ODFS Dropped Foot Stimulator User Manual

TABLE OF CONTENTS 1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 8.1 8.2 8.2.1 8.2.2 8.2.3 8.2.4 8.2.5 8.2.6 8.2.7 8.2.8 8.2.9 8.3 9.0 9.1 9.2 9.3 9.4 9.5 9.6 9.7 10.0 11.0 12.0

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Introduction ... 1 Indications for Use ... 1 Contraindications ... 1 Warnings ... 2 Precautions... 3 Adverse Reactions ... 4 Contents of Standard Package ... 5 Description of System Components ... 6 Device Description ... 6 Patient System Components ... 7 Stimulator ... 7 Electrode Leads ... 8 Electrodes ... 8 Elastic Tubing ... 9 Battery ... 9 Cork Inner sole ... 9 Foot Switch Lead ... 9 Foot Switch ... 10 Carrying Case ... 10 Additional Accessories ... 10 Operating the ODFS System ... 10 Preparing the Skin ... 10 Electrode Placement ... 11 Stimulator Set Up ... 13 Connecting the Foot Switch ... 14 Using Stimulation ... 15 Removing the ODFS System ... 16 Cleaning and Maintenance ... 17 Troubleshooting ...18-19 Travel or International Use ... 19 Glossary ... 20

ODFS Dropped Foot Stimulator User Manual

13.0 14.0 15.0 16.0

Specifications ... 21 ODFS Components and Accessories ... 22 Warranty ... 24 ODFS Dropped Foot Stimulator - Electrode Position Worksheet ... 25 LIST OF FIGURES

Figure 1. Figure 2. Figure 3. Figure 4. Figure 5. Figure 6.

Stimulator Front Panel ... 7 Electrode Leads and Electrodes ... 8 Foot Switch Lead and Foot Switch... 9 Electrode Placement ... 12 Adjustment for Turning the Foot to the Outside…………………………………………. 14 Foot Switch ... 15 LIST OF TABLES

Table 1. Table 2.

Basic Troubleshooting Tips ...18-19 System Components ... 22

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1.0

INTRODUCTION

This manual is intended to provide information for the safe use of the ODFS Dropped Foot Stimulator for you and your caregiver. Your therapist will train you to use the information in this manual. Call your therapist if you need help in understanding how to use your ODFS. 2.0

INDICATIONS FOR USE

The ODFS is a device that uses low levels of electrical stimulation to help those having a dropped foot lift their foot and improve their walking. Additional benefits may include y muscle re-education (retraining your muscles to act as they did before your injury) y prevention/retardation of disuse atrophy (decrease bulk of muscle tissue when your muscles are not used) y maintained or increased joint range of motion y increased local blood flow The ODFS is a medical device and should only be used under medical supervision for adjunctive therapy for the treatment of dropped foot following an upper motor neuron injury. 3.0

CONTRAINDICATIONS

The ODFS should not be used on patients who have a cardiac pacemaker, implanted defibrillator, or other implanted metallic or electronic device. Such use could cause electrical shock, burns, electrical interference, or death.

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4.0

WARNINGS

Neck Stimulation - Stimulation should not be applied over the patient's neck, because severe spasm of the muscles may occur and the contractions may be strong enough to close the airway or cause difficulty in breathing. Stimulation over the neck could also have adverse effects on the patient's heart rhythm or blood pressure. Chest Stimulation - Stimulation should not be applied across the patient's chest because the introduction of electrical current into the chest may cause rhythm disturbances to the patient's heart, which could be lethal. Open or Infected Wounds - Stimulation should not be applied over open wounds or over swollen, infected, or inflamed areas or skin eruptions, e.g. phlebitis, thrombophlebitis, varicose veins. Cancer - Stimulation should not be applied over, or in proximity to, cancerous lesions. Electronic Monitoring Equipment - Stimulation should not be applied in the presence of electronic monitoring equipment, such as cardiac monitors and ECG alarms. Monitoring equipment may not operate properly when the electrical stimulation device is in use. Bathing/Showering - Stimulation should not be applied when the patient is in the bath or shower. Sleeping- Stimulation should not be applied when the patient is sleeping. Machinery Operation- Stimulation should not be applied when the patient is driving, operating machinery, or during any activity in which electrical stimulation can put the patient at risk of injury. ODFS Dropped Foot Stimulator User Manual

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Consult with the patient's physician before using this device, because the device may cause lethal rhythm disturbances to the heart in susceptible individuals. Stimulation should only be applied to normal, intact, clean skin. 5.0

PRECAUTIONS

Long-term Effects - The long-term effects of electrical stimulation are unknown. Transcerebral Stimulation - The effects of stimulation of the brain are unknown. Therefore, stimulation should not be applied across the patient's head and electrodes should not be placed on opposite sides of the head.

