To find out more about our products and services, please contact: Regain your mobility after stroke ActiGait® the implantable Functional Electrical Stimulation (FES) system for drop foot Otto Bock Healthcare Plc 32 Pasonage Road · Englefield Green · Egham, Surrey TW20 0LD Tel. +44 (0)1784 744 915 “Now I have the confidence to go out, dress the way I want and I feel normal again.” Lida, stroke at 33 Manufacturer: Neurodan A/S Member of the Otto Bock Group Sofiendalsvej 85 · DK-9200 Aalborg SV · Denmark Distributor: nstim Services GmbH Member of the Otto Bock Group Brehmstrasse 16 · 1110 Vienna · Austria For more information visit: www.dropfoot.co.uk [email protected] © Ottobock · 646D723=GB_M-04-1510 · Technical changes reserved. ActiGait® is an active implant and medical device provided with the CE mark in compliance with the directives 90/385/EEC and 1999/5/EC. You have been informed by your specialist about the use of ActiGait® for drop foot. This brochure provides a brief summary of information for ActiGait® system. FES is not suitable for all patients with drop foot. Only a clinician can advise in detail about the treatment, contraindications, and possible risks or side effects. Please familiarise yourself with the product information and read the instructions, which contain information about special precautions and possible adverse events. FES may offer a variety of benefits Living with Drop Foot When walking turns into a daily challenge. After a stroke, many people suffer from a weakening condition known as drop foot. This condition is defined by the inability to lift the foot and toes correctly when walking, and there is a tendency for people to scuff their toes along the ground. Drop foot is the result of missing signals from the brain to the nerves which are responsible for lifting the foot. Those affected have to concentrate hard on every step. The effort involved and the feeling of uncertainty when walking can result in a reluctance to resume previous activities, and in some cases can cause social isolation. Lifting the foot at just the right moment 1 2 Antenna 3 Stimulator body (implanted) Making it possible to walk longer distances Walking requires less effort and concentration Mobility is increased An improved sense of stability and more confidence in everyday life 4 Cuff electrode (implanted) 5 Heel switch Further benefits of ActiGait® ActiGait® is based on the principle of Functional Electrical Stimulation (FES). The muscles that lift the foot are stimulated with an electrical impulse, which is synchronised to your walking pace. The risk of catching your toes on uneven ground is reduced, thereby improving your gait pattern and speed. Walking becomes less tiring: a confident step forward towards a more independent lifestyle. A long-term solution • Unlike a surface electrode solution, there is no cuff or individual electrode to put on, take off, or place precisely in position, in order to ensure optimum functioning • No electrodes to change Comfortable Who might be suitable? How does ActiGait® work? ActiGait® is suitable for many stroke survivors, but there are also some exceptions, for example if the nerves in the leg are damaged, or if the ankle cannot be moved or stabilised sufficiently. Only specialised physicians and clinics* are able to assess the suitability of ActiGait® for each individual patient on a case-by-case basis. Complete our online pre-screening questionnaire* or contact us today to arrange an initial consultation. 01784 744 900, [email protected] * visit: www.dropfoot.co.uk A surgeon inserts a small implant into the thigh and connects it to the common peroneal nerve during a surgical procedure. The other components are external and easy to wear. When the foot is raised, a wireless heel switch 5 detects this and triggers the control unit 1 to stimulate. The stimulus is transmitted to the implant 3 by the antenna 2 . The implanted electrode 4 , when stimulated, activates the muscles of the lower leg to lift the foot and toes properly during walking. Stepping towards a more rewarding life Improving walking speed and pattern NICE interventional procedure guideline supports the use of FES for drop foot due to upper motor neuron lesions: www.nice.org.uk/guidance/ipg278 ActiGait® A precise stimulus for more independence Control unit Straightforward and unobtrusive • No skin or soft tissue reactions, which are possible from surface electrodes • Highly reduced discomfort due to the electrical sensations that can occur with surface stimulators (unlike a surface electrode, the signals are transmitted directly from the implant to the nerve, rather than through the skin) Discreet • Get a more discreet way to access FES Customised stimulation • With a multichannel cuff electrode implanted around the nerve, it is possible to stimulate the area of the nerve that provides the most balanced foot lift.
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