7 Setting Up the NESS L300 Plus System Preparing the Skin Before you put on the L300 and Thigh FS Cuffs, prepare your skin where the electrodes will touch. To prepare your skin: 1. Clean the skin where the electrodes will touch with a wet washcloth. If any lotions are on the skin, clean the skin with soap and water. Rinse well. 2. If necessary, trim excess body hair from the area using an electric shaver or scissors. Do not use a razor. A razor can irritate the skin. 3.
Putting on the L300 FS Cuff To put on the L300 FS Cuff: 1. Remove and wet the L300 cloth electrode(s), if appropriate. 2. Remove the covers on the hydrogel electrodes, if appropriate. 3. While seated, slightly straighten your leg. The outline of your kneecap should be clearly defined. Place your foot on a footrest, if necessary. See Figure 7-1 Outline of Kneecap Clearly Defined Figure 7-1: Recommended knee angle for putting on the L300 FS Cuff.
4. Grasp the front of the L300 FS Cuff by the cradle. Then tilt the bottom of the L300 FS Cuff up. 5. Slide the locator up your leg until it rests snugly and comfortably below your kneecap. See Figure 7-2. Locator Figure 7-2: Aligning the L300 FS Cuff locator below the kneecap.
6. While holding the locator in place, lower the L300 FS Cuff until it rests flush against your leg. The L300 FS Cuff should gently grip your leg. 7. Grasp the handle of the L300 FS Cuff strap. 8. With your thumb on the cradle, fasten the L300 FS Cuff strap handle around the cradle. See Figure 7-3. Locator Below the Kneecap Thumb on the Cradle and Fingers on the Strap Handle Figure 7-3: Fastening the L300 FS Cuff strap.
9. Make sure the L300 FS Cuff is correctly positioned. The locator should rest below the kneecap. The RF Stim Unit should face the inside of the leg. See Figure 7-4. Locator Below the Kneecap Strap Handle Around the Cradle L300 RF Stim Unit Figure 7-4: The L300 FS Cuff correctly positioned on the right leg.
Testing the Position of the L300 FS Cuff To test the position of the L300 FS Cuff: 1. Place the L300 Plus Control Unit in standby mode. 2. Press the L300 RF Stim Unit selection button. The arrow next to the L300 RF Stim Unit indicator will light GREEN to confirm the selection. 3. Press and hold the stimulation test button. The L300 RF Stim Unit will stimulate until the stimulation test button is released. If the L300 FS Cuff is not positioned correctly: 1. Turn off the L300 Plus System. 2.
Putting on the Thigh FS Cuff To put on the Thigh FS Cuff: 1. Remove and wet the Thigh cloth electrodes. 2. Sit in a stable position on the edge of a chair. 3. Place the Thigh FS Cuff locator on the midline of the thigh, approximately three finger widths from the knee. See Figure 7-5. Locator Figure 7-5: Thigh FS Cuff locator correctly positioned on the quadriceps.
4. Center the elongation bar on the midline of the thigh. See Figure 7-6. Elongation Bar Figure 7-6: Thigh FS Cuff correctly positioned on the quadriceps. 5. Fasten the straps. CAUTION: Turn off stimulation before putting on or taking off the Thigh FS Cuff.
Testing the Position of the Thigh FS Cuff To test the position of the Thigh FS Cuff: 1. Place the L300 Plus Control Unit in standby mode. 2. Press the Thigh RF Stim Unit selection button. The arrow next to the Thigh RF Stim Unit indicator will light GREEN to confirm the selection. 3. Press and hold the stimulation test button. The Thigh RF Stim Unit will stimulate until the stimulation test button is released. If the Thigh FS Cuff is not positioned correctly: 1. Turn off the L300 Plus System. 2.
Placing the Intelli-Sense Gait Sensor in the Shoe The Intelli-Sense Gait Sensor is used when walking in gait mode. Make sure it is placed in your shoe before selecting gait mode. To position the pressure sensor: 1. Lift the insole of the shoe, and attach a gait sensor pad under the insole, at the heel of the shoe. Make sure the gait sensor pad is in the same location as initially fitted by your clinician. See Figure 7-7.
Note: If your shoe does not have a detachable insole, place the pressure sensor on top of the insole. Then, place a generic (one layer versus two) insole over it. Generic insoles can be purchased from drugstores, shoe stores, or Bioness. Contact the Bioness Client Relations Department at (800) 211-9136, Option 2. 2. Point the wire of the pressure sensor toward the toe of the shoe. Then press the pressure sensor to the gait sensor pad. See Figure 7-8.
To position the transmitter: 1. Cover the inner clamp of the Intelli-Sense Gait Sensor with the shoe spacer. See Figure 7-9. Shoe Spacer Figure 7-9: Attaching the shoe spacer.
