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RapidFit™
Standard Adapter Kit
For Transtibial and Transfemoral Laminated Sockets
(RapidFit # 1040)
Swanson Regional Orthotic & Prosthetic Research Center has developed
the
RapidFit Method to improve patient care for lower
limb amputees.
RapidFit
Overview
For a printable version in
Microsoft Word select here
Before you begin: Read
directions completely
RapidFit #1040 has
slots for Carbon Tape Reinforcement
Materials Needed: RapidFit
Standard Lamination Adapter # 1040, Mold Sealer,
Dacron Felt, Nyglass and Perlon Stockinettes, PVA Bag
and Acrylic Resin.
Tools Needed: 5mm Hex Key, Cast
Saw, Channel Lock Pliers
Plaster Model Preparation
- Take the cast over the
suction liner and or cast sock.
- Fill the cast with plaster
keeping the pipe 2" from the bottom of the
cast.
- Seal the plaster model using
an appropriate mold sealer.
- Apply the non-stick nylon
stockinette to the plaster model for a vacuum air
wick.
- Paint the distal end of the
cast around the knot in the nylon with a mold
sealer. This will glue down the nylon for
trimming. Let dry and trim the nylon in a circular
shape slightly smaller than the lock mechanism.
- Apply the PVA bag and cap the
distal end.
- Cut a round piece of stretch
tape the same size as the attachment tooling and
apply to the PVA over the drilled hole. The tape
will help prevent the PVA from tearing. Puncture a
hole in the tape over the drilled center hole.
Fasten the attachment tooling with the four long
nails provided with the RapidFit Kit. NOTE:
Using the longer nails provided by the RapidFit
Kit will provide a more secure attachment.
Lay-Up Considerations for Carbon Tape
Reinforcement Careful consideration must be given
to choice of materials used in construction of the
laminated socket. The Prosthetist should consider
the patient's age, weight, height, activity level
and the other components used in the prosthesis.
- Apply the 1" carbon tape
reinforcement through the anchor holes in the
RapidFit Adapter. Apply additional layers of
carbon tape as needed according to the patient's
activity level.
- Install the Center Hole
Sleeve insert with o-ring to the bottom of the
RapidFit Adapter center threaded hole and tighten
using the pin tool provided so that it is flush
with the top of the adapter.
- Lubricate the four size M6 x
25mm socket head cap screws for easy removal.
Attach the four-hole square spacer block to the
RapidFit™ Lock Adapter with the four socket head
cap screws. Lubricate the M6 X 25mm socket head
cap screw and install in the side hole in the
square spacer block. Tighten all screws with hex
key. Fill the screw heads with fitting gel or clay
putty.
Lay-Up and Lamination
Careful consideration must be
given to choice of materials used in construction of
the laminated socket. The Prosthetist should consider
the patient's age, weight, height, activity level and
the other components used in the prosthesis. The
following is an example of a standard lay-up used for
an average patient.
Lay-Up Example:
- Apply
one layer of ½ ounce Dacron Felt.. punch a hole
in the Dacron the same size as the attachment
screw(s). Be careful not to cut the PVA bag.
- Cut
a round section of ½ ounce Dacron Felt about
9" in diameter. Trim out a circular hole in
the Dacron slightly smaller in size as the nailed
round attachment tooling. Apply this round Dacron
Felt on top of the first layer of felt. Place the
hole over the attachment tooling. This is needed
to hide the carbon tape on the inside of the
socket.
- Apply the RapidFit Adapter
with 1" carbon tape reinforced anchor holes
to the plaster model.
- Fasten the RapidFit Adapter
to the plaster model using the socket head cap
attachment screw. The Prosthetist should check and
adjust the RapidFit position for correct rotation,
then tighten with hex key. Fill the screw head
with fitting gel or clay putty.
- Apply two layers of Nyglass
stockinette. Tie the Nyglass into the tie ring and
reflex back over the model. Note: Spectralon™
stockinette may be substituted for Nyglass.
- Apply two additional layers
of Nyglass stockinette. Tie the Nyglass into the
tie ring and reflex back over the model. Note:
Spectralon™ stockinette may be substituted for
Nyglass.
- Apply two additional layers
of Nyglass stockinette. Tie the Nyglass into the
tie ring and reflex back over the model. Note:
Spectralon™ stockinette may be substituted for
Nyglass.
- Apply one layer of Perlon
stockinette. Note: Other finish stockinette may be
substituted for Perlon.
- Apply the outer PVA bag and
pour cone. Laminate with acrylic resin such as
Epox-Acryl. Tie off the excess resin with a
string.
Shell Lamination for a
cosmetic cover
- Fill any undercuts
with clay putty or fitting gel. Apply one cotton
or nylon stockinette for a separator. Apply the
inner PVA bag and tie off the top. Apply two nylon
stockinette twisted and reflected back. Apply the
PVA Bag and pour cone. Laminate with 80-20
polyester resin.
Trimming
- Let the lamination
cool down. Sand away the material covering the end
of the lamination over the attachment screw.
Remove the socket head cap screw with a hex key.
- Sand away the material
covering the end of the lamination over the five
socket head cap screws. Remove the four size M6 x
25 mm socket head cap screws with a 5mm hex key.
- Trim out the four-hole square
spacer block. Remove the four-hole square spacer
block. Use the side M6 x 25mm socket head cap
screw to pull out the square spacer block or use
channel lock pliers.
- Trim out and remove the
socket from the plaster model. Sand and buff trim
lines. Clean off any excess plastic on the
RapidFit Adapter.
Assembly
- Remove the Center
Hole Sleeve from the bottom of the RapidFit
Adapter using the pin tool. Install the RapidFit
Center Hole Plug to the bottom of the Adapter
center hole. Tighten with Screwdriver.
Suction Option: Use the RapidFit Suction Kit
to provide an air-expulsion feature to your
socket.
- Install the other
endoskeletal components according to
manufacturer's directions. NOTE: A set of
four 6 mm x 16 mm stainless steel flat head socket
screws are provided for your convenience. Apply
thread lock such as Loctite 242 to the four 6mm x
16 mm stainless steel flat head socket screws and
tighten to a torque setting of 12 Nm or 9 foot
pounds.
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