Biometrics Ltd

Minimum Computer
Requirements:
• Intel Pentium 1 GHz or higher
• 128 MB RAM
• 50 MB available hard disk
space
• CD ROM drive
• SVGA color monitor
• Serial port
• Parallel port
• Mouse & keyboard
• Sound Card (Sound Blaster
16 compatible)
• Speakers
• Operating system Windows
2000 or XP
• Graphics card (minimum 4
MB memory)
Documentation and
Progress Reporting
The report parameters are
defined by the user and
selected in the report window.
The user may customize the
report header and footer.
Data Export
Powerful export function with
selectable parameters to
quickly define the export
criteria. Single or multiple
patient data is exported as an
ASCII file, easily imported into
other applications for statistical
analysis, outcomes reporting,
and research studies.
All products covered by this
brochure have been
independently certified to
European Medical electrical
Safety Standard EN60601-
1:1990 and conform to the
European Medical device
Directive 93/42/EEC.
Biometrics Ltd
Nine Mile Point Ind. Est.
Gwent
NP11 7HZ
United Kingdom
Tel: +44 1495 200 800
Fax: +44 1495 200 806
PO Box 340
Ladysmith, VA
22501
USA
Tel: +1 804 448 2520
Fax: +1 804 448 0021
North American toll free:
800 543 6698
Email: sales@biometricsltd.com
Web: www.biometricsltd.com
All the enclosed information is
correct at the time of printing.
Biometrics Ltd reserves the
right to amend any specification
without notice. Biometrics Ltd
Unique Solutions for Clinical and
Research Applications
Including:
■ Active Resistive Upper
Extremity Exercise
■ Documentation &
Progress Reporting
■ Impairment Calculations
NEW
■ EMG Exercise
■ Finger & Hand Exercise
■ Lower Extremity Exercise
Biometrics Ltd

E-LINK is a comprehensive range of products for computerized evaluation and
exercise. Modules include electronic instrumentation for:
■ Active & active resistive exercise of the upper extremity
■ Active exercise of the lower extremity, back, and neck
■ Isometric pinch and grip strength measurements and
exercise
■ EMG biofeedback and exercise
■ Upper & lower extremity weight bearing exercise
■ Range of Motion measurements
E-LINK Database Software
■ Create, store & retrieve patient records
■ Contains standard diagnosis list modifiable by the user
■ User defined fields – additional fields may be named and added
to Patient Information, as well as some of the evaluation test
screens
■ Standard Text – paste often used text or templates into note
fields. The text may be created in the E-LINK software or pasted in
from other applications
■ Database software with automated data collection for
fast, accurate measurements, documentation, statistical
analysis, and progress reporting
■ Automatic calculation of Upper Extremity Impairment
Rating using the AMA Guides to Permanent Impairment
rev 4th and 5th editions and the Florida Uniform
Permanent Impairment Rating Schedule
■ Data Export – Selectable parameters quickly define the export
criteria. Single or multiple patient data is exported as an ASCII file,
easily imported into other applications for statistical analysis,
outcomes reporting, or research studies
■ Reports – comprehensive graphical, tabular and text colour
reports with user selectable parameters
■ Security features – multiple levels of users to restrict access to
and protect the privacy of data collected.
E-LINK Exercise
Research shows when engaged
in purposeful, activity based
exercise – patients will exercise
for a longer period, exhibit wider
range of motion, report less
pain, and in general rehabilitate
faster.
E-LINK takes this well proven
concept of activity based
exercise and incorporates it into
a computer environment.
The E-LINK parameters are set
by the therapist, then the patient
self exercises. The settings and
results are saved in the patient’s
record where they can be viewed
by the therapist and printed on
the report.
E-LINK accommodates a
wide range of patients: from
Paediatrics to Geriatrics, in both
Orthopaedic and Neurological
settings.
The E-LINK range of products
and software for exercise cover
the spectrum of rehabilitation
needs:
E-LINK Evaluation
Computerized evaluation gives
greater objectivity, accuracy,
and speed of data collection
and calculation.
The E-LINK range of products
and software for evaluation
cover a variety of clinical
applications from standard
measurements done in almost
every rehabilitation setting to
comprehensive calculations
done in specialized practices.
■ E3000 Upper Limb Exerciser
– active and active resistive
exercise of the upper extremity.
Variable ranges of movement and
resistance for wrist, forearm,
elbow, and shoulder exercise. The
Upper Limb Exerciser also
functions as the primary interface
to the computer for the Myo-EX,
Angle-X, Hand Kit, ROM Kit, and
ForcePlate.
