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Practitioner/Technician FAQs
Quick Links: Click® Reel | RevoSurface® | RevoFit® | RevoLock® | QuickFit®
Click® Reel FAQs
For detailed lacing instructions CLICK HERE
If the dial is new and from a kit: Ensure that the green marks on the spool align with the green marks on the washer. Insert the laces through corresponding lace ports (A, B, C) and tie knot(s). Insert the knots into the far side of knot cavity, past green index mark. Note: The constriction point (at the green mark) traps the knot in the spool when placed on the far side of the constriction.
If you are replacing lace in a dial: Use the Click Tool to turn the shift ring and insert red lock plugs. Align green index marks of the spool with the green marks on the washer. Insert the laces through corresponding lace ports (A, B, C) and tie knot(s). Insert the knots into the far side of knot cavity, past green index mark. Note: The constriction point (at the green mark) traps the knot in the spool when placed on the far side of the constriction.
Turn the dial clockwise to tighten and counterclockwise to loosen. When you first turn the dial, it's quiet while pulling in the slack lace at a fast 1:1 ratio.
Once all of the slack lace is tight around the spool, and the lace is starts to feel tension, it will automatically "shift" from fast mode (1:1) to power mode (7:1). The dial will create an audible clicking sound so you know you are in power mode.
Once you are in power mode you can turn the dial forward or backward to adjust tension. To fully release all of the lace (free-spool) you must turn the dial backwards until there is no tension on the lace and then it will "un-shift" and go back to the (1:1) mode (quiet mode) which allows for free-spooling.
Turn dial to release tension. Locate the metal bridge on the collar (under the dial grip) and use a small flathead to carefully pry between the metal bar and the release tab on the dial. The release tab unlocks the dial from the collar. Then lift the reel out of the mounting collar.
Note: The Click Reel tool can also be used to release the reel by sliding the rounded tab under the grip to depress the release tab.
No. If you want the device to operate ONLY in power mode (7:1), then you can leave the red plugs in. This is ideal for RevoFit or RevoSurface applications where only small movements of the lace are needed. When the red plugs are left in place, the dial will tighten when turned to the right and loosen when turned to the left. However, there will be no full release (free-spooling) of the lace.
If you want free-spooling of the lace for faster release of the reel, then remove the red plugs. This is always the case for RevoLock products, and often used for RevoFit products that need to open fully for donning or doffing. With the red plugs removed, when there is no tension on the lace, it will wind up slack lace quickly or release lace quickly. Once tension is felt on the lace it will then shift to power mode and micro-adjust in both directions.
The Click Tool makes it easy to rotate the Shift ring for re-lacing. The red plugs keep the shift ring in the shifted position to make lacing easy.
If you don't have the Click Tool:
Remove dial from collar. Carefully remove the 2 springs on the underside of the reel with pick or small tool. Pull all the lace out of the reel. Align the green spool marks with the green washer marks by turning the dial. Re-lace system and next insert the springs back into cavities.
If you don't have red plugs:
Pull all the slack lace out of the reel. Use the Click Tool to turn shift ring and compress the springs. (If you don't have the Click Tool, then remove the springs as stated above). Then insert a small pick or paperclip into the lace port (A, B, C) that you do not need to use. This will lock the shift ring in place, just like the red plugs do. Leave the pick in place and turn the dial until the green index marks are aligned. Replace the system and remove the pick.
For detailed lacing instructions CLICK HERE
The Click Reel automatically will shift from fast wind mode to power mode when the limb starts to create resistance against the socket wall. That resistance increases the lace tension which then automatically shifts the reel into the power mode (slower lace take up, but with significant drawing power.)
There are no buttons to push or levers to slide, it is all done internally and automatically. The user will know the difference because the fast wind mode winds lace silently, while the power mode clicks while winding.
We have 2 grips that can be added to the outside of the dial. The comfort grip is a thin rubber ring that gets glued to the dial for a softer, non-slip feel. The power grip is a little larger than the comfort grip and allows for users with compromised hand strength to operate the dial more easily.
RevoSurface® FAQs
RevoSurface is a new kit from Click Medical that aims to easily add adjustability to both prosthetics and orthotics. Whether your patient is an amputee or an orthotic user, adjustability in their device may increase their comfort and function.
