e
settingstole
n
canbeobtai
n
Mainspower
Anexaminati

Apatientreq
Astethoscop
extendingth
e

Astopwatch
lengthening
a
T
S
E
o
f Term
s
v
enileTumor
S
A
MLE,consis
t
MainsPowe
r
l(orCoil)–E
x
able–Conne
c
o
ntrolSwitch
h
–Locatedo
C
onnectsthe
M
f
or a Le
n
T
Simplantd
o
e
followinga
r
a
lthCarePra
c
h
eStanmoreJ
r
iveUnit)con
n
gtheningPr
o
e
PatientSpec
n
gthentheJ
T
n
edfromyou
r
supplyofeit
h
ontableorc
h
uiringlimble
e–toenable
e
Implant
–toenablet
a
chieved
E
XTEN
D
s
:
S
ystemMobil
t
ingoftwom
a
r
Box
x
ternalElectr
o
c
tsPowerUn
i
–Locatedon
nthePower
U
M
agneticCoil
n
gthenin
o
esnotrequi
r
r
erequiredto
tioner–asui
t
T
SDriveUnit
sistingofPo
w
o
tocol&Ope
r
i
ficOperatio
n
Sandalsoth
e
r
localrepres
e
h
er115Vor2
4
h
air–forthe
c
n
gthening
theoperator
i
mingofthel
e
D
IBLE
l
eLimbExten
d
ainparts,aP
o
o
magneticCo
i
ttomainssu
PowerUnit,
s
U
nit,switche
s
tothePowe
r
g:
r
esurgicalin
t
performaJT
S
t
ablyqualifie
d
trainingcour
s
w
erUnit,Coil,
r
ationManua
l
n
Drawing–T
h
e
maximuml
e
e
ntativeorby
40V
c
omfortofth
e
toheartheJ
T
e
ngtheningp
r
I
MP
L
d
er
o
werUnitan
d
il
pply
s
electsbetwe
s
thesystem‘
O
r
Unit
t
erventiona
n
S
lengthenin
g
d
Healthcare
P
s
e
CoilCablean
l
(thisdocum
e
h
iscontainsi
m
e
ngthachieva
contactingS
t
e
patient
T
SImplant’s
m
r
ocedureand
L
ANTS
d
aMagnetic
C
en‘A’,‘B’an
d
O
n’and‘Off’
n
disusually
p
:
P
ractionerw
h
dPowerUnit
e
nt)
m
portantinfo
b
lefortheim
t
anmoreImpl
a
m
echanismro
t
quantifythe
C
oil
d
‘Stop’
p
erformedin
h
ohas
Cable
rmationabo
u
m
plant.Copies
antsdirectly
o
tatingand
amountof
Page|3

an
u
t
Therearetw
JTS
E
Apatient
telescoping
gearboxto
a
surgicallyin
normal.
The
Afterthesu
r
JTSDrive
U
prosthesisb
implantinto
t

TheJTSDri
v
cylindricalC
o
energiseda
whichcaptu
r
rotateinsy
n
themagnet
i
a13000:1re
theimplant
manner.
TheJTSImpl
a
minutes.
1
1.3 S
y
Anexten
requires
DriveUn
Extendib
surgicali
























opartsinthe
E
xtendibleIm
specifici
m
shaftconne
a
discmagne
t
sertedinto
JTSDriveUni
r
geryasthe
p
U
nitisused
yplacingth
e
t
heCoil.
v
eUnithas
o
ilandaPow
e
rotatingmag
r
estheimpla
n
chronisation
i
sconverted
t
ductioninto
toextend
a
ntextends
a
1
J
T
y
stem D
e
n
dibleprosth
e
extendingon
it(JTSMLE)
w
leImplant.T
h
ntervention.
JTSsystem:
plant
m
plantwith
ctedthroug
h
t
.Theimpla
n
thepatient
t
p
atientgrows
toextend
e
limbwith
twomainel
e
rUnit.Whe
n
neticfieldis
ntmagnetc
a
.Therotary
t
hroughage
a
alinearmoti
o
inavery
a
t1mmever
y
T
S
E
e
scripti
o
e
sisinsertedi
n
aregularba
s
w
asdevelope
d
h
isDriveUnit
a
h
a
n
tis
as
the
the
the
ements,a
theCoilis
generated
usingitto
motionof
a
rboxwith
o
ncausing
controlled
y
4
E
XTEN
D
o
n:
n
askeletallyi
s
istokeeppa
c
d
toprovidea
producesac
o
D
IBLE
i
mmaturepa
t
c
ewiththeg
r
non‐invasive
o
ntrolledexp
a

I
MP
L
t
ientasapart
r
owthinthec
extendingco
a
nsionofthe
Driveun
i
implantmag
located
w
l
e
JTSDistal
comp
o
L
ANTS
ofalimbspa
o
ntralateralli
ntrolmechan
prosthesiswi
t
tCoil:Notet
h
netisapprox
.
ithintheCoil
e
ngthening
FemoralImp
o
nentmakeu
ringtreatme
n
i
mb.TheJTS
n
ismfortheJ
T
t
houtaneed
h
eJTS
.centrally
during
Page|4

lant
p

n
t
T
S
for
1
1.4 P
a
Attheti
m
Operati
o
extende
d
Operati
o



Copieso
f
represe
n
1.5 M
a
Themag
verylittl
e
mille‐Te
s
required
phones
a
inserting
Whenth
thepati
e
recomm
e
timebet
w



