RSLSteeper Discussion Forum
Please note that this is a public service and therefore RSLSteeper cannot accept responsibility for the content of the messages as listed below.
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| Name: | Carol |
| Date: | 31 October 2008 |
| Question: | Hello, I am a computer engineering student writing a report regarding the upper arm prosthesis using myoelectric technology. Just wondering if anyone knows about the microchip that translates muscle signals to electric signals that control the arm? Please mail it to me if u guys know, thank you very much and stay active =). Kind Regards, |
| Answer: | Hi Carole These are several companies including ours, that make electrode array / processors / amplifiers to provide inputs for myoelectrically controlled arms and for other direct skin contact medical applications. Most systems now use a DSP to retrieve the information required and filter it to reduce noise from significant EMC generators such as mains, mobile phones, TV /Radio, movement artifacts and so on. As we are a commercial organisation the details of how we capture and process the signals (in the order of 10 to 100 microvolts)is commecially sensitive and unfortunately I am unable to share this with you. However, I am sure that much has been published by university groups in Europe and the USA in the past and this might be available if you made enquiries through your University Library. I have attached a draft copy of our technical information. This is in the public domain as we provide it in the box with the kit. The pictures dont seem to have been copied but I hope that the text will be of interest. Technical Literature: RSLSTEEPER Select Electrode SEA200 Please read this leaflet carefully with special attention to the safety information Intended use: The Select Electrode SEA200 can be used a original equipment in a myoelectric prosthesis that uses other RSLSteeper Select parts OR as a replacement for physically similar components supplied by other manufacturers such as the Otto Bock 13E125 and 13E200. The SEA200 has a similar footprint to other leading electrodes and can be directly fitted into the cavities prepared for these electrodes. A dual filter design is provided, this allows interference from mains transmissions to be removed, both while at home and when travelling internationally, giving a smooth, interference free signal An Electrode Gain Control (EGC) is provided to allow amplification of the myoelectric signal to be adjusted and hence control of the hand to be optimised for the patient Flexible set up function, adjusted manually or in conjunction with a Myo signal tester Connectivity with industry standard Insulation Displacement Cabling (IDC) using the recognised, colour polarity feature. The SEA200 kit includes; dummies for lamination or drape forming and a gain adjuster key. The RSLSteeper Select Electrode SEA200 is designed to be used for operating myo-electrically controlled devices. It is suitable for direct skin contact Safety information: The electrode should be placed against undamaged skin, avoiding scarred or unhealed areas. Muscle site selection and training should take place only under the guidance of professionally qualified personnel. For successful use sufficient time must be allowed for training up to 14 hours of training may be required. This procedure is initially tiring. It is important that the user is encouraged by an experienced therapist, using an individualised training schedule. Incorrect or hurried training may lead to incorrect electrode settings, and eventual rejection The Select Electrode is resistant to electrical interference. Should an effect be noticed, please contact the nearest service centre and discuss it with the appropriate clinical personnel. The electrode is provided with a gain control on its upper surface that is used to alter the sensitivity of the device. To adjust the sensitivity always use the adjustment tool B25525, but take care not to force the control passed the end stops. If it is necessary for the user to make gain adjustments, demonstrate the appropriate adjustment technique and the effects of high and low gain adjustment on the system. The electrode will normally be fitted into the prosthesis and is therefore inaccessible to children. In the cases where an electrode is being used to locate suitable signals or being shown for demonstration purposes, children who are present must be supervised at all times. If the electrode is immersed in water severe damage is likely because of moisture ingress. Take care to prevent immersion, water splash or contact with snow. The cable port is sealed with silicone grease during final system assembly; however should moisture such as perspiration or exposure to high humidity penetrate this barrier damage can occur to the cable or the Insulation Displacement Cable (IDC) contacts. The plastics used to make the case can be damaged by many solvents Contact should be avoided The ribbon cables used with this system allows for Insulation Displacement connection (IDC), it is important that they are handled with care, in particular sharp bends, rough edges and particularly those with exposed carbon fibres must be avoided. If a cable is damaged it must be replaced. Short circuits will damage the electronics of the prosthesis and may cause harm to the user. In the Box: One Select electrode SEA200 Electrode dummies for use when laminating the inner and outer sockets Electrode dummies for use when drape forming the inner and outer sockets Gain adjustment tool A set of screws and washers ( used when the sockets are manufactured separately) This technical literature: L25527 Available separately Set of spare lamination and thermoforming fabrication blanks, mounting set and gain adjuster SEA200SP Spare displacement plug SEA200DP Technical Description: The RSLSteeper SEA200 electrode is designed to provide control inputs to a myo-electric prosthesis. It is used in contact with the skin surface and is sited over an active muscle. Contraction of the muscle generates an electro chemical change that causes a potential difference at the skin surface. An array of integral titanium contacts is provided to receive these differences. The SEA200 device electronics detects and amplifies the