Otto Bock TT Design - PCS Product...

Lesson Error! Style not defined.

Seminar Otto Bock Data Station – Measuring 1

Notes

Otto Bock TT Design

Functionality

The Otto Bock TT Design application helps you create a transtibial test

socket with the matching components.

Using modern CAD/CAM technology, it offers the following advantages:

Lower investment and reduced risk for the CPO

Support for the CPO during individual patient care

Comfort for the patient – no plaster cast

Simple, logical CAD application technology

Modern mass customization (CAM technology) as a service

Ability to reproduce the residual limb and socket data precisely

Compatible system consisting of a custom liner and test socket



Notes

When working with the Otto Bock TT Design application, the following

steps can be identified:

Working with the Patient

Palpating the residual limb and recording the residual limb

measurements

Applying a Calibration piece to the residual limb

Taking a digital photo of the anterior and lateral sides of the

residual limb

Working in the Otto Bock TT Design Application

Entering the recorded patient measurements

Reading and processing the digital images

Creating and editing a three-dimensional socket model

Optional: Selecting and configuring prosthesis components

Ordering the resulting product (socket and optional

components) from Otto Bock via e-mail



Notes

The Three-Dimensional Socket Model

After processing the digital pictures, the TT Design application

calculates the socket shape using a “morphing” algorithm.

This algorithm adjusts the chosen reference socket model to the

calibrated residual limb contours obtained from the digital photos. It

changes and reshapes the reference socket model until it matches the

contours shown in the digital photo.

#1 to be replaced

The illustrations below show how the reference model “grows” into the

correct contour during the morphing process. The result is an actual

socket model and not simply a reconstruction of the residual limb.



Notes

#2 to be replaced

The prominent areas of the residual limb are located directly on the

digital photos.

#3 to be replaced



Notes

Clinical Knowledge Integrated in the System

#4 to be replaced

The following fundamental changes are included in the calculated

socket model:

Volume reduction by 7-9% (dependent upon socket style)

Distal extension by 18 mm

Prominent tibial crest (tibial crest is applied)

Positive patches + 4 mm (e.g. fibula patch)

Negative patches – 3 mm (e.g. patella bar patch)

Medial condyle support – 3 mm

Posterior patch = 0 mm

You can individually adjust any of these features.



Notes

Manufacturing Process

After placing the order with Otto Bock via e-mail, Otto Bock Fabrication

Service will use a modern CAD/CAM process to create a test socket

which will be delivered to you for fitting along with the selected

components.

Fitting

After receiving the socket and assembling the test prosthesis, a walking

trial can be carried out.

#5 to be replaced

Individual problem areas can be rectified by heating and

reshaping the transparent test socket.



Notes

Tools

When working with the Otto Bock TT Design application, you require

the following tools:

1 Body caliper to measure the residual limb (743S20)

2 Calibration piece for digital photography (743S30)

3 Residual limb sock 2-pack (99B90=2)

4 Digital camera (743L234)

5 Black background (743S50)

6 Knee angle check (743S40)

7 Velcro patches to attach the Calibration piece (623Z20)



Notes

Working with the Patient

Seat the patient on the black background so that the entire residual limb

being photographed is located in front of the black background.

Obtain an impression of the soft tissues and bony regions of the

residual limb by palpating it.

Put the white residual limb sock onto the patient so that there

are no distal folds.

The TT Design kit includes a residual limb sock for all residual

limb sizes. This is the only type of sock that can be used for this

process. Please do not pull the sock up too tight, since this can

affect the residual limb shape.



Notes

Palpating the Residual Limb and Recording the Residual Limb Measurements

Measuring and marking the residual limb prepares the patient for digital

photography.

The following points are marked:

Centre of the patella ligament

Height of the medial condyle and soft tissue condyle

measurement (depending on the socket model)

Initials of the patient

The fibula head and any other important features of the residual

limb (end of the tibia, scars, problem areas)



Notes

Use the body caliper, which has a slot in each caliper arm, to

mark the centre of the patella ligament.

To do so, press the upper caliper arm between the lower edge

of the patella and the tibial tuberosity and mark the centre of the

patella bar. This method is easy to reproduce. Laterally elongate the

line slightly so that the centre of the patella ligament can also be

seen on the lateral photo.

Attention

Correctly marking the centre of the patella ligament is crucial for

the correct socket length.

To create a trans-condylar socket, mark the medial condyle

height and measure the soft tissue condyle dimension.

Move the body caliper proximally starting from the centre of the

knee and bring the caliper arms together to determine the lowest

point of the condyle socket; mark it laterally through the slot.

In this position, read the soft tissue condyle measurement from

the body caliper and note this value on the patella. It is then recorded

on the photo and is available for socket production.

Marking the condyle height establishes the lowest point of the

condyle socket, not the height of the socket edge.



Notes

Write the patient’s initials and the soft tissue condoyle

measurement onto the patella.

For PTB sockets, mark the height of the socket edge at the

medial tibial plateau. A soft tissue condyle measurement is not

required in this case.

Mark the fibula head and any other important features of the

residual limb that could lead to pressure points and therefore have to

be considered when creating the socket model onto the sock. Also,

mark the highest point of the elevated area (patch) with a cross.

Creating the Digital Photos of the Residual Limb

Two digital photographs of the residual limb are required as the basis

for calculating the three-dimensional socket model in the TT Design

application:

The anterior view



Notes

The lateral view

The Calibration piece, the black background, and of course the digital

camera are required for this purpose.

Consider the following during photography:

Use the black background in order to create a good contrast

relative to the residual limb. On the photo, the entire white residual

limb sock must be underlain with the black background.



Notes

Ensure that the background is not pressed against the residual

limb, since this affects the shape or the residual limb contour on

the photo.

Check the knee flexion angle of the seated patient with the

supplied knee angle (15°).

Check the seating position of the patient. The amputated side is

frequently stretched forward, which causes interior rotation of the

residual limb. When taking the digital photos, the spinae should

be parallel to the back of the chair.

The residual limb must be photographed at maximum optical zoom (3x).

Ensure that the distance is approximately 1m. This is normally

the case when the residual limb fills picture in the viewfinder at

maximum zoom.

Use the Velcro patches to attach the Calibration piece along

the tibial crest. The Calibration piece helps to position the camera

and to calibrate the residual limb measurements.

Ensure that the Calibration piece is not tilted laterally or medially

when it is attached. The proximal or distal position is not

significant. The Calibration piece must be fully visible on the



Notes

photo.

Correct Use of the Calibration piece

The fins of the Calibration piece help you find the correct

camera position for anterior and lateral photos.