■ L300 Lever Arm – tool used
with the E3000 for elbow &
shoulder exercises
■ H400 Hand Kit – isometric
pinch and grip exercises. As
M400 Myo-EX
■ H400 Hand Kit - electronic
pinchmeter and dynamometer.
Easily performs tests that cannot
be done with manual instruments.
■ R400 ROM Kit - small and
large electronic goniometers.
Quickly and accurately records
range of motion measurements.
■ ICSW Impairment
Calculation Software -
additional test screens for
calculating Hand & Upper Extremity
Impairment ratings.
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opposed to traditional zero to peak
force repetitive exercise, the range
of force may be graded, setting
the minimum and maximum, to
meet the patient’s functional goals.
The pinchmeter and dynamometer
are also used for evaluation.
■ M400 Myo-EX – uses the
electrical activity generated by a
muscle (surface electromyography
or EMG) to control the activities.
Useful for patients at a very early
stage of rehabilitation, and for
biofeedback and muscle reeducation
of the upper & lower
extremities, back, and neck.
FP1 Force Plate
■ ESW Evaluation Software -
graphical and text documentation
screens.
R400
M400 AngleX
■ M400 AngleX – unique
sensors for active exercise of
any joint capable of movement
against gravity. Used for finger,
hand, upper extremity, lower
extremity, back, head and neck
movements.
■ FP1 ForcePlate – general
upper and lower extremity weight
bearing exercise. As little as the
touch of a finger through to full
standing.
■ S150 Small Tool Set –
additional tools for the E3000,
especially useful in Paediatrics
and Hand Therapy.
H400

E3000 Upper Limb Exerciser
The E-LINK Upper Limb Exerciser is designed for active and active resistive
upper extremity exercise. The various tools provide wrist flexion/extension,
radial/ulnar deviation; forearm pronation/supination; elbow flexion/extension;
shoulder flexion/extension, abduction/adduction, internal/external rotation.
The Upper Limb Exerciser also functions as the primary interface to the
computer for the Myo-EX, Angle-X, Hand Kit, ROM Kit, and ForcePlate.
The versatility of the parameters allows rehabilitation for a
wide range of orthopaedic and neurological patients.
■ Range of motion used for exercise can be set as little as 2
degrees, exercising patients with very little motion, through to full
range of motion.
■ The resistance can be adjusted, at the lowest level starting as
soon as the patient
is cleared for
active exercise,
increasing the
resistance as the
patient progresses
through
rehabilitation.
■ The Activity
Modules can be
graded for speed
and difficulty. This
E300 with L300 Lever Arm
allows a graduating
course of therapy for each patient. The interactive Activity Modules
engage the patient in the process, provide motivation and
feedback, and eliminate the boredom associated with repetitive
exercise.
■ The versatility of the Activity Modules address a wide range of
physical and cognitive needs. From simple end range to end range,
gross motor activities to various type of matching and sequencing
of objects to complex spatial relationships requiring fine motor
control.
Physical Rehabilitation to
Restore Function for Patients
with Limitations in Upper
Extremity Use:
■ Increase Range of Motion
■ Increase Strength
■ Increase Endurance
■ Motor Learning and Control
■ Tactile Sensitivity
■ Velocity of Movement
■ Positive Impact on Essential
Activities of Daily Living
■ Both Fine Motor and Gross
Motor Activities
Treatment for Patients with
Neurologically Related
Cognitive and Perceptual
Deficits:
■ Eye-hand Coordination
■ Color Perception
■ Spatial Perception
■ Tracking & Scanning
■ Sequencing of Activities
■ Object Association
■ Concentration
■ Neuromuscular Re-education and
Control
■ Visual Field and Visual Attention Deficits
S150 Small tool set
H400 Hand Kit
The Biometrics’ Hand Kit uses isometric grip and pinch force to control the
activities in the exercise software. The dynamometer and pinchmeter also
provide for accurate measurement of isometric grip and pinch strength,
sustained grip and rapid exchange grip testing in either Kg or lbs.
Grip & Pinch Strength Evaluation
Biometrics’ computerised
tools for strength
evaluation and exercise
measure in 0.1 increments
(Kg or lbs) and include
tests that cannot be done
with manual devices. In
addition to speeding up
data collection, they are
extremely sensitive
providing accurate
measurement on very
weak or debilitated
patients.
