Fisiotek 3000 series: the new models for passive rehabilitation

Fisiotek 3000 series
the new series of CPM devices

After several months of design, Rimec has introduced on the market a new line of 5 CPM models for passive rehabilitation, which represent the core business of the company.

This article want to give practical information about the models and their features, with the aim to provide valid support both to the professionals and to the patients.

In order to collect all the basic information on models, we propose you the following chart:

Technical chart Fisiotek 3000 series

(*) with the provided button
(**) with a menu's page

Some general considerations about Fisiotek 3000 series:

- it's composed of 5 models, 3 of them (3000 GS - 3000 G - 3000 E) with the new frame's structure, and the remaining 2 of them (3000 TS - 3000 N) have manteined the structure of Fisiotek 2000 line;

- it has been improved with a new programming software, which is set up on all the models;

- between the series, it has been preserved the model for the ankle, the TS version, which confirm its uniqueness as device able to treat all the lower limbs in a sole device;

- it's available a new accessory, the Mobile Programming keyboard, which can be used to program the features, supporting the therapist and giving the possibility to place responsibilities on patients which take part actively in the session;

Description of the models:

FISIOTEK 3000 GS -----> this model can treat the knee and the hip through the movement of flexion-extension. It is provided of Memory Card, used for patient data storage and to start the Warm Up feature (for joint heating). Reduced weight and new programmable features able to customize the rehab therapy taking care about the clinical frame of the patient.

FISIOTEK 3000 G -----> the brother of GS version, but without the Memory Card. This model has been though for professionals who need to follow the patient during the rehabilitative process after surgical or not surgical pathologies.



FISIOTEK 3000 E -----> one of the two simplest models of the series, particulary suggested for post-operative rehabilitation where is necessary to recover the mobility quickly. Apart from the basic features (ROM adjustement, speed, force, time of work), this model has one of the two new features introduced, the "repetitions" to flexion and extension limit, which are particulary used in order to strengthen the reaching of limit fixed.

FISIOTEK 3000 TS -----> the sole model present on the market in terms of technical features and structure: the 3000 TS version can treat knee, hip and ankle, combining versatility and uniqueness ever obtained by a CPM. This model is built with the old structure of Fisiotek 2000 line (the weight increases up to 14kg.), the same asimmetrical frame but the new programming software set up. It's provided of Memory Card for patient data storage and for the Warm Up.

In the picture above, the dorsal flexion of the ankle.

 Is it also possible to see the asymmetrical frame of Fisiotek 3000 TS

FISIOTEK 3000 N -----> the second simplest model of Fisiotek 3000 series, though especially for rental activity. This model has been designed, together with TS version, with the structure of Fisiotek 2000 line, the same asymmetrical frame but with the new programming graphic enriched of self-explanatory symbols, suitable for an easy programming, even at home.







Are you interested to receive the catalog of the new Fisiotek 3000 series?

Visit our website and get in touch with us!

-------------------->Link to the website<--------------------



Rimec's attendance at Rééduca 2013

 

Rééduca 2013

The International Exhibition on Rehabilitation

 

 

 

On 4, 5 and 6 October 2013 Rimec has attended, for the first time, Rééduca Exhibition, the International meeting between health-care professionals and the manufacturers of medical devices for Physical rehabilitation.

 

The exhibition is famous to be a meeting for physiotherapists which are interested to discover new medical technologies and "try" them personally.

 

Rimec has exposed the new Fisiotek 3000 GS for knee and hip, but also Fisiotek LT for the shoulder.

 

 

 

A special care has been given to Fisiotek LT, which has been appreciated for the simplicity of use with respect to the other models of the competitors.

The new model Fisiotek 3000 GS has also been esteemed thanks to the new features regarding the customization of the therapy, the weight of the unit and the materials employed for the new design.

 

An exclusive french public of reference who look for quality, durability but also performance: Fisiotek 3000 series has well replied to the request of these features, imposing its presence as reliable producers.

 

Here below follow some pictures about the exhibition and Rimec's stand, enjoy!

 

The stand before the set-up

 

 



The stand after the set-up

 

 

The exhibition's plan

 

 

Rimec was present at stand E39

 

 

The list of exhibitors

 

 

 

 

 

 

 

 

We thank all the visitors for the good consideration on the products, stay tuned about new Rimec attendances!

 

 

 





Fisiotek 3000: passive rehabilitation... with active patient!

