Össur CTI CUSTOM Instructions For Use Manual

84. Remove clevis pin from the bottom bearing and press it from theinside out through the newly drilled hole. Slip the bearing on the rodportion of the attachment over the clevis pin and secure it with thestay ring (Fig. 17).5. Ensure the rod portion is attached to the device. Slip the fabric loop overthe tibial extension of the device with the pad on the inside of the device.6. Re-apply ski boot, slide the tube and rod portions of the attachmenttogether by lowering the device down on the boot, be sure the tubeportion of the attachment passes through the fabric loop between thebuckles, (Fig. 18) and firmly place the device over the leg and apply itaccording to the standard fitting instructions (Fig. 19).Note: For non-skiing usage, the rod portion of the attachment can beunbolted from the device using the 1/8” (3mm) hex key provided. Thebuckle system is attached via a hook-and-loop closure for easy removal.A separate pad is provided with hook-and-loop fastener for attachment tothe brace in place of the buckle system. To adjust the amount of internalor external rotation allowed by the ski boot attachment, loosen or tightenrespective buckles.Device Application with Flexion Stop Kit1. Set flexion angle using the included goniometer. The holes arepositioned in approximately 10–14° increments with “A” atapproximately 0° and “I” approximately equal to 90°.2. Place the slotted screw on outside of plate in the desired flexion angleand attach to the roller on the inside of the hinge plate and tighten. Ifneeded use one or more washers to ensure that the roller sits inposition on the frame.3. Repeat the same process for the other side.4. Check the angle and that the rollers are engaging nicely with the hingearms. If required the flexion stop plate can be contoured to optimizepositioning.5. Apply the device according to the device application procedure.Device AdjustmentsRange of Motion (ROM) AdjustmentThe device comes with a 5-10° extension stop installed and includes thefollowing additional stops:0°, 5–10° (installed), 10–20°, 20–30°, and 30–40° (Fig. 20)1. Remove the Condyle Pad from the hinge.2. Use a short size 2 Philips head screwdriver to remove the screwsecuring the extension stop (Fig. 13).3. Remove the extension stop out of the hinge.4. Select the desired extension stop and place the stop into the hingefrom the back with the small lip facing down (Fig. 14).5. Position the hole in the extension stop with the screw hole in thehinge plate. Re-insert the screw and fasten. Making sure to notovertighten.6. Replace the condyle pad.7. Repeat this procedure for the opposite hinge.Note: Ensure the same extension stop is used for both hinges.How to Replace or Move the Field-Serviceable D-RingsThe field-serviceable D-Rings can be changed from internal to externalconfiguration in case of discomfort or replaced if a D-Ring is broken. Ifthe D-Rings are riveted onto the device, please reach out to CustomerService or CTi distributor for assistance.