Gynecology - Caution should be used over the menstruating or pregnant uterus. Sensory Loss - Caution should be used over areas of skin that lack normal sensation. Keep Out of Reach of Children - Keep this device out of the reach of children. Electrodes/Leads - Use this device only with the leads, electrodes, and accessories recommended by the manufacturer. Spasticity - If stimulation causes increased spasticity (involuntary, exaggerated muscle stiffness and spasm), discontinue use and consult your physical therapist.

Pregnancy - The safety of using electrical stimulation during pregnancy has not been established.

Supervision of a Licensed Practitioner - Use this device only under the continued supervision of a licensed practitioner.

Skin Irritation - Some patients may experience skin irritation or hypersensitivity due to electrical stimulation or electrical conductive medium (gel). The irritation can usually be reduced by using an alternate electrode placement. A slight reddening of the skin under the electrode is normal. If stimulation causes long-term marking of the skin, discontinue use and consult your physical therapist.

Latex Allergies- Caution: The Tubigrip elastic stocking contains natural Rubber Latex which may cause allergic reactions. This item is provided as an accessory to the ODFS device. If you are sensitive to products that contain latex, your clinician will discuss possible alternatives (to using this elastic stocking) with you.

Cardiac - Patients with suspected or diagnosed heart disease should follow precautions recommended by their physicians.

6.0

Epilepsy - Patients with suspected or diagnosed epilepsy should follow precautions recommended by their physicians. Hemorrhage - Caution should be used if the patient has a tendency to bleed internally, such as following an injury or fracture. Recent Surgery - Caution should be used following recent surgical procedures when stimulation may disrupt the healing process.

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ADVERSE REACTIONS

Skin Irritation - Skin irritation and burns beneath the electrodes have been reported with the use of electrical stimulators applied to the skin. Headache/Painful Sensations - Headache and other painful sensations have been reported during or following the application of electrical stimulation near the eyes and to the head and face.

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Report any undesirable outcomes, malfunctioning of the device, mistakes in using the device, or injury from the use of this device to your clinician. Your clinician is responsible for reporting all of these events to the designated US distributor of the ODFS, NDI Medical, in writing: y y y

7.0

8.0

DESCRIPTION OF SYSTEM COMPONENTS

8.1

DEVICE DESCRIPTION

Stimulator

via email [email protected] or fax 216-378-9116 or mail to NDI Medical, 2000 Auburn Drive Suite 320, Cleveland, OH 44122

Electrodes

CONTENTS OF STANDARD PACKAGE

The ODFS System contains the following components: y y y y

y y y y y y y

5

ODFSIII V6.2 Stimulator (1) set of electrode leads (1m) (2) packages of PALS neurostimulation 5cm x 5cm square Platinum Blue electrodes (1) elastic stocking (Tubigrip size F) Caution: This product contains natural Rubber Latex which may cause allergic reactions. (1) alkaline battery (9V) (1) pair of cork insoles (Size 10.5 ) (1) foot switch lead (1.2m) (2) foot switches (1) carrying case (1) User Manual (1) User Quick Reference Guide

ODFS Dropped Foot Stimulator User Manual

Foot Switch

Stimulating a nerve in the side of your leg will activate the muscles that lift the foot. The stimulation is timed by using a "foot switch" that is worn inside your shoe under the heel of your foot. The ODFS System is made up of several parts connected together and worn on your body. The stimulator allows you to turn the system on and off and to make some adjustments as instructed by your therapist. The stimulator is an electronic device about the size of a pack of playing cards. It may be worn on a belt clip or

in your pocket. The electrode leads are cables worn under your clothing that connect the stimulator to self sticking skin surface electrodes on the side of your leg. A small foot switch is placed in your shoe under the heel. The foot switch is connected to the stimulator by a separate lead. The foot switch turns the stimulation on and off in time with your walking pattern. The cork insole keeps the foot switch in the correct position in your shoe. The elastic tubing helps keep the electrodes and cables in the proper position.