As you are getting acquainted the RevoSurface Tool Kit, we encourage you to try it out on various applications and patient types. We know it works great on check sockets, 3D printed devices, as a retrofit on ill fitting devices, and many orthotics.
RevoSurface adjustability may not be appropriate for people with numbness in their limb, or who lack the ability to make sound decisions about the level of compression in their device. However in most cases, the prosthetist can assess the patient and their individual needs to determine if adjusting device fit can be accomplished without harm to the limb.
RevoSurface adjustability is compatible with most liner types (cushion, pin, seal-in, suction) and suspension systems (knee sleeve, pin lock, lanyard, suction, vacuum). We know there are many ways to make a prosthetic limb and we do not want to dictate what systems can and cannot be used with adjustability.
The RevoSurface system can both compress to create pressure or expand to create volume. When active, the user can dial in compression for great fit and function. When seated, the user can release tension for comfort and to increase blood flow. Depending on the design used, you can create a device that adjusts in an ideal manner for your patient's needs.
New Fabrication of Orthoses:
L2330 - Lacer Molded to patient model for custom fabrication of an orthosis.
Repair of an existing Prosthesis:
L7510 for cost of materials and L7520 for repair labor component.
Repair of an existing Orthosis:
L4210 for cost of materials and L4205 for repair labor component.
Click Medical Kits are sold via the major O&P distributors. CLICK HERE to find your distributor.
300lbs/135kg
The RevoSurface Tool kit is designed to be quickly added to the surface of a device. See the full instructions HERE or go to Click Academy to learn more.
The High Capacity (HC) lace is made of 300lb Spectra.
The RevoSurface system is robust and holds up well over time. Even so, laces can break. We designed for each component of the system to be replaceable. See instructions for lace and reel replacement HERE. For good measure, Click recommends lace replacement every 6 months.
RevoSurface is safe to submerge in fresh and saltwater. If the system is used in saltwater, rinse the system with clean water afterwards to remove salt and any corrosive elements.
If you rinse the dial, please add a drop of
household oil (think 4 in 1, WD or even bike chain lubricant). Put a small drop of clear thin oil in the "C" shape of the dial and then turn
the dial both forward and backward to distribute the oil. This will ensure the dial operates smoothly.
The Click Reel is guaranteed for the life of the device it is originally installed in. BUT you MUST register the Reel before delivering the device to the patient. Register your reel HERE.
Laces will wear and can be replaced by purchasing a lace replacement kit when needed.
RevoFit® FAQs
We have tested RevoFit adjustability designs on adults, teenagers, top athletes, stay-at-home moms, professionals, outdoorsmen and veterans. Most indications can benefit from adjustability and have increased comfort and control.
RevoFit adjustability may not be appropriate for people with numbness in their limb, or who lack the ability to make sound decisions about the level of compression in their socket.
However in most cases, the prosthetist can assess the patient and their individual needs to determine if adjusting socket fit can be accomplished without damaging a limb.
As an additional layer of protection, the prosthetist (and tech) can design a socket that limits the thickness of the pads or the excursion of the gaps such that the socket cannot deliver excess pressure onto the limb.
The RevoFit system can both compress to create pressure or expand to create volume. When active, the user can dial in compression for great fit and function. When seated, the user can release tension for comfort and to increase blood flow. Depending on the design used (learn about Panel, Gap and Hinge designs in the RevoFit "Learn It" course in Click Academy) you can create a socket that adjusts in an ideal manner for your patient's needs.
RevoFit adjustability is compatible with most liner types (cushion, pin, seal-in, suction) and suspension systems (knee sleeve, pin lock, lanyard, suction, vacuum). We know there are many ways to make a prosthetic limb and we do not want to dictate what systems can and cannot be used with adjustability.
Adjustability is great, but it can only adjust so much. Patients may still need a sock here or there for global volume change, but most patients find that their sock usage greatly decreases. If a patient says they need more socks than ideal, look through the RevoFit "Optimize It" course in Click Academy and find tuning techniques that can resolve this issue.
Each insurance company is different, so be sure to check prior to making a new device. Many insurance companies accept the L5999 coding if it is accompanied with language that we recommended on the RevoFit page (scroll down to "Insurance Coding" section).
Of course, good documentation of the need for an adjustable socket and how it solves the problems the patient has really helps insurance companies understand why you are asking for payment when adding this functionality to the device.
