9 Maintenance and Cleaning Daily Maintenance When the NESS L300 Plus System is not in use: 1. If appropriate, reapply the covers to the hydrogel electrodes. Do not let the hydrogel dry out. 2. Store the cloth electrodes where they can air dry. 3. Allow the FS Cuffs to air dry. 4. Check each component for wear or damage. 5. Replace any components or electrodes that appear old, worn, or damaged. 6. Fully charge the L300 Plus Control Unit, Thigh RF Stim Unit, and L300 RF Stim Unit batteries. Chapter 9 - Maintenance and Cleaning 89 Charging the Batteries When a NESS L300 Plus System component has a low battery, the L300 Plus Control Unit will beep and the component indicator light will FLASH YELLOW. See Figure 9-1. Low Battery, RF Stim Unit Low Battery, L300 Plus Control Unit Low Battery, Thigh RF Stim Unit Low Battery, L300 RF Stim Unit Low Battery, Gait Sensor Figure 9-1: Low battery FLASHING YELLOW indicators. When an RF Stim Unit battery charge level is low, the RF Stim Unit status light will also FLASH YELLOW. See inset in Figure 9-1. When the Intelli-Sense Gait Sensor battery charge level is low, the L300 Plus Control Unit low-battery audio alert will become more persistent as the battery weakens. 90 User's Guide To charge the batteries in the L300 Plus Control Unit, L300 RF Stim Unit, and Thigh RF Stim Unit: 1. Select an appropriate blade. See Figure 9-2. Then slide the blade into the charger. Charger W Cable Interchangeable Blades Figure 9-2: System charger set. WARNING: Use only the charger included in your NESS L300 Plus System Kit or NESS L300 Plus System Upgrade Kit. Use of any other charger could damage the system. Chapter 9 - Maintenance and Cleaning 91 2. Open the flexible covers over the charging ports. See Figure 9-3. Flexible Cover W Cable Flexible Cover Charger Figure 9-3: Charging setup. 3. Connect the W cable to the charging ports. See Figure 9-3 4. Plug the charger into a wall socket. 5. Verify that the rotating GREEN circle appears in the L300 Plus Control Unit digital display. See Table 9-1. 6. Verify that the status light on both RF Stim Units is ALTERNATELY FLASHING YELLOW and GREEN. See Table 9-2. 92 User's Guide 7. Allow the charging process to continue until: •• A horizontal GREEN line appears in the L300 Plus Control Unit digital display. See Table 9-1. •• The status light on both RF Stim Units is solid GREEN. See Table 9-2. The charging process should last approximately three hours, but the L300 Plus Control Unit can take up to six hours to charge. Note: Keep the L300 Plus Control Unit and RF Stim Units connected to the system charger set until ready for use. Display Description Definition ROTATING GREEN Circle L300 Plus Control Unit Charging Horizontal GREEN Line L300 Plus Control Unit Fully Charged Letter "E" FLASHES while Charging Charging Error Table 9-1: L300 Plus Control Unit charging displays and definitions. Status Light ALTERNATELY FLASHES YELLOW and GREEN Battery Charging Status Light SOLID GREEN Battery Fully Charged Table 9-2: RF Stim Unit charging displays and definitions. Chapter 9 - Maintenance and Cleaning 93 Note: If the L300 Plus Control Unit battery is completely discharged, a “b” (for boot) will flash for a few seconds in the L300 Plus Control Unit digital display when charging is started. Note: It is possible to charge the L300 Plus Control Unit and RF Stim Units separately, but Bioness recommends that they be charged at the same time. CAUTION: The batteries must be charged before first use, daily, and after extended storage. CAUTION: The Intelli-Sense Gait Sensor battery is not rechargeable. CAUTION: Remove the L300 FS Cuff and Thigh FS Cuff before charging the RF Stim Unit batteries. CAUTION: Do not use the RF Stim Units or the L300 Plus Control Unit while charging. 