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At Prosthetics in Motion, we aim to provide patients with the best prosthetic care available by using the latest technology, procedures and breakthroughs.  Our belief is that compassion and understanding must be coupled with technology to assure each patient receives the best, most individually appropriate prosthesis. 


THE GENIUM BIONIC PROSTHETIC KNEE SYSTEM
 Genium Prosthetic Knee
Now available in limited quantities in the United States
 
This state-of-the-art microprocessor-controlled knee joint utilizes a complex sensory system and sophisticated rule sets to mimic natural gait more closely than any other prosthetic knee. With multiple environmental inputs (including a gyroscope and an accelerometer), the Genium delivers unmatched functionality, including special features to help step over obstacles and ascend stairs.
 
The Genium builds on the knowledge gained from our experience with tens of thousands of C-Leg® wearers and decades of development. The unique Genium technology is not a next-generation C-Leg, but is a sophisticated new technology platform built to gather exponentially greater microprocessor inputs that result in very precise responses.
 
For the wearer, motion becomes intuitive. Barriers and obstacles become an unconscious part of life instead of an interruption. Whether making a fast turn-and-grab to catch up with a runaway toddler, changing speed dramatically or backing up to navigate a crowd, or simply stepping over an obstacle instead of going around, the Genium makes it all easier without risking stability.

Features:

Ascend stairs step over step
 Stair ascension is possible due to additional sensory inputs, which allow the user to climb stairs step over step with more natural movements.
 
Cross obstacles more smoothly
 Now everyday obstacles like curbs can be stepped right over—supported by a stable, flexed knee at landing— instead of having to swing the prosthetic leg around.
 
Walk backwards, forwards—any direction
 Genium detects movement in any direction and releases stance independent of body weight, making walking in any direction much more secure.
 
Stand more easily
 With its new Intuitive Stance Function, the Genium can tell when the user is standing and automatically resists further flexion. This allows for a natural distribution of body weight while standing, even on inclines and uneven surfaces.
 
Sit more naturally
 If the user sits for more than 2 seconds (with the thigh parallel to the ground and minimal weight on the leg) the Genium reduces resistance to take a more natural position—and switches to an energy-saving mode!
 
Genium offers more freedom….and more possibilities:
 •Splash-water resistant. No need to worry about a spray or two.1
 •Battery life of 5 days. More freedom, more peace of mind.
 •5 additional modes. More choices of activities for the user.
 •Remote control. Easy and convenient.  Includes battery level monitor and step counter.
 •Inductive charging. Makes charging a snap – and no open charging ports.
 •Built-in protector.  A tough cap at the knee avoids slipping and adds protection.
 •Knee angle up to 135 degrees. Easier to crouch down or kneel.
 •High weight limit of up to 330 lbs (150 kg). Now larger users and those who often carry or lift heavy loads can also benefit.
 •A more compact size. Shorter users and those with longer residual limbs are able to take advantage of this technology.
 •Computer Assisted Alignment (CAA). CAA helps the prosthetist more quickly align the prosthesis by calculating and visualizing the forces acting on the system and making adjustment and component recommendations. A groundbreaking innovation for fitting success.


C-LEG®
                       


C-LegThe C-Leg microprocessor-controlled prosthetic knee started a revolution for above‑knee amputees. Since it was introduced in the U.S. in 1999, more than 40,000 people worldwide have taken advantage of the unparalleled stability offered by the C-Leg.  The most clinically evaluated microprocessor knee in history, C-Leg is backed by evidence demonstrating increased efficacy in safety, energy efficiency and cost effectiveness when compared to other prosthetic knees – making this technology the Standard of Care.  C-Leg’s superb stumble recovery and smooth swing activation provides a confident, natural gait.  Users can speed up, slow down, take on hills and go down stairs step‑over‑step—all with a secure, comfortable stride.
 
New updates for 2011!
 
The latest generation of C-Leg adds:
 •Improved swing phase control.  Users experience easier initiation at swing, with a smoother, more natural movement.
 •Higher weight limit: 300 lbs.1 Benefiting even more users, including those who weigh more or who routinely carry or lift heavy loads. Genium™ and C-Leg are rated for the highest weight limits in the category.
 •Improved stumble recovery. Increased resistance in case of a trip or stumble.
 •A third mode. Another choice, personalized for the user.
 •Adjustable safety mode. The default setting can be adjusted, personalized to the user’s preference.
•Improved protection. New silicone caps covering the charging and adjustment jacks are now attached to the knee, securing the caps and improving protection from foreign matter and moisture.
 