If you want to update an ill-fitting socket that your patient already has, we recommend adding the RevoSurface Tool Kit to the socket. In many cases, the socket can be modified to adjust by adding RevoSurface. With this addition, the user may find that their socket will fit better. This will let them have improved fit for the remainder of their socket life, or during pre-approval for their next socket.
If you are making a new socket, then the RevoFit Lamination Kit is ideal because the system can be incorporated into the sub-surface of a laminated socket.
Click Medical Kits are sold via the major O&P distributors. Click CLICK HERE to find your distributor.
Up to 10 sock ply, but the numbers can vary depending on each case.
300lbs/135kg
The RevoFit system is robust and holds up well over time. Even so, laces can break. We designed each component of the system to be replaceable. See instructions for lace and reel replacement HERE. For good measure, Click recommends lace replacement every 6 months.
The Click Reel is guaranteed for the life of the device it is originally installed in BUT you MUST register the Reel before delivering the device to the patient. Register your reel HERE. Laces will wear and can be replaced by purchasing a lace replacement kit when needed.
RevoFit is safe to submerge in fresh and saltwater. If you do use the system in saltwater, rinse the system with clean water afterwards to remove salt and any corrosive elements.
If you rinse the dial, please add a drop of
household oil (think 4 in 1, WD or even bike chain lubricant). Put a small drop of clear thin oil in the "C" shape of the dial and then turn
the dial both forward and backward to distribute the oil. This will ensure the dial operates smoothly.
RevoLock® FAQs
RevoLock is best suited for those who struggle with their current suspension system, have limited range of motion, limited strength, bulbous limbs, or significant volume fluctuation.
Patients who change in activity level throughout the day tend to appreciate the ability to release tension while seated or to tighten their suspension when active. The ability to loosen the system while seated is proven to decrease limb pressures to allow for better circulation.
We have also seen great benefits for patients who struggle with balance when donning their socket or who have limited range of motion as RevoLock makes it easier to put on and keep on your socket.
RevoLock may not be appropriate for amputees with numbness in their limb. You, as their prosthetist, should gauge whether the patient can safely avoid creating excess limb pressures which could cause tissue damage.
The RevoLock system approaches suspension in a different way. Rather than relying on the exact position of the liner to align the pin with the lock, RevoLock draws the limb into the correct position.
It's like having that new automatic parallel parking feature on your car. It simply guides the limb right into the correct position. The patient can put on their socket while seated without falling, hopping around, or causing skin shear. Lastly, they are always attached to the socket regardless of the volume of their limb.
The RevoLock kit comes with 2 threaded inserts for use on 2 liners. If your patient has additional liners, you can purchase additional threaded inserts inserts for additional liners. That way your patient can easily switch from one liner to the other and still use the same socket and snap feature.
Most of the time RevoLock is integrated into a new socket. However, for some 4-hole pinlock systems there are ways to retrofit the RevoLock 4-Hole Kit into an existing socket. It’s a great way to quickly solve pinlock frustrations for a patient who is not yet eligible for a new device.
The only way to maintain an airtight seal and use RevoLock is to use the RevoLock Fixed Threaded Insert (LE or UX) sold separately.
The Quick Connect Snap included in the RevoLock Kit does not ensure an airtight environment. In addition you cannot use a flexible insert and maintain suction, it must be a standard rigid socket (no insert) in order to achieve an air-tight seal.
When the Slider is engaged (red dot showing) the reel will only release lace millimeter by millimeter as you turn the dial counterclockwise. This allows the user to wind or unwind the reel to micro-adjust the position of their limb.
When the user is ready to doff the socket, two steps are taken:
1) Disengage the Slider button (no red dot)
2) Turn the reel counterclockwise about 3 turns until its stops clicking. At that point, the reel will fully release and the user can lift their limb out of the socket.
The RevoLock systems can be billed under the suspension code L5671 Lower extremity and L6698 Upper Extremity.
Click Medical Kits are sold via the major O&P distributors. Click CLICK HERE to find your distributor.
The weight of the patient is managed mostly by the socket frame, rather than by the RevoLock system. As long as you do not intend to hang by your feet on a regular basis, then the RevoLock system can be used on just about any patient weight.
The High Capacity (HC) lace made of 300lb Spectra.
RevoLock is safe to submerge in fresh and saltwater. If you do use the system in saltwater, rinse the system with clean water afterwards to remove salt and any corrosive elements.
