Biofeedback
weight-bearing devices

For hospitals’ rehabilitation departments & patients after lower limb injuries to increase patient compliance and expedite their recovery

60sec

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How Smart Crutch Tip Devices Work

Patient adheres to WB program using feedback cues from tips and app. Data is sent to doctor’s phone and PC

Doctor sets weight bearing (WB) program for duration of patient’s recovery

Patient adjusts the load on injured leg according to doctor’s instructions

Doctor monitors how the patient loads the injured leg, addresses patient concerns, and adapts program to patient’s needs

How Smart Crutch Tip Devices Work

Get Prices & Technical Characteristics

Get Prices & Technical Characteristics

Clinical Research

proved significant patient outcomes using a weight-bearing tracking
biofeedback device
Statement
Clinical evidence
Link
Statement

The AO protocols for trauma aftercare formulated 50 years ago. They suggest restricted NO WB for 12 weeks. To optimize it, Early and Permission WB were designed

Clinical evidence

PWB might be implemented in trauma patients with fractures of the pelvis and lower extremities.
EWB can be considered safe and effective in selected cases. Level of evidence Therapeutic Level III.

Statement

Early and PWB leads to 6-8 weeks faster rehabilitation, without complications

Clinical evidence

The median time to full WB was 12 weeks (for 78 patients with PWB protocols) instead of 20 (for 78 patients with old AO protocols)

Statement

However, 87% of doctors don’t prescribe Early or PWB

Clinical evidence

11.7% – started immediately with weight bearing,
4.5% – after 2 weeks
55.9% – recommended starting WB 6 weeks post-operatively.
15.3% – after 12 weeks

Statement

Because doctors understand – patients can’t follow PWB protocols without a biofeedback device

Clinical evidence

Meanwhile, the biofeedback device is superior method in helping patient complaining with Early or PWB

Statement

A strong immediate effect on partial weight-bearing compliance which effect lasts up to 24 hours and effective way to train patients to comply with weight bearing

Clinical evidence

12 participants were trained with a biofeedback device to comply with touch-down weight-bearing instructions (25 lb). Following initial biofeedback training at 25 lb, participants bore an average of 20.4±2.12 lb.

Statement

The ComeBack Mobility crutch tip system should be considered for clinical use as a valid tool

Clinical evidence

CBM device provides 0.5-1% of accuracy measure between 10% and 50% of partial weight-bearing

ICD-10 Diagnoses Requiring WB

Endoprosthetics
 
  • S32.4 – Fracture of acetabulum
  • S72.0 – Fracture of head and neck of femur
  • S72.1 – Pertrochanteric fracture
  • M16.0 – Bilateral primary osteoarthritis of hip
  • M16.1 – Unilateral primary osteoarthritis of hip
  • M16.2 – Bilateral osteoarthritis resulting from hip dysplasia
  • M16.3 – Unilateral osteoarthritis resulting from hip dysplasia
  • M16.9 – Osteoarthritis of hip, unspecified
  • M24.7 – Protrusio acetabuli
  • M45 – Ankylosing spondylitis
  • М069 – Rheumatoid arthritis, unspecified
  • М870 – Idiopathic aseptic necrosis of bone
 
Osteosynthesis
 
  • S32.4 – Fracture of acetabulum
  • S72.7 – Subtrochanteric fracture of femur
  • S72.8 – Other fracture of femur
  • S72.9 – Unspecified fracture of femur
  • S72.1 – Pertrochanteric fracture
  • Corrective osteotomy
 
Injury
 
  • S32.4 – Fracture of acetabulum
  • S70.0 – Contusion of hip
  • S72.8 – Other fracture of femur
  • S72.9 – Unspecified fracture of femur
  • S73.0 – Subluxation and dislocation of hip
  • S73.1 – Sprain of hip
 
