Otto Bock BEBIONIC small Bedienungsanleitung
User guide
small
The manual has been updated last on: 2017-04-10.
The bebionic small hand provides 14 different grip patterns, allowing the user to have a more
complete device to assist them in their day to day life. The hand has two selectable thumb
positions: opposed and non-opposed.
Opposed places the thumb in opposition to the fingers on the hand, allowing grips like
Tripod and Power.
Non-Opposed places the thumb parallel with the fingers of the hand and allows grips like
Key and Finger Point.
Opposed Non-Opposed
Introduction
The hand is supplied preset in Mode 4. This provides two
input operation with proportional control of grip and speed.
Speed and grip force are set to maximum.
To alternate between the default and alternative grip
pattern, an OPEN OPEN signal must be applied (i.e. the
hand must be fully opened, the signal relaxed and then a
second open signal supplied). To alternate between the
primary grip pattern table and secondary grip pattern table,
press the Program Switch for less than two seconds. The
Auto Grip feature is turned off.
Primary Opposed
Default - Tripod
Alternative - Power
Primary Non-Opposed
Default - Key
Alternative - Finger Point
Secondary Opposed
Default - Active Index
Alternative - Tripod
Secondary Non-Opposed
Default - Column
Alternative - Mouse
Factory setting grips -
If your hand has been reprogrammed prior to delivery
individual settings will vary.
Factory Settings
A Program Switch is provided on the back of the hand.
This has four functions;
1. Switch the hand ON and OFF
A single press for approximately three seconds will switch
the hand OFF. A single press for more than two seconds
will switch the hand ON.
2. Alternate between the primary and secondary
grip patterns
When the hand is switched ON, a single press of less than two seconds
will alternate between the primary and secondary grip patterns. This will be
accompanied by a short bleep and vibration (if activated on bebalance).
3. Enable / disable the in-hand bluetooth module
With the hand switched ON, a single press for more than six seconds will enable the
bluetooth module. A double beep/vibrate will indicate connection has been made.
Pressing the switch again for more than two seconds or disconnecting the power to
the hand will disable the bluetooth module.
4. Enter / exit glove mode as follows
With the hand switched OFF, press the switch until the thumb begins to drive in.
Then release the switch. For more information please see page 20.
Program Switch
Power
With the thumb opposed, all four fingers close into
the palm until they meet resistance or the close signal
stops. When fingers are approaching a fully closed
position, the thumb drives in to cover the fingers for
additional grip security. This pattern allows round
objects such as a ball or a piece of fruit to be held
securely. This grip can also provide a handshake.
Cylindrical shaped objects such as bottles, home
and garden utensil handles are also held easily and
securely.
Tripod
When the thumb is opposed, the hand closes into
Tripod Grip with index and middle fingers meeting the
thumb. Ring and little fingers continue to close until
they meet resistance or the close signal stops. This type
of grip allows users to pick up, hold and manipulate a
variety of everyday objects such as car keys, coins, jar
lids and pens.
Hook
With the thumb in opposed position, a partially closed
Power Grip provides Hook Grip. This is ideal for
carrying a shopping bag or briefcase. Hook Grip can
also be achieved by closing the fingers from the relaxed
hand position.
Finger Adduction
The fingers of the bebionic hand move together
naturally as the fingers close. This allows the user
to securely grip thin objects, such as cutlery or a
toothbrush, between the fingers to achieve function in a
different plane. Finger Adduction is most functional with
the hand in Power Grip but can also be achieved with
the hand in Key Grip and Pinch Grip.
Grips
Opposed - Thumb in opposition to the fingers
Active Index
With the thumb opposed Active Index Grip will grasp
the handle of an object with the middle, ring and little
fingers and secure the grip with the thumb. The index
finger will then close – this may be positioned over the
lever of the device held such as a spray bottle, it also
offers the ideal finger position for typing. The index
finger is under independent user control and may be
positioned accordingly. To exit Active Index, an open
signal will fully open the index finger before the other
fingers and thumb release their grip.
Precision Closed
This grip can be used in situations similar to the
Precision Open Grip, but where extended fingers
would be obstructive, such as working at a desk.