signals, processing them to provide control inputs to the motor to be controlled. Commonly, two electrodes are used, sensing outputs from antagonist muscle groups. A single control site can also be used. The outputs from the electrode are proportional to the strength of the muscle contraction. This allows sensitive speed and force control. A double notch filter and other elements in the electronics minimise sensitivity to interference from radiating electro magnetic sources. This electrode is an appropriate control device for prosthetic devices from all major manufacturers. It uses a commonly accepted shape and size allowing it to be used as a replacement or as Original Equipment. Special Features, WORLD TRAVEL: The RSLSteeper SEA200 electrode includes unique filtering to allow for world travel. Two notch filters are provided to minimise interference from equipment operating at either 50 OR 60 Hz. Electrode positioning: To achieve optimal positioning either use standard manual techniques, by investigating a range of potential sites around a muscle belly, or use any commercial myo tester. Care must be taken to ensure that the electrode remains in skin contact during movement of the prosthesis. Sometimes creating a mental relationship between the phantom hand and control of the device is useful. One or two muscle control: It is convention to use muscles that relate to the appropriate movement in the intact arm. Therefore flexors will be used for closing and extensors for opening a hand. Where only a single muscle can be located RSLSteeper myo hands offer a Multi Control selector feature providing a range of single muscle control options. Gain Adjustment: The RSLSteeper SEA200 electrode is provided with an Electrode Gain Control (EGC). Adjustment is made so that unintended activation of the hand is prevented whilst making the device easy to control and sensitive to the users needs. The control is set as low as possible during initial training or following repair replacement. When a layer of perspiration is formed between the electrodes and the skin, control will improve. Once a satisfactory setting has been established following training further adjustment is not usually necessary. Gain is adjusted by turning the control gently using the tool provided. Be careful not to force the control beyond the mechanical stop. It has been found to be useful to start training with a single muscle system and introduce a second control once confidence has been established Fabrication Information: Inner socket (laminated): When establishing the optimum myo control site the skin will be marked and the marks transferred to the inside of the cast. These marks are transferred to the outer surface of the positive prior to modification. During modification of the cast, drill into the cast at these points so that the correct locations are not lost during smoothing and other processes. The electrode is designed to operate with all the metal surfaces in contact with the skin surface. Flattened area(s) must be created at the marked location(s) with this in mind. The depth of electrode penetration against the skin must also be considered. The elastic suspension will allow about 2 3 mm of movement. When the positive cast is dry and mounted on a vacuum pole, the surface is covered with a PVA bag and the air is evacuated. Attach the inner lamination dummy on the flattened surfaces using Dacron felt under the pins. Lay up the socket using the materials of choice. When the lamination has cured and is cold, carefully grind away the laminate on the outer surface (only) of the dummy. Thermoplastic inner socket: Insert the drape form dummy and form the drape socket using conventional techniques, materials and temperatures. When cold, carefully remove the surface above the dummy. Outer Socket: Insert the Outer lamination pattern with the raised marker on the proximal end. Use wax or PU foam to create the forearm shape allowing for the passage of cables and suitable spaces for battery holders, plugs, wrists etc. After curing, remove all dummies and create an access hole for the Gain control. Connect the inner and outer sockets with washers, rivets or screws as is normal practice. Connecting the RSLSteeper Electrode SEA200 The electrode is supplied without cables. These should be ordered separately. RSLSteeper manufacture a suitable insulation displacement cable ECA=300, ECA=600 or ECA=1000. This can be easily shortened to suit the individual application. The cable is polarised using the convention of grey surface upward. The cable is cut square to its length, the cap is removed from the connector area on the electrode and the pins covered with silicone grease. The cable (with the grey side up is bedded onto the pin and the cap pressed down firmly to trap the cable and ensure that the contacts penetrate the conductors, remove any surplus grease. Turn the electrode over (3 contacts uppermost) and rest the cap on a smooth, firm surface such as a table top. Apply an even, uniform pressure to the top surface of the electrode and push down. To disconnect the cable, pull it upward at a right angle to the electrodes upper surface. To reuse the cable, cut about 5-10 mm from the used end and repeat the installation procedure as above. The electrodes should be mounted from the outside (separate inner and outer sockets) or inside (bonded sockets). Press the suspension arms slightly together and engage into the moulded channels. Technical Data: Power supply 4V to 12V Temperature Range 0-50° C Frequency Bandwidth 20Hz to 2 kHz Filtering Notch filters at 50 and 60 Hz Warranty: This product is warranted for a year from dispatch. Cut here and give the section below to an inexperienced user User information: Instruct the user by referring to the User information below. It is good practice to provide the user with an individual copy of the lines 1 to 4 below 1. The internal surfaces should be wiped over regularly with a cloth lightly moistened with soapy water to remove biological deposits 2. If damage to the electrode or prosthesis is suspected, note the symptoms and call a prosthetics facility for repair. 3. Do not immerse the electrode in liquids or expose it to dirt, dust, shock or vibration 4. There are no user accessible parts inside this electrode. No attempt should be made to adjust or open it. Literature L25527 issue D June 2007 Contact Details and standard disclaimers |