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8.2

PATIENT SYSTEM COMPONENTS

8.2.2

8.2.1

Stimulator

The Electrode Lead is a cable that connects your stimulator to your electrodes (see Figure 2).

The stimulator generates the electrical stimulation. It is lightweight, wearable and battery operated. The stimulator is programmed by your therapist specifically for you. Figure 1 displays the front panel of the stimulator.

Electrode Jack

Pause Button

Output Test Foot Switch Button Jack

Electrode Leads

Pause Button Electrodes Leads Electrodes

Connections

Stimulator

! Figure 2. Electrode Leads and Electrodes Belt Clip

On/Off/ Level

Figure 1. Stimulator Front Panel

Electrode Jack - jack for the electrode lead Pause Button - temporarily turns stimulator off Test Button - checks the electrode position and output level Foot Switch Jack - jack for foot switch On/Off Level - turns stimulator on/off and increases stimulus Belt Clip - clip for attaching to belt/clothing Battery Indicator - flickers yellow showing output, flickers red showing low battery

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8.2.3

Electrodes

Electrodes are reusable and self sticking to the skin (see Figure 2). Electrodes conduct the stimulation through the skin into the nerve and muscle of your lower leg. The usual electrode size is 5 cm x 5 cm. At times, your therapist may choose to use a different size based on your size and comfort. Your electrodes should be reused for a period of time. It is important to replace your electrodes when they become worn or loose their stick. A pair of electrodes usually last about one month of daily use.

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8.2.4

8.2.8

Elastic Tubing

Foot Switch

Elastic tubing (Tubigrip - Size F) aids in securing your electrodes and leads around your leg. Caution: This product contains natural Rubber Latex which may cause allergic reactions.

A small foot switch is placed in the shoe under your heel (see Figure 3). The foot switch turns the stimulation on and off in time with your walking.

8.2.5

8.2.9

Battery

Your stimulator is powered by one standard 9V alkaline battery. 8.2.6

Cork Insole

The foot switch is adhered to the underside of a cork insole to maintain the correct position of your foot switch within your shoe. The insole transfers easily between your shoes. 8.2.7

Foot Switch Lead

The foot switch lead is a cable that connects your stimulator to your foot switch (see Figure 3).

Carrying Case

A carrying case is included to help protect and keep the system clean. Store your stimulator and lead wires in the case when they are not in use. 8.3

ADDITIONAL ACCESSORIES

Additional accessories, such as alternate lead lengths are available from your therapist. Your therapist will determine if you require any of these accessories. 9.0

OPERATING THE ODFS SYSTEM

9.1

PREPARING THE SKIN

Properly caring for your skin where the electrodes will be placed is important and may have the following benefits: Stimulator Foot Switch Lead

y y y y

Foot Switch

Prepare your skin under the electrodes as follows: 1.

Connections

2.

Figure 3. Foot Switch Lead and Foot Switch

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ODFS Dropped Foot Stimulator User Manual

Allows for more stimulation to reach the desired area Prolongs the life of the electrodes Reduces the risk of skin irritation Could improve your comfort

Wash your electrode sites with mild soap and water. Rinse and dry thoroughly. Trim excess body hair from the electrode sites with scissors. DO NOT shave the site. Shaving may cause increased sensitivity.

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NOTES: y Do not place your electrode on cut, broken, or irritated skin. y Do not use skin creams near the electrode sites. y If skin irritation develops, remove your electrodes and discontinue using the stimulator. Consult your therapist or clinician. 9.2

3. 4.

5. 6. 7.

8.

y

ELECTRODE PLACEMENT

Position yourself comfortably in a straight backed chair. When finding the electrode position and testing the device it is best to have your leg straight. 1. 2.

NOTE: Your therapist may give you different electrode placement instructions to get the best result for you. Follow your therapist's home going instructions including the electrode position worksheet on page 25 of this manual.