If you rinse the dial, please add a drop of
household oil (think 4 in 1, WD or even bike chain lubricant). Put a small drop of clear thin oil in the "C" shape of the dial and then turn
the dial both forward and backward to distribute the oil. This will ensure the dial operates smoothly.
Yes, both RevoLock 4 Hole Kit and RevoLock Align Kits can be built in a single lamination. Please see instruction HERE or go to Click Academy for detailed videos.
The Quick Connect Snap feature is great for quick easy on/off or switching from liner to liner. If, however, the user would prefer the threaded insert to be fixed to a single liner, or if the socket also needs to be air-tight, then we offer the RevoLock Fixed Threaded Insert (LE or UX) sold separately.
The Slider is an additional safety lock that the user engages after drawing their limb into the socket. It locks the reel so that it cannot freely release the lace during use. This feature is useful because when locked, the user can micro-adjust the reel to the desired tension without inadvertently releasing all of the lace when turning the dial backwards.
Please note: The slider can only be engaged when the dial has shifted into power mode (7:1) and the lace is under tension.
We strongly recommend all RevoLock designs use the slider as a safety precaution against full lace release.
The Click Reel is guaranteed for the life of the device it is originally installed in BUT you MUST register the Reel before delivering the device to the patient. Register your reel HERE.
Laces will wear and can be replaced by purchasing a lace replacement kit when needed.
QuickFit® FAQs
Any place where Velcro® straps are used, they may be improved with a QuickFit Strap. The ability for the user to simply turn the dial to improve their fit is a big benefit to the user. This is especially true where the user needs to wear the straps tightly because the dial aids them in creating more closure force than normal.
Also, by adjusting the strap with the dial, the Velcro is not pulled apart as often, so the strap lasts much longer.
The strap should be cut to the appropriate length when installed by the practitioner. Once installed the strap will have 3" of adjustment in the tunnel portion of the strap.
If the device requires fully opening of the strap for don/doff, we recommend adding a QuickFit Buckle to the QuickFit strap. It adds to the strap in seconds. The buckle is magnetic, self-locating, and durable. If significant loads are expected in the device, the QuickFit Buckle also increases the holding strength of the straps.
The QuickFit Strap can reliably create 35lbs of strap tension. Plenty to close an orthosis and help align a segment of the body.
Usually QuickFit Straps are coded as follows:
Repair of an existing Prosthesis: L7510 for cost of materials and L7520 for repair labor component.
Repair of an existing Orthosis: L4210 for cost of materials and L4205 for repair labor component.
Click Medical Kits are sold via the major O&P distributors. Click CLICK HERE to find your distributor.
The QuickFit Straps are warrantied for 6 months of use. If the strap breaks, then they are typically replaced rather than repaired.
The QuickFit lacers are a great solution for closing two opposing edges of an orthosis. They come pre-assembled in various sizes that quickly rivet into place. Use them on shoes for patients with limited dexterity, AFO's that need better support, cuffs that need closing, and a wide array of pediatric devices.
The QuickFit Lacers come in sizes from XS to Large. The sizing is determined by the number of lace crossings. If you only need 2 lace crossings or have a small device, order a small size. If you have a larger boot or cuff, order a larger size. Lastly, the large size comes with a larger reel that can create more closure power which is good for larger devices or for patients with limited strength or dexterity.
This kit comes with 3 guides that can connect and then release from the edge of the brace. This allows the entire cuff/boot/AFO to open on one side like a barn door. Use this kit for patients that need their device to fully open to don/doff the device.
QuickFit Lacers use the "low-power BOA® dial." They can hold approximately 35lbs of force. This is enough for closing many orthotics, but it is not strong enough to reliably hold the forces seen in prosthetics.
The QuicFit Lacers come pre-assembled in various sizes. To install them, you can simply rivet on the dial housing and the lace guides. Rivets are not included but can be purchased from Click Medical if desired.
Usually QuickFit Straps are coded as follows:
For an Orthotic lacer on a cuff or AFO: L2320 or L2330
For converting an orthopedic shoe: L5999 with the “same or similar as L3580” language attached.
The QuickFit Lacers are warrantied for 6 months of use. After that time, the lace or dial can easily be replaced using the QuickFit Dial and Lace replacement kits available from Click Medical.
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