For assistance in filling out this form, please contact our product

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Order form CMAX (distributor)
For assistance in filling out this form, please contact our product specialist:
Jiska Kempen: [email protected] / +31 6 42 37 50 40
1. System requirement/wishes
Camera views
Dorsal/Frontal
2nd Dorsal/Frontal
Other
Force plate
Yes
(push off and force vector)
No
Electromyography
8 Channels
(muscle activity)
Specify other
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Sagittal
(maximum of 4)
16 Channels
No
(2nd sagittal, focussed on the feet etc.):
Extra comments
* Bold/underlined options are the basic solution (basic solution always include a PC, power unit and software)
2. System purposes
Organisation
Type of analysis
Kies een item.
Define other:
Clinical Gait Analysis
Alignment orthosis/prosthetics
Population
Research
Kies een item.
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3. Usability
Stand alone system
Network system
Yes ☐
Server Client:
CMAX database on measurement PC; CMAX viewer to
analyse data on another PC (export/import function);
CMAX viewer builds an own local database (changes
not visible in database measurement PC)
No ☐
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Kies een item.
CMAX database on a server, all PCs with a CMAX
license use the same database; different types of
licenses* (different costs); specifications network:
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Order form CMAX (distributor)
* Licenses:
Server Analysis:
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Kies een item.
Server Viewer:
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Kies een item.
windows server 2003 R2, 2008 R2 SP1 & 2012,
windows vista SP2, windows 7 SP1, windows 8 (32 and
64 Bits); Processor Intel@pentium processor 1.5 GHz;
Memory: 1GB; Hard disk space: min. 10GB for
database; min. 1000GB for video files; Network
Connectivity: 1000Mbit/s (GiGE) netwerk.
Server client: necessary to create the server database. In a server set up all measurement PCs need a
server client;
Server Analysis: license to use all analysis and report tools/functions of CMAX, changes will be saved
in the database;
Server Viewer: license to view all analysis, making/saving changes is not possible.
4. Overview gait lab*
New or existing room
Kies een item.
Min. 400 x 800 cm (min. distance
Width [cm] x Length [cm]
sagittal camera - force plate: 300cm)
Force plate(s)
Pit:
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Walkway:
Windows
Yes:
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No:
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If yes: blindings required
Min. 400 lux; measured on the
Illumination [lux]
walkway, foot height and hip
height
* please draw a map as precise as possible (see examples) and insert this drawing into this document (page 4 Floor
plan)
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Order form CMAX (distributor)
5. Floor plan
Exact dimension room, location cameras, force plate and workstation, distance between cameras and force plate,
doors & windows
Examples floor plan
Example 1:
Example 2:
System
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Order form CMAX (distributor)
Floor plan customer
Exact dimension room, location cameras, force plate and workstation, distance between cameras and force plate,
doors & windows
System
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Order form CMAX (distributor)
6. Photos gait lab
Photos of the room where the gait lab will be situated.
System
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Order form CMAX (distributor)
7. Installation information
Cameras and force plate(s) have to be installed in the gait lab. The different options are selectable below and are
important to know at forehand in order to send the correct products.
Installation cameras
Fixation
Fixed to the wall
Amount: Kies een item.
Flexible (tripod)
Amount: Kies een item.
Cable length (cables from camera to PC should be neatly concealed in a cable tray or along the wall)
Length
Kies een item.
* Bold/underlined options are the basic solution
Installation force plate(s)
Pit
* Size (L*W*D): 700mm*700mm*±54.7mm (take
into account the thickness of the top floor; check
exact depth always with Lode)
* Bottom of the pit perfectly straight
* Own responsibility for the correct cover for the pit
* The cover should be removable
Walkway
Lab requirements
Floor
Walls
(only for the walls in the
view of a camera)
Light
* Size depends on the room, minimum width
1220mm, height ±54.7mm (check exact height
always with Lode)
* Subfloor and walkway perfectly straight
*Cut out for the force plate: 502mmx502mm
* part around the force plate should be removable
* Different colors between the floor and the walking
track
* Start and stop stripes
* Colors not too dark
* No shiny surface
* Off-white or other light, matt color
* No lights direct on the wall
* Not too much decorations on the walls
* Evenly distributed light
* No lights direct above the walkway
* No light from outside
* Minimum requirement is 500lux
Discussed with customer:
Not applicable:
Local partner:
Order at Lode BV:
Not applicable:
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Discussed with customer:
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Discussed with customer:
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Discussed with customer:
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Order form CMAX (distributor)
Please return this order form to:
Lode B.V.
Zernikepark 16
9747 AN Groningen
the Netherlands
Tel: +31 50 571 28 11
Fax: +31 50 571 67 46
Web: www.lode.nl
Mail: [email protected]
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