The precision Biometrics’ dynamometer linked to the
E-LINK software easily and accurately measures:
■ Peak force in any or all of the five positions, up to three trials
per position, with automatic calculation of average and coefficient
of variation
■ Sustained grip test measures force over time in 5, 10, 15, and 30
second intervals and calculates peak force, time to peak, average, and
fatigue rate
■ Rapid exchange test, for detection of sub-maximal effort, is easily
performed and the results documented in both graph and
table form
■ Progress reporting over multiple sessions, in both graph and table
form, with calculation of percentage change from session to
session, and comparison with standard Jamar normal values
The unique low profile design of the Biometrics’ Pinchmeter allows
measurement and exercise at closer to end range than any other
device – manual or electronic. The software accurately and easily
measures:
■ Key (Lateral), Three Jaw (Tri-pod), Tip to Tip – three trials per
position, calculates average and co-efficient of variation
■ Progress reporting over multiple sessions, in both graph and table
form, with calculation of percentage change from session to session
3 4
Isometric Pinch & Grip Exercise
As opposed to traditional
zero to peak force
exercises, the range of
force may be graded,
setting the minimum and
maximum, to meet the
patient’s functional goals.
Force ranges for exercise
are set in 0.1 increments
with a maximum load of
90 Kg (200 lbs) for grip
and 22 Kg (50 lbs) for
pinch. The movement of
the objects in the E-LINK Activity Modules is controlled by the
application and relaxation of isometric grip or pinch within the set
parameters. The various modules provide purposeful activity, isometric
strengthening, motor learning and control.
The range of force settings and activities allow multiple exercise
options such as:
■ Zero to peak force exercise, taking the patient from full relaxation to
maximum, including the option to hold at peak force
■ Exercise within patient limitations, setting the minimum at greater
than zero, causing the patient to sustain the pinch or grip and control
the force application and relaxation
■ Setting the force range very low allows controlled purposeful activity
while minimizing joint loading. This is useful for patients with Arthritis
and other situations where low force on the joints is desirable
■ By varying the range of force and time, the patient’s rehabilitation
can be oriented to specific job or ADL goals
■ The Activity Modules provide a range of effects – from gross
isometrics strengthening to fine motor control
The H400 requires either the E3000 Upper Limb Exerciser or the CX4
Accessory Communications Unit as the interface to the computer.

M400 Exercise Kit
The M400 Exercise Kit consists of sensors for surface EMG and active
movement against gravity and provides unique rehabilitation opportunities
by use of innovative technology. The M400 can be used very early in the
rehabilitation process – as soon as the patient recovers any voluntary
muscle control.
The M400 Exercise Kit consists of the Myo-EX and AngleX sensors and requires
either the E3000 Upper Limb Exerciser or the CX4 Accessory Communications Unit
as the interface to the computer.
The M400 is designed for:
■ Orthopaedic and Neurological Rehabilitation
■ Hand and Upper Extremity Exercise
■ Lower Extremity Exercise
■ Neck & Back Exercise
Angle
The innovative AngleX sensors respond to active movement against gravity,
from very small amounts of movement such as lifting a finger off the table
through to full range of joint movements. The movements control the objects
in the E-LINK Activity Modules
providing unique interactive exercise
and biofeedback.
The following movements
for exercise are possible:
■ Hand
■ Fingers
■ MCP, PIP, DIP
➔ extension and flexion
➔ individual joints (blocked)
➔ full finger
extension/flexion
(composite fist)
■ abduction and adduction
The AngleX sensors are designed to
be attached close to the joint to be
exercised using double sided tape.
The small size and light weight ensure
the instrument does not interfere with
normal joint movement.
AngleX sensors come in two
sizes.
The small NC1 is designed for
finger and hand exercises. The
larger NC2 is designed for all
other movement patterns.
■ Thumb
■ MCP, IP
➔ extension and flexion
➔ CMC
➔ radial abduction
➔ palmer abduction
➔ adduction
■ opposition
■ Wrist
■ extension and flexion
■ radial and ulnar deviation
■ Forearm
■ pronation and supination
■ Elbow
■ flexion and extension
■ Shoulder
■ flexion and extension
■ abduction and adduction
■ internal and external rotation
■ Neck and Back
■ extension and flexion
■ lateral flexion – left and right
■ Lower Extremity
■ Hip
■ extension and flexion
■ abduction and adduction
■ internal and external rotation
■ Knee
■ extension and flexion
■ Ankle
■ dorsiflexion and
plantarflexion
■ inversion and eversion
Myo-E
Myo-EX uses surface EMG for unique computerised exercise and
biofeedback.