Diseases
 
  • M16.0 – Bilateral primary osteoarthritis of hip
  • M16.1 – Unilateral primary osteoarthritis of hip
  • M16.2 – Bilateral osteoarthritis resulting from hip dysplasia
  • M16.3 – Unilateral osteoarthritis resulting from hip dysplasia
  • М16.4 – Bilateral post-traumatic osteoarthritis of hip
  • М16.5 – Unilateral post-traumatic osteoarthritis of hip
  • M16.9 – Osteoarthritis of hip, unspecified
  • M19.9 – Osteoarthritis, unspecified site
 
Osteosynthesis
 
  • S72.1 – Pertrochanteric fracture
  • S72.2 – Subtrochanteric fracture of femur
  • S72.3 – Fracture of shaft of femur
  • S72.4 – Fracture of lower end of femur
 
Injury
 
  • S72.1 – Pertrochanteric fracture
  • S72.2 – Subtrochanteric fracture of femur
  • S72.3 – Fracture of shaft of femur
  • S72.4 – Fracture of lower end of femur
 
Diseases
 
  • M16.9 -Osteoarthritis of hip, unspecified
  • M87.0 – Idiopathic aseptic necrosis of bone
  • M93.9 – Osteochondropathy, unspecified
Osteosynthesis
 
  • S92.0 – Fracture of calcaneus
  • S92.1 – Fracture of talus
  • S92.2 – Fracture of other and unspecified tarsal bone(s)
  • S92.3 – Fracture of metatarsal bone(s)
 
Injury
 
  • S92.0 – Fracture of calcaneus
  • S92.1 – Fracture of talus
  • S92.2 – Fracture of other and unspecified tarsal bone(s)
  • S92.3 – Fracture of metatarsal bone(s)
  • S92.9 – Unspecified fracture of foot and toe
  • S93.1 – Subluxation and dislocation of toe
  • S93.3 – Subluxation and dislocation of foot
 
Diseases
 
  • M93.9 – Osteochondropathy, unspecified
  • M20.1 – Hallux valgus (acquired)
  • M21.4 – Flat foot [pes planus] (acquired)
Osteosynthesis
 
  • S82.1 – Fracture of upper end of tibia
  • S82.2 – Fracture of shaft of tibia
  • S82.3 – Fracture of lower end of tibia
  • S82.4 – Fracture of shaft of fibula
  • S82.5 – Fracture of medial malleolus
  • S82.6 – Fracture of lateral malleolus
  • S82.8 – Other fractures of lower leg
 
Injury
 
  • S82.1 – Fracture of upper end of tibia
  • S82.2 – Fracture of shaft of tibia
  • S82.3 – Fracture of lower end of tibia
  • S82.4 – Fracture of shaft of fibula
  • S86.0 – Injury of Achilles tendon
  • S86.1 – Injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level
 
Diseases
 
  • M93.9 – Osteochondropathy, unspecified
Endoprosthetics
 
  • M17.0 – Bilateral primary osteoarthritis of knee
  • M17.1 – Unilateral primary osteoarthritis of knee
  • M17.2 – Bilateral post-traumatic osteoarthritis of knee
  • M17.3 – Unilateral post-traumatic osteoarthritis of knee
  • M17.4 – Other bilateral secondary osteoarthritis of knee
  • M17.5 – Other unilateral secondary osteoarthritis of knee
 
Arthroscopy
 
  • S83.2 – Tear of meniscus, current injury
  • S83.3 – Tear of articular cartilage of knee, current
  • S83.4 -Sprain of collateral ligament of knee
  • S83.5 – Sprain of cruciate ligament of knee
  • S83.9- Sprain of unspecified site of knee
  • M17.0 – Bilateral primary osteoarthritis of knee
  • M17.1 – Unilateral primary osteoarthritis of knee
  • M17.2 – Bilateral post-traumatic osteoarthritis of knee
  • M17.3 – Unilateral post-traumatic osteoarthritis of knee
  • M17.4 – Other bilateral secondary osteoarthritis of knee
  • M17.5 – Other unilateral secondary osteoarthritis of knee
  • M23.2 – Derangement of meniscus due to old tear or injury
  • M23.8 – Other internal derangements of knee
  • M24.4 – Recurrent dislocation of joint
  • M25.0 – Hemarthrosis
  • M25.4 – Effusion of joint
 
