Users Manual
Contents
1. Use and Maintenance Instruction AKCESMED CAUTION Manufacturer takes responsibility for proper usage of the device only when the product was purchased from qualified Akces Med employee or at specialized medical store Medical product first class according to the Regulation 93 42 EWG of European Parliament and Council regarding medical products For this product the producer issued relevant declaration of conformity Producer s identification number in the Registration Department of Healing Products Medical Products and Biocide Products PL CA01 04088 W QUALITY 1 MANAGEMENT SYSTEM ET FINAS Finnish Accreditation Service ISO 13485 CERTIFIED COMPANY Akces Med Sp z 0 0 Company introduced quality management system ISO 13485 regarding production sales and service The system is certified by Det Norske Veritas CONTENT 1 The purpose OF the MIGNUAl viscncnacesacesoncsansnanameseanscansaoaindesonspnnenieinani davnbeiessaaneancaioannteatets 5 2 Indications TOF use Cat 1 Stanibluucuiosxemiab ip e ba OE acti e Dx et RESP I EROR Pn p a ioa 5 3 General characteristics of Cat 1 Stander esesnesssssesserensssreresrrrrssssrresereresserressreresseeee 6 3 1 Standard equipment co caacdaasacsnaatsustesenveesecanaadeceseencaancain toneeatsunneeioaieetieaiaielsammeeteness 6 3 2 Additional equipment seissisrisissrserirersrirnireisireririere iiceeiininiinan saian 6 4 Weight and MEASUPEMENILS ctsincsansianaanntv2. If abduction contracture occurs it is recommended to use abduction block in order to prevent ulcers between knees Itisforbidden to use the device for different purposes that it is intended to Itis forbidden to use the device when itis damaged or any partis missing Itis forbidden to leave the patient unattended The device should be used only when there is someone who is trained and knowledgeable AKCESMED 19 6 It is forbidden to leave the device and the patient on unstable ground unattended even if the brake is engaged 7 Itis forbidden to either go up or down the stairs it doesn t matter if the patient is placed in the device or not 8 Itisimportant to engage brake during getting into and getting out the device 9 Make sure that all limbs are not close to spokes or other adjustable elements 10 Although the device and the upholstery are made of fire resistant materials please pay your attention when approaching to sources of fire or sources of high temperature during using the device Moreover device shouldn t be stored in rooms with high humidity 11 Secure the device during transportation in order to avoid any possible damages Manufacturer doesn t take responsibility for damages which appeared due to improper preparation of the device during transportation CAUTION This device can be only used inside the buildings CAUTION The device contains small parts which children may swallow CAUTION It is forbidden
3. e check if base as well as wheels are correctly mounted check if brake stops turning wheel e makesure that all wooden parts e g tray don t have splinters e check if stroller construction is free of breaks or any kinds of deformities e check if all movable parts are working and all screws nuts knobs etc are correctly tightened e check if belts vests trunk belts feet stabilizing belts etc are not frayed check if buckles and clamps work correctly CAUTION Manufacturer takes responsibility only for hidden faults or damages which appeared despite the fact that user complied with the guidelines CAUTION In case of any damages it is essential to contact the person who sold you the product SZ lll x 2 RQ X AKCESMED 23 AKCESMED ORTHOPAEDIC DEVICES MANUFACTURER gael Akces MED Sp z o o ul Leszka Czarnego 3 35 615 Rzeszow tel 17 864 04 70 www akces med com e mail akces med akces med com Authorised Dealer Date of issue 17 10 2011 The last update 23 04 2015 c f er 35 C 70 CANC AN 5c ae E 4596 AKCES MED Ltd reserve the right to introduce technical and trading changes in the content of the instruction without warning
4. that a servo motor will be blocked Unfasten belts which stabilize foot hips and chest Make sure that all belts and precautions do not block the patient Move the patient and place him on a prepared device 18 AKCESMED 9 Safety rules CAUTION Stander CAT 1 has to be used in compliance with guidelines in this user manual It is highly important to consult either doctor or physiotherapist in order to make right decision concerning the choice of CAT 1 and its size It is also essential to familiarize with the guidelines described in user manual before usingthe device 1 Before use it is necessary to U AeA UUN make sure that there are no damages or different faults which could endanger patient s life check if all parts are working and are correctly mounted and moreover check if they are not broken check if all screws knobs and all glued sewed or tapped parts are tightened check if brakes are operating correctly check if buckles are operating correctly always use Safety belts Velcro tapes should overlap min 8cm adjust the device according to patient s measurements and needs e g the adjustment of pelottes footplate etc make sure that all movable parts and knobs for adjustments are stable and locked secure patient with the aid of elements such as vest foot stabilizing belts pelottes abduction block headrest It is highly important to secure patient because it safeguards him her from falling out