When a muscle contracts electrical activity is generated within the
muscle that may be measured using electrodes placed on the surface
of the skin. This electrical signal is usually in the order of up to 3,000
micro volts and is referred to as
electromyography or EMG.
The Myo-EX EMG pre amplifier
designed and manufactured by
Biometrics has been developed
with ease of use and quality of
signal in mind. What this means
in practice is that little or no skin
preparation and no gels or
creams are required, yet the
quality of the signal is absolutely
superb.
FP1 ForcePlate
ForcePlate for upper and lower extremity weight bearing exercise
The E-LINK FP1 is designed for upper and lower extremity exercise. The
Activity Modules are controlled by the application and relaxation of
force applied and can be set in 0.1 increments (Kg or lbs).
The ForcePlate responds to as little as the touch of a finger through
to full standing weight bearing. The versatility of the ForcePlate
allows rehabilitation for a wide range of orthopaedic and/or
neurological patients.
Orthopaedic applications include:
■ Full or partial standing weight bearing for hip & knee
rehabilitation
■ Isometric ankle dorsiflexion/plantarflexion
■ Hip adduction/abduction
■ Upper extremity weight bearing for strengthening
■ Wrist extension (isometric) to increase ROM
■ Finger abduction
5 6
The electrical activity produced by
the muscle is used to control the
Activity Modules in the E-LINK
software – providing a truly novel
application for biofeedback and
muscle re-education. Easily
adjusted parameters enable use
with a wide range of patients –
from extremely debilitated through
to professional athletes.
While the full scale is 0 to
3000 micro volts, neuro
patients have successfully
used the Myo-EX with as
little as 9 micro volts of
muscle activity.
The Myo-EX comes with
two styles of EMG Pre-amplifiers. The GX1 has integral electrodes and
is applied over the body of small or large muscles using the die cut
medical grade double sided adhesive tape. The GX2 is designed for use
with disposable electrodes having a standard snap connector.
Neurological applications include:
■ Standing weight shifting
■ Seated weight shifting
■ Head and neck control for spinal cord injury patients
■ Desensitisation - start with light touch, low force, short duration –
increase force and duration as the patient tolerates
■ Upper extremity weight bearing to facilitate transferring
■ Gross motor control – use as a switch
The FP1 ForcePlate requires either the
E3000 Upper Limb Exerciser or the
CX4 Accessory Communications Unit as
the interface to the computer.

R400 ROM Kit
Range of Motion Measurements – upper and lower
extremity Speed and accuracy of data collection are
greatly increased using the automated hand held
goniometers – the goniometer is positioned on the joint
and a press of the switch enters the data in 1°
increments. The small goniometer is used for the hand;
the large is for wrist, elbow, shoulder, hip, knee, and ankle.
The R400 measures:
■ Hand (fingers & thumb) – active & passive, extension & flexion,
abduction & adduction, lateral deviations & rotational
deformities, calculation of Total Active Motion and Total Passive
Motion.
■ Wrist – active & passive, extension & flexion, radial & ulnar
deviation
■ Forearm – active & passive, pronation & supination
■ Elbow – active & passive, extension & flexion
■ Shoulder – active & passive, extension & flexion, abduction &
adduction, internal & external rotation
■ Lower extremities – active & passive, hip, knee, & ankle
■ Documentation of ankylosis and arthrodesis for the above joints
Other ROM Measurement (entry of manually collected data)
■ Tip to Palm
■ Thumb Opposition
■ Neck & Back
Progress reporting over multiple sessions, in both graph and table
form.
The R400 requires either the E3000 Upper Limb Exerciser or the
CX4 Accessory Communications Unit as the interface to the
computer.
ESW - Evaluation and
ICSW - Impairment Software
Comprehensive software for documentation of manually collected data and calculation
of impairment increases speed and accuracy of data collection and reporting.
Calculation of Upper Extremity Impairment using the AMA (American Medical
Association) Guides to the Evaluation of Permanent Impairment (rev 4th & 5th editions)
and the Florida Uniform Permanent Impairment Rating Schedule.
The Biometrics Evaluation and Impairment Calculation Software
modules provide standardised reporting with simple, fast data
entry.
ESW – Evaluation Software
Documents the results of tests and data collected manually,
including some that factor into the Impairment Ratings.
■ Test Sequence – allows the user to set up testing protocols
■ Amputation – graphical documentation.
■ Coverage/comesis – graphical documentation of physical
appearance.