2. Clamp the transmitter to the inner rim of the shoe. The NESS logo on the transmitter should face away from the ankle. See Figure 7-10. Transmitter NESS Logo Faces Away From the Ankle Clamp Attaches to the Inner Rim of the Shoe Left Shoe Pressure Sensor Figure 7-10: Clamping the transmitter to the inner rim of the shoe. 3. Lower the insole. Tuck any excess wire under the insole. See Figure 7-11. Left Shoe Figure 7-11: Intelli-Sense Gait Sensor correctly positioned.
Transferring the Intelli-Sense Gait Sensor to Another Shoe To transfer the Intelli-Sense Gait Sensor to another shoe: 1. Turn off the NESS L300 Plus System. 2. Remove the Intelli-Sense Gait Sensor from the shoe. 3. Select another shoe. 4. Follow the steps for placing the Intelli-Sense Gait Sensor in the shoe. Be sure to place the gait sensor pad in the same location as determined by your clinician.
8 Operating the NESS L300 Plus System The NESS L300 Plus System is designed to operate as a complete system. The L300 and Thigh FS Cuffs both must be on and the system components close to each other to communicate wirelessly. Turning On/Off the NESS L300 Plus System To turn on the NESS L300 Plus System, press the on/off button on the L300 Plus Control Unit once. The system will start in standby mode. All display indicators will light up for a few seconds while the system performs a selftest.
Testing the Position of the FS Cuffs The stimulation test button is used to test the position of the FS Cuffs. Only one FS Cuff can be tested at a time. L300 FS Cuff To test the position of the L300 FS Cuff: 1. Place the L300 Plus Control Unit in standby mode. 2. Press the L300 RF Stim Unit selection button. The arrow next to the L300 RF Stim Unit indicator will light GREEN to confirm the selection. 3. Press and hold the stimulation test button.
Selecting an Operating Mode Selecting Gait Mode To select gait mode: 1. Turn on the L300 Plus System. 2. Press the mode button briefly. The L300 Plus Control Unit will beep and the mode button will FLASH YELLOW SLOWLY (stimulation is off). When stimulation is on, the mode button will FLASH YELLOW RAPIDLY. Selecting Training Mode To select training mode: 1. Turn on the L300 Plus System. 2. Press and hold the mode button.
Returning to Standby Mode To return to standby mode from gait or training mode: •• Press the flashing mode button briefly. The L300 Plus Control Unit will beep, and the flashing.
Adjusting Stimulation Intensity When the L300 Plus Control Unit is turned on, the stimulation intensity level will be “5." L300 FS Cuff To adjust stimulation intensity for the L300 FS Cuff: 1. Press the L300 RF Stim Unit selection button. The arrow next to the L300 RF Stim Unit indicator will light GREEN to confirm the selection. See Figure 8-1. L300 RF Stim Unit Selection Button Figure 8-1: L300 RF Stim Unit selection.
2. Press the plus or minus intensity adjustment button on the L300 Plus Control Unit to change the intensity level. The L300 Plus Control Unit will beep with each change in level. The new level will show in the digital display. Note: An intensity level of “0” equals no stimulation. Note: When the system is turned on, the default stimulation intensity level is restored.
Thigh FS Cuff To adjust stimulation intensity for the Thigh FS Cuff: 1. Press the Thigh RF Stim Unit selection button. The arrow next to the Thigh RF Stim Unit indicator will light GREEN to confirm the selection. See Figure 8-2. Thigh RF Stim Unit Selection Button Figure 8-2: Thigh RF Stim Unit selection. 2. Press the plus or minus intensity adjustment button on the L300 Plus Control Unit to change the intensity level. The L300 Plus Control Unit will beep with each change in level.
Turning on Audio Feedback During Stimulation The mute button is used to turn on audio feedback when stimulation is on. Audio feedback can be turned on for one FS Cuff or both. L300 FS Cuff To turn on audio feedback during stimulation: 1. Place the L300 Plus Control Unit in standby mode. 2. Press and hold the L300 RF Stim Unit selection button. 3. While holding the L300 RF Stim Unit selection button, press and hold the mute button for three seconds.
Thigh FS Cuff To turn on audio feedback during stimulation: 1. Place the L300 Plus Control Unit in standby mode. 2. Press and hold the Thigh RF Stim Unit selection button. 3. While holding the Thigh RF Stim Unit selection button, press and hold the mute button for three seconds. The L300 Plus Control Unit will emit an audio alert when stimulation is on. To turn off audio feedback during stimulation: •• Press the mute button or the FLASHING GREEN on/off button.
Muting/Un-Muting the L300 Plus Control Unit To mute/un-mute the L300 Plus Control Unit: •• Press the mute button briefly. Note: When the system is turned on, the default volume setting is restored.
Turning Off Audio/Visual Alerts The NESS L300 Plus System is designed to be worn as a complete system in gait mode, with both the L300 FS Cuff and the Thigh FS Cuff on. In training mode, the L300 FS Cuff and the Thigh FS Cuff can be worn individually. When only one FS Cuff is worn, the NESS L300 Plus System will emit a faulty electrode contact alert for the other FS Cuff. It will also emit an RF communication error alert for the other RF Stim Unit, if it is out of range.