5. to make any changes concerning device s structure due to the fact that it is dangerous and it results in loosing warranty CAUTION The weight of user should not be bigger than maximal weight described on page 7 where you will find information regarding this issue 20 AKCESMED 1 AKCES MED Sp z o o sells products free from manufacturing defects or faults 2 Manufacturer gives the purchaser 24 month guarantee from the date of purchase All defects revealed during warranty period will be repaired free of charge 3 All defects which appear after warranty period can be repaired only when the user will pay for it This rule doesn t apply to refunded products user can ask National Health Refund for refund 4 Manufacturer claims that the product can be used for 36 months User can use this product after this period only when he she will send the device to manufacturer so as to service it Next manufacturer determines again how long the product can be used and moreover the date of the next service will be determined 5 If product is damaged please contact our dealer or AKCES MED customer service ph 17 864 04 70 AKCESMED 21 10 Maintenance and cleaning Stander CAT 1 should be kept clean and used in compliance with the manufacturer s recommendations The device should be kept in clean dry and ventilated room Maintenance as well as cleaning have to be performed at least once a month Regular cleaning and maintenance of devi
6. user manual Remember to use the product only with someone whois trained and knowledgeable 8 1 Preparation of the patient Before using the product itis essential to make sure that patient s outfit is light and comfortable sporty clothes are advisable shoes should be comfortable and moreover they should stabilize ankle due to hygienic reason and to avoid abrasion it is advisable for the patient to always wear clothes when using the device skin must not be naked especially in places of regular contact with upholstery drains bags catheters etc if applied have to be secured to function properly and not to disturb during using the product if it is necessary for a patient to wear orthopedic supply collar corset orthesis shoes if it is recommended by doctor CAUTION Outfit should protect patient s skin from direct contact with upholstery as well as other parts of equipment CAUTION Only doctor can make a decision concerning using any kind of orthopedic supply AKCESMED 15 8 2 Preparation of device before each use 1 Before use it is necessary to e unfold the device e place the device on even ground in a way that it is easy to reach standing frame and person who sits inside remember to keep standing frame away from fire and high temperature e make sure that all parts are serviceable correctly mounted and stable e check castors and brakes e lock brakes 2 Adjust the device according to patient s
7. a front position for children who weigh up to 25kg and have disorders which prevent them from standing and walking single handedly Furthermore adopting an upright position is a key element which prepares a child for learning to walk An upright position is a first step to further process of streamlining What s more it has a significant influence on stimulation of psychomotor development It stimulates the systems such as skeletal muscular vascular respiratory alimentary and excretory The possibility of upright position for a child who cannot move asa result of disease or an accident has an enormous as well as positive influence on patient s mental state Thanks to a suitable use of wedges pelottes and belts a flabby or spastic body can have a correct stabilization Moreover it also protects from constraints contractures and osteoarticular deformities Standing frame is designed for use in a confined space AKCESMED 5 3 General characteristics of Cat 1 Stander 3 1 Standard equipment 1 Frame with castors equipped with 4 Chest pelottes with belt stabilizing brakes chest 2 Foot stabilizer 5 Thigh abduction wedge 3 Pelvic pelottes with belt stabilizing 6 Tray hips 7 Soft cover for tray 8 Gas spring 9 Q 9 KT 002 Head supporting belt 9 d KT 005 Tray with bowl 6 AKCESMED 4 Weight and measurements Product dimensions cm u18uo Npold YIPIM JNpold 343194 32