The reflector points are used to calibrate the software as a

reference measurement used to determine the residual limb

dimensions.

Here is how you determine the correct camera position for anterior and

lateral photos with the help of the Calibration piece:

Only the edges of the fins on the Calibration piece must be

visible.



Notes

Two reflection points on the Calibration piece must be visible. If

more than two reflection points are visible, you are not positioned

orthogonally to the Calibration piece / residual limb.

Place yourself at a distance from the patient so that the residual

limb up to the mark on the condyle socket fills the image at maximum

zoom.

However, a minimum distance of 1 m must be maintained.

To be replaced

Use of the Portrait and Landscape Format

When creating the digital photographs, ensure that the residual limb fills

the image.



Notes

Use the portrait format for the anterior photo.

Use the landscape format for the lateral photo.

The illustration below shows a correct lateral photo in landscape format,

with the residual limb filling the image.



Notes

Digital Camera Overview

Please read the supplied instructions for use in detail and take

some test photos before you begin working with the digital

camera.

Zoom control

Shutter release

ON/OFF button

Mode switch

Func./set switch

Flash button

Menu button



Notes

Summary of the Required Camera Settings

When using the camera, the screen should appear as follows.

Manual mode (factory setting)

Flash: ON You can activate the permanent flash by pressing the flash button.

Red eye reduction is turned OFF at the same time, which is

desirable.

Resolution L = 2816x2112 (factory setting)

The required settings are the factory settings of the camera,

except for the permanent flash which must be activated by

pressing the flash button.

The factory settings can be reestablished easily:

Press the menu button, switch to the second tab. With the last

entry, you can reset the camera to the factory settings.

Flash: ON

Manual mode

Resolution: LARGE (2816x2112)



Notes

Settings before Photography

Before using the camera, ensure that the memory card has

been inserted.

Turn on the camera by pressing the ON/OFF button.

To take photos, the mode switch must be in the PHOTO

(camera symbol) position.

Set the lens to maximum TELEPHOTO using the zoom dial.



Notes

Taking Photos

Push the SHUTTER BUTTON down halfway.

Position the camera so that the crosshair inside the viewfinder (auto

focus field) points to the patient’s residual limb.

When you press the SHUTTER BUTTON fully, the photo is

taken immediately. Do not move the camera until you hear the sound

of the shutter.

Every photo must be taken with the flash activated.



Notes

After Photography

After taking photos, you can check them on the camera display.

To do so, set the mode switch to VIEW MODE.

Use the DISP. Button to display additional photo information.

The display indicates a file number (a continuously incremented

number), date and time the photo was taken, and image number as

well as the total number of photos on the memory card.

To delete digital photos which you no longer need from the

memory card, use the DELETE IMAGE function.

Notes Regarding the File Number

The file number is a unique identifier for each individual photo. You will

need this file number later in order to read the photo for use in the TT

Design application.

The file number for each photo is shown in the top right-hand corner of

the display. The first three digits of the number identify the folder on the

Date / time

File name (consecutive number)

Image number and total number

Delete image

Display mode



Notes

memory card. The four digits to the right of the dash identify the actual

photo number.

The file name of the corresponding image file for TT Design is

comprised of IMG (for image), leading zeros (0), and the right-hand part

of the file number. The file has the extension .JPG.

For example, the file name for photo number 419-1976 will be

IMG_1976.JPG.

If you are photographing more than one patient, always make a

note of the corresponding photo numbers for the patient.

Transmitting the Photos from the Camera to the Computer

Two options are available to complete this job:

Connecting the camera to your computer directly via USB

Connect the camera to your PC using the supplied USB cable.

The camera is recognized as a file storage device. If not, then please

install the supplied camera software on your PC.

You can now use Windows Explorer to save the photos in a file

folder so they are available for socket design.



Notes

Removing the Memory Card

Press the memory card to release the locking mechanism; now

you can remove the SD memory card from the camera.

Then insert it into the corresponding card reader on your

computer and transfer the photos to the desired storage location.


Seminar Otto Bock Data Station – Operating Example 1

Notes

Operating Example for the Otto Bock Data Station On the following pages, you will find a brief sample description of the

following operating steps:

Launching the Otto Bock Data Station

Creating patient data for a patient

Creating the group My Patients and assigning the new patient

to this group

Opening a job in TT Design for this patient

Submitting the purchase order to Otto Bock after the job is

completed

Closing the Otto Bock Data Station



Notes

Launching the Otto Bock Data Station

To launch the Otto Bock Data Station, click the

symbol on the Windows XP Desktop.

Alternatively, select the entry in the

Windows start menu.

The program is launched and you see a start-up screen with notes

regarding the version and legal notices for the use of the Otto Bock

Data Station during this phase.



Notes

After the launch process, you see the main screen of the Otto Bock

Data Station with the group list already displayed.1

Now you can begin working with the Otto Bock Data Station.

1 To show or hide the group list on startup, please select the menu command Extras – Settings – General and uncheck the option Show Group List.



Notes

Creating patient data for a patient

Create the patient data for a new patient named Theodor Müller.

Click the button New Patient.

Enter the last name and first name.

Open the Date of Birth field and select the date of birth from

the calendar.

Select the Gender of the patient.

In the Insurance field, you can enter a note regarding the

patient’s health insurance coverage.



Notes

Up to this point, you have entered the following data.

Click the button Optional Data and enter additional data for the

patient.



Notes

Click the button Patient Notes and enter a note or use the Add Photo button to load an image file with special pathology

characteristics.

To save the patient information you have entered, press Ctrl+S

or select the menu command File – Save.



Notes

Creating the group My Patients

Now you will create a group with the name My Patients and assign the

patient Müller to this new group.

In our example, three additional groups already exist – Bergmann,

Josef’s Patienten, and Svedenborg.

Select any entry in the group list and then select the menu

command File – Group – New Favorite.



Notes

In the Create Group window, enter the new group name My Patients and confirm by clicking the OK button.

The new group is inserted into the group list.

Now you will assign the new patient Theodor Müller to your group My Patients.

To do so, select the patient name in the patient list and drag the

entry onto the group name My Patients using the mouse. Then

release the mouse button; the entry is assigned to this group.



Notes

You will see the new assignment.



Notes

You can also verify the assignment by selecting the patient name

and clicking the button Group Membership.

The group memberships of the selected patient are displayed in

the window. This is useful if a patient entry is assigned to several

groups.

To remove a patient entry from a group, select the entry and

press Delete or select the command Remove Patient from the

context menu (right mouse button).



Notes

Opening a job in TT Design

To open a new job for a patient, first select the patient entry in

the patient list.

Click the button New Job.