Be sure the stimulator is turned off. Connect the electrodes to the leads by inserting the pin on into the connector on the end of the electrode. Push the pin all the way in so no bare metal is seen. Repeat this step for your second electrode. Remove any oil or lotion from your skin before applying electrodes. See section on Preparing the Skin. Check your skin for cuts, abrasions or reddened areas. Do not apply electrodes over these areas. Contact your therapist for instructions. Peel the electrode away from the plastic sheet by lifting at the electrode edge. Do not pull the electrode by the connection. Place the electrode connected to the black plug on your leg as instructed by your therapist. Place the electrode connected to the red plug on your leg as instructed by your therapist. The lead color is important. Typical electrode placement is described below and pictured in Figure 4.

y

y

The electrode connected to the black plug is placed over the common peroneal nerve, just below the head (top) of the fibula bone. To find your fibula locate the ankle bone on the outside of the ankle. Run your fingers up this bone on the outside of your leg. The top of the fibula bone will be the bony bump you feel before you get to your knee. The electrode connected to the red plug is placed approximately 2 inches below and slightly forward of the black plug electrode. Common peroneal nerve Top of fibula bone black plug

red plug

Figure 4. Electrode Placement

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9.3 1. 2. 3.

4.

STIMULATOR SET UP Connect the electrode lead to the socket labelled as OUTPUT on your stimulator. Turn the stimulator on until you hear a beep then press the TEST button. Adjust the level of stimulation by turning clockwise the black dial labelled ON/OFF/ LEVEL to the level recommended by your therapist. Watch your foot move. The ideal movement is the foot lifted (dorsiflexion) with a small amount of turning to the outside (eversion). Your therapist will advise you if your foot movement is correct.

Contact your therapist if you have problems getting the correct response you want from the stimulator.

More Less

NOTE: The test button will provide stimulation for a short period of time and then stop. You will need to press the test button again. a. If the correct movement is not produced: 1. Increase the stimulation level a little 2. Press the test button again b. If the correct movement is not produced adjust the position of the electrodes. 1. If your foot is turning outward too little, bring the active (black plug) electrode further back to increase turning outward. 2. If your foot is turning outward too much, bring the active (black plug) electrode slightly further forward to decrease turning outward. 3. The position of the passive (red plug) electrode can also be adjusted to balance the lift of the foot in the same way. Bring the electrode towards the shin bone to decrease excessive outward turning of the foot. Avoid stimulation directly over the shin bone. It can be uncomfortable.

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ODFS Dropped Foot Stimulator User Manual

Figure 5 Adjustment for Turning the Foot to the Outside 9.4

CONNECTING THE FOOT SWITCH

Once your electrodes are positioned correctly; 1. 2. 3.

Place your stimulator in the Pause mode by pressing the Pause button once. Connect your foot switch to the foot switch lead. Attach the sticky side of the foot switch to the heel of your cork insole (see Figure 6). If the therapist has already done this, place the cork insole into your shoe.

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Black side against the insole

NOTES: y

y Lead exits forward

Figure 6. Foot Switch

4.

5.

9.5

Place your cork insole with foot switch attached into your shoe. Connect your foot switch lead to the socket on the stimulator labelled SWITCH.

When the stimulator is turned on or taken out of Pause mode, a beep is heard. When the ODFS is put into its pause mode a shorter and higher beep is hear. The tubigrip sleeve can be placed over the electrodes and leads to help maintain their position.

CAUTION: It is important to use the ODFS gradually over a period of two to three weeks. This will allow your muscles to build strength. Initially, only wear the electrodes for the period the stimulator is used. Gradually increase the time the electrodes are worn as your skin becomes use to the electrodes. 9.6

REMOVING THE ODFS SYSTEM

1.

After use, turn your stimulator off by turning the ON/OFF/ LEVEL dial counter-clockwise, until it ''clicks'' and the pointer is pointing upwards to the number zero "0".

2.

Peel your electrode away from your skin by lifting it at the edge. Do not pull the electrode by the connector.

3.

Return the electrodes to the plastic sheet and remove the electrode lead by pulling the plug from the connector. Do not pull on the electrode lead.

Using Stimulation

1.

With the foot switch connected and the stimulator turned on, the stimulation will start when you lift the heel of your foot off the floor and will stop when your heel is on the floor.

4.

After removing the electrodes inspect your underlying skin for any irritations. Wash and dry the area to remove any remaining gel.

2.

To stop the stimulation for a short time, press the PAUSE button. To restart the stimulation, press the PAUSE button again.

5.

Remove the foot switch/cork insole from your shoe.

6.

Store all parts in the bag provided.