 

The role of the patient in the

rehabilitation session

 

 

 

With the last version of Fisiotek 3000 CPM devices from Rimec, the Mobile Programming Keyboard has come as an new accessory wich can be provided along with the new models, improving the effectiveness and the added value for the patient.

 

In fact, this keyaboard has not only been thought for the control of the movement, but especially for the participation of the patient durting the rehabilitatin session.

 

How he can participate?

 

First of all, the reader have to know that the admittance of the patient to an active participation during the session, have to be allowed by the physiotherapist, which evaluate and then permit the patient to take part in it, admitting him to follow the rehabilitation treatment.

What can do the patient?

In case the patient is involved in the treatment, the mobile programinbg keyboard permit him to:

- control the movement: the START & STOP buttons permit to arrest and restart it.

- adjust the parameters: the keyboard permit to choose the different features

                                                    of the  menù, and adjust them.

As result, the adjustement of the parameters results easy and intuitive, thanks to the new prolog (the logic programming), now renewed with graphic symbols in place of languages.

In the pictures, an example of the new prolog.
The features on the display are the Limits to automatic flexion increase (1) and
the Limit to automatic extension increase (2), expressed and explained
with a leg bent ( in the first case) and stretched (in the second case).

 

 

Placing responsabilities on the patient, means to give him the possibility to choose on his health, in particular on his physical recovery: this isn't a simple choice to take and for this reason the physiotherapist have to judge and evaluate the patient's condition, with the aim to make him aware or not.

 

Symbols cover also an important part for the patient because they're self-explanatory and user-friendly. This means that they're very simple to understand and in particular that they can ameliorate the feeling of the patient versus the device, which sometimes can be compromised due to fears and lack of confidence.

 

 

 

 

 

 

 

 

Ankle fractures: the most common injuries during sports activities

 

 

Fisiotek CPM devices for  athlete's ankle fractures

 

 

 

 

 

This abstract has been taken by an article from www.podiatrytoday.com, where the authors have deepened the discourse of a correct rehabilitation program for athletes which have been involved in ankle fracture.

 

Ankle's factures are the most common injuries in sport activities; especially for skiing, snowboarding, cycling, motocross, ice skating and basketball, the ankle joint is frequently stimulated and in the 90% of cases they're due to strains or sprains.

 

The duration of the treatment of an ankle fracture is related to the associated soft tissue involvement, location and type of fracture. The main focus of rehabilitation should emphasize restoring full range of motion, strength, proprioception and endurance while maintaining independence in all activities of daily living. Resumption of pre-injury status is the goal with consideration of any residual deficit. Appropriate early mobilization of the ankle joint hastens recovery; however, protocols for initial rehabilitation must be based upon stability of the fracture and fracture management (operative, non-operative).

The goal of rehabilitation is to decrease pain and restore full function, with a painless mobile ankle. Local cold application may be beneficial for controlling pain and edema. Individuals should be encouraged to continue functional activities to prevent complications of inactivity and bed rest.  Individuals may progress from walker to crutches to cane based on ability and weight bearing status. If casted, range of motion exercises of the adjacent joints may be beneficial unless contraindicated based on fracture stability. After cast removal range of motion, proprioceptive and strengthening exercises should be started at the ankle. Exercise intensity and difficulty should be progressed until full function is evident. Edema is a common problem and may be controlled using modalities such as cold packs and compressive wrapping. If operatively managed, the rehabilitation protocol will be directed by the treating physician.

Bone healing may occur within 6 to 12 weeks; however, the bone strength and the ability of the bone to sustain a heavy load may take up to 1 year. Once healing has occurred, the individual may resume full activities of daily living. It is important to instruct the individual not to overload the fracture site until the bone has regained its full strength. The resumption of heavy work and sports should be guided by the treating physician.

 

 

Author(s): By Damieon Brown, DPM, Lawrence DiDomenico, DPM, FACFAS, and Michael VanPelt, DPM

 

"...A consideration with treating athletes is that if the athlete is inactive after his or her injury, the athlete loses training adaptation. This means the athlete will “detrain” as the individual’s physiological function reverts to the normal untrained state. It is most essential that the athlete remain active in some form of alternative exercise or maintenance program during the rehabilitative period in order to maintain his or her mental and physical strength. Alternative activities include water running and weight training of the upper extremity and the noninvolved lower extremity. Any form of maintaining aerobic capacity, neuromuscular coordination and muscle strength will help reduce injury.