The Otto Bock Data Station automatically switches to the Job Type tab

and allows you to select from the installed – and therefore active –

applications.



Notes

For our example, select Transtibial.

Select the corresponding option in the option menu that is

displayed:



Notes

Socket Design – Create a TT Design socket by entering

measurements and editing the socket view.

Component Selection – Select additional components to

supplement the socket (prosthesis components).

You will now finish processing the job Transtibial Socket for the patient

Theodor Müller.

Click Next to move to the Specification tab.

There you can enter measurements and information regarding the

socket material.



Notes

Entries in the Specification tab

In the Specification tab, you enter the following information regarding

the socket and the patient:

Reference number of the job

Socket material

Liner

Residual limb sock

Distal cap

Outer liner

Knee support sleeve

Valve

Mobility grade

Weight

Amputated side

Measurement from the medial tibial plateau to the floor

Foot size

Effective heel height

Complete all fields and list boxes according to the example.



Notes

To open the dynamic buttons, click them and select the entries

from the displayed list boxes.



Notes

After you have completed all entries in the Specifications tab

according to our illustration, move to the next tab by clicking Photo View.

This is where you load the anterior and lateral digital photos and

calibrate them for the subsequent digital socket calculation.

Entries in the Photo View tab

In the Photo View tab, you complete the following steps:

Loading the anterior and lateral digital photos



Notes

Graphically marking the calibration tool and other prominent

features of the residual limb

Optionally editing the generated residual limb contour

Adding patches and medial support



Notes

Loading the anterior and lateral digital photos

After switching to the Photo View tab, the dialogue used to load the

digital photos opens automatically.

Drag the digital photos from the overview bar on the top into the

two windows Anterior Photo and Lateral Photo.

By clicking the top line with the name of the file folder, you can

change the folder.

Use the two identified digital photos for our example.

Confirm with Next.



Notes

Graphically marking the calibration tool and other prominent features of the residual limb

Establish the amputated side (our example – Left) and confirm

with Next.

The anterior view is displayed and you begin marking the

calibration tool and other prominent features of the residual limb.

To do so, click once on the desired point on the image and

confirm – if requested – with Next.



Notes

Distal calibration tool mark (KSD)

Proximal calibration tool mark (KSP)

Residual limb end mark (SD)

Patella ligament mark (MPL)

Condyle socket setting

After marking all points, you can make corrections by moving the

marks.

After the process for marking the points is completed, TT Design

automatically generates a residual limb contour. You can optionally edit

the contour or graphically position patches on the image.

You will find notes regarding these jobs in the following individual

sections.





Notes

The lateral view is now displayed, and you begin marking the

calibration tool and other prominent features of the residual limb.

To do so, click once on the desired point on the image and

confirm – if requested – with Next.

Distal calibration tool mark (KSD)

Proximal calibration tool mark (KSP)

Residual limb end mark (SD)

Patella ligament mark (MPL)

Proximal ML height mark (PML)

Condyle socket setting



Notes

After marking all points, you can make corrections by moving the

marks.

After the process for marking the points is completed, TT Design

automatically generates a residual limb contour. You can optionally edit

the contour or graphically position patches on the image.

You will find notes regarding these jobs in the following individual

sections.





Notes


You can modify and edit the automatically generated contour of the

residual limb on the anterior and lateral images with the tools described

below.

These jobs are possible both directly after calibrating the photos and at

a later time.



Notes

Smooth contour

With this tool, you can automatically smooth the entire contour.

However, this icon will no longer work if the contour was previously

modified using the other tools Move point or Remove protrusions. If the displayed contour exhibits many serious deviations or errors,

verify the contour recognition threshold by selecting the More…

button.

Undo smooth contour

With this tool, you undo the effects of the Smooth contour tool.

However, this icon will no longer work if the contour was previously

modified using Move point or Remove protrusions.



Notes

Move point Sometimes, individual raster points in the digital photo cause errors

in the contour during the automatic residual limb contour calculation

process.

You can correct such jagged irregularities in the residual limb contour

with the Move point tool.

To increase the size of the photo view, use the Zoom plus tool.

Click the point on the outline of the contour.

The selected point changes colour.

Move the point by dragging it to the correct location while holding

down the mouse button.

Delete point With this tool, you can change any part of the outline of the contour

by deleting one or more points.

The remaining points are automatically reconnected.


The selected point changes colour.

Delete the point by pressing the Delete key.



Notes

Remove protrusions

If irregularities in the residual limb contour were photographed along

with the residual limb (e.g. folds in the residual limb sock), so-called

protrusions can result during the automatic residual limb contour

calculation process.

You can correct such irregularities with the Remove protrusions

tool.

To do so, drag the connection between two points until it is smooth,

thus removing the protrusion.


Click the point on one side of the protrusion.

Now press and hold the SHIFT key and drag from the starting point

to the end point on the other side of the protrusion while holding the

mouse button. As soon as you release the mouse button, all points

between the start point and the end point are deleted.

This creates a straight line between the two points and removes the

protrusion.

You can also delete individual points in order to straighten the

contour.



Notes


To add an anterior patch, proceed as follows in our example:

Switch to the anterior view and open the dynamic button

Patches.

Click the desired patch shape once, and then click on the target

position on the image. The selected patch is inserted at the cursor

position.

Rotate the patch by “grabbing” it with the mouse on its outer

points and move it until it is positioned correctly.

If required, use the Zoom plus tool in order to enlarge the view.



Notes

To set the medial support, proceed as follows in our example:

Switch to the anterior view and open the dynamic button Medial support.

In the anterior view, use the mouse to drag the side arrows of

the medial support and thus bring it into the correct vertical position.

You can set the thickness of the medial support with the slide

control on the dynamic button.



Notes

Entries in the Socket View tab

In the Socket View tab, the generated socket is displayed in three

dimensions and can be viewed from all sides.

To do so, use the signpost and the tool bar.

Symbol Tools

Select

Rotate in three dimensions

Move

Zoom in

Zoom out

Original size (optimal display)



Notes

In addition to the visualization functions, the following functions are

available to you to edit the socket:

Medial radius of the condyle socket

Proximal ML measurement

Proximal reduction

Socket length

Distal reduction

Medial support

Posterior patch

Base plate liner

You will see a dynamic button for each of these functions, which you

can show and hide using the triangle symbol.



Notes

You open the individual buttons by clicking them; they contain:

A slide control to set the respective measurement

An Original Value button to return to the default setting

A button that displays the Ideal View for the respective

measurement

The respective measurement is shown as a red line on the socket in the

socket view. Changes to the measurements are also displayed on the

three-dimensional model.