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9.7

CLEANING AND MAINTENANCE

Stimulator and Leads: y y y

Do not immerse in water. Clean using a damp cloth. Do not use alcohol-based cleaners.

10.0

TROUBLESHOOTING TABLE 1. BASIC TROUBLESHOOTING TIPS Problem

Possible Cause

Stimulation weak

Old or dried out electrodes

Moisten electrode with water or replace electrodes

Dry Skin

Moisten skin with water

Battery Low

Replace battery

Incorrect battery insertion

Check battery placement

Poor electrode contact

Reapply electrodes, secure firmly, moisten skin and/or electrodes with water

Damaged or worn lead wire or electrode

Replace lead wire or electrodes

Stimulation ineffective

Improper placement of electrodes

Reposition electrodes

No stimulation or Low Battery Indicator Flickers in response to either test button or foot switch

Stimulation in sleep mode

Press Pause button

Incorrect position of battery

Check battery placement

Battery low

Replace battery

Faulty Stimulator

Contact your therapist for instructions

Electrode: After repeated use, your electrodes will lose their stickiness. Dampen the surface of the electrodes with water and leave for a few minutes to dry. If this is not successful, replace the electrodes. Electrodes should last four to six weeks. See Table 2 for re-ordering information. Leads and Foot Switch:

Stimulation weak with new battery

The condition of the leads and foot switch should be inspected from time to time. If the leads become worn or if the plastic covering becomes stiff or brittle, replace the item.

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Solution

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TABLE 1. BASIC TROUBLESHOOTING TIPS (CONT.) Problem Low Battery Indicator flicker changes from yellow to red

Possible Cause Battery low

Solution Replace battery

y y y

y

Always take the instruction manual with the device so that you can demonstrate what the device is The stimulator is safe to be put through both X-Ray and metal detector machines. Like other electronic equipment, the stimulator may affect navigation equipment on airplanes. Make sure it is turned off while sitting down in the plane. Foreign power sources do not affect this battery powered device.

No response to foot Faulty foot switch switch but response to test button Faulty foot switch lead

Replace

Intermittent stimulation while walking

Foot switch position moved

Relocate the foot switch

Faulty foot switch

Replace

Faulty electrode or foot switch lead

Replace

Dropped foot - The inability to lift the foot or toes up while walking, which results in the foot being dragged forward or swung out to the side, frequently causing tripping.

Incorrect electrode placement

Reposition electrodes

Electrode - The electrode is a self adhesive gel based pad that is used to pass the stimulation current into the body. Electrodes come in various shapes and sizes.

Poor electrode contact

Moisten electrodes and skin with water

Eversion - Turning of the foot to the outside.

Incorrect movement produced by stimulation

Replace 12.0

GLOSSARY

Dorsiflexion - Lifting the foot or toes upward.

Gait - Pattern of walking NOTE: Contact your therapist if you still have problems after following the troubleshooting tips.

Inversion - Turning of the foot to the inside.

11.0

Peroneal nerve - The nerve that controls dorsiflexion or lifting of the foot.

TRAVEL OR INTERNATIONAL USE

In these days of increased security, FES devices attract some interest from immigration and security staff at airports and ports. For this reason it is advisable to take the following precautions: y y 19

Check with your carrier to confirm that this device can be carried on the airplane. Unless use of the device is essential when traveling, pack the device in your luggage. ODFS Dropped Foot Stimulator User Manual

Spastic tone - (Spasticity) - Involuntary, exaggerated muscle stiffness and spasm Swing phase - Time during walking when the foot and leg are moving forward; from the time the toe is off the ground until the heel strikes the ground.

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Therapeutic Diathermy - High-frequency electromagnetic radiation, electric currents orultrasonic waves used to heat body tissues for therapeutic purposes, including, but are not limited to, bursitis, synovitis, muscle spasms, and joint stiffness.

Quiescent current consumption: 1.5 - 4mA depending on controls settings Max current consumption: 43 (+/- 4) mA max current and pulse width settings output into a 1K Ohm, 100nF load. Battery: Standard 9V alkaline

Warning, the stimulation output has a physiological effect. Read instructions before use.