Injury
 
  • S83.1 – Subluxation and dislocation of knee
  • S83.2 – Tear of meniscus, current injury
  • S83.3 – Tear of articular cartilage of knee, curren
  • S83.4 – Sprain of collateral ligament of knee
  • S83.5 – Sprain of cruciate ligament of knee
  • М23.4 – Loose body in knee
  • М24.0 – Loose body in joint
 
Diseases
 
  • M17.0 – Bilateral primary osteoarthritis of knee
  • M17.1 – Unilateral primary osteoarthritis of knee
  • M17.2 – Bilateral post-traumatic osteoarthritis of knee
  • M17.3 – Unilateral post-traumatic osteoarthritis of knee
  • M17.4 – Other bilateral secondary osteoarthritis of knee
  • M17.5 – Other unilateral secondary osteoarthritis of knee
  • M23.2 – Derangement of meniscus due to old tear or injury
  • M23.8 – Other internal derangements of knee
  • M24.4 – Recurrent dislocation of joint
  • M25.0 – Hemarthrosis
  • M25.4 – Effusion of joint
  • М65 – Synovitis and tenosynovitis
  • М12.2 – Villonodular synovitis (pigmented)
Osteosynthesis
 
  • S82.5 – Fracture of medial malleolus
  • S82.6 – Fracture of lateral malleolus
  • S82.8- Other fractures of lower leg
 
Arthroscopy
 
  • M25.5 – Pain in joint
  • M93.2 – Osteochondritis dissecans
  • M65.9 – Synovitis and tenosynovitis, unspecified
  • M25.0 – Hemarthrosis
  • M25.7 – Osteophyte
 
Injury
 
  • S82.5 – Fracture of medial malleolus
  • S82.6 – Fracture of lateral malleolus
  • S82.8- Other fractures of lower leg
  • S93.0 – Subluxation and dislocation of ankle joint
  • S92.1 – Fracture of talus
 
Diseases
 
  • M87.0 – Idiopathic aseptic necrosis of bone
  • Z89.4 – Distal amputations for the diabetic foot

Reduce the Risk of Complications

With Smart Crutch Tips, your doctor can monitor the course of rehabilitation and help you avoid complications

a) loosening of osseous retainer screws
b) migration of screws or spokes
c) loosening of intramedullary retainer locking screws
d) loosening of the intramedullary shaft
e) loosening of the blade of the osseous plate or blocked epiphyseal screws (LCP, DHS, DCS systems)
f) teething of wire seam

a) deformation of the plate
b) deformation of the intramedullary shaft
c) deformation of the locking screws of the intramedullary retainer

a) fracture of osseous or intraosseous fixator screws
b) migration of screws or spokes
c) plate fracture
d) fracture of the intramedullary shaft
e) rupture of the wire seam

a) loosening or teething of spokes or transosseous rods of an external fixer
b) fracture of spokes or transosseous rods of an external fixator
c) destabilization or damage to the external structure of the AVF

a) transplant migration
b) transplant fracture
c) fixation migration after consolidation is completed

a) vein thrombosis of the lower extremities
b) thromboembolic complications
c) muscle and joint contractures
d) muscle weakness and muscle volume reduction
e) gait stereotype disturbances

a) fixation plates and screws break muscle weakness
b) Dislocation of prosthesis joint contractures
c) Bone density loss gait disturbances
d) Blood clots
e) Muscle atrophy

Testimonials & Quotes

Doctor’s Opinion

Orthopedic Trauma Surgery
Chief of Trauma Division in NYU Langone Health
23+ Yrs Experience

“It gives them immediate feedback and teaches them had to weight bear properly and follow up the follows a program that I prescribed gives me feedback”