Notes

Entries in the Component Selection tab

In the Component Selection tab, you add the required components to

the prosthesis after designing the socket.

This selection is only available to you if you also checked this option

when setting the Job Type.

Move to the Component Selection tab by clicking the button with the

same name.



Notes

You select the components from graphic lists in a three-step process.

Selection of the socket adapter

Selection of the lower component assembly

Selection of the foot

During the selection process, TT Design supports you with the

Prosthesis section on the left-hand side where the components are

assembled in graphical form.



Notes

Make the following selections in the three rows:

Your work in the Component Selection tab is complete when:

You have selected a component from each of the three rows

according to your requirements.

The measurements are displayed in the schematic

representation of the prosthesis on the left-hand side and the values

are acceptable to you.

After component selection is complete, move to the Order tab by

clicking the corresponding button.



Notes

Submitting the purchase order

After you are done processing the job in the TT Design

application, switch to the Purchase Order tab by clicking the

Purchase Order button.

Here you will see an order list of the configured components; you

can activate / deactivate the individual components by selecting

or deselecting the check box next to the component.

Components with a quantity of 0 are automatically deselected.

Check the order list and change quantities or deselect

unneeded components as required.



Notes

To launch the order process, click the button Place Order.

This opens the order form.

Retain or edit the Order Reference in the field with the same

name.

If required, select a Contact Person in the field with the same

name.



Notes

Select a Delivery Address in the field with the same name.

The delivery address from the data of your medical supply company

is stored and always available for selection here.

Select a different Ship Date or retain the date displayed.

If you also want to send your purchase order to the connected

printer, select the option Print Copy of Purchase Order.

Select Send by E-Mail. The purchase order data are

transferred to the e-mail program and can be sent out from there.

Attention You need to send out the e-mail with the purchase order data

yourself.



Notes

Closing the Otto Bock Data Station

To close the Otto Bock Data Station, select the menu command File –

Exit or the symbol in the upper right corner of the program window.

If you have not yet saved the job data then the Otto Bock Data Station

will prompt you to do so. Therefore data cannot get lost.

The Otto Bock Data Station is closed and you are back at the Windows

XP desktop.


Seminar Otto Bock Data Station - Functions 1

Notes

Introduction

When working with the Otto Bock TT Design application, you go

through up to five phases, each of which has a tab in the TT Design

processing window:

Specification Selection of the shaft-specific data and entry of the patient

measurements.

Photo View

Reading two digital photos (anterior and lateral photo).

Positioning the patches for the socket that is created later.

Socket View Three-dimensional view of the calculated socket, with the option

to make corrections.

Component Selection Selection of components for the prosthesis.

Ordering Display and editing of the purchase order for the current job.



Notes

How to start a job in TT Design

Before you can create a transtibial socket, you first have to

create the corresponding patient.

In the patient tree, select the patient for which you want to create

a new TT Design job by clicking it with the left mouse button.

Select the command New Job in the File menu, or use the New Job button underneath the job list of the selected patient.

The Job Type tab is displayed. Select the dynamic button

Transtibial.



Notes

At this stage, you can already decide which program

components of TT Design you wish to use.

Two options are available to you.

Select the corresponding option fields.



Notes

If you want to create a prosthesis socket, select Socket Design.

In the Specification tab which follows, you will be prompted to

enter the corresponding measurements.

If the socket already exists and you only require components,

choose Component Selection.

In this case, you have to classify your patient according to Otto

Bock MOBIS® in the Specification tab which follows and also

enter the length measurements required for free space

calculation and component selection.

If you are creating a prosthesis socket and then want to select

components to complete the prosthesis, select both Socket Design and Component Selection.

After you confirm your selection by clicking Next, the Specification tab

is opened in the TT Design processing window.

Enter all requested measurements here.



Notes

Specification

In the Specification tab, the measurements and information required

by the software are entered corresponding to the options you selected

in the previous tab.

Thus the number of measurements required is determined by your

selections.

Provide the following information in the left-hand column of the tab:

Order number

Socket

Liner

Residual limb sock

Distal cap

Outer liner

Knee support sleeve

Valve

Mobility grade

Weight of the patient



Notes

In the right-hand column measurements, select the patient’s

amputated side.

At this point, entering the correct side is not mandatory. If you do

not know the side, you can also identify and establish it during

photo processing.

If you also checked off Component Selection in the preceding

Specification tab, you have to specify the measurement from

the medial tibial plateau to the floor, the foot size, and the

effective heel height of the patient.

The residual limb measurements are calculated during processing.



Notes

Entries in the left-hand column

In the left-hand column, you pre-select a few core components of the

prosthesis socket. Thus you are influencing the design of the socket

and its 3D representation in the Socket View tab.

Furthermore, your patient can be classified here according to MOBIS®

(if Component Selection was chosen).

This determines which components from the Otto Bock product portfolio

are generally available for your patient in the component selection

process which follows, before the free space calculation is carried out.

Reference – identification of the current job.

Enter a reference or number for the job. This entry is later

displayed in the job list of the patient in order to identify the job

data.

Provide additional information regarding the socket components

in the fields below.

Open and close these fields by clicking the corresponding

dynamic button.



Notes

Socket style This is where you select the socket type, requirements, and

corresponding shaft material.

The circumference measurements of the residual limb can be

useful for the selection of the following optional components. The

software calculates the residual limb measurements when

generating the socket model.



Notes

Therefore, it is recommended to switch to photo processing at this

point, completing that step, then switching to the three-dimensional

socket view and subsequently returning to the Specification tab.

This makes the size selection of the liner and/or residual limb sock

easier, since the circumference measurements have then been

calculated by the program and are displayed.

The program can then suggest the corresponding component sizes for

you in the form of a pre-sort.

If no photos were taken and you are not creating a socket for the patient

but only want to select components, you have to enter the

corresponding manually measured values.



Notes

Liner If a liner is required, you can select the liner model, distal connection,

material, and liner size depending on the selected manufacturer.



Notes

Residual limb sock If a residual limb sock is required, you can determine the type, distal

connection, material, and size here.



Notes

Distal cap If a distal cap is being used, you determine the manufacturer and size

of this component here. This information is required to calculate the

socket volume.

Competitive products not included in the Otto Bock product

portfolio will not be considered on the order form.



Notes

Outer liner If an outer liner is required, the material and the color, if applicable, can

be determined here.



Notes

Knee support sleeve If a knee support sleeve is required, the material and the color can be

determined here.



Notes

Valve If you have selected a socket with vacuum technology, the required

exhaust valve is displayed here.