| Answered By: | Robin Cooper Email: robin.cooper@rehab.co.uk |
| Name: | Tony G |
| Date: | 09 August 2008 |
| Question: | Hi there, I have polio in my left leg & have severe wasing from my left hip down to my foot with my left foot also having drop foot, My leg is some 35mil shorter as well. I have had trouble with the traditional full length steel caliper which i have been wearing for the past 40 years. I recently came across an artical about the stanmore cosmetic caloper. This is both light & durable and fits into the sho rather than fit into a tube in the heel. Do you make anything similar to this product? Do you have new & inovative caliper designs? I an prepared to travel overseas to get such calipers as in Australia I don't seem to get anwhere with my request. Many thanks. |
| Answer: | Dear Tony, Thank you for your email. I am sorry to hear that you are you having trouble with your Caliper. There are many material choices and designs which can be fashioned to meet your criteria, we do regularly custom make such devices individually for each patients requirements using the latest materials and technology available. I am surprised to hear that you are unable to have your problems resolved in Australia, as we are based in the UK it would be a long way for you to travel. Please contact me by email if you have any further questions or would like to arrange a visit. Kind Regards Mark |
| Answered By: | Mark Smith Email: mark.smith@rslsteeper.com |
| Name: | Dominic Meek |
| Date: | 19 June 2008 |
| Question: | I have recently been diagnosed with foot drop, probably caused by compression to the peroneal nerve (possibly in the knee). My foot is numb across the top extending into my big toe and up the outside side of my leg. I work outdoors as a thatcher which is a very physical job and involves a lot of time on roofs and ladders. Can anyone recommend me a support which would be suitable for wearing every day? |
| Answer: | Dear Dominic, Peroneal nerve compression can be common place in occupations like yours were the knee is positioned in awkward angles for long periods Firstly I would try make yourself aware of which positions could be causing such compression and avoid them, as you really need to erradicate the cause and hopefully allow the nerve to recover. I know this may be difficult due to the nature of your work but there may be some alterations you could make to relieve the pressure. The resultant foot drop which you have acquired can be controlled with a number of different orthoses which are designed to hold the foot up and provide the support you require. To be assessed for an orthosis which will meet your requirements you should see your GP and ask to be referred to the Orthotics department at your local hospital. I hope this helps. Kind Regards Mark Smith Senior Orthotist |
| Answered By: | Mark Smith Email: mark.smith@rslsteeper.com |
| Name: | Ilia Khintibidze |
| Date: | 16 May 2008 |
| Question: | I am very much interested in ARGO. I am orthotist/prosthetist(ISPO CATEGORY II) from Georgia. I have patient who is suitable for ARGO 90. I would like to know if it is possible to order components for ARGO 90 and if there is special course for fabrication and fitting this device. Will I be able to manufacture it without any special training? I would very much like to provide Reciprocate Gait Orthosis for my patient and I think that ARGO 90 is one of the best from them. Looking forward to hear from you. thank you best wishes Ilia Khintibidze |
| Answer: | Dear Ilia Thank you for your mail.The ARGO is supplied in 3 basic kits. These are selected depending on the patients weight. The smallest is for less than 25kg, the next for > 60kg < and the largest one for < 90Kg, we have some documents that I will mail to you seperately. You will be able to see if your patient is OK for this device. It will be necessary for you to custom make AFOs. The kits have parts such as the Back tube and the cables that must be selected from the patients measurements. If you send us a fax (0044 870 4779) we can specify the correct size for your patient. Your patient will need correct training. Many people with spinal cord injury between L2/3 and T4 incomplete are suitable although like any medical or surgical treatment we cannot guarantee that the patient will succeed. You will need to look at the documents and order or locally purchase tools such as the torque wrench required otherwise the kits are designed to be put together in any reasonably equipped orthotics workshop. I do not know of any workshop in your region that is pending but will talk with colleages. Thanks for your enquiry Regards Robin Cooper Technical Consultant |
| Answered By: | Robin Cooper Email: robin.cooper@rehab.co.uk |
| Name: | Amina Naguib |
| Date: | 04 February 2008 |
| Question: | Hello, I am an Egyptian, studying physiotherapy in The Netherlands. It is my last few months in the program here and was interested in bringing back one of your products, the Advanced Reciprocating Gait Orthosis (ARGO) to Egypt in the near future. The evidence behind the potential benefits of the ARGO are positive and would like to incorporate their use in a rehab setting in Egypt. I would appreciate some information regarding whom to contact about this topic. Sincerely, Amina Naguib |
| Answer: | Dear Amina Thanks for your query. I am pleased that you have been able to appreciate the ARGO concept. I have visited Egypt on several occasions, working with Dr Mohammed Salah Fouad and have visited and provided ARGO demonstrations at several civilian and military Hospitals and rehabilitation centres in Cairo and Alexandria. as a result ARGOs have been supplied. When you return, if you contact Paul Steeper at paul.steeper@rslsteeper.com he can put you in touch with Dr Mohammed. he can also arrange for the latest literature on this programme to reach you if you provide a postal address. sincerely Robin Cooper Technical and clinical advisor |
| Answered By: | Robin Cooper Email: robin.cooper@rehab.co.uk |
| Name: | kavya |
| Date: | 25 January 2008 |
| Question: | could you me information regarding early cervical spodylosis seen in software engineers and treatment strategies? |