      When it comes to ankle fractures in competitive athletes who require full function of their joints and motion, these individuals will need complete reduction with no malalignment. In previous studies, authors have shown that 1 to 2 mm of displacement of the fibula can cause an increase in tibiotalar contact up to 42 percent. This can lead to increased arthrosis and pain, which can reduce the longevity of playing careers.

      The trend is to perform open reduction and internal fixation of the fracture for early mobilization/rehabilitation, especially when it comes to early season injuries and reducing recovery time in order to facilitate a return to mid-season or end of the season play.

      If an injury occurs at the end of the season, the goal is getting an athlete fully rehabilitated for offseason training. If the podiatrist manages the athlete surgically with open reduction and internal fixation, one may have the patient begin early partial weightbearing in a walking boot with passive range of motion exercises at one to two weeks postoperatively. If you are treating professional athletes or high level college athletes, one may utilize bone stimulation in the postoperative management regimen to increase healing time.

      The athlete can begin physical therapy at two weeks postoperatively with phase one of rehabilitation exercises. The first phase of rehabilitation will include passive range of motion exercises and cryotherapy, which clinicians can initiate immediately after surgery by having the patient wear circulating cryotherapy boots at the hospital or surgery center.

      After the patient has met the goals of the first phase of rehabilitation, one may proceed to the second phase, which is usually initiated at three to four weeks postoperatively. One must remember to use pain as a guide in dealing with any type of rehabilitation procedure. In the second phase, patients may initiate strengthening with elastic bandages, range of motion exercises and proprioception exercises with a biomechanical ankle platform system (BAPS). Advise these patients that when they use elastic bandages, they should use the least resistant bands initially. Toward the end of the second phase, the athlete should begin using a wobble board to improve proprioception and begin closed kinetic chain activities such as walking and loading.

      In the sixth to eighth week post-op, the athlete should begin the third phase of rehabilitation, which involves improving power, increasing neuromuscular control and utilizing sport-specific training of the lower extremity for a full return to sport."

Passive rehabilitation is very important and useful for ankle's fractures, especially for a correct recovery of the physical conditons of an athlete:

1) using a CPM machine, the time of recovery can be reduced significantly;

2) the CPM methodology is strctly aimed to avoid consequents problems as future repercussions on the joints

 

 

Rimec has now performed the new Fisiotek 3000 TS:

 

 

As it as the last brother, Fisiotek 2000 TS, the new model has received excellent appreciation and recognitions, not only for its uniqueness on the market, but also due to new features set-up in the software, which allow to strenghten the recovery and the restoration of the joint mobility lost.

 

 

 

 

 

 

 



Oscillating saw injuries during plaster cast removal

 

How to limit

injuries during plaster cast removal

with HAL3000

 

 

 

 

Plaster cast removal is made, since years, by oscillating plaster saws, devices which facilitate the remotion of the plaster, accelerating all the removal procedure. In spite of a standard electric saw, a plaster saw runs with an oscillating movement which is studied in order to remove the plaster without hurt the skin.

 

Rimec plays an important part in plaster cast treatment... with HAL3000. 

 

HAL3000 can operates both with normal and synthetic plaster; this flexibility is granted by two different types of blades, the "normal" and "extra-hard" 's ones, which firstly guarantee to avoid the problem of blade's temperature (which increases with the friction).

 

In any case, it might happens skin injuries: when the plaster cast is going to be removed, an eccessive pressure on the skin can cause wounds for the patient, who will not collaborate with the doctor.

 

In this way, HAL3000 came to solve the problem of skin wounds through an improvement of the oscillations up to 15.000/ minute, which help to cut only solid material and not the soft's one, which follow the movement because it's adapted.

Normally, others plaster saws present on the market have between 11.000 and 16.000 oscillations; following Rimec's studies, is it possible to affirm that the threshold of 15.000 oscillations it is good in order to leave uninjured the skin under the plaster cast.

 

Following this point, Rimec has also designed HAL3000 in order to take care about:

 

- blade's temperature;

- layers of cast padding;

- skin conditions;

 

The temperature of the blade can be monitored  in two ways:

 

1) using the blade with reference to the type of plaster (normal blade or extra-hard blade) (see picture 1);

2) using the blade in all it sides (see picture 2) and cutting the plaster cast following perpendicular incision (see picture 3);

 

Blades for normal plaster cast
(MEDIUM HARD)

Blades for syntheticplaster cast
(EXTRA HARD)

 

Picture 1

 

 

With reference to the initial cut's line, the operator should change the side
of the blade, blocking and moving it in the others points ( 1 is the first
point, 2 - 3 - 4 are the others)

 

Picture 2

 

 

 

 

The correct handhold of Hal3000

The cut have to follow
a perpendicular line with reference to the
plaster cast

 

Picture 3

 

 

 

The layers of cast padding can be positioned between the plaster cast and the skin, in order to permit the blade to follow only solid materials.