Battery life: 2 to 3 weeks of average use for an alkaline battery (depending on usage) Operating temperature range:

Equipment type BF

5 - 27 C (41.0 - 80.6 F)

Operating relative humidity range:

35 - 50 %

Storage temperature range:

0 - 40 C (32 - 104 F

Storage relative humidity range: 35 - 50% 13.0

SPECIFICATIONS

Recommended electrodes:

Output: asymmetrical or symmetrical bi-phasic voltage driven waveform

The ODFS has been tested and approved for use with the following electrodes. No other electrodes are recommended.

Output amplitude: 20 (+/- 4) to 100 (+/- 10) mA into a 1k ohm in parallel with a 100nF load with an asymmetrical bi-phasic output, 20 (+/- 4) mA to 80 (+/- 8) mA in symmetrical bi-phasic mode

y y

PALS Platinum Blue 50 x 50 mm self-adhesive electrodes, Axelgaard Model #901220 PALS Platinum Neurostimulation Electrodes, 1.5" x 2.5" oval (4 x 6.4cm), Axelgaard Model #896230

Frequency: 40 (+/- 4) Hz Pulse width: 7 (+/- 4) to 365 (+/- 20) microseconds Output time: 0.2 (+/- 0.02) to 6 (+/- 0.6) seconds Extension time: 0 to 1.2 (+/-0.02) seconds

14.0

ODFS COMPONENTS AND ACCESSORIES

Table 2 lists the components of this ODFS system and their part numbers. These components may be ordered by faxing order form to 216.379.9116 or visiting the NDI Medical web site at www.odfs.com.

Rising edge ramp times: 0 to 2 (+/- 0.5) seconds Falling edge ramp times: 0 to 2 (+/- 0.5) seconds Low battery indication: 7.0 (+/- 0.2) V 21

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15.0

TABLE 2 System Components Patient Components

Catalog Number

ODFSIII V6.2 Stimulator 1 set of electrode leads (1m) 2 packages of 4 PALS neurostimulation 5cm x 5cm square platinum blue electrodes 1 elastic stocking (tubigrip size F) 1 alkaline battery (9V) 1 pair of cork insoles Foot switch extension lead (1.2m) Foot switch (2) Carrying case User Manual User Quick Reference Guide

9025 9035 9026 9027 9028 9029 9040 9030 9031 9032 9049

Optional accessories Electrode leads (0.5m) Electrode leads (1.5m) Foot switch extension leads (60cm) Foot switch extension leads (75cm) Foot switch extension leads (100cm) PALS Neurostimulation 4cm x 6.4cm oval platinum blue electrodes

9034 9036 9037 9038 9039 9043

NOTE: Do not use any other accessories, electrodes or leads other than the ones provided with your system or purchased from the manufacture.

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WARRANTY

The ODFS stimulator is warranted against material defects in material and workmanship for a period of one year from date of delivery. The exclusive remedy for breach of the foregoing warranty is, at purchaser's option, either (i) the repair or replacement of the defective stimulator or (ii) a refund of the purchase price paid for the defective stimulator. Carrying cases, lead wires, electrodes and other accessories are warranted to be free from defects in workmanship and materials at the time of delivery. The foregoing warranty shall be void with respect to any component which, following delivery has been subject to accident, abuse, misapplication, improper repair or installation or alteration. THE FOREGOING WARRANTY IS THE SOLE AND EXCLUSIVE WARRANTY AND NDI MEDICAL DISCLAIMS ANY AND ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. IN NO EVENT IS NDI MEDICAL RESPONSIBLE FOR ANY SPECIAL, INDIRECT, PUNITIVE, INCIDENTAL OR CONSEQUENTIAL DAMAGES RELATED TO THE ODFS SYSTEM COMPONENTS, WHETHER OR NOT THE SAME WERE FORESEEABLE OR NDI MEDICAL WAS ADVISED AS TO THE POSSIBILITY OF SUCH DAMAGES. NOTE: Warranty period begins from the date of shipment.

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16.0

ODFS DROPPED FOOT STIMULATOR ELECTRODE POSITION WORKSHEET

Patient Name: ____________________________________ Therapist Name: __________________________________ Therapist Contact Info: _____________________________ Electrode Position Top of the fibula bone

Left

Right

Clinician/therapist: Please mark on this diagram the location and polarity of the electrodes. ODFS Sn

Shoe Size

F/S lead length

Electrode lead length

Electrode Type and Size

Output level

Signed __________________________________________ Date ____________________________________________ 25

ODFS Dropped Foot Stimulator User Manual