| Answer: | Hello Kavya I can find no direct link between early onset of cervical spondylosis and your occupation in the medical literature, but would not be surprised to find that the adopted posture of someone spending a lot of time on a computer could indeed lead to a greater risk of wear and tear type spinal injury's. The head ideally should be centrally balanced over the spine to reduce the risk of this type of pathology developing. I expect that a flexed posture is likely to predominate someone spending a long time looking down at a computer screen. Treatment stratagies vary from physiotheraputic manipulation to avoid neck spasm's. Partial immobilisation in a cervical collar particularly during your work to reduce the compressional forces by distraction. Repositioning of the computer monitor and keyboard might help. In more advanced case's Surgery would be an option. It is not possible without seeing you to know how best to procede as it is impossible to know the magnitude of the spondylosis in your case. I would suggest that you seek advice locally that would be more specific to you. I hope this has been of some help. Kind regards Jim Johnston Orthotist Training Manager RSL Steeper |
| Answered By: | James Johnston Email: jim.johnston@blueyonder.co.uk |
| Name: | june kimball |
| Date: | 27 November 2007 |
| Question: | Hi I am an above the knee amputee with a very short stump. I have recently been fitted with a suction socket with valve but am having great difficulty keeping it on it keeps losing its suction. Which other methods of sockets are there without having to wear a belt that may work better? Many thanks June |
| Answer: | June, In replying to your question it must be remembered that I have never seen you, and defining your residual limb as "very short" doesn't answer all the questions I would be asking if I were to see you. The fact that the residual limb length is such that an attempt has been made to fit a suction socket would indicate to me that a roll on silicone liner with a shuttlelock and pin would probably be a viable option (such as a Medipro AKOS liner). It may even be possible to attempt an Ossur Seal-In suction liner in a socket with a valve, but if a liner was viable at all, I'd attempt the first option initially and assess the degree of sucess of that before considering any alternatives. |
| Answered By: | Tim Verrall Email: tim.verrall@rslsteeper.com |
| Name: | Chris. Broomfield |
| Date: | 05 November 2007 |
| Question: | I have an amputation of all the toes on my left foot I have a prosthetic in silicon provided my NHS this is ok with toe post sandals however as this does not "give" or have any bend to it I cannot wear ordinary shoes or many types of sandals is the anything out their that would be more yielding and fit into shoes? |
| Answer: | Dear Chris, generally we find that, as a dense material, silicone does not mould itself to different containing shapes as effectively as the human form. However, there are ways to reduce the density of silicone in certain areas, as there are methods of achieving inproved function by the use of different materials. As is usually the case, because each person is unique, we can only fully discuss the benefits and drawbacks of any solution once we have made a personal assessment that takes into account the physical parameters, the footwear and your own choices. Please contact me directly if you wish to discuss this further. Sincerely, Mike Thomas - Prosthetist, Lead for Private Patients. |
| Answered By: | Mike Thomas Email: mike.thomas@rslsteeper.com |
| Name: | Jessica Goodwill |
| Date: | 29 October 2007 |
| Question: | Hi. My son is 5 & wears an Afo on his left leg. He has recently had Botox on this leg so it is important that he wears the afo for as long as he can bare every day. He is in alot of pain dispite having the afo adjusted by his OT. He is sore and blistered with pressure marks on his foot. He wears Afo liner socks & his shoes are a correct fit to accomodate his afo. Please help as he is becoming disheartened by the whole process & I am just as frustrated. Is there some sort of liner I could try rather than just hard plastic? |
| Answer: | Hi. As a clinical specialist based at Bristol childrens hospital I deal with a large number of children post Bot-tox injections for the fitting of A.F.O.'s. Usually there is very little 'pain' involved in the post operative management of these children. Yes wearing the A.F.O. can be a little uncomfortable, but your son should not be in 'lots of pain'. Is it from the A.F.O. or from the Bot-Tox injection? Does he have a physiotherapist? And certainly he needs a qualified Orthotist to look at the splint fitting. Sores and blisters are usually a sign of 'movement' within the splint. Therefore the act of 'heating out' and adjusting often results in more room for the foot to move, therefore increasing the discomfort. There really is no need for 'afo liner socks' as normal socks are usually sufficient to provide comfort. Unfortunately I am not aware of your location or your sons particular diagnosis, therefore it is very difficult to respond fully to your email. |
| Answered By: | Kevin Mann Email: kev.mann@blueyonder.co.uk |
| Name: | Shaun |
| Date: | 01 October 2007 |
| Question: | I have Severe OA diagnosed in Right knee. The Knee gives way frequently resulting in falls. Because of Cervical spondilosis I suffer pain when weight bearing on a walking stick to aid balance. consultant considers me too young for Knee replacement!! Would a Hinged Knee support Help where I can lock the knee in place. and replace the need to use a walking stick. If so are any available on NHS precription |
| Answer: | Dear Sir thank you for your enquiry regarding the availability of a knee brace. However without having assessed your specific requirements I am professionally unable to give you a definitive reply There are many variants available that can be sourced from the NHS and privately. However I feel that the correct procedure is to discuss the options fully with your Consultant so that any Orthosis that you may use will be an integral part of your overall management. If your consultant feels that the use of a brace is appropriate and you encounter any further difficulties please do not hesitate to contact us again. |
