Introduction to the Tek RMD
The Tek Robotic Mobilisation Device is specifically engineered for individuals with lower limb weakness or complete paralysis. It empowers them to maintain an upright standing position for extended periods and facilitates both health-giving standing with movement.
Users can move easily from sitting to standing and then move around in their environment. The product is custom-fitted to hold the user in a safe and therapeutic upright posture.
This allows more freedom and independence to perform daily tasks, while improving overall wellbeing by encouraging regular standing. Imagine standing and reaching an object from a high shelf or working at a normal kitchen surface again.
The user boards the device from the back which avoids risky transfers. Once onboard, a user can move easily to stand and then from place to place by using a joystick to drive it.
Moving from sitting to standing and vice versa is achieved by squeezing or “leaning on” a handlebar lever.
The Tek RMD has an Electric Lifter so the user does not need effort to stand.
Plus, there are some optional accessories outdoor kit and a Transfer Seat.
This Electric Lifter version has replaced the earlier Manual version which was only ideal for those with good arm and grip strength.
The Tek RMD allows those with upper limb weakness to use the product. This means that those recovering from a stroke, living with MS or other neurological conditions can mostly use the product.
The Tek RMD is both narrower and shorter than a wheelchair and highly manoeuvrable. The outdoor wheel kit allows the user to move more easily on grass and other outdoor surfaces.
The user is held in a standing position by a “cushion” that spans the hip area and maintains the hips in extension. The shins are in contact with generous, soft pads that are adjustable in three planes to ensure that the knees are held in a correct position and the legs are supported in place without risking tissue viability. Each Tek RMD is adjusted to suit the individual user.
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Benefits of the Tek RMD
Standing is recommended to everyone for long term health. When upright mobility is prevented or limited due to leg paralysis or weakness, the Tek RMD encourages each user to stand more frequently and for longer – and move around indoors or outdoors whilst doing this.
Many persons who have been encouraged to use a standing frame frequently struggle to find the motivation to “just stand there” – even if it is supposed to be good for them.
Most standing wheelchairs are not able to achieve a great upright posture. This is because they are fundamentally wheelchairs with additional functionality; they need to keep the user inclined backwards for stability so they are only suitable for limited upright standing.
Ultimately each person can decide on how they value the features offered by the different products.
The Tek RMD allows you to feel good about standing because it should allow a greater sense of independence – you can get on with your life at home or at work.
Daily standing delivers positive effects on bone density, peripheral circulation, bowel and bladder function and pressure sore risk. Prolonged wheelchair use without such standing cannot deliver such benefits.
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Contraindications
These are the general contraindications that may affect a person’s ability to use the Tek RMD. If in doubt about anything please ask:-
• A leg length discrepancy (one leg longer than another) of more than 5 cms (2 ins). We can sometimes compensate for this issue but we need to know if this is present.
• Lack of upper body/trunk control ability. The user should be able to stabilise him/ herself in a standing position without using the arms to hold onto the Tek RMD. This is important for independence as the user can then carry out practical tasks such as reaching for items in a high cupboard. The Tek RMD design can provide a certain amount of lateral support to the trunk if the user’s core strength is not great. From frequent use, many users will develop greater core stability when using the Tek RMD.
• Restricted hand and arm function that inhibits the operation of the TEK RMD's controls. With the new Electric Lifter version this restriction need not be a barrier to use the product. With the Electric Lifter version the user can “lean” or rest their arm or hand on the lever to operate it.It’s not necessary to squeeze the lever. To drive the Tek RMD around the user will need to use the Joystick.
• Flexion contractures at the hips, knees or ankles that will prevent upright standing posture. If contractures are fixed at the hips, knees or ankles they will interfere with the ability to achieve a safe standing posture. Guidance of a physiotherapist can help. If spasms are an issue then we can advise on management of these prior to trying the Tek RMD.
• Severe osteoporosis in the lower limbs or spine or a history of fractures is a significant contraindication. Medical clearance is required before using the Tek RMD
• Unstable fractures of the lower limbs or spine will disallow use of the Tek RMD until fracture union is achieved.
• Open wounds or acute pressure ulcers at the back, hips or lower extremities.
• Uncontrolled autonomic dysreflexia, hypotension or dizziness in upright standing
• History of epilepsy will require medical clearance.