Introduced to the world in 1997, the C-Leg® was the first prosthesis system to intelligently control and adapt to an individual’s gait. To do this, the C-Leg (and the Compact model) takes advantage of microprocessor-controlled hydraulics, which adapt dynamically to all walking speeds in real time. The revolutionary microprocessor that controls the C-Leg receives feedback from multiple sensors 50 times a second, making adjustments in real time.  In addition, the microprocessor can reliably secure the stance phase in both the C-Leg and Compact knees. The result is a system that recognizes which phase of gait the user is in—and reacts accordingly. This keeps your knee stable when you weight it, free-swinging when you step through—and always ready to support you if you stumble. C-Leg technology offers the advantages of permanent stance phase control, the ability to weight the prosthesis during flexion, dynamic alignment, less energy expenditure while walking, and relief for the sound side and the rest of the body.
 

Features:

Transformative technology
 The revolutionary microprocessor that controls the C-Leg® receives feedback from multiple sensors, allowing the knee to make adjustments in real time.
 
Always thinking about your security—so you don’t have to
 The C-Leg offers tremendous stability—and flexibility. You can speed up, slow down, and go down stairs step-over-step with the assurance that the C-Leg is there for you.
 
Stumble recovery
 Whenever the C-Leg senses that you’re in an insecure position—such as when you trip or stumble—it will increase resistance to provide the support you need to recover.
 
Multiple modes for multiple uses
 The C-Leg offers two activity modes, set by your prosthetist for walking and other favorite activities, such as job tasks, golf, or riding a bike.
 
Stand at ease
 A Standing Mode lets you lock the leg yourself using a specific motion pattern. With the leg flexed between 7º and 70º you use less energy, whether you’re washing dishes or standing in line.
 
Switch over
 Switching between modes is as easy as bouncing on your toe—or a press of the wireless remote control.


THE TRITON FAMILY OF PRODUCTS

At a glance:
During the development of the Triton feet, our engineers made mobility their priority. They worked together with amputees to create a family of products that meet the demands of an active lifestyle.
Thanks to the innovative design, the Triton feet are suited for a broad range of applications. Even under high load the feet offer excellent function.The prosthetic feet 1C60, IC61, IC62 Triton family made by Otto Bock.
 
 
 
1C60 Triton
Smooth roll-over characteristics via an interactive spring system consisting of 3 interconnected spring elements
Clear plantar flexion at heel strike
Split forefoot for more safety, stability and control on uneven surfaces
Excellent dynamics, energy storage and energy return
Heel stiffness adaptation to individual patient needs by using included heel wedges
Suitability for a broad range of application, from everyday life to leisure sports
Suitable for patients weighing up to 330 lbs (150 kg)
Choice of slim footshell with ½ (15 mm) heel height or normal footshell with ½ (10 mm) heel height, both with sandal toe design
 
1C61 Triton Vertical Shock
The Triton Vertical Shock enhances the functionality of the 1C60 Triton carbon fiber foot by an increased vertical shock absorption and torsion capability.
Excellent dynamics and flexibility of 1C60 Triton
Reduced vertical and torsion forces between residual limb and socket
Improved shock absorption
Compact design
 
1C62 Triton Harmony®
The Triton Harmony® combines the functionality of the 1C60 Triton carbon fiber foot with the proven Harmony® P3 technology.
Excellent dynamics and flexibility of 1C60 Triton
Stronger connection between residual limb and prosthesis for increased safety
Reduced vertical and torsion forces between residual limb and socket
Improved shock absorption
Better proprioception
Reduced volume deviations
Compact design
 
Indications
The Triton feet are suitable for transtibial, knee disarticulation, transfemoral and hip disarticulation amputees with moderate to high activity levels who desire a dynamic carbon fiber foot with high load capacity.
According to the Otto Bock MOBIS® Mobility System the Triton feet are recommended for patients with Mobility Grade (MG) 3 and 4 – unrestricted outdoor walker and unrestricted outdoor walker with especially rigorous demands. The maximum permissible patient weight is 330 lbs (150 kg).


i-LIMB

The i-LIMB Hand is controlled by a unique, highly intuitive control system that uses a traditional two-input myoelectric (muscle signal) to open and close the hand’s life-like fingers. Myoelectric controls utilize the electrical signal generated by the muscles in the remaining portion of the patient’s limb. This signal is picked up by electrodes that sit on the surface of the skin. Existing users of basic myoelectric prosthetic hands are able to quickly adapt to the system and can master the device’s new functionality within minutes. For new patients, the i-LIMB Hand offers a prosthetic solution that has never before been available.

The inclusion of a thumb that can, like the human thumb, be rotated into different positions enables important grip configurations, many of which have not been available to amputees before.

The grasp of the hand is much more like that of a human hand with the articulating fingers able to close tightly around objects. Built-in stall detection tells each individual finger when it has sufficient grip on an object and, therefore, when to stop powering. Individual fingers lock into position until the patient triggers an open signal through a muscle signal.