| Answered By: | Mike Vaughan - orthotist Email: mike.vaughan@rslsteeper.com |
| Name: | steve |
| Date: | 28 August 2007 |
| Question: | my home is surrounded by rough ground and my nhs issue prosthetic feet seem very difficult to use on rough terrain resulting in frequent falls and shredded neoprene sleeves down hill quite painful as there is a lot of force on the front of my shins what better equipment is available is any of it available via nhs |
| Answer: | Dear Steve, there are a number of prosthetic feet that would help walking on uneven ground, but the College Park range of feet are one of the best on the market right now. You will find patient testimonials on the College Park website. www.college-park.com |
| Answered By: | Carl Chatfield Product Sales Manager Email: carl.chatfield@rehab.co.uk |
| Name: | Lennie |
| Date: | 26 August 2007 |
| Question: | I've seen a photo of your prosthetic foot and it had a package of screws. How does this work? I am needing a slip on foot as mine is partially amputated and the prosthesis I have straps around my calf. It works quite well but doesn't look good under a dress and is bulky. |
| Answer: | Unfortunately the information given does not allow me to identify the foot you have seen on our website or the foot you are wearing. If you would like to give me a call, I would be happy to discuss this with you. 01634 226 163 |
| Answered By: | Carl Chatfield Email: carl.chatfield@rehab.co.uk |
| Name: | L F |
| Date: | 25 August 2007 |
| Question: | Last problems were resolved after battery replacement. This time I replaced the 9v battery in the foot control and now the Activ 500 isn't responding to it. Any help is appreciated. Thanks |
| Answer: | Hi, sounds like you need an engineer visit. Please contact our helpline on 0113 271 0848. I would stress that reporting a fault via this phone number is without a doubt the safest way to ensure that an engineer resonds as fast as possible. Best regards, Dave Howson, Technical Manager. |
| Answered By: | Dave Howson Email: dave.howson@rslsteeper.com |
| Name: | L F |
| Date: | 31 July 2007 |
| Question: | Hi, We have an activ 500, and it has frozen up and it won't respond to pressing it. It lights up but won't do anything. Please help as it is needed urgently. Thanks |
| Answer: | Hi there, There is a reset button on the back of the ACTIV unit about 1/3 of the way up on the left hand side. The button is inside the small hole, and can easily be pressed with a paper clip. This should get the unit up and running again. If you experience further problems, then please call our helpline on 0113 271 0848 and an engineer will be alerted of the problem. I can only assume that you for some reason did not have access to this number at the weekend. Please use this number as the method for reporting faults in the future. This forum is not necessarily monitored outside of office hours, which could mean a delay in our response to your call. Best regards, Dave Howson, Technical Manager. |
| Answered By: | Dave Howson Email: dave.howson@rslsteeper.com |
| Name: | Terry Richardson |
| Date: | 18 July 2007 |
| Question: | Can you please tell why this phone has no ring tone? How are you supposed to know if it is ringing? Also are you going to come up with a better method of being able to dial a number that is not in the preset phone book? At the moment it is slow, long and drawn out. The fox system was quicker and better at dialing out numbers. |
| Answer: | Hi Terry, Long time no see. Hope you are well. In answer to your query, the reason the Puma does not ring, is due to the fact that the original Sayphone design on which the Puma is based did not include a ring generator, as it was not necessary for that application. A standard ringer can be plugged in to the back of the phone however, which will indicate an incoming call. Has this been installed at your property? I can tell you that the next design iteration of the telephone will definitely include a ringer. I can also say that we are working on a software change for the ACTIV, which should make a big difference to the speed at which compiled phone numbers can be entered. As soon as this software update is available, I will make sure that your unit is upgraded. I hope that this helps. If I can be of any further help, please do not hesitate to contact me. Best regards Dave Howson Technical Manager RSL Steeper - AT Division |
| Answered By: | Dave Howson Email: dave.howson@rslsteeper.com |
| Name: | Lorraine |
| Date: | 18 July 2007 |
| Question: | Hi, my husband is a bk amputee due to a motorcycle accident 11 months ago. His knee was rotated 180 degrees in the accident. The surgeons were able to save the knee but now he has extreme pain and mobility problems. His surgeon says he is "to young (he is 44)to have a knee replacement). We realize that knee replacements only last 10-12 yrs, but can't he have another knee replacement later in life? Thank you for any help you can give us. Lorraine |
| Answer: | Dear Lorraine, it is not uncommon to fit a below knee prosthesis to someone who has had a total knee replacement. In response to your particular question about the longevity of artificial knee joints, I think it best that you get the opinion of an orthopaedic consultant who is experienced in knee replacement surgery. |
| Answered By: | Mike Thomas Email: mike.thomas@rslsteeper.com |
| Name: | Nathan |
| Date: | 05 June 2007 |
| Question: | hello i,m looking for a job as an orthotist and prosthetst(Orthopaedic technician) in london uk or any other country also like middle east countries. can u help me plaese in wich internet side can i look for this job or let me know any vacancy availablability. thanks ashimi |
| Answer: | Hi Ashimi We do not have any vacancies anywhere outside of the UK at the moment. To practise as a prosthetist and or orthotist in the UK you need to be registered with Health Professions Council (www.hpc-uk.org)who will assess your qualifications against the standard provided in the UK. You will also need to have a valid work permit for working in the UK if you are not a British National. If you are registered with the HPC and have resident in the UK, or have a valid work permit, then please forward on your CV for our consideration Thanks Mags Head of Human Resources |