• Cognitive disabilities that impair safe use of the device
• Severe visual impairment preventing safe use of the device
• Pregnancy
In all cases we use a secure webform to ask about these issues. The form may be completed by a user themselves or by their professional advisor such as a therapist. We do this prior to any demonstration to ensure that the user will be safe to try the product.
Demonstrations
These can take place at the potential users home or at an advisor’s therapy centre. There is some advantage in trying the product at home but we will always ask about the resources available for transfer. See the section on “Making the most of the Tek RMD” for more information on this issue.
IMPORTANT: At a demonstration the Tek RMD may not be set to be a perfect fit for the user. It is time consuming to adjust and it may not always be possible to adjust it prior to each visit.
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Outdoor Kit
The original Tek RMD was designed as a product to be used indoors although many users would be able to use it on a patio or paving in the garden for example.
With the arrival of the new Outdoor Kit, the Tek RMD can be converted into a more versatile product for use on a variety of outdoor surfaces. The adjacent image shows the main components of the kit. This consists of new front wheels, a new tailpiece a trolley jack to raise the product for wheel changes and a tool for changing the wheels.
The kit is designed so that many users will be able to swap from indoor to outdoor use or vice versa without calling a dealer. The change over can potentially be carried out by a wheelchair user. We have a video that shows this process and the link is provided in the last section of this document.
When the outdoor wheels are in place the base of support is broader and longer to provide greater stability. However, this is not an all-terrain vehicle and care should always be taken to follow the guidance in the User Manual. In particular, care should be taken on slopes that these are not too steep so safe operation.
Accessories
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The Transfer Seat
The optional Transfer Seat shown here in the ‘down’ position was designed as a flip-up/ down seat to allow easier transfer on and off the Tek RMD from a wheelchair for some users.
As we discuss below, the user must transfer onto the Tek RMD from the back of the product and the ease with which this can be done depends on the user’s physical status and the equipment they may have available to assist transfer.
If in doubt, we recommend guidance is obtained from an Occupational Therapist or other professional who can advise on the most suitable equipment for the user’s individual situation.
If the user has confident manual transfer skills from a wheelchair this optional seat may be the best option. They would bring the wheelchair close to the transfer seat, remove the arm of the wheelchair and typically use a transfer board (perhaps with a slide sheet) to move across.
Clients with a height adjustable plinth or a profile bed may prefer to use this instead for maximum ease of transfer.
General Limitations
Each Tek RMD model that is delivered to a new customer is setup in the factory or our warehouse to each users individual stature and proportions.
The limitations of adjustment are as follows
• The user’s height should be between 140 and 190 cm
• The users weight should be between 40 and 120 Kg
• The overall foot length should be between 23 and 35 cms
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Making the most of the Tek RMD
By using the Tek RMD you can dramatically improve the way you live in your indoor or outdoor space. However, to get the very best out of it though, you may need to think a little bit differently and potentially make some changes to your environment.
One positive fact we can state right away is that the Tek RMD is both shorter and narrower than a wheelchair so that if you can navigate through your indoor environment with your existing wheelchair, you can certainly do that much more easily with the Tek RMD.
After some time you may find that you need to use your wheelchair much less indoors will be using your Tek RMD much more as it simply allows you to do more.
An issue we first need to consider is how best to get on and off the device.
You can transfer from your wheelchair to the Tek RMD but in order to do so, generally you will need to have a wheelchair with at least tilt-up foot rests and removable sides/arm rests.
If you have fixed foot rests its likely that you can't get the Tek RMD close enough to make transfer easy.
The images here show an “ideal” situation with the Manual Tek RMD version. The user has a wheelchair with removable foot rests and arms. He has been able to get the seat cushion under his hips and his feet into position for the pull to standing position.
Having visited lots of clients at home we have seen many scenarios that would actually make transfers from any device problematic.
One of the really nice aspects of the Tek RMD is that transfers onto it can be a lot easier than transfers into a typical wheelchair. However, in order to make this a reality the current nature of your environment should be considered.
Whether you are going to be using the Tek RMD at home or at an office an assessment of the premises can help.
Are you clear about what types of situations you want to use the device in?
Do you want to be able to transport the device?
How will this be done?
To get onto the Tek RMD you are going to need to bring it to you, perhaps using the remote control, and the "tail" of the device needs to go under the surface, (perhaps a bed or chair) you are sitting on.
This means that there must be sufficient clearance underneath. For example, if the chair you are on has a base that extends right to the floor this is going to be an issue because you won’t be able to safely get your feet onto the device and the seat cushion in place because of this base keeping the Tek RMD too far away from you.
