Tyromotion Myro User manual

MYRO®
GEBRAUCHSANWEISUNG / USER MANUAL
Sprachen: Deutsch (DE) - Originalsprache, Ausgabedatum der Gebrauchsanweisung: 04.01.2017
Languages: English (EN), Issue Date of User Manual 4. January 2017

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Contact information:
Manufacturer:
TYROMOTION GmbH
Bahnhofgürtel 59
8020 Graz
AUSTRIA
TEL [phone]
FAX [phone]
MAIL [e-mail]
WEB www.tyromotion.com
SUPPORT [e-mail]
Distributor:
TYROMOTION GmbH
Bahnhofgürtel 59
8020 Graz
AUSTRIA
TEL [phone]
FAX [phone]
MAIL [e-mail]
WEB www.tyromotion.com
SUPPORT [e-mail]

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Table of contents
Introduction 5
1.1 Introduction 5
1.1.1 Regarding the usage of this documentation 5
1.1.2 Symbols in the user manual 5
1.1.3 System content 5
1.1.4 The therapy system 6
1.1.5 Intended purpose 7
1.1.6 Notices 7
1.1.7 Safety 8
1.1.8 Warnings 8
1.1.9 Owner's responsibility 12
1.1.10 Errors and omissions 12
1.1.11 Property of TYROMOTION GmbH 12
1.1.12 Warranty and legal disclaimer 12
1.2 Training concept 14
1.3 Symbols on MYRO® 14
1.3.1 Type label 16
Technology 17
2.1 Technology 17
2.1.1 Overview 17
2.1.2 Area of application 18
2.2 The MYRO® system 20
2.2.1 Power supply MYRO® 22
2.2.2 Installation 22
2.2.3 Repair 23
2.2.4 Disposal 23
2.3 Adjustment options MYRO ® 23
2.3.1 Height adjustment MYRO® 24
2.3.2 Referencing the MYRO® lifting columns 25
2.3.3 Tilt adjustment MYRO® 25
2.3.4 System/Headphones volume control 26
2.4 Device setup and movement 26
2.5 Monthly functionality check / Recurring check 27
2.5.1 Check list functionality test 27
2.5.2 Recurring checks 28
Clinical application 29
3.1 Indications/Contraindications 29
3.2 Safety 31

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3.2.1 Safety concept 31
3.2.2 Residual risk 32
3.3 Prior to training 32
3.3.1 Activating the MYRO® system 32
3.4 Performing training 32
3.4.1 Patient information 33
3.5 After training 33
3.5.1 Deactivating the MYRO® system 33
3.5.2 Cleaning the MYRO® system and associated parts 33

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Introduction
1.1 Introduction
We are happy to provide this user manual as an introduction for the usage of the MYRO®
therapy system. The following user manual addresses the essential functions that are
necessary for understanding the functionality and usage of MYRO®.
1.1.1 Regarding the usage of this documentation
It is absolutely imperative that every user completes the training course
and has read the user manual prior to using MYRO®!
For legibility reasons, the following pages only refer to the male gender, which, however,
always implies the female gender as well. TYROMOTION GmbH rejects any liability for
damages to persons or material if safety regulations and instructions relevant to the
usage of the MYRO® system are not observed!
1.1.2 Symbols in the user manual
Warnings: Severe risk of injury or hazard results when this symbol is
displayed in the user manual and notices are not observed. Be especially
mindful of these notices!
Follow the user manual.
1.1.3 System content
The MYRO® system consists of the following components, included in the delivery:
•Table frame consisting of foot stabilizers with castors, lifting column (including
controls), table top, storage container, 3 transport restraints, 3 covers for the
transport restraint openings, control cabinet with integrated PC and screen
•Mouse, mouse pad and keyboard
•USB-Stick (Quickstart Guide, User Manual, SetUp, Software)
•Power plug
•Headphone jack adapter (from 6.3 mm to 3.5 mm)
•MYRO® objects

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•Coin
•Ball
•Cup
•Handle
•Empty platform for individual objects
•Suction cup for traction and/or pressure applications
Accessories or spare parts such as MYRO® objects can be obtained directly from the
manufacturer.
Only use original accessories from the manufacturer.
Only the supplied suction cup may be used for traction and pressure
applications due to safety considerations.
1.1.4 The therapy system
MYRO® is a therapy table that, for the first time, allows the therapeutic usage of real
objects, swinging exercises as preparation for graphical-motor training and spatial-
explorative elements in a motivating and task-oriented manner.
The selected technology makes it possible to concurrently detect several points of
contact or objects, which provides the advantage of interactive and intuitive controls and
therapy without additional media and thus, by and large, barrier-free accessibility. Daily
movements can be trained and motor skills gradually re-learned with this therapy-
supporting device. All processes are recorded statistically and can be utilised for later
documentations and assessments.