Initially the middle, ring and little fingers close into the
palm. The thumb moves to the midpoint of its range
and pauses. The Index is then active and under user
control.
(To achieve this grip it is necessary for the thumb to be
manually repositioned by the practitioner/technician so
that the thumb only contacts the index finger.)
Precision Open
With the thumb opposed, the index finger meets
the static thumb allowing the user to pick up and
manipulate small objects. When this grip is selected
and a close signal is applied, the thumb closes to the
midpoint of its range and pauses. The index is then
active and under user control. The middle, ring and
little fingers remain extended. (To achieve this grip it is
necessary for the thumb to be manually repositioned
by the practitioner/technician so that the thumb only
contacts the index finger.)
Pinch
The thumb only contacts index finger and is used for
the fine manipulation of objects. To achieve this grip it
is necessary for the thumb to be manually repositioned
by the practitioner/technician so that the thumb only
contacts the index finger.
The bebionic hand MUST NOT be used to operate a firearm
SERIOUS WARNING
Grips
Non-Opposed - Thumb is parallel with the fingers
Finger Point
With the thumb in the non-opposed setting, the user
can move to Finger Point position. The middle, ring, and
little fingers close against the palm and the thumb moves
against the middle finger. With this grip, typing on a
keyboard or input pad, pressing a bell or a button can be
achieved.
Key
In the non-opposed thumb position, the four fingers
partially close. The thumb then closes onto the side of
the index finger. The thumb position may be raised and
lowered without moving the other four fingers allowing for
release, capture or reposition of the object being gripped.
This pattern is ideal for carrying paper or letters, using a
spoon and for holding a thin flat object such as a plate, a
credit card or a key.
Open Palm
With the thumb in the non-opposed position the hand may
be fully opened to provide a flat palm suitable for carrying
a tray or a plate.
Relaxed Hand
The thumb is set to the non-opposed position and
partially driven in toward the palm. All the fingers are
driven to a slightly flexed position.
Applying a further signal will drive the fingers into
Hook Grip for a carrying position.
Mouse
The thumb and little finger close to hold the side
of the mouse, with the middle and ring fingers
providing stability. The index finger closes on to
the mouse button and then backs off to provide the
button press. Each close signal will give a mouse
click whilst an open signal will release the mouse.
Column
This grip moves the thumb into the palm from a non-
opposed position. The fingers then close over the
thumb to provide a fixed column that can be used as
a way to push heavier objects or larger buttons and
switches. Column is also the recommended grip for
dressing, as the thumb is kept out of the way.
Switching Grip Patterns
The first grip pattern available, in each operating mode, should be the grip you will use most
frequently. You can then switch to a second grip pattern by applying either a co-contraction or a
double OPEN signal to the hand. It is then possible to switch to a further two grip patterns in each
mode by pressing the programme switch on the back of the hand.
An additional three grips and positions - hook, finger adduction and open palm - are achieved as
part of other grip patterns. This means you will be able to select up to 11 grip patterns that will be
most beneficial in your day-to-day life.
Note: - Your practitioner will work with you to programme the hand with the most appropriate grip
patterns to suit your lifestyle. They will also work with you to find the easiest way to change between
grips. For certain grip patterns, it is necessary for the practitioner to adjust the thumb alignment,
so that the contact position between finger(s) and thumb is optimised. For instance, the thumb
contacts the index finger for precision and pinch, whereas in tripod the thumb contacts the index
and middle finger.
Use
Your prosthetic provider will help you to become proficient in using your bebionic small hand.
You may attend some training sessions where different aspects of your everyday activities will be
explored. You can get the most from training by listing and suggesting those tasks that you want to
achieve. You can then work through this list with your team. To get the most from the hand, make
sure your arm is comfortable, secure and functional.
Care
We recommend that you do not adjust, dismantle, attempt to maintain, or modify your prosthesis.
If it doesn’t function as you think it should, contact your prosthetic provider who will be able to
provide guidance. You should inspect your prosthesis regularly to identify potentia problems early.
The bebionic glove is made of silicone; this can be cleaned with warm water and liquid soap.