Key Grip:
Where the thumb closes down onto the side of the index finger. This grip is used to hold items such as a plate or a business card. The addition of wrist rotation enables the patient to turn a key in a lock in a totally ‘human’ way.

Power Grip:
Where all fingers and the thumb close down together to create a full-wrap grip. This grip would be used to hold a can of drink whilst opening the ring-pull, for example, and for carrying large objects such as a briefcase and/or shopping bag.

Precision Grip:
Where the index finger and thumb meet (or index finger, middle finger and thumb meet) in order to pick-up small objects and to hold objects when performing finer control tasks.

Index Point:
Where the thumb and fingers close but the index finger remains extended – this is yet another first from Touch Bionics and very important in today’s modern world. Patients have found this grip very useful for operating computer keyboards, telephone dial pads, ATM cash machines and a host of other everyday requirements.

Feedback from early patient studies identified that software adjustments can allow patients to perform simple tasks and improve functionality. An example of this being ‘thumb parking’, instructing the thumb to close down against the side of the hand to allow a jacket to be put on.


THE NEW RHEO KNEE

The redesigned RHEO KNEE features a host of upgrades, including improved aesthetics, a higher weight limit, increased torque and faster swing speed.

A truly dynamic knee, RHEO KNEE uses Artificial Intelligence to continuously adapt to the user’s walking style and environment. The RHEO KNEE recognizes and responds immediately to changes in speed, load and terrain, restoring the user’s ability to walk naturally, comfortably and confidently at any speed.

Key Features of the RHEO KNEE
*275 pound weight limit allows use by heavier and/or more active users
* Anatomical shape simplifies cosmetic finishing 
* Smoother, more consistent swing resistance produces faster swing speed and improved user confidence
* 10% lighter than the original RHEO KNEE
* Wireless Bluetooth communication with PDA (compatible with existing RHEO KNEE PDA devices after PDA software update)
* Continuous adaptation and dynamic learning through enhanced artificial intelligence
* Automatically adapts to more user gaits and cadences for added flexibility and user satisfaction
(no manual adjustment for toe loading required)
* Proportional stance resistance enables more natural motion & freedom of movement
* Can be used with full height Flex-Foot® for maximum energy storage and gait dynamics


PROPRIO FOOT

The world's first intelligent foot module, the PROPRIO FOOT provides unprecedented physiological benefits for transtibial amputees. A wide and automated range of ankle flexion with proven Flex-Foot dynamics means function is as close as you can get today to the human foot.

The PROPRIO FOOT thinks for itself, responding beautifully to changing terrain and transforming the approach to stairs and slopes, as well as level-ground walking. Angling itself appropriately, it also helps amputees to sit and stand up easily and more naturally. The PROPRIO FOOT® also has a calibrated alignment control feature. Overall, the effect is a feeling of improved proprioception with a more balanced, symmetric and confident gait with reduced wear and tear on the back, hips and knees.


FLEX-RUN
Flex-Run

The Flex-Run™, by Ossur, is a custom foot module for sprinting, long distance running, and recreational sports. A lightweight foot, it provides efficient energy return, enabling the athlete to run further, and longer. Its vertical compliance reduces trauma to the residual limb, joints, and lower back, thereby providing more comfort to the athlete.

The Flex-Run is made from 100 percent carbon fiber, a material used extensively in the aerospace industry for its superior strength and flexibility.


OTTO BOCK'S HARMONY® VACUUM MANAGEMENT SYSTEM

The Harmony® system effectively reduces the amount of air between the socket and the liner. This is achieved through the use of a pump and an exhaust valve. The system, which is activated at every step when using the mechanical pump or by a sensor with the electronic version, regulates the required negative pressure within a defined range.

A damping and torsion function is also integrated into the mechanical pump. The Harmony® system controls the volume of the residual limb and simultaneously improves blood circulation. High adhesion improves proprioception. The prosthesis wearer feels what is happening under his or her prosthetic foot. This increases safety in everyday life. The Harmony® system is used in conjunction with a polyurethane liner. A standard or custom liner is used depending on the residual limb. The negative pressure system is sealed on the outside by means of a gel-coated sealing sleeve.

 

HARMONY® E-PULSE

At a Glance:
*No restrictions on patient weight
*No activity level restrictions
*No amputation height restrictions
*Reduced daily volume fluctuations
*Improved proprioception
*Better connection between the residual limb and prosthesis
*Reduced strain on the residual limb
 
Harmony® e-pulse – Improved performance and functionality
The improved Harmony® e-pulse was released in September 2009 with three main performance and functional improvements – durable filtration, airtight performance and ability to flush with distilled water.

The new inline filter is more durable and easier to position.  The new filter is easy to install and can replace the old filter at the customer’s convenience (please contact your local Customer Service).  Significant airtight performance was achieved with internal changes.  Furthermore the new Harmony® e-pulse received a flushing function to internally clean the system with distilled water in the field (just in case that some debris finds its way into the system).