1
J
T
a
tient S
p
m
eofsurgery
o
nDrawingis
s
d
.Failuretod
o
nDrawingco
Thelocation
o
TheDirectio
n
Themaximu
m
f
thePatient
S
n
tativeorSta
n

Y
Warni
n


agnetic
F
neticfieldge
n
e
fieldonthe
s
laRMS.Inge
duringopera
a
renotplace
w
theirlimbin
t
eimplantis
b
e
ntmaynotic
e
e
ndedthate
x
w
eenextensi
o
T
S
E
p
ecific O
,theclinician
s
howninsec
t
osomayres
u
ntainsthefol
o
fthemagne
t
n
Controlsetti
m
extensiona
S
pecificOper
a
n
moreImplan
n
g
Notall
d
samedi
r
Specific
attempt
Setting,
ofthed
e
F
ield Ge
n
eratedbyth
e
outersurfac
e
neral,thefiel
tionofthise
q
w
ithintheCo
i
t
otheCoil.
b
eingextende
d
e
slightvibrat
i
x
tensionsof3
o
nstoallow
s
E
XTEN
D
peration
isprovided
w
ion3.Thesei
u
ltinreversal
lowingimpor
t
t
insidethep
r
ng,markede
chievablefro
m
a
tionDrawin
g
t
sdirectly
d
evicesinasi
m
r
ectionalcon
t
OperationD
r
ingalengthe
n
positionofm
e
vice.
neratio
n
e
DriveUniti
s
e
oftheCoil.
T
disverywea
k
q
uipment.H
o
i
landthepat
i
d
thereshoul
d
i
ons,ormild
s
to5millimet
s
ofttissuesto
D
IBLE
n
Drawin
g
w
ithaPatient
nstructions
m
ofthegrowt
h
t
antinforma
t
r
osthesis
ither,‘A’or‘
B
m
theprosth
e
g
canbeobtai
m
ilarskeletal
t
rolsetting.T
h
r
awingmust
b
n
ingtodeter
m
agnetandm
a
n
:
s
concentrate
T
hemaximum
k
andtherefo
o
wever,itisr
e
i
entsshould
r
dbenonotic
e
s
tretchingof
t
resincremen
t
recoverfro
m
I
MP
L
g
:
SpecificOper
m
ustbeused
w
h
oroverext
e
ion:
B
’
e
sis
nedbyconta
c
locationwilll
h
emostupt
o
b
econsulted
m
inetheDire
c
a
ximumperm
dintheinne
r
valueofthe
m
rethereare
n
e
commended
r
emovethese
e
ablediscom
f
t
hetissuessu
t
saretargete
m
anymildstr
e
L
ANTS
a
tionDrawin
g
w
heneverthe
nsionofthe
p
c
tingyourloc
a
engthenont
h
o
datePatien
t
priorto
c
tionalContr
o
issibleextens
spaceofthe
m
agneticflux
n
ospecialpre
c
thatkeys,w
a
itemsfromp
o
f
ortforthep
a
r
roundingth
e
d
persession
e
tching.
g
,anexampl
e
prosthesisis
p
rosthesis.Th
al
h
e
t

o
l
s
ion
Coilitselfwit
islessthan1
cautions
a
llets,change
ocketspriort
a
tient,howev
e
joint.Itis
withsufficie
n
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
e
h
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C
2
2.1 D
r
Ensures
a
pounds)
personli
P
ower Un
C
able
2
L
I
M
r
ive Uni
t
a
femanualh
a
andtheCoil
w
fts.
(Note:
t
Once
P
o
ON - OF
F
n
it
M
B
L
E
t
Conne
c
a
ndlingpracti
c
w
eightsappr
o
t
here is a
the conn
e
sn
a
o
wer Unit
F
Switch
E
NGT
H
c
tions:
c
esareobser
v
o
ximately36
k
Coil
C
keyway
o
cor
r
e
ctor has
a
pping th
e
So
D
i
S
w
H
ENIN
G
v
edasthePo
k
g(80pounds
C
able Co
n
o
n the co
n
r
ect orien
been ins
e
e
clip ove
r
o
cket for
C
irection
C
w
itch
G
P
R
werUnitwei
g
).Theseunit
s
n
nection
n
nector to
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misuseoftheeq
Performregular
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ayleadtoinapp
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fieldexposure
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N
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ntoaJTSExten
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opriateimplant
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loseproximity
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pecific
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Y
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Y
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Implant
Y
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thepati
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ntmustonlybe
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ly16Kg(35pou
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personlifts
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TheMLE
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Thepur
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01‐1‐2:2007
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mentinrela
t
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p
atibility(EM
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