Clinical Benefits; Contraindications - Blatchford ESK+ 4-Bolt Instructions D'utilisation

Activity Level
This device is for Activity Level 2, 3 and 4 users (weight limits apply, see Technical Data).
This device might not be suitable for Activity Level 1 users or for use in competitive sports events.
These types of users might be better served by a specially designed prosthesis that is optimized
for their needs.
Activity Level 2
Has the ability or potential for ambulation with the ability to traverse low-level environmental barriers
such as curbs, stairs, or uneven surfaces. Typical of the limited community ambulator.
Activity Level 3
Has the ability or potential for ambulation with variable cadence. Typical of the community ambulator
who has the ability to traverse most environmental barriers and may have vocational, therapeutic, or
exercise activity that demands prosthetic utilization beyond simple locomotion.
Activity Level 4
Has the ability or potential for prosthetic ambulation that exceeds basic ambulation skills, exhibiting
high impact, stress, or energy levels. Typical of the prosthetic demands of the child, active adult, or
athlete.

Clinical Benefits

• Weight-activated stance control and adjustable swing control provide smooth, safe gait
with a free knee.
• Microprocessor swing control allows optimized gait characteristics across a range of
walking speeds. (SmartIP only.)
• The stabilizing mechanism has a resilient action which provides limited stanceflexion under
load to absorb shock loads at heel strike.

Contraindications

This device is not suitable for:
• Users with extreme muscular weakness, contractures that cannot be correctly
accommodated, or proprioceptive dysfunction including poor balance.
• Users with contralateral joint instabilities or pathology.
• Users with complicated conditions involving multiple disabilities.
• Users, including bilateral transfemoral amputees, who require a yielding function from the
knee to descend stairs or to sit. This can result in damage of the brake mechanism that can
adversely affect stability and durability.
Users must be given gait training before using this device.
Make sure that the user has understood all instructions for use, drawing particular
attention to all maintenance and safety information sections.
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