| Answered By: | Mags Miller Email: mags.miller@rslsteeper.com |
| Name: | Jessica Morrow |
| Date: | 01 June 2007 |
| Question: | I am a Physical Therapy Student looking for some information on different prosthetic components. I understand the Tres Foot is made for those who are involved with moderate activity. So my question is, can you run with this foot? What is the limitation with a persons activity level with the Tres Foot? Thank you Jessica Morrow, SPT |
| Answer: | |
| Answered By: | Carl Chatfield Product Sales Manager Email: carl.chatfield@rehab.co.uk |
| Question: | I am a Physical Therapy Student looking for some information on different prosthetic components. I understand the Tres Foot is made for those who are involved with moderate activity. So my question is, can you run with this foot? What is the limitation with a persons activity level with the Tres Foot? Thank you Jessica Morrow, SPT |
| Answer: | The moderate activity level that is referred to means this foot is appropriate for a patient up to unlimited walking. It is not a foot designed to be run on as this activity produces different forces that this foot is not designed for. |
| Answered By: | Carl Chatfield Product Sales Manager Email: carl.chatfield@rehab.co.uk |
| Name: | Mehmet sunbul |
| Date: | 19 May 2007 |
| Question: | I have no left leg. İt is cut it above the knee.. I want to make a prosthesis. can you give me some information what I need to do ? thank you |
| Answer: | Dear Mehmet, Making the right choices will have a significant effect on your mobility. Because every prosthetsis is as unique as its wearer, to get the best outcome in terms of comfort, function and appearance, it is best to take advice from a prosthetist and have them make the artificial limb following a personal assessment. There is a level of skill involved in creating the correct shape within the prosthetic interface and there are many different components that can be selected depending on your lifestyle. The appearance is another factor. You can seek the service of a local prosthetist or you could travel. The quickest time from assessment to delivery of such a limb would be about one week, but it could take longer depending on the complexity. Beacuse you have supplied few details about yourself it is difficult to say more, but if you need more information, please contact me directly by e-mail. |
| Answered By: | Mike Thomas Email: mike.thomas@rslsteeper.com |
| Name: | Hugo Machado |
| Date: | 27 February 2007 |
| Question: | im undertaking a project about walking. one of the aspects is recovery. would any of your clients be interested on beeing documented and have their experience whit recovery seen . If their is any one that is interested please email me or phone 07737102866 yours sincerely Hugo machado |
| Answer: | Dear Hugo Thank you for your mail. We have no direct way of finding someone who might be interested in your project, however, if you are specifically interested in recovery following amputation. you could contact the Limbless Association at Queen Mary's Hospital Roehampton. They could possibly place your request in their Newsletter. You will appreciate that we are unable to put you in direct contact because we have to protect the users of our service from inappropriate approaches. Robin Cooper Technical Advisor |
| Answered By: | Robin Cooper Email: robin.cooper@rehab.co.uk |
| Question: | Dear robin thanks for your time . ill be sending them a mail, and see if something comes out of this . sincerely hugo machado |
| Answer: | |
| Answered By: | Robin Cooper Email: robin.cooper@rehab.co.uk |
| Name: | Garry |
| Date: | 05 February 2007 |
| Question: | My older brother is now wheelchair bound and needs 24x7 care. The NHS is supplying an Activ-500 to allow him to control his TV, landline telephone and it will also act as a nurse-call replacement device. However, any mobile phone connection appears outside its capability. This may be true in a general sense because as usual most mobiles are not designed for people with impairments. However, I was thinking that a simple corded remote microphone and speaker may be supported by the Activ-500. All it would need is a microphone & speaker inputs. Is this configuration available? If not, how difficult would it be for an experience electronics engineer (myself) to add that functionality? regards - Garry |
| Answer: | Hi Garry, Thanks for your inquiry. As you quite rightly point out, the ACTIV 500 does not have mobile phone support at this time. This is mainly due to differences in the way different mobile manufacturers have made interfacing with their phones possible. At this time their would also be no way to support a microphone and speaker interface using the ACTIV 500. I am sorry that this is not the answer you were looking for, but I am sure that we can look at featuring this type of interface into future design reviews. If I can be of any further assistance, please do not hesitate to contact me. Best regards Dave Howson Technical Manager - A.T. |
| Answered By: | Dave Howson Email: dave.howson@rehab.co.uk |
| Name: | Jon Ross |
| Date: | 02 February 2007 |
| Question: | Please could you tell if there are plans to make the sleeve in skin-tone colours rather than cream? Thanks |
| Answer: | Hi John, At this time there sre no plans to produce the Contex Gel Sleeve in a skin tone, however it has been discussed with the manufacturer and if we continue to get requests from customers, it will help to support our view that a skin tone version would be well accepted by the market. I will keep you informed. Regards Carl |
| Answered By: | Carl Chatfield Email: carl.chatfield@rehab.co.uk |
| Question: | I appreciate the speedy response - thanks Carl |
| Answer: | |
| Answered By: | Carl Chatfield Email: carl.chatfield@rehab.co.uk |
| Name: | Linda Carter |
| Date: | 09 September 2006 |
| Question: | Could you please tell me if they work and whether there is a supplier in Dorset. How much do they cost? Many thanks. |
| Answer: | The respnse from many patients has been vey positive, particularly in addressing the night time pain. The socks are available on the NHS through your local DSC or privately from RSLSTEEPER at £79.95ea |
| Answered By: | Carl Chatfield Email: carl.chatfield@rehab.co.uk |