Patient Testimonials

Reduce the Risk of Complications

With Smart Crutch Tips, your doctor can monitor the course of rehabilitation and help you avoid complications

a) loosening of osseous retainer screws
b) migration of screws or spokes
c) loosening of intramedullary retainer locking screws
d) loosening of the intramedullary shaft
e) loosening of the blade of the osseous plate or blocked epiphyseal screws (LCP, DHS, DCS systems)
f) teething of wire seam

a) deformation of the plate
b) deformation of the intramedullary shaft
c) deformation of the locking screws of the intramedullary retainer

a) fracture of osseous or intraosseous fixator screws
b) migration of screws or spokes
c) plate fracture
d) fracture of the intramedullary shaft
e) rupture of the wire seam

a) loosening or teething of spokes or transosseous rods of an external fixer
b) fracture of spokes or transosseous rods of an external fixator
c) destabilization or damage to the external structure of the AVF

a) fixation plates and screws break muscle weakness
b) Dislocation of prosthesis joint contractures
c) Bone density loss gait disturbances
d) Blood clots
e) Muscle atrophy

a) transplant migration
b) transplant fracture
c) fixation migration after consolidation is completed

a) vein thrombosis of the lower extremities
b) thromboembolic complications
c) muscle and joint contractures
d) muscle weakness and muscle volume reduction
e) gait stereotype disturbances

Frequently Asked Questions

Can you clarify what physician is using the product you have?

Regarding the physicians using our product, we have been working with orthopedic surgeons and rehabilitation specialists in several leading healthcare institutions.

Why a device on crutches and not in the shoe?

The idea of attaching Smart Tips to crutches was tested with real patients, and unlike insoles, Smart Crutch Tips are:
–  Always with the patient, even at night, when the patient is barefoot
–  More durable – 3 years of use
–  Available to consumers of any age and shoe size
–  More affordable to implement
–  Fit the reusable model

How is weight-bearing measured?

When walking on crutches, there is a moment during which the healthy leg is completed lifted off the ground and the entire load is distributed between the crutches and the injured leg.
We can determine how much load is placed on the injured limb by subtracting the amount of weight on the crutches from the patient’s body weight. For example: if a patient’s weight is 80 kg and during a step he transferred 60 kg to crutches, then 20kg of pressure was exerted on the injured limb.

How accurate is the data collected from the Smart Crutch device?

The accuracy of Smart Crutch Tips is 98,5%.

What are the minimum and maximum weight-bearing thresholds?

The amount of initial weight bearing can be set from 0% NWB to 50% PWB. The upper threshold for graduated WBAT is 80%.

Smart Crutch Tips can be used with what pathologies and injuries?

The Smart Crutch Tips device can be used by patients recovering from nonsurgical and surgical treatments for hip, thigh, knee, shin, ankle, and foot injuries and pathologies

Are Smart Crutch Tips compatible with canes?

Yes, Canes with diameters from 17 to 30mm. A patients can begin their gait rehabilitation on crutches and switch to a cane for quality gait progression.

Is it FDA-approved?

No, it doesn’t need FDA approval. It’s Medical Device class II, 501 (k) Exempt. It’s FDA registered and has all necessary regulatory approvals for official sales in the US market.

Does insurance cover it?

Yes, it’s covered by insurance. The device usage itself doesn’t cover due to new technology on the market. However, the doctors work is covered. So they can get additional money for device setup and biofeedback patient training and Remote Patient Monitoring (RPM).

Does Smart Crutch Tips have a warranty?

– Yes. We change the devices if anything happens during patient usage.
– Warranty for hospitals – 1 year.
– However, we can provide an expanded warranty for hospitals for up to 3 years.  

Could my patients use Smart Crutch Tips during rain?

Yes, it has protection from dust and water – IP 54. It can be used while rain or snow and operates in temperatures: from 5F to 86F.

Smart Crutch Tips System

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ComeBack Mobility
For Doctor

Download Mobile App

ComeBack Mobility
For Doctor