In order to implement the New Flushing Mode the massage mode had to be eliminated from the Harmony e-pulse.

The next generation
With the Harmony® system, increased negative pressure between the prosthesis socket and liner creates an optimum connection between the prosthesis and residual limb. Proprioception is enhanced and strain on the residual limb is reduced. In addition, increasing the vacuum reduces the daily volume fluctuations of the residual limb. This effective system to connect a prosthesis has been available to transtibial amputees since 2001 in the form of the mechanical Harmony® pumps (e.g. P2 or HD). Their effectiveness has already been proven by several studies.

 

HARMONY® P3
*Elevated vacuum ensures excellent fit
*Reduces fluctuations in residual limb volume – eliminates need to add spots and socks throughout the day
*Improves proprioception for more confident ambulating
*Reduces forces in the socket
*Suitable for Otto Bock Mobility Grades 2 - 4
*Suitable for weights of 100 lbs - 220 lbs

HELIX3D HIP JOINT SYSTEM 

At a Glance
Produces a three-dimensional hip movement to compensate for pelvic rotation and promotes a symmetrical and  natural gait  pattern. 
Allows for leg length reduction during the swing phase. This helps reduce the risk of falling and increases security.
Improves sitting posture and reduces pelvic obliquity to a minimum.
The 7E10’s large flexion angle makes it easier to accomplish activities of daily living, such as putting on shoes or getting into a car
up to 220 lbs/100 kg  weight. 
 
 

Helix3D Sets a New Fitting Standard

The Helix3D Hip Joint System is suitable for hip disarticulation and hemipelvectomy patients. It offers patients maximum security and function for a wide range of everyday activities. Recommended according to the Otto Bock MOBIS Mobility System for patients with Mobility Grades 2 and 3* (restricted outdoor walkers, unrestricted outdoor walkers). Maximum weight: 220 lbs/100 kg.


It is noticeably easier to initiate swing phase with the hip joint’s integrated expansion springs. Energy stored during the stance phase is used during the swing phase initiation to compensate for the missing hip muscles and to reduce the amount of energy needed for walking.
Controls the three-dimensional movement of the hip joint during walking that closely resembles the normal hip movement in the sound leg.
Allows for a dampened, controlled heel strike in the stance phase with significantly reduced hyperlordosis as well as a natural hip joint extension. Therefore, the user can accomplish a more controlled, smooth roll-over on the prosthesis under full load.
Allows for an individual stride length setting, which controls the pendulum motion in the swing phase.
 

Helix3D – Systematic Fitting
When choosing components for a complete prosthesis, the practitioner must choose a knee joint that provides 1) absolute stability and reliability at heel strike, 2) stance extension damping, and 3) swing flexion damping.
Otto Bock requires that the Helix3D Hip Joint may only be combined with the C-Leg® and the prosthetic feet specified for use with the C-Leg® and other components specified in the Instructions for Use. The Helix3D Hip’s functions are specifically adapted to the characteristics of selected Otto Bock components. This gives the user the greatest amount of security and the advantages of each component.


DYNAMIC ARM 
 
A new generation of elbow joints has arrived with flexion controlled by an electric motor in combination with a unique vario drive. The DynamicArm 12K100 allows for quick, exact positioning of the hand with minimal energy expenditure and incorporates an innovative, high-performance drive with stepless gears that can lift loads up to 6 kg (13 lbs). The elbow also has a static holding capacity of 50 lbs (22 kg), and will slip if the weight limit is exceeded—without damaging the elbow.



Extremely fast signal transmission using the AXON-BUS® system, along with newly developed signal processing allow for more physiological movement. Thanks to Otto Bock’s DMC control concept, strength and speed can be controlled with natural ease. The integrated AFB (Automatic Forearm Balance) stores the energy released when the arm is lowered and helps lift it during flexion, allowing the arm to swing quietly and naturally while walking. Lithium Ion battery delivers reliable, high performance. The 12K100 is compatible with all Otto Bock quick disconnect terminal devices. All Otto Bock quick disconnect terminal devices are compatible with the DynamicArm. We recommend the SensorHand® Speed and Vario Greifer for the greatest user function. The DynamicArm also incorporates Bluetooth technology for programming and training without cords or cables.

SENSORHAND SPEED


With a dizzying 300 mm per second opening/closing speed, (over twice as fast as before) and enhanced EMG signal processing, the new “SensorHand™ Speed” has unmatched performance.

In addition, our unique AutoGrasp feature stops objects being held from slipping by monitoring and changing the grip force as needed.

As with the previous hand Sensors recognise before an object being grasped starts to slip and will automatically increase the grip force to prevent the object falling.

SensorHand™ Speed also allows you to use one or two input devices and to select from various control options.