94 User's Guide Battery Replacement The battery in the Intelli-Sense Gait Sensor is not rechargeable. It may need to be replaced approximately every six months. When the Intelli-Sense Gait Sensor battery charge level is low, the indicator on the L300 Plus Control Unit will begin to FLASH YELLOW. The alert will begin approximately two weeks before the Intelli-Sense Gait Sensor completely loses its charge. The L300 Plus Control Unit will also emit an audio alert. To replace the Intelli-Sense Gait Sensor battery (Lithium coin cell, CR2430): 1. Using a Phillips screwdriver, unscrew the two screws from the battery cover. See Figure 9-4. Screws Battery Cover Note: If you are unable to replace the battery, your local battery supply store should be able to assist. Figure 9-4: Replacing the Intelli-Sense Gait Sensor battery. Chapter 9 - Maintenance and Cleaning 95 2. Slide the cover out. 3. Note the “+” orientation of the old battery. Remove the old battery, and properly dispose of it according to your local environmental regulations. 4. Insert the new battery. The “+” should face outward. 5. Slide the cover back into place. 6. Tighten the screws. 7. Press the pressure sensor to activate the sensor. CAUTION: Use only a battery supplied by Bioness. 96 User's Guide The battery in the L300 Plus Control Unit is a rechargeable AAA NiMH battery. It should be replaced approximately every two years. To replace the L300 Plus Control Unit battery (AAA NiMH 1.2 V): 1. Remove the screw from the battery cover on the back of the L300 Plus Control Unit. See Figure 9-5. (The screw is under a small label. Gently peel off the end of the label. Reapply the label after the battery is replaced.) 2. Remove the battery cover. 3. Note the "+/-" orientation of the old battery. Battery Cover Screw Battery L300 Plus Control Unit Note: If you are unable to replace the battery, your local battery supply store should be able to assist. Figure 9-5: Replacing the L300 Plus Control Unit battery. Chapter 9 - Maintenance and Cleaning 97 4. Insert the new rechargeable battery in the proper "+/-" orientation. 5. Slide the cover into place. Remove the old battery, and properly dispose of it according to your local environmental regulations. 6. Tighten the screw. 7. Fully charge the new battery before use. CAUTION: Use of a non-rechargeable AAA battery can damage the L300 Plus Control Unit. CAUTION: Use only a battery supplied by Bioness. 98 User's Guide The RF Stim Units have a rechargeable battery that can only be replaced by a Bioness authorized representative. If the battery needs to be replaced, contact the Bioness Client Relations Department at (800) 211-9136, Option 3. Chapter 9 - Maintenance and Cleaning 99 Bases Replace the L300 electrode bases if they appear worn or damaged. To replace the L300 electrode bases: 1. Mark the position of the used L300 electrode bases on the L300 FS Cuff liner. See Figure 9-6. Figure 9-6: Marking the position of the used L300 electrode bases. 2. Unsnap the L300 electrode bases from the plug holes. See Figure 9-7. Figure 9-7: Unsnapping the L300 electrode bases. 100 User's Guide 3. Remove the used L300 electrode bases from the L300 FS Cuff. See Figure 9-8. Figure 9-8: Removing the used L300 electrode bases. 4. Attach the new L300 electrode bases where the previous bases were attached. See Figure 9-9. Figure 9-9. Attaching the new L300 electrode bases. Chapter 9 - Maintenance and Cleaning 101 5. Snap the new L300 electrode bases to the L300 FS Cuff plug holes. See Figure 9-10. Figure 9-10: Snapping the L300 electrode bases to the L300 FS Cuff plug holes. 6. Cover the wires and snaps with wire concealers (not included), if desired. See Figure 9-11. Press on the wire concealers to attach them to the L300 FS Cuff liner. Wire Concealer Figure 9-11: Wire concealers covering the L300 electrode base wires. CAUTION: When replacing the L300 FS Cuff, have your clinician re-fit the L300 electrode bases. 102 User's Guide L300 FS Cuff Strap To replace the L300 FS Cuff strap: 1. Remove the used L300 FS Cuff strap from the L300 FS Cuff buckles and strap leads. See Figure 9-12. Hook and Loop Strap Fasteners Buckles Strap Leads Figure 9-12: L300 FS Cuff strap attached to the L300 FS Cuff. 2. Slide the new L300 FS Cuff strap through the strap leads and buckles. Make sure the hook and loop fasteners face away from the L300 FS Cuff. 3. Press on the hook and loop fasteners to secure the strap. Chapter 9 - Maintenance and Cleaning 103 Thigh Silicone Panels To replace the Thigh silicone panels: 1. Unsnap and remove the Thigh cloth electrodes. 