| Question: | Thank you for your response. |
| Answer: | |
| Answered By: | Carl Chatfield Email: carl.chatfield@rehab.co.uk |
| Name: | Damion Allport |
| Date: | 02 August 2006 |
| Question: | Thanks for getting back to me Dave that is much appreciated. can you send me details on the systems for hardwood doors as well? Just so I have options, this would be most appreciated. regards Damion Allport Technical Officer |
| Answer: | Hi Damion, There are a number of options for hardwood doors, but the simplest is to have a Yale type latch fitted. This then has a standard electric release fitted in place of the normal striker on the door frame. The cost for this will depend on the security level you require, but will typically be in the region of £80 - £150, plus whatever is used to control the system, depending on the desired security level. Hope this helps. Best regards Dave Howson |
| Answered By: | Dave Howson Email: dave.howson@rehab.co.uk |
| Name: | Elena |
| Date: | 07 July 2006 |
| Question: | Dear Sir / Madam, Our daugther is only two-month old but she was born without a right hand. Could you please inform what age we should start to use the first prosthetic for her and what type is better for a small child? Kind regards Elena |
| Answer: | Dear Elena, Studies have shown that early fitting of a prosthesis to a child results in better long term tolerance of a prosthesis as the child grows. For such a young child any prostheis should be lightweight and very simple. From your limited description It may be a consideritaion that a foam filled glove can be attached to a lighweight socket. The hand is passive (no active function)and can help the child achieve developmental mile stones such a sitting unaided where it can be used to stabilise balance(approx 6 months) and playing with simple objects such as building blocks (passive hand is used to oppose against)from this age. From my experience fittings can begin from 3-4 months but this depends on each case. Individual recommendations as to the treatment of your child cannot be made without an assessment of the child and your childs case should be discussed with a prosthetist who can make a full evaluation. |
| Answered By: | Bruce Rattray Email: bruce.rattray@rehab.co.uk |
| Name: | Y Purvis |
| Date: | 27 June 2006 |
| Question: | In the next couple of weeks my mother who is 80 will be fitted with a caliper on her left leg because of drop foot, I would just like to know if over the years has their been any advancement on a caliper being any lighter in weight because in the 70's I used to care for people who used calipers and they were heavy and clumbersome regards a concerned daughter |
| Answer: | Dear Ms Purvis Thank you for your enquiry. There have been advancements in the design and choice of materials used in the construction of calipers but the specific type of device supplied to your mother will depend on a number of clinical factors specific to her condition. I feel sure that your local orthotist dealing with your mother's orthotic care will supply the most suitable and effective caliper. Regards |
| Answered By: | Mark Davies Email: mark.davies@rehab.co.uk |
| Name: | A C A Hopkins |
| Date: | 14 June 2006 |
| Question: | Please would you let me know the correct name for the "sleeve and pin" suspension used for transfemoral amputees? I think I remembered it described as "isos pin" but I am unsure. Many thanks in anticipation. |
| Answer: | The generic term for this is a "locking liner". The "Iceross Pin" is the term you heard, which is the same thing using a product specific name |
| Answered By: | Carl Chatfield Email: carl.chatfield@rehab.co.uk |
| Name: | Amin |
| Date: | 18 May 2006 |
| Question: | Hello, I am an amputee above the knee right leg. I am using a silicon bag on the stump with a scew at the end to hold it to the prosthesis. It cost me here in Lebanon about $600. Is this price plausible? or it is too much? I would appreciate much your help. |
| Answer: | It is impossible to tell without knowing exactly what the product you are using is, but $600 is a plausable price for some types of silicone liners |
| Answered By: | Carl Email: Chatfield |
| Name: | Steve |
| Date: | 16 May 2006 |
| Question: | I have drop foot, in left foot, and I experience continual brusing along back left and right of foot? I do not have diabetes? What is this? It also appeares on top of foot behind toes. Just slight blue color? |
| Answer: | Dear Steve Thank you for your enquiry. This is not something that we're qualified to comment on and would advise that you discuss with your GP. Sorry we can't be of any more help on this occasion. Regards |
| Answered By: | Mark Davies Email: mark.davies@rehab.co.uk |
| Name: | Steve Callery |
| Date: | 02 May 2006 |
| Question: | Hello: 20 years ago I was injured in a car accident, which caused drop foot in my left foot (due to nerve damage on my hip, after surgery). I have been walking 2 miles briskley evey two days for the past 10 months. In the last six months I have noticed bruising in my left foot, in front of toes, just a little bruising, and slightly around the sides of the foot. It doesn't go away, and some days the bruising is more evident than other days. My doctor seems to think it isn't anything to worry about. What is this problem? Should I be concerned? Thanks, Steve C. |
| Answer: | Thank you for posting your question. Your question is outside of our area of expertise but it would be inapproriate for anyone to offer a diagnosis without a thorough examination. From what you have said your doctor has indicated that there is nothing to worry about but if you have noticed worsening symptoms and you have concerns then we would recommend that you see your doctor again. Regards |
| Answered By: | Mark Davies Email: mark.davies@rehab.co.uk |
| Name: | Heidi |
| Date: | 25 April 2006 |
