Is Keeogo right for you ?

Is Keeogo right for you ?
Thank you for your interest in Keeogo, our SMART Powered Knee Orthosis!

If you answer the following simple questions and upload 3 short video clips, we can analyse how to help you. There is no obligation and we will not use your information for marketing or any other purpose except to let you know if Keeogo can help you. If we think it is possible, we will inform you about the available options.

We will only ask you for your country, city, email address or phone number, and simple movement videos. The information we collect from you is for internal use only and will not be shared with third parties.

Contact Information
Name*

First NameLast Name
Select the region where you live*
In which country do you live?*
Address*
Email*
example@example.com
Phone Number
How did you hear about Keeogo?*

Upload your videos

To assess your suitability for Keeogo, we need to see some very simple videos of your current level of ability
Videos Instructions
- Each video should be 15 second max
- Please do not show your face in the videos if possible
- Make sure you are in a bright enough environment and that your leg movement is clearly visible.
Please send 3 videos (15 sec max) showing you performing the following actions:
- Walking straight for 15 seconds, side or front diagonal view
- Standing to sitting to standing again, side or front diagonal view
- Going up and down stairs, front view from bottom of stairs if you can
File Upload

Cancelof

Do you have any secondary conditions that affect your health? Please specify.*
Please, specify the strength and mobilty for your hips*
Please, specify the strength and mobility for your knees*
Please, specify the strength and mobility for your ankles*
How often do you use stairs?*
Are you able to use your hip (have enough strength) to lift your left up onto a step?*
Please describe the volume of your current daily activities that require walking.*
Condition Qualification

Keeogo is a powered walking assistance device that acts primarily by assisting with knee flexion and extension to complement the user's movements. – flexion and extension are too techy – what would an end user understand ? Bending the knee ?
Does your condition mainly affect the knee joint or do you think you would benefit from added power at the knee?

YesNo
What is the nature of the medical condition that limits your mobility?*
Depending on more complex medical conditions, learning and familiarisation with Keeogo may require a physical and cognitive effort of multiple weeks before benefits begin to be significative. While we will assist you to the utmost of our capabilities during this process, you must understand that there will be an initial amount of effort and planification needed from the user's side to become familiar with the device and explore its potential benefits.

YesNo
Keeogo™ is designed to fit those with a waistband of 70 to 107cm, and a height in between 152 to 193cm. Do you fit those requirements?

YesNo

	Yes	No	Not Sure
A complete loss of muscle function in lower limb
Existing skin sores or skin breakdown on hips and/or legs
Severe range of movement restrictions in the hips or knees
Severe cognitive deficits
Joint arthropathies of the hip and/or knee joint
Severe vascular disorders of the lower limps
Uncontrolled epilepsy
Severe osteoporosis of 2.5
Uncontrolled autonomic dysreflexia
Pregnancy

	Yes	No
Cane/Walking stick
Orthotic devices
Walker/Rollator
Wheelchair
Others

Is Keeogo right for you ?

Contact Information

Upload your videos

Condition Qualification

Contraindications

Current use of assistive devices