If, and when, you need a replacement glove please contact your prosthetic provider. If water,
perspiration, steam, snow, dust or sand enter the internal components of the arm, corrosion and
component failure is likely to occur. Inspect the prosthesis regularly for glove damage, since cuts
and tears allow these materials to penetrate the prosthesis.
Safety
Treat your prosthesis as if it were your own limb. Do not expose it to a naked flame or excessive
heat. Take care not to touch live electrical equipment
Important Note
Avoid impacts and do not subject the arm to excessive loads, particularly where your safety
relies on the integrity of the arm and the suspension that holds it in place.
If you have a particular occupational or recreational activity that may overload the arm, please
discuss it with your prosthetic provider. It may be possible to design or adapt your arm so that
it is suitable for your special requirements. We accept no responsibility for any damage or injury
caused through improper use.
When attaching or detaching a bebionic hand to/from a prosthesis, it is important to first
disconnect power by moving the battery switch to the OFF position. This is to avoid a potential
current surge to the hand when it connects/disconnects with the power source
Driving
It is the responsibility of each user to ensure they comply with local regulations before operating
any motorized vehicle.
Batteries
One fully-charged battery can provide power to a bebionic hand for more than a day for average
user function. We recommend that the battery is charged each night so that a regular charging
pattern is established, and you start each day with a fully charged battery.
Batteries
Please ensure that you use the correct charger for the battery pack as provided with your
bebionic hand.
You MUST NOT ATTEMPT to charge these high current Lithium Ion / Polymer batteries with a
charger designed for other types of battery technology. If you have any doubts, please contact
your prosthetic provider.
It is important to remove the prosthesis and place it in a stable place where it will not fall before
charging the battery. Position the small round output plug on the charger into the charging
port on the socket. Insert the mains plug fitted to the transformer into a socket of the domestic
power supply.
Move the battery switch to the OFF position, i.e. towards the charging port. The charger lights
will flash, as indicated on the charger, please allow time for the unit to settle. It is important to
return the battery switch to the ON position once fully charged to return power to the hand. This
should be done by moving the battery switch away from the charging port.
Warranty Terms
Hand Policy
Hands returned to the bebionic authorized service center will be assessed and where deemed beyond
repair will be replaced. Where a claim is made under warranty, this claim must be supported by
appropriate documentation. The warranty will be void on all system components if any components
have been subject to abuse, repair or maintenance by an uncertified person, deliberate damage, loads
beyond those for which the product was designed, or by modification or neglect. You must state that
you wish us to supply a replacement.
To identify the hand serial number, see outer edge of locking ring above the wrist unit.
Glove Policy
Cosmetic gloves are only replaceable under warranty where the failure is due to a manufacturing fault
as we have no control over the environment in which they are used. Please inspect the glove at first
fitting to identify any faults so that we can provide a replacement where necessary.
Please note: Each bebionic hand is fitted with a passive Radio Frequency Identity Device to allow
identification and trace during manufacture and in case of return to our bebionic service centres.
If bebionic components are to be returned for servicing please contact us or your local distributor
stating the hand’s serial number. We will issue a returns number and returns form that will need
completing in full so your request can be dealt with promptly.
Returns
The bebionic hand comes with a 2-year-standard warranty from Otto Bock Healthcare Products
GmbH.
In addition, the following warranty pacakges are available at the date of purchase:
• 3-year-product warranty
• 5-year-product warranty
• Warranty extension from a 3- to 5-year-product warranty. The 2-year warranty extension can also
be purchased subsequently. But, it must be purchased no later than prior to the end of the 36th
month following the delivery date.
The warranty includes:
• Free of charge repair* of the prosthesis hand
• Free of charge replacement unit for the period of repair and maintenance in case of warranty
*Superficial damage and damage resulting from negligence or improper use are not included.
The warranty does not include wear and tear parts, such as gloves and batteries. An exception is the
“Minor repair package”. This package includes a separate exchange of the gaiter, the clevis links
and the finger pulps.
With the 3- (with or without warranty extension) and the 5-year-warranty package you will
get:
• Free of charge maintenance in the 24th month and for a warranty period of 5 years an additional
free of charge maintenance in the 48th month
• Free of charge “Minor repair package”
Further information to the warranty coverage can be found in the warranty terms and conditions.
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