Through the prior selection ‘Socket with Vacuum Technology’

under the Socket Selection button, the program offers you the

optional Harmony system in the component selection which

follows later, assuming it fits into the available free space.

The exhaust valve shown here is not required for the Harmony

system, but is intended for a conventional vacuum system.

However, it can also be deselected in the ordering process later

on if you decide on a Harmony system.



Notes

Mobility grade and weight

Mobility grade Select the patient's mobility grade (grades 1 thru 4).

The selected mobility grade in conjunction with the patient weight has a

decisive influence on the functional characteristics of the prosthesis.

During the configuration of the prosthesis, only those components

which have structural and functional characteristics suitable for the

patient’s selected mobility grade and weight will be displayed.

The possible mobility grades are defined as follows:

Mobility grade 1 – Indoor walker

Mobility grade 2 – Restricted outdoor walker

Mobility grade 3 – Unrestricted outdoor walker

Mobility grade 4 – Unrestricted outdoor walker with particularly

high demands

This classification corresponds to the generally applicable

profiling questionnaire of the Medizinischer Dienst der

Spitzenverbände der Krankenkassen e.V. (MDS) (German

Registered Association of Medical Services for the National

Health Insurance Companies).



Notes

Weight

Enter the patient weight. MOBIS® classifies patient weight to 75 kilograms/165 lbs, to 100 kilograms/220 lbs, to 125 kilograms/275 lbs and over 125 kilograms/275 lbs.

Both the patient weight and the selected patient mobility grade are

shown in the Otto Bock MOBIS® logo below the weight and mobility

fields.

Mobility grade 1 / patient weight <

100 kg/220 lbs

Mobility grade 4/ patient weight <

125 kg/275lbs

During processing, you receive information about the selected

mobility grade by clicking on the mortarboard symbol.



Notes

Mobility grade 1 – Indoor walker

The patient has the ability or the potential to use the prosthesis for

transfer purposes at minimal speed on level floors. The amount of time

and the distance that he/she can walk are seriously limited due to

his/her condition.

Therapy goal: Restoration of the patient’s ability to stand and move both indoors and

with limited mobility outdoors.



Notes

Mobility grade 2 – Restricted outdoor walker

The patient has the ability or the potential to move slowly with the

prosthesis and can negotiate low environmental obstacles like curbs,

single steps or uneven ground. The amount of time and the distance

that he/she can walk are limited due to his/her condition.

Therapy goal: Restoration of the ability to stand, walk and move both indoors and

outdoors without any limitations.



Notes

Mobility grade 3 – Unrestricted outdoor walker

The patient has the ability or the potential to move with the prosthesis

with variable cadence and can simultaneously negotiate most

environmental barriers.

He/she also has the ability to move about open areas and can

undertake occupational, therapeutic and other activities that do not

expose the prosthesis to above-average mechanical demands.

This also includes those patients who have an increased need for

security due to secondary conditions (additional handicaps, special

living circumstances) in connection with medium to high mobility

activities. In comparison to healthy individuals, the amount of time and

the distance that he/she can walk are limited only in nonessential ways.





Notes

Mobility grade 4 – Unrestricted outdoor walker with particularly high demands

The patient has the ability to move with the prosthesis in a manner

similar to the unrestricted outdoor walker.

The amount of time and the distance that he/she can walk are not

limited. Moreover, due to the high functional demands, the prosthesis

can sustain a high degree of shock, tension and torsion.





Notes

Entries in the right-hand column (measurements)

Side (left or right) – select the amputated side.

The input fields for the measurements are arranged on the correct side

of the graphic according to your selection.



Notes

If you also checked off Component Selection in the preceding

Specification tab, you have to specify the measurement from

the medial tibial plateau to the floor, the foot size, and the

effective heel height of the patient.

The residual limb measurements are calculated during processing.

For the free space calculation carried out later, MPL (position

established by the photos) is assumed to be 10 mm below the medial

tibial plateau.

Measurements of the sound leg

Medial tibial plateau to the floor

The difference between the measurement from the medial tibial

plateau to the floor and the residual limb length calculated by the

software results in the amount of space available for the



Notes

components.

Foot measurements

Foot size (cm)

Effective heel height

This measurement is the difference between the total heel height

and the thickness of the sole of the shoe in the ball area. This

measurement affects the static construction of the prostheses.

Measurements of the amputated side

The measurements of the amputated side are automatically calculated

by the program later on with the help of the photos.



Notes

If no photos were taken and you are not creating a socket for the

patient but only want to select components, you have to enter the

corresponding manually measured values.

This makes it possible for the program to calculate the free

space, and also to suggest the corresponding component sizes

(residual limb socks etc., if required) for you.



Notes

Photo view

In the Photo View tab, you load the anterior and lateral digital photos.

TT Design supports your work with the Wizard, a help window that

guides you through the photo editing process step-by-step.

The Wizard supports you during the selection of the anterior and lateral

photos with a photo album. It automatically contains all digital photos

from a folder determined by you.

You can change the folder by clicking the title bar of the photo

album. This opens a Windows dialogue to select the desired

folder.



Notes

Select the drive where the digital photos are located. If you

connect the camera to your PC, it is normally recognized as a

drive and displayed in Windows Explorer. You can select this

drive.

If you have already saved the photos to a different drive on your

computer, select that drive.

Alternatively, you can create a new folder and copy the digital

photos of the lateral and anterior view to it.

The files of the existing digital photos have numbers starting with

“IMG”, e.g. “IMG_0001005”. The files have the extension “.JPG”.

The final digits of this number correspond to the consecutive

number displayed by the digital camera.



Notes

With the Restart Wizard button, you can restart the Wizard at any time

while editing photos in the Photo View. The contours created up to that

point are deleted and have to be recreated.

To select the lateral and anterior photos, simply drag the

respective photo from the photo album into the corresponding

frame.

After inserting the photos, click Next.

Select the amputated side and confirm with Next.



Notes

Tools in the Photo View

When marking and editing the lateral and anterior photos in the photo

view, you are supported by a tool bar with the following functions:

Symbol Tools

Select

Rotate counter-clockwise by 90°

Move

Zoom in

Zoom out

Original size



Notes

Editing the anterior digital photo

After both digital photos have been loaded, the anterior view is

displayed first. The Wizard guides you through the process for placing

the marks step-by-step.

During this process, you always mark a single point on the photo using

the mouse. The illustration below saves your positioning in the anterior

view.

First, mark the distal end of the calibration tool.

The mark KSD is entered. The mark must be placed as close to

the centre of the distal white point of the calibration tool as

possible, since the calibration tool serves as a reference point for

calculating the socket dimensions. You can also use the zoom

tool for during this process if required.



