If the effort to advance over the foot (tibial progression) is challenging for the patient, decrease dorsiflexion
o
resistance.
9.
ASSEMBLY
After dynamic alignment, tighten the pyramid adjustment screws according to the specifications of the connector manufacturer.
Secure pyramid adjustment screws with a thread locking adhesive (i.e., Loctite 242).
Spectra sock
A spectra sock is included to protect the foot shell and minimize noise. It must be placed on the EnduraCore foot module before
mounting the foot shell.
Foot shell
To install and remove the foot shell, use a foot shell removal tool to prevent damage of the foot module.
Never remove the foot from the foot shell by pulling manually. Never use a screwdriver or any other inappropriate
instrument to remove it. This could damage the foot.
10.
ADJUSTMENTS
The heel stiffness at heel strike can be adjusted using the stiffening bumpers. The bumpers may be temporarily attached using the
pre-applied adhesive in the location indicated in the table below. The recommended location will stiffen the heel about 1 category.
If necessary, move the bumpers anteriorly (stiffer) or posteriorly (softer) to get the desired stiffness. For permanent placement,
clean off the pre-applied adhesive with acetone and adhere bumpers using cyanoacrylate glue.
Foot size
Distance from the rear end
(A)
of the sole (B)
22-25 cm
32 mm / 1.25''
26-28 cm
38 mm / 1.5''
29-30 cm
48 mm / 1.9''
11.
TROUBLESHOOTING
CONCERN
•
Sinking at heel strike, 'crushing' the heel.
•
Heel too soft
Difficult to progress the step from heel strike to
mid stance.
Smaller Dot = Lower Resistance
SYMPTOM
INSTRUCTIONS FOR USE
Larger Dot = Higher Resistance
•
Check anteroposterior alignment, ensure foot is
not positioned too far anterior.
•
Increase plantarflexion resistance.
•
Attach heel stiffening bumpers. See section 10
above for installation details
Page 3 of 5
SOLUTION
IFU-02-005