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Also, if you try to transfer from a really soft surface you might have problems getting the cushion in place.
There is always a solution though – it just means getting the right guidance so that essential equipment works together!!
Frequent questions
Q: IS THE TEK RMD APPROPRIATE FOR MY HEIGHT AND WEIGHT?
A: The TEK RMD is appropriate for users from 4’7” (140 cm) to 6’3” (190 cm) and the product can support weights from 88 lbs (40kg) to 265 lbs (120kg).
Q: HOW DO I KNOW IF I CAN USE THE TEK RMD?
A: You should first of all read the guidance we provide and pay special attention to the contraindications for use. In all cases our staff will wish to ensure that the system is going to be safe and effective for the user. We will assess each potential user and make sure that the essential requirements for the system are met. We will also take the measurements needed to ensure that the TEK RMD is optimised for each user. Normally the system is configured in the factory and shipped directly to the user. One of our staff will then visit to make the fittings and adjustments and ensure training is carried out.
Q: WHERE CAN I USE THE TEK RMD?
A: The TEK RMD allows for free, independent movement in most indoor spaces, such as the home, office, school or shopping centre. Its compact dimensions, 15.6" wide and 29.5" long (39.5 cm X 75 cm), allow it to fit through narrow spaces that are often inaccessible to wheelchairs. When not in use, the TEK RMD can simply be manoeuvred (by using a remote control) to an out-of-the-way place, ensuring that you can sit on a couch or chair, free from your mobility device altogether.
The outdoor wheels have dimensions of 23.5” wide and 40.3” long (60 cm x 103
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cm). Larger tires and a wider and longer footprint give the Tek RMD the stability to drive on uneven outdoor spaces safely. This includes pavements, patios, paved walking and biking paths, as well as grass and gravel – under safe discretion. Maximum slope in outdoor mode, and in a safe driving position is 6 degrees.
When not in use, the Tek RMD can simply be manoeuvred by using the remote control to an out-of-the-way place, ensuring that you can sit on a couch, bed or chair, with the device out of your way.
Q: HOW DO I KNOW THAT THE TEK RMD IS SAFE?
A: In designing the TEK RMD, the manufacturers emphasised safety above all else. Because you can easily get into the device from the back without assistance, the TEK RMD eliminates the often-dangerous manoeuvres that are required for getting into wheelchairs (like using upper-body strength and momentum to hoist into it). With the TEK RMD, your own weight is used for stability, and the device holds key balance points to prohibit unwanted movements and keep you steady.
The TEK RMD was rigorously tested before releasing it to the market, including putting it through extensive trials at Heidelberg University Hospital, where paraplegics tested the device for themselves and offered valuable feedback that made the TEK RMD even better. At the time the TEK RMD comes onto the market, the system will have undergone a series of TÜV (Technical Inspection Association) tests to verify that the system meets international safety standards.
Q: HOW DOES THE TEK RMD RUN AND OPERATE?
A: Like motorised wheelchairs, the TEK RMD is battery-operated. Two batteries power the move from sitting to standing and provide for movement. Standing up requires no effort.
The Electric Lifter version has taken away the effort involved in standing or sitting again. The user operates a lever to rise or sit.
Q: HOW DO YOU CHARGE THE TEK RMD?
A: The device comes with a battery charger, which is plugged into a traditional electrical outlet. The device is fully charged in 4.5 hours and can be charged overnight. On average a charge will last about 1 to 2 days depending the weight of the user and the floor surface. There are two sealed unit batteries within the unit that can be expected to last for 2 years before replacement.
Q: HOW DO I TRANSPORT THE TEK RMD?
A: The device can be transported most easily in a van. Using its remote control, the TEK RMD can be easily guided up and down ramps for easy loading and unloading. It’s too heavy to manually lift into a vehicle. It is too heavy to lift manually into a vehicle.
Q: CAN I USE THE TEK RMD ON RAMPS?
A: The product can be used on ramps typical of those found in shopping centres of less than 6 degrees. The user can adjust their position to increase stability and avoid the feeling that they will tip forward or backward. We cover this topic in product deliveries.
Q: WHERE IS THE TEK RMD MADE?
A: The product is made in the United States in Salt Lake City, Utah
Q: WHAT IS THE OUTDOOR RANGE?