Notes

Mark the proximal end of the calibration tool.

The mark KSP is entered. Once again, the mark must be placed

as close to the centre of the proximal white point of the

calibration tool as possible.

Mark the residual limb end. Ensure that the contour is actually

marked on the most distal point of the residual limb. The mark

SD is entered.

Mark the centre of the patella ligament.

The mark MPL is entered.

You can verify the positions of the individual marks.

If you have accidentally placed a mark in the wrong place, you

can use the tool on the toolbar to move it to the correct

location.

You can also correct specific marks directly after placing them,

by clicking the mark and dragging it to the desired position while

holding down the left mouse button.



Notes

You now have the option of changing the orientation of the condyle

socket. The orientation calculated by the software is displayed.

You can correct the orientation of the condyle socket by clicking

the end of the displayed fork and rotating it correspondingly while

holding down the mouse button.

The axis with the condyle angle displays the orientation.

This orientation ensures that the condyle socket generated by the

reference model corresponds to the actual patient contours.

A proven method is to orient the condyle socket so that the

lateral shanks of the fork follow the lateral condyle as in the

illustration.

In order to get a feel for this tool at the outset, it may be useful to

switch back to the photo processing tab from the socket model

generated later, modify the position of the fork, and recalculate

the socket. Thus the effects quickly become obvious.



Notes

After setting the position, confirm with Next. The software calculates the anterior contour of the residual limb and

displays the contour line.

The marks from the preceding step are hidden during this

process.



Notes

You can edit the contour if it does not match the outer measurements of

the residual limb correctly. This may be the case if the photo does not

have a clean, black background or if there were reflections while taking

the photo.



Notes

The software offers multiple additional editing functions for this purpose,

which you can use to modify the calculated residual limb contour.

You will find these tools after opening the Contour dynamic button.

The contour is displayed and can be edited. Once you have created a

satisfactory contour, click Next.

Now you can optionally (depending on the selected socket

model) add individual patches, and

position and set a medial support.

To switch between the individual functions, click Next or Back.



Notes

Editing the lateral digital photo

Once you have processed the anterior digital photo, the lateral photo is

displayed. The Wizard also guides you through the process for placing

the marks step-by-step

Once again, you mark the corresponding point on the displayed photo

using the mouse.

The illustration below shows an example of the positioning of the marks

on the lateral photo.

First, mark the distal end of the calibration tool.

The mark KSD is entered.

Mark the proximal end of the calibration tool.

The mark KSP is entered.



Notes

Mark the residual limb end.

The mark SD is entered.

Mark the centre of the patella ligament.

The mark MPL is entered.

Mark the proximal ML height.

The mark PML is entered. The PML position depends on the

desired socket model.

In case of socket models that end approximately at the centre of

the condyle – in the area of the largest knee ML measurement –

the mark is placed at that location. In case of cross-condyle

socket models, the mark is placed at the corresponding location

above the condyle.

You can verify the positions of the individual marks.

If you have accidentally placed a mark incorrectly, you can use

the tool on the toolbar to move it to the correct location. You

can also correct specific marks directly after placing them, by

clicking the mark and dragging it to the desired position while

holding down the left mouse button.



Notes

You now have the option of changing the orientation of the condyle

socket. The orientation calculated by the software is displayed.

You can correct the orientation of the condyle socket by clicking

the end of the displayed fork and rotating it correspondingly while

holding down the mouse button.

The axis with the condyle angle displays the orientation.

This orientation ensures that the condyle socket generated by the

reference model corresponds to the actual patient contours.

After setting the position, confirm with Next. The software calculates the lateral contour of the residual limb under

consideration of the marks you have entered, and displays the contour

line.

The marks from the preceding step are hidden during this

process.



Notes

You can edit the contour if it does not match the outer measurements of

the residual limb correctly or if it has protrusions.

This may be the case if the photo does not have a clean, black

background or if there were reflections while taking the photo.

The software offers multiple additional editing functions for this purpose,

which you can use to modify the calculated residual limb contour.



Notes

You will find these tools after opening the Contour dynamic button.

The contour is displayed and can be edited. Once you have created a

satisfactory contour, click Next.

Now you can optionally (depending on the socket model):

Add individual patches

Position and set a dorsal support

To switch between the individual functions, click Next or Back.

Contour editing tools

You use these tools within the Photo View tab after the anterior or

lateral contour of the residual limb is automatically generated.



Notes

It is also possible to edit the contour of a residual limb photo that has

already been processed.

To do so, reopen the Photo View tab and select the anterior or

lateral view using the symbolic signpost.

Click on the dynamic button Contour.



Notes

Smooth contour

However, this icon will no longer work if the contour was

previously modified using the other tools Move point or Remove protrusions.

If the displayed contour exhibits many serious deviations or errors,

verify the contour recognition threshold by selecting the More… button.

Undo smooth contour

However, this icon will no longer work if the contour was

previously modified using Move point or Remove protrusions.

Move point

With this tool, you automatically smooth the entire

contour.

With this tool, you undo the effects of the

"Smooth Contour" tool.



Notes

Sometimes, individual raster points in the digital photo cause errors in

the contour during the automatic residual limb contour calculation

process.

You can correct such jagged irregularities in the residual limb contour

with the Move point tool.



The selected point changes color.

Move the point by dragging it to the correct location while holding

down the mouse button.

Delete point With this tool, you can change any part of the outline of the contour by

deleting one or more points.

The remaining points are automatically reconnected.


The selected point changes color.

Delete the point by pressing the Delete key.

Remove protrusions If irregularities in the residual limb contour were photographed along

with the residual limb (e.g. folds in the residual limb sock, reflections on



Notes

the calibration tool), so-called protrusions can result during the

automatic residual limb contour calculation process.

You can correct such irregularities with the Remove protrusions tool.

To do so, drag the connection between two points until it is smooth,

thus removing the protrusion.


Click the point on one side of the protrusion.

Now press and hold the SHIFT key and drag from the starting

point to the end point on the other side of the protrusion while

holding the mouse button.

As soon as you release the mouse button, all points between the

start point and the end point are deleted.

This creates a straight line between the two points and removes the

protrusion.

You can also delete individual points in order to straighten the contour.



Notes

Contour recognition threshold With this tool, you can set the brightness level the software uses to

differentiate the pixels in the digital photo as the residual limb or

background. The setting is established using a slide control.

With Use Default Value, you can reset this setting to the default value.

The lower this value is set, the further the contour extends outwards,

since darker pixels are now also identified as part of the residual limb in

the transitional area between the residual limb and the background.