■ Sensation Tests – graphical documentation of Semmes Weinstein
and Two point discrimination
■ Pain
■ Manual Muscle Test
■ Oedema – circumferential and volumetric
■ Provacative Diagnostic Tests
■ Dexterity Tests
ICSW – Impairment Software
Documentation screens and tests primarily used to calculate AMA
Impairment ratings. To obtain the complete Upper Extremity
Impairment Rating, this software is used in conjunction with the
H400 Hand Kit, R400 ROM Kit, and the ESW Evaluation software.
Automatic calculation of impairment saves significant time over
manual methods and prevents calculation errors.
■ Major Nerve Injuries
■ Vascular Disorders
■ Other Bone & Joint Disorders
■ Impairment Calculation
The comprehensive Impairment Report provides both the summary
values as well as detailed charts and text showing how the
summary values were calculated. The Impairment Report also
includes the ability to use the uninvolved side as the normal for
calculation of ROM and Strength impairments and the option to not
print any values for the uninvolved side.

The E-LINK Systems package together popular components in configurations tailored to meet
a wide range of clinical applications and budgets.
EP1 Evaluation &
Exercise Package
System for:
◆ Upper & Lower Extremity Exercise
◆ Back & Neck Exercise
◆ Upper Extremity Evaluation
◆ Upper Extremity Impairment Calculation
◆ Comprehensive Documentation & Progress
Reporting
Includes:
■ E3000 – Upper Limb Exerciser
■ L300 – Lever Arm for elbow/shoulder exercise
■ H400 – Grip & pinch measurement & exercise
■ R400 – Upper & lower extremity range of motion measurements
■ FP1 – Upper & lower extremity weight bearing exercise
■ M400 – Myo-EX (whole body EMG for exercise) & AngleX (whole
body active exercise against gravity)
■ S150 – Small handle set for E300
EP3 Exercise Package
System for:
◆ Upper & Lower Extremity Exercise
◆ Back & Neck Exercise
◆ Documentation & Reports
Includes:
■ E3000 – Upper Limb Exerciser
■ L300 – Lever Arm for elbow/shoulder exercise
■ H400 – Grip & pinch measurement & exercise
■ FP1 – Upper & lower extremity weight bearing exercise
■ M400 – Myo-EX (whole body EMG for exercise) & AngleX
(whole body active exercise against gravity)
■S150 – Small handle set for E3000
The EP3 includes all components necessary to make one
E-LINK exercise station using your own computer, printer, and
table.
CX4 Accessory Communications Unit
The CX4 Accessory Communications Unit is designed to serve as
an alternative interface to the computer for:
H400 Hand Kit R400 ROM Kit
M400 Exercise Kit ESW Evaluation Software
FP1 ForcePlate ISCW Impairment
Calculation Software
Create stand alone systems for evaluation, exercise or both.
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■ ESW Evaluation Software
■ ICSW Impairment Calculation software
The EP1 includes all components necessary to make one complete
E-LINK evaluation and exercise station using your own computer,
printer, and table.
The CX4 also allows larger
clinics to maximize their
investment with a
low cost expansion
of hardware and
software to make
multiple
workstations.
EP5 Exercise Package
System for:
◆ Upper & Lower Extremity Exercise
◆ Back & Neck Exercise
◆ Documentation & Reports
Includes:
■ M400 – Myo-EX (whole body EMG for exercise) & AngleX
(whole body active exercise against gravity)
■ FP1 – Upper & lower extremity weight bearing exercise
■ CX4 – Accessory Communications Unit
The EP5 includes all components necessary to make one E-LINK
exercise station using your own computer, printer, and table.
V900S Stand Alone Evaluation System
System for:
◆ Upper Extremity Evaluation
◆ Upper Extremity Impairment Calculation
◆ Comprehensive Documentation & Progress Reporting
Includes:
■ H400 – Grip & pinch measurement & exercise
■ R400 – Upper & lower extremity range of motion
measurements
■ ESW Evaluation Software
■ ICSW Impairment Calculation Software
■ CX4 – Accessory Communications Unit
The V900S includes the E-LINK evaluation components to
make one upper extremity evaluation and impairment
calculation station using your own computer, printer, and
table.
Biometrics' products are used worldwide in a variety of clinical settings including:
Orthopaedics ■ Hand Therapy ■ Geriatrics ■ Paediatrics ■ General Occupational
and Physical Therapy ■ Schools ■ Sports Medicine ■ Neurology ■ Spinal Cord Injury
■ Burn Centers ■ Stroke Rehab Units ■ Hospitals ■ Nursing Homes ■ Private Practices ■
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