A: It’s 7.72 km – approximately 4.68 miles
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Q: CAN I USE THE Tek RMD IN THE RAIN?
A: Yes – The product is tested in wet conditions and has IPX4 level water ingress protection.
Q: HOW DOES THE ASSESSMENT PROCESS WORK?
A: The client, or someone on their behalf, should fill in our secure web-based assessment form. This will ensure the device is safe an appropriate for the client to try.
We will then arrange a demo in the client’s home (or appropriate local clinic). Please note that the demo unit will be adjusted in height for the client but may not be a ‘perfect fit’. Any final device will be configured exactly for the client’s stature. A report will be provided after the assessment detailing any recommendations, challenges and considerations.
Q: WHAT TRAINING IS REQUIRED TO USE THE TEK RMD?
A: When the Tek RMD is delivered we will go through safely getting into and out of the device, basic operations and navigation. We document correct / ideal positioning and advise on increase of use over a period of time.
We can provide a Competency Assessment which can be used with family, assistants and carers.
A four to six week check in is usually carried out over Zoom / Teams. An in person visit will be arranged if there are any major challenges which need to be addressed.
Q: WHAT IS THE DELIVERY LEAD TIME?
A: The device is configured to the client’s stature and shipped from the USA. At present we would anticipate the delivery and setup to be 4 weeks from order confirmation.
Q: WHAT IS THE WARRANTY?
A: Matia Mobility Inc warrants the Tek RMD for a period of one (1) year from the purchase date. The buyer may also have other legal rights based on the country of purchase. If the device is proven defective within the warranty period, Matia Robotics will repair or replace the device. This warranty does not cover devices:
• Defective / removed serial numbers
• Devices subject to improper use or maintenance or modifications
• Devices subject to storage or accident or damaged due to reasons beyond Matia Robotics’ control
• Devices used with unauthorised accessories or parts
Q: WHAT IS THE LIFE OF THE DEVICE?
A: The expected replacement life of the device is 7 years. Parts and servicing will be available for the device for this full period, after which it may require replacement or upgrade.
Q: WHAT ARE THE SERVICING OPTIONS?
A: We anticipate, with normal wear and tear, your device may require servicing from the age of 2 years+. This would include regular maintenance activities, and replacement parts for both comfort and cosmetic reasons.
Our full Tek RMD Full Service includes the following:
• Visit to your home / convenient location for same day check and repair
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• Replacement of Batteries (2)
• Replacement of Gas Spring (Original gas spring version only)
• Replacement of Motor Belt Set
• Replacement of Side Springs
• Replacement of Foot Bands
• Replacement Seat Cushion
Q: DO I NEED TO BUDGET FOR SPARE PARTS / CONSUMABLES?
A: Some spare parts (eg cushions and batteries) can be individually purchased and replaced by the client as required. The rate of replacement will depend on intensity of use, care of device and appropriate storage.
Q: SHOULD I INSURE MY DEVICE?
A: We would recommend insuring your device for accidental damage or theft. Many Class 2 devices are covered under your home contents insurance – provided it doesn’t exceed the single item limit in your policy. You should seek clarification from your provider.
Personal Possessions Cover in addition should cover you outside of the home. There are a number of bespoke insurance packages for mobility aids / power wheelchairs and other assistive devices which may be more appropriate and offer you cover and peace of mind for multiple devices. We cannot recommend any specific providers but we will be happy to provide any required information to help you obtain quotes.
Some More Technical Data
The base model Tek RMD was designed for indoor use with a maximum speed of 4.5 km/hr and a range of 6 km. The electric lifter means that persons with weaker arms can use the product. The new accessories can be fitted to extend the transfer options and allow use of grass and other surfaces.
Battery capacity – Two DC 24V, 22 Ah with a 24V charger
Turning Radius 60 cm, Weight (Empty) 118 Kg
Weight of the Unit (empty) 118 Kg (260 lbs)
Maximum safe slope – Standard indoor wheels – 5 degrees – Outdoor wheels – 6 degrees
Obstacle Climbing ability – Standard indoor wheels – 25 mm (0.98 ins) – Outdoor wheels – 40 mm (1.57 ins)
Dealer Address
Anatomical Concepts (UK) Ltd, Unit 18, Block 6 Trading Estate, Third Road, Blantyre. Scotland
G72 0UP
T: 0141–628–8222
E: info@anatomicalconcepts.com
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https://www.anatomicalconcepts.com/tekrmd-standing-mobilisation-device
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