This function can be useful for underexposed photos. If the value

is set too low, a black line is visible between the residual limb

and the calculated contour; this effectively makes the socket

bigger. Errors where parts of the background or the calibration

tool are identified as part of the residual limb are also more

frequent in this case. These protrusions have to be removed with

the help of the contour editing tools.

The higher this value is set, the less far the contour extends outwards,

since lighter pixels in the transitional area between the residual limb and

the background are located closer to the centre of the residual limb.



Notes

For overexposed photos, raising the brightness level can be useful.

If the value is set too high, the contour recognized by the program is

located within the residual limb. In this case, the contour is frequently

very irregular and does not follow the shape of the residual limb.

Medial support After displaying and optionally editing the anterior contour of the

residual limb, you can establish the position and thickness of the medial

support using the mouse.


To do so, drag the line with the three symbolic double arrows to

the desired position.



Notes

The two outer double arrows define the edges of the patch; the centre

double arrow shows the position of the lowest point. This position does

not necessarily have to be at the centre of the patch; it can also be

moved.

By opening the dynamic button Medial Support, you can

establish the thickness of the support. The default value is 3 mm.

Adding patches

While editing the image in the Photo View tab, you can insert one or

more so-called patches in the anterior and lateral views; patches are

applied to the socket model at the location of bony protrusions or scars.

This affects the most prominent point of the area being built up or

reduced.

Anterior and lateral patch types are available for you to select and edit

in the Photo View tab.

You can also add a patch at any time later after photo editing is

complete. To do so, switch to the anterior or lateral photo view

using the symbolic signpost, and open the dynamic button

Patches.



Notes

Anterior patches

The patch types displayed here are available for socket editing in the

anterior view.



Notes

Lateral patches

The patch types displayed here are available for socket editing in the

lateral view.

Click a patch type in the window of the Wizard.

As soon as you move the mouse pointer over the photo, the

patch is superimposed on the cursor and inserted at the desired

location in the digital photo upon clicking again.



Notes

The name of the button corresponds to the residual limb view

(anterior / lateral) and a number (e.g. Anterior 1). The number

corresponds to the sequence in which the patches are inserted.

When a patch is deleted, the numbers are automatically updated.

Such a dynamic button is available for every patch on the socket.

Once you have correctly shaped and positioned all required patches,

confirm with Next.

As soon as a patch has been positioned on

the photo, you will find a

corresponding dynamic button on the right-

hand side of the editing window; the depth

of the patch can be individually adapted.

You can adapt the position, size, and

shape of the patch by dragging

the individual points.



Notes

Socket View

In the Socket View tab, the socket calculated based on the data you

have entered is displayed in three dimensions.

You can view the socket from all sides and rotate it freely in space by

dragging it with the mouse.

When you first open the Socket View tab, three-dimensional

rotation is activated by default.



Notes

Symbolic Guide

Select the various socket views using the symbolic guide in the top right

corner of the screen.

You can modify the display size (zoom) of the socket by clicking the

right mouse button and dragging with the mouse.

Use this button in the top left corner of the screen to display or

hide the individual functions for editing the socket.



Notes

Tools

Symbol Tools

Select

Rotate in three dimensions

Move

Zoom in

Zoom out

Original size (optimal display)

Views



Notes

Symbol View



Notes

Editing the Socket

You can edit the socket you have created in the Socket View tab.

When you click the triangle symbol, the available tools are displayed

and you can set the following measurements:

When you use the individual tools, the program either offers you

the best view via a button or automatically switches to the best

view during the adjustment.

This is the view that best displays the changes being made.

As soon as you move the

cursor over the respective

dynamic button, its color

changes to red and

the corresponding

measurement is displayed on

the socket.



Notes

Medial radius of the condyle socket

To edit the medial radius of the condyle socket, select the

dynamic button shown above. The current value is displayed on

the button.

In addition to changing the value with a slide control, you can set the

socket view to anterior.

The changes to the dimensions are best displayed in this view.

With Original Values, you undo your changes and reset to the

original values.

Clicking on the top of the handle closes it.



Notes

Proximal ML measurement

To edit the proximal ML dimension, select the dynamic button

shown above. The current value is displayed on the button.





original values.




Notes

Proximal reduction

To edit the proximal reduction, select the dynamic button shown

above. The current value is displayed on the button.





original values.




Notes

Socket length

The socket length defines the distance from the centre of the patella

ligament to the end of the socket.

To edit the socket length, select the dynamic button shown






original values. Clicking on the top of the handle closes it.



Notes

Distal reduction

To edit the distal reduction, select the dynamic button shown






original values.




Notes

Base plate liner

If you selected a liner that has a fixed base plate, this dynamic

button is displayed. Thus the orientation of the plate can be

edited if required.

You can modify three parameters:

Angle

Displacement in the sagittal plane: Posterior – anterior

Displacement in the frontal plane: Medial – lateral



Notes

Every time a parameter is changed using the corresponding slide

control, the program automatically displays the corresponding socket

view. The changes to the dimensions are best displayed in this view.

Clicking on the top of the handle closes the tool.



Notes

Medial support

To edit the medial support parameters, select the dynamic button


In principle, this function corresponds to the medial support

positioning function in the photo view of the anterior image.

Here you receive a better overview of the medial support position

due to the three-dimensional socket view.



Notes





original values.




Notes

Posterior patch

To edit the posterior patch parameters, select the dynamic button



socket view to lateral.



original values.




Notes

Residual limb statistics

With the Residual Limb Statistics command in the View menu, it is

possible to compare the residual limb dimensions of two TT Design

orders for a patient. The following dimensions can be compared:

AP dimension

ML dimension

Circumference

Volume



Notes

After opening the residual limb statistics window, the left-hand side of

the window initially displays the values for the current job.

To compare these values with another job for the same patient,

you can select another job by date or reference in the selection

field at the top right.

The values for the comparative job are then displayed on the right-hand

side of the window.

Reconciling the residual limb length Before comparing the residual limb dimensions of two orders for a

patient, the residual limb length must first be reconciled to the same

value so that a realistic comparison is possible.

Differences in the length measurements are unavoidable due to

small discrepancies when the positioning the MPT (‘Mid Patella

Tendon’) mark.

The volume of the two residual limbs can only be compared if the

residual limb lengths are reconciled manually.



Notes

Read the corresponding length of the residual limb from the

current values on the left-hand side and enter the same value in

the Length field on the right-hand side.

The button Original Value located below displays the original

residual limb length of the second job and resets it when the

button is clicked.

You can view the volumes of the two residual limbs in the Volume

fields.

With Print, you can send the residual limb statistics data to the

connected Windows printer.