About this purpose, Rimec always suggest to place some bandages with the aim to protect the skin.

 

Skin conditions have to be cared in regard, especially thinking about the risk of wound. About this point, the doctor will choose the best type of plaster for the patient, also with reference to contingent allergies of him.

 

 

 

 

 

 



La location des mobilizateurs CPM Fisiotek

Fisiotek: le mobilisateur chez toi!

La location des dispositifs medicaux est sans doute la nouvelle frontière des services pour la santé à la maison.

La demande de location d'appareils medicaux a eu dernièrement un augmentation considérable: les patients qui sortent de l'hôpital ou qui viennent d'une fracture/accident, sont en effet invités à suivre un parcours de rééducation à la maison, pouvant s'organiser au mieux avec le temps et les modalitées.

A' la maison le patient se sente à son aise, il choisi les moments les meilleurs pour faire de la rééducation, dans les lieux qu'il connait, dans un éspace familiare: cet approche joue un rôle très important, parce qu'il se trouve dans une situation confortable et ne pas stressant, mais que au contraire favorise la récupération.

En parlant de coûts, la location se comporte comme substitut de dépense: le patient ne doit pas dépenser de l'argent pour quelque chose qui sera utilisé pour la seule période nécéssaire, mais il doit seulement payer un redevance pour l'utilisation.

Dans l'autre côté, le locataire qui peux compter sur un volume des demandes considérables, aura un rattrapage d'argent plus rapide et sur, fidelisant le client lequel, satisfait, pourra commencer un bouche-à-oreille positif.

Rimec propose aux entreprise lesquelles distributeurs et reventes de materiel medicaux, boutique pour les produits orthopédique,... un plan de vente pour la location des mobilizateur CPM Fisiotek, soit pour membres supérieurs, soit pour ceux inférieurs.

Ce que nous proposons est, d'après tout, vérifier l'attractivité des produits CPM Fisiotek dans le territoire local, et sourtout de quantifier la capacité et le potentiel en terme de numèro d'unitées.

Après on doit aussi comprendre si se focaliser sur la location pour les traitements de rééducation de jenou plutot que d'épaule.

Suite à l'évaluation de l'attractivité des produits, on doit aussi prédisposer une ligne utile pour l'education des patients à l'utilisation des appareils: ça pourrait se traiter d'un CD, une petite guide de poche... n'importe quelle trace qui puisse guider l'utilisateur final à la preparation et programmation de l'attelle.

Qu'est-ce que tu attends? Si tu a une structure en gré de soutenir ce type d'activité de location, nous t'invitions à contacter nos bureaux (veuillez regarder les données sur www.rimec.it): nous pourrons proposer la formule la plus indiquée selon ce qui sont les besoin relevés.

Total Knee Arthroplasty - the effectiveness of the new features of Fisiotek 3000 line

AboutTotal Knee Arthroplasty**

NASM - North Austin Sports Medicine

Texas

www.northaustinsportsmedicine.com

 

** This article has been taken from the site of NASM, North Austin Sports Medicine, an Orthopedic Clinic for Sports Injury Rehabilitation.

A brief comment on the effectiveness in using the CPM therapy for post-operative treatments after surgery. There are several clinical studies which support not evident results in the use of CPM units, as they not provide significant advanatages to the patient.

What is important to know? CPM therapy is NOT used in order to take an evaluation of the joint, but to take care of it reducing pain and edema, and facilitate the healing of scars.

 What is clinically sure, is that CPM rehabilitation provide a faster recovery to the patient, but is always recommended to be careful and to keep care of the clinical picture of the patient.

About this point, Fisiotek 3000 has been developped especially to customize the therapy for each patient with reference to the rehabilitative specifications that he has to follow.

The new feature "Limit to automatic flexion/extension increase" is studied in order to choose the ROM desidered, working within a limit and avoiding to force the joint.

""Transcutaneous oxygen tension of the skin near the incision for total knee replacement has been shown to decrease significantly after the knee is flexed more than 40 degrees. Therefore, a CPM rate of 1 cycle per minute and a maximal flexion limited to 40 degrees for the first 3 days is recommended. (...)""