| Question: | I was born without my right hand and I have got a prosthetic arm I use occassionally i.e. for driving. Have you got specific attach ments for the following or would I have to visit the limb centre: Hockey, Netball, working out in the Gym, Swimming, Surfing, Eating, and wood working. I can obiously feed myself as I'm 31 but I wondered what my options are on the prosthetic side. At the moment I just use an elasticated band on my stump - which isn't very astheically pleasing (although does the trick and I can use it for a variety of other things like playing pool and it slips in my pocket). Do you provide a brouchure with all the attachments in it or do I have to approach you with a specific issue? I think a list/photos of all the different attachments and there uses would be a good idea, because I think it would be help people and give them ideas on how to approach tasks. |
| Answer: | Hi Heidi, RSLSteeper both manufacture and distribute functional devices. Functional devices can be of effective use in many specilaised situations, occupational, sporting and social. I would be happy to send you a couple of brochures detailing some of the devices that are available, please send your details direct to my e-mail address. If you see anything that you feel would be of use in these documents the next step would be to discuss these items with your prosthetist, who will be able to advise you further. Best Regards, Bruce Rattray. |
| Answered By: | Bruce Rattray Email: bruce.rattray@rehab.co.uk |
| Name: | Barry |
| Date: | 23 April 2006 |
| Question: | I have foot drop in both feet but my right foot is weaker than my left. I walk with my thigh muscles. I throw each foot forward - if I don't do this I catch my toe and stumble. Is there a device which would enable me to walk with a more 'normal' gait? I walk as much as possible and go to the gym but can't seem to improve my walking. Are there any exercises ou would recommnd to help me? Thanks |
| Answer: | Dear Mr Crutchley Thank you for your enquiry. There are various devices that will control your drop foot. In the first instance I would recommend that you speak to your GP and get a referral to a relevant consultant at your local hospital who will be able to prescribe an approriate orthotic device. Regards |
| Answered By: | Mark Davies Email: mark.davies@rehab.co.uk |
| Name: | ashimi |
| Date: | 02 April 2006 |
| Question: | hello i,m looking for a job as an orthotist and prosthetst(Orthopaedic technician) in london uk. can u help me plaese in wich internet side can i look for this job. thanks ashimi |
| Answer: | Dear Ashimi Please could you forward me a copy of your CV. Yours sincerely Lisa Berkman HR Manager, Operations |
| Answered By: | Lisa Berkman Email: lisa.berkman@rehab.co.uk |
| Name: | shirley duncan |
| Date: | 29 March 2006 |
| Question: | I am about to undergo amputation of my big toe due to a diabetic ulcer. I am a 44 year old woman who has always had a passion for shoes and cannot come to terms with the fact that I may have to wear built up or moulded baffies. I understand that there is an American ex C.I.A. agent who makes the most beautiful prosthetic toes (have visited the website of one of his clients and her foot looks fantastic) and wondered if you knew of anyone in the UK who supplied the same service. |
| Answer: | Dear Shirley We manufacture custom silicone prosthesis in the UK, we also sell these through our distributors in the US. Please let me know if our service is of interest to you, and I will send more details. Also if you could let me know the state that you live in I will check the best solution. All the best Richard Shapcott Silicone clinic manager |
| Answered By: | Richard Shapcott Email: richard.shapcott@rehab.co.uk |
| Name: | peter parker |
| Date: | 19 March 2006 |
| Question: | I have sent two e.mails recently requesting information about this knee. why has no - one bothered to answer ??????? |
| Answer: | Dear Mr Parker, My apologies for not responding earlier. The KH5 Knee Joint is a prosthetic knee designed to offer stability on heel contact, while allowing initiation of flexion at toe off. The swing phase is controlled by a hydraulic cylinder, which gives adjustment in 3 phase of swing allowing control for all ranges of walking speed. The KH5 is particularly approriate for patients with knee disarticulation or long AK's. If you would like further information please contact me on the number below. Regards Carl Chatfield Product Sales Manager 01634 226 163 |
| Answered By: | Carl Chatfield Email: carl.chatfield@rehab.co.uk |
| Name: | Marcia Marie |
| Date: | 24 June 2005 |
| Question: | My prosthetist recently ordered a Skinergy cosmesis for me; however, it isn't pigmented like I expected it would be. He says it's the True Finish but I think it must be the regular finish. Can you tell me how he would know which one he ordered? I think if he didn't specify True Finish he probably got the regular. Thank you. |
| Answer: | The only way to check this is against the part no on the box, that the Skinergy is supplied in. If it has the prefix letter "T" it is True Finish. IE TLC22LS. LC22LS would be the plain finish. The no on the sole of the foot does not relate to the finish on the product. |
| Answered By: | Carl Chatfield (Product Sales Manager Email: carl.chatfield@rehab.co.uk |
| Question: | It is indeed True Finish but I'm disappointed in that I don't see the pigmentation |
| Answer: | |
| Answered By: | Carl Chatfield (Product Sales Manager Email: carl.chatfield@rehab.co.uk |
| Name: | Nitin |
| Date: | 08 June 2005 |
| Question: | Hello, I have one small query. I am going to marry soon. If both of us have same blood group then in near future any problem for us? Also problem for our next generation ? Please clarify it. Thanks in advance. Regards, Nitin |
| Answer: | This question is out of the scope of the discussion forum. |
| Answered By: | Stuart Peters Email: stuart.peters@rslsteeper.com |
| Name: | joseph lee |
| Date: | 27 February 2005 |
| Question: | can anyone give me the contact number for rsl steeper nearest to the cheshire area? |
| Answer: | Your nearest Prosthetics branch is Stoke On Trent: 01782 812499 |
| Answered By: | Stuart Peters Email: stuart.peters@rslsteeper.com |
| Name: | Lorne Winder |
| Date: | 12 February 2005 |
| Question: | I'm wanting to know about the wilmer elbow orthosis. Does it work? Does work well. What is the joint mechanism used.Is it applicable for a 2 1/2 year old (total arm length of 28 cm ) Any information would be helpfull. Thanks |
| Answer: | Thank you for your enquiry. The 'Wilmer Elbow Orthosis' is very effective but at this stage is not available in a paediatric version suitable for a 2 1/ |