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Image 1: Symbol photo MYRO® therapy system
1.1.5 Intended purpose
The MYRO® therapy system is generally used for neurological rehabilitation of the upper
extremities. The target group not only includes neurological, but also orthopedic and
pediatric patients. Depending on national variances, the MYRO® system is typically used
in ergotherapy and/or physiotherapy as therapeutic support, enhancement and
intensification in addition to conventional therapy forms. Repetitive active exercise and
training promotes the neuronal plasticity and thus the alteration (adaptation) of
synapses, nerve cells or even entire cerebral areas for the purpose of regaining lost
functionality.
1.1.6 Notices
Familiarize yourself with the user manual prior to system usage and re-
read the manual in regular intervals.
System users are also required to read the provided user manual for the
tyroS software and the accompanying papers!
Medical personnel and properly trained therapists responsible for the MYRO® system
are required to admonish technicians, patients and other persons within the vicinity of
the device to fully observe the contained safety precautions. The system may only be
operated by properly trained personnel. Training can be requested as required. Ensure
that the system is not manipulated by unauthorized personnel. The system is unpacked

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and installed by service personnel authorized by TYROMOTION GmbH. Never attempt to
install the system by yourself.
1.1.7 Safety
The MYRO® therapy system must be activated by persons who have read and
understood chapter 1.1.7 and 1.1.8. Modifications by users can compromise safety and
system performance. All modifications must be performed by persons certified by
TYROMOTION. The information in section 1.1.8.familiarizes users with potential hazards
of system usage and warns about injuries and damages resulting from non-observance
of safety precautions. Users are obligated to familiarize themselves with these safety
instructions and avoid conditions that may lead to injuries or damages.
1.1.8 Warnings
Warnings are always identified in the user manual by the symbol displayed in chapter
1.1.2 (yellow triangle with exclamation mark).
All warnings from the chapters are collectively stated in the following in order to ensure
the applicability of this user manual.
Warnings from chapter 1
Initial usage:
It is absolutely imperative that every user completes the training course and has read the
user manual prior to using MYRO®!
Accessory:
Only use original accessories from the manufacturer.
Only the supplied suction cup may be used for traction and pressure applications due to
safety considerations.
Warnings from chapter 2
Electromagnetic compatibility:
MYRO® is classified as a medical electronic device and therefore subject to specific
precautionary measures relating to electromagnetic compatibility (EMC). It is absolutely
imperative to observe the following EMC indications. Portable and mobile HF
communication equipment may affect MYRO®.
COMMENT: Administrations may also permit the setup and operation of class A devices
–with all necessary measures –in residential areas and facilities that are directly

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connected to the PUBLIC POWER GRID despite the fact that class A threshold values are
derived for industrial and commercial service rooms.
Consumption of food or beverages:
It is not permitted to consume or set down food or beverages near or on the device due
to safety considerations.
Liquids:
It is not permitted to set down liquids (for example, disinfectants) near or on the device
due to safety considerations.
Load capacity:
Caution: The therapy table is not designed to support a person who is standing or sitting
on it. The maximum load for the MYRO® application part is 60kg. The indicated load limit
only applies to the application part (device part that necessarily comes into physical
contact with the patient during proper usage so the device can function).
Power supply MYRO®:
The system may only be connected to a safety outlet as such an outlet provides the
necessary protection.
The system may only be connected to electric IT circuits equipped with max. 30mA RCCB
protection.
The system may not be connected to the electric circuit with extension cables.
A USB port is provided at the control cabinet. Connecting peripheral devices (printer, etc.)
is not permitted.
Touching electrically live parts:
Some system parts may conduct electricity. The operator may NOT concurrently touch
the patient and any of these parts. The patient may also not touch these parts directly.
This applies to the following components:
•Lifting cylinder of the linear drive for the tilt adjustment of the table
Repair:
Always contact the manufacturer for repairs!

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Safety instructions - MYRO® adjustment:
Body parts may be pinched when lowering the lifting column or tipping the table. Ensure
that no body parts of yours, the patient or a third person are close to the tipping
mechanism while tipping the device.
Observe the notices attached to the device: "Warning crushing hazard" and "No entry".
Ensure that no objects are located on MYRO® when adjusting the height or tilt of the
system as these objects may fall.
The MYRO® control panel must only be operated by therapists.
Height adjustment MYRO®:
The height adjustment must always be performed while taking space requirements and
the patient's range of motion into account.
Adjust the height of the system to ensure optimal operation during therapy. The therapist
is responsible for making this adjustment.
Lowering the lifting column: It is possible to pinch body parts under MYRO® while lowering
the lifting column. Observe the warnings attached to the device! Only therapists may
lower the lifting column.
Tilt adjustment MYRO®:
The tilt adjustment must always be performed while taking space requirements and the
patient's range of motion into account.
Tilt of the therapy table: It is possible to pinch body parts while adjusting the tilt of the
therapy table. Observe the warnings attached to the device! Only therapists may adjust
the tilt of the therapy table.
System/Headphones volume control:
Make sure that the volume level is appropriate when using headphones in order to avoid
hearing damage and check the volume before use on patient.
Tipping hazard while moving the device:
It is imperative that the following items are observed due to the increased tipping hazard:
•Never move the device while a patient is close by.
•Always move the MYRO® therapy system in the collapsed mode (tabletop not tilted,
lowest position).
•Exercise caution while crossing thresholds.
•Observe the warning "Sitting prohibited", which is attached to the device.