In this case, the patient should work, in the first 3 days, within 40° in flexion; it means that he can increase the degrees up to 40° and then start to work over.
In the pictures below , the menu's page of the feature just mentioned, both for flexion and extension movements.

Like example, we can program:

- Extension 20° ; Flexion 100°

- Automatic extension increase 1°
- Automatic flexion increase 1°

- Limit to automatic extension increase 15°
- Limit to automatic flexion increase 115°


The CPM unit will work increasing 1° every 3 cycles on both the movements, up the reaching of the limit programmed.
"Limit to automatic extension/flexion increase" works only if the automatic increase is setted equal or longer than 0.2°.





Limit to automatic flexion increase at 115°

Limit to automatic extension increase at 15°

...Soon available the new Fisiotek 3000 series of CPM mobilizers!

The history of Rimec

 

Once upon a time...

 

it was 1980 when Rimec borned

 

 

 

1980: Rimec starts the activity manufacturing

metal sheets for car parts.

After a plan of industrial reconversion, it changes face

and becomes the first Italian producer of medical CPM devices and

orthopedic first aid equipment

 

 1989 

 

 

(picture 1)

 

The first series of CPM mobilizers, Fisiotek 6000, Fisiotek 1000, Fisiotek UNO
(picture 1)

 

 

 1994

 

 The first battery drill for the introduction of Kirschner's wires, KR30 (picture 2)

 

 

 

                                                      
                                                        (picture 2)

 

 

 

 

 

 The first model of AS20 (picture 3), the vacuum cleaner for plaster dust: initially, the vacuum cleaner were positioned on a trolley with a service shelf




         (picture 3)



 

 

 1996

 

 

(picture 4)

 

 

Fisiotek S series (picture 4), more ergonomic and lighter
swith-on button and power connector in rear side

(picture 5)

 

In the same year were launched HAL3000 (picture 5), an ergonomic oscillating saw
for plaster cast removal equipped with blades for normal and syntethic plaster




 

                                                                                                                                          

  1997

 

 

 

(picture 6)

                                 

 

                         (picture 7)                                                                              (picture 8) 

 

 

Fisiotek HP for upper limbs: panel control unit with potentiometers,

(pictures 6 and 7)

standard programmable features

patient remote control with Emergency button

(picture 8)

 



 

 

Fisiotek HP has represented an important breakthrough for passive rehabilitation of the shoulder: a flexible device combining the possibility to rehabilitate shoulder, elbow and wrist

 

 

 

 2000

                                               
                                                  (picture 9)

 

 

 From KR30 to KR2000: new outfit and design,
 bushes of different diameters of the wires
 battery charge check
 (picture 9)

 

 

 2001

 

 

(picture 10)

 

 

Fisiotek F series: the programming panel were thought with potentiometers.

Switch-on button and power connector were moved in front side 

(picture 10)



 

 

 

 2002

 

(picture 11)

                                

                                             
                               (picture 12)                                                                     (picture 13)

 

 Fisiotek HP grows and become Fisiotek HP2: new digital panel control an display,

 (pictures 11 and 12) 

 new programmables features, memory card for patient data recording,

 new patient remote control with START & STOP button

(picture 13)

always in 2002...

 

 

 

(picture 14)

 Fisiotek series change aspect and evolve into Fisiotek 2000 line: from potentiometers
 to digital panel control, possibility to have memory card for patient data storage,
 new and improved programmable features (picture 14 and 15)
 As for others Fisiotek devices, patient remote control with START & STOP button
(picture 13)








 (picture 15)

 

 

 

The line is enriched and completed by 6 models, which cover all the lower limbs:

- Fisiotek 2000 GS
- Fisiotek 2000 G
- Fisiotek 2000 TS
- Fisiotek 2000 T
- Fisiotek 2000 E
- Fisiotek 2000 N

 Fisiotek 2000 line has received the greatest world-wide welcome by the professionals of physiotherapy and rehabilitation: this is confirmed by the high share of setups and the
excellent and recognised reputation of the quality of the devices.



2004

Fisiotek LT cames out to complete the series for shoulder's rehabilitation: the need of the market to have a practical device for the shoulder were welcomed with this model, which is always appreciated for professional purposes but also for domestic use (see our article about Fisiotek LT on this blog.



On Youtube you can enjoy our new video: the story of Fisiotek, since the beginning of Rimec activity!

Rimec doesn't stop... soon are coming new ideas and new points of view... STAY TUNED