With Copy, you can store the residual limb statistics data on the

Windows clipboard.

With Ctrl+V, you can paste these data into another program, e.g.

a word processor, for further editing.



Notes

Component Selection

In the Component Selection tab, TT Design guides you through all

phases of functional and constructive prosthesis configuration.

Since the initial calculation of the possible component combinations

demands a lot of computer processing power, you can monitor the

progress of this activity on the blue progress bar in the top of the

Component Selection tab.

The individual prosthesis components are then displayed for selection

based on the specified degree of mobility and patient weight and the

related characteristics and criteria.

This configurator guides you through the component selection and

assembly process step by step, and continuously informs you about all

available options and the characteristics of the individual components.



Notes

The functions in the Component Selection tab are only available

if you chose the Component Selection option in the Job Type

tab.

After component selection is complete, you move to the Order tab.



Notes

Structure of the Component Selection tab

The Component Selection tab is divided into three vertical sections:

The Prosthesis section with a graphical, dimensioned

representation of the selected component

The Component Selection section with the available

components

The Filter section assigned to the individual component selection

rows, which makes selection according to constructive

characteristics easier



Notes

Prosthesis section

In the Prosthesis section on the left-hand side,

you can see a graphical representation of the

assembled selected components.

This is where you see the current, still

incomplete or later also complete,

schematically assembled prosthesis.

The components you select in the Component Selection section are

inserted into this column.

The configured prosthesis is assembled graphically, step by step.

The graphical information shows the progress of the selection process

and permits visual verification of the components used.

As soon as the prosthesis is fully configured, the program calculates the

free space.

A dimension of ± 0 shows that the selected components fit into

the available free space and that an adjustment to the required

overall prosthesis length is possible.

Component Selection section



Notes

In the Component Selection section in the center, you select

the individual components - which are displayed graphically -

simply by clicking the illustration of the desired component.

The available components are displayed at the appropriate level of the

prosthesis schematic shown on the left-hand side.



Notes

The available components are divided into rows according to the

installation location within the prosthesis, from top to bottom:

Socket adapters

Component assemblies

Foot

The individual components can be selected by clicking them with

the mouse, and are then inserted into the schematic

representation of the prosthesis shown on the left-hand side. If a

component from that group has already been inserted, it is

replaced and the new component is shown.

In order to display information about a component, hold the

mouse pointer over the component briefly. Descriptive text for the

respective component is displayed. Use these texts to help you

make decisions during component selection.



Notes

Components that do not fit into the available free space due to their

structural height in combination with the previously selected

components are displayed with a double arrow. This applies to

component combinations that are too long as well as those that are too

short.

If you select such a component that is identified with an orange

double arrow, it is still displayed in the schematic representation

of the prosthesis shown on the left-hand side.

At the same time, the previously selected component that requires too

much space in combination with the new component is deselected and

is itself shown with an orange double arrow in order to identify the

space issue.

If more components are available than can be displayed in a row,

you can use the arrows on the sides to scroll left and right.



Notes

As soon as you complete a row by selecting a compatible component,

the color of the corresponding filter changes from red to blue. A red filter

box indicates that a component selection has not yet been made on the

corresponding row.

Filter section In the right-hand Filter section, characteristics for the individual

components can be selected. These characteristics correspond to the

characteristics or construction of the components.

When the Component Selection tab is first opened, no characteristics

are selected.

If there is a large range of choices in the type and construction of

a component, you can select the desired characteristics in the

filter section.



Notes

The components that correspond to the selected criteria are

automatically moved to the left side of the component row and identified

with green checkmarks.

The sequence of the components within a row is determined by

the MOBIS® system; the components are listed in ascending

order by the degree of mobility and allowable patient weight (see

Otto Bock System Overview for Modular Leg Prostheses in the

catalogue).

This also applies if the sequence was modified through the use

of filters. In this case, the selected components displayed at the

left are shown in the corresponding MOBIS sequence within that

sub-group.

You can identify the characteristics of a selected component at a



Notes

glance by looking at the small white dots within the

corresponding filter section. These show the assignment of the

component within the filter criteria.

Your work in the Component Selection tab is complete when:

You have selected a component from each of the five rows

according to your requirements.

The measurements are displayed in the schematic

representation of the prosthesis on the left-hand side and the

values are acceptable to you.

After component selection is complete, move to the Order tab by

clicking the button with the same name.



Notes

Order

In the Order tab, you can view a summary of the configured order as

well as summarized and detailed lists of all components.

When an individual component of the prosthesis is selected in the order

list on the right-hand side, it is displayed with its product description

on the left-hand side of the tab.

This includes a photograph of the component and a specific description.



Notes

The Order tab contains the order list on the right-hand side, which lists

the item numbers, descriptions, and order quantities.

You can set the quantity for each component in the order list.

If you do not need an individual component, you an deselect it by

changing the quantity to zero.

This allows you to avoid reordering components you may already

have in stock. On the other hand, you can order certain

components in larger quantities, for example to stock them as

replacement parts.



Notes

To place the order with Otto Bock, click the Order button.



Notes

This opens the Order form, where you can complete the following

information:

Order reference

Enter an order reference. By default, the field displays the order

reference entered at the outset.

Contact person

You can select a contact person here.

The data for the list of contact persons can be maintained in the

tab Addresses/Personnel of the option dialog (menu command

Tools – Options…).

Shipping address

You can select an alternative shipping address here.

The data for the list of shipping addresses can be maintained in

the Addresses/ Personnel tab (menu command Tools – Options).

Selection of the shipping date (depends on regional settings).

With the help of the calendar, you can select the desired

shipping date.

No partial delivery – depends on regional settings. If you check

this field, the order will only be sent as a complete delivery. The

order will not be sent until all parts are available.



Notes

Notes to Otto Bock regarding the order

You can enter order notes here. These notes are sent directly to

Otto Bock and are considered during order processing.

Send by e-mail …

E-mail the order to Otto Bock.

Depending on the e-mail configuration settings, the e-mail

program is opened and ready to send the order.

Alternatively, if you have a non-MAPI e-mail application, you

receive a message that the order file has been generated

successfully. The corresponding folder, file name, e-mail

address, and subject line are also displayed.

You then have to send the order file to Otto Bock manually as an

attachment to an e-mail.

Please do not forget to copy the subject line into the e-mail

message before you send it.

Print

If you check this field, a copy of the order is automatically sent to

the default Windows printer when the order is placed.

Cancel

Cancels the order process.

Date post:	21-Jul-2018
Category:	Documents
Upload:	trankhuong
View:	217 times
Download:	0 times

Otto Bock TT Design - PCS Product...

Documents