2. Gently detach the loops of the silicone panels from the hooks on the Thigh FS Cuff top and bottom panels. See Figure 9-13. Figure 9-13: Unhooking the top silicone panel. 104 User's Guide 3. Slide the band on the bottom silicone panel over the Thigh RF Stim Unit. See Figure 9-14. Figure 9-14: Sliding the band on the bottom silicone panel. 4. Gently pull the silicone panels away from the cloth electrode snaps. See Figure 9-15. Figure 9-15: Pulling the silicone panels away from the electrode snaps. Chapter 9 - Maintenance and Cleaning 105 5. Gently slide the new silicone panels around the electrode snaps. 6. Slide the band on the bottom silicone panel over the Thigh RF Stim Unit. See Figure 9-16. Figure 9-16: Sliding the band on the bottom silicone panel over the RF Stim Unit. 7. Gently hook the new silicone panels to the Thigh FS Cuff. See Figure 9-17. Figure 9-17: Hooking the new silicone panel to the Thigh FS Cuff. 106 User's Guide Removing the L300 and Thigh RF Stim Units The L300 and Thigh RF Stim Units should only be removed for maintenance and to clean the FS Cuffs. To remove the RF Stim Units: 1. Turn off the L300 Plus System. 2. Pull the top of the RF Stim Unit away from the cradle. See Figure 9-18. Cradle Cradle Figure 9-18: Removing the RF Stim Units. Note: If the fit is too tight, open the flexible cover over the RF Stim Unit charging port for a better grasp. 3. Remove the bottom of the RF Stim Unit from the cradle. To re-insert the RF Stim Unit: 1. Insert the bottom of the RF Stim Unit into the cradle. Then, gently push the top of the RF Stim Unit until it snaps into the cradle. Chapter 9 - Maintenance and Cleaning 107 Cleaning the L300 Plus Components All L300 Plus components may be cleaned by carefully wiping them with a damp cloth. The electrical components are not waterproof. Do not immerse them in water. The L300 FS Cuff is the only component that can be immersed in water to clean. To clean the L300 FS Cuff: 1. Remove the L300 RF Stim Unit and, if appropriate, the large cloth electrode. 2. If using the L300 hydrogel or cloth electrodes, gently remove the electrodes from the electrode bases. Do not remove the electrode bases. For hydrogel electrodes, replace the electrode covers. 3. Immerse the L300 FS Cuff for 30 minutes in lukewarm water and mild detergent. Do not use a washing machine. 4. Rinse the L300 FS Cuff thoroughly under running water. 5. Immerse the L300 FS Cuff for an additional 15 minutes in clean, lukewarm water. 6. Rinse the L300 FS Cuff again under running water. 7. Gently blot excess moisture from the L300 FS Cuff with a towel. Do not wring the L300 FS Cuff. Lay the L300 FS Cuff flat in the shade to dry. (Do not hang dry.) Drying time will vary from 4 to 12 hours depending on temperature and humidity. For faster drying, place the L300 FS Cuff in front of a circulating cold-air fan. Do not use a hot-air dryer or other heat source to dry. 8. When the L300 FS Cuff is completely dry, insert the L300 RF Stim Unit and attach the electrode(s). 108 User's Guide Disinfecting the L300 Plus Components All NESS L300 Plus System Kit components excluding the L300 FS Cuff and the Thigh FS Cuff straps may be disinfected using CaviWipes™ (Metrex, Orange, CA) per the manufacturer’s instructions. Metrex products are sold through authorized dealers worldwide. If you have difficulty locating Metrex CaviWipes, please call the Bioness Client Relations Department at (800) 211-9136, Option 3. To disinfect the L300 Plus System components: 1. Clean the surface that faces the skin with a wet CaviWipes disinfection wipe. Note: Read the manufacturer's instructions for use, and follow standard precautions for personal protection as appropriate. 2. Using one or more new CaviWipes, wipe the surface again, thoroughly, for 3 minutes. The surface should be visibly wet. Chapter 9 - Maintenance and Cleaning 109
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