8. ce are indispensable to maintain its correct functionality as well as safety It is highly advisable to remember about proper maintenance in order to extend product s aesthetics So as to do that it is essential to comply with these guidelines 1 It is recommended to clean upholstery with the aid of cleaning product soft sponge and warm water If you use sponge which is too wet stain may get bigger upholstery may be destroyed It is necessary to remember that the excess of dampness should be removed from fabric before next cleaning Please rinse upholstery with warm water and clean white cloth once stain is removed 2 Itisforbiddento soak upholstery 3 It is forbidden to clean upholstery with the aid of hard brushes 4 ltis forbidden to clean upholstery with strong chemical agents such as solvent or caustic chemicals CAUTION Akces MED Sp z o o takes no responsibility for damages caused by use of wrong clearing agent 5 Itis forbidden to soak upholstery during cleaning Remember that upholstery has to be always dry before using 6 Itisforbiddentoclean make any changes and maintain stroller during using it 7 All metal as well as plastic elements should be cleaned by hand with the aid of general cleaning products Remember to familiarize yourself with cleaning product s leaflet 20 AKCESMED CAUTION Remember that upholstery has to be always dry before using Before using it is necessary to e clean wheels
9. ed and fastened CAUTION It is forbidden to leave the patient unattended CAUTION Incorrect adjustment of the device can lead to side effects such as fainting body deformities overloading joints It is highly advisable to adjust the device before every use of a standing frame This adjustment has to be done only by a trained person or therapist If any of these side effects appear it is highly important to stop the upright position process take out the patient from the device and lie him her down If these undesirable side effects still occur it is necessary to contact doctor If these side effects disappeared remember to inform doctor so as to make decision concerning further upright position process The ending of upright position N O Ul It is essential to prepare a place in which the patient will be taken out from a standing place It is important to choose a room without any dangers Move a standing frame closer to a place in which the patient will be moved Block castors from a standing frame orthopaedic bed or other device in which the patient will be situated When we stabilize the patient s body we should unblock the lever which protects a servo motor It is important to talk as well as have an eye contact with the patient during that action After we slowly place the patient in the direction of gradient When we obtain a proper tilt angle it is necessary to block the device by releasing the lever in order
10. ent is sitting 4 Move the patient and place him in a standing frame We ought to make sure that all alignments are preserved Implement corrections if necessary 5 Fasten belts stabilizing chest hips and foot Make sure that all belts and precautions were correctly adjusted and fastened 7 When we stabilize the patient s body we should unblock the lever which protects a servo motor It is important to talk as well as have an eye contact with the patient during that action After we slowly place the patient in the direction of upright position When we obtain a proper tilt angle it is necessary to block the device by releasing the lever in order that a servo motor will be blocked OY CAUTION The length of time for upright position process is different for each patient It is recommended to extend this time during the initial period adaption period for the change of position Either doctor or physiotherapist can make decision concerning the length of upright position process Upright position process has to be always performed under the supervision of trained person It is recommended to divert patient s attention during upright position process by manipulation games educational games touch stimulation and others CAUTION It is highly important to adjust the device to the patient before using it AKCESMED 17 CAUTION Make sure that all belts as well as fastenings from adjustable elements are correctly adjust
11. ible for a child to perform different manual actions It is recommended to leave a pillow for children who e have uncontrolled pressure force from upper limbs towards a table e have problems with controlling limbs atheotosis Pillow should be assembled by putting three belts into slots which are situated on the edge of a table After we should fasten a pillow to the second side of a top by using Velcro AKCESMED 13 7 How to assemble an optional equipment 7 1 Head supporting belt In order to assemble head supporting belt it is necessary to e pullabowloutof equipment leave unsecured slot in a table which is designed for a child s head e loosesetscrew knobsin a table e place a table in order that it stabilizes head from the front e screw setscrew knobs inatable e fasten head supporting belts and tailor their length to a child 7 2 Table for manual therapy In order to assemble a table for manual therapy it is necessary to e puta therapeutic table on the standing frame table in order that its side edge would rest against a band 7 3 Presser foot with adjustment In order to assemble presser foot with adjustment it is necessary to e dismantle standard presser foot dismantle presser foot with adjustment in the same places 14 AKCESMED 8 The use of Cat 1 Stander CAUTION Stander CAT 1 has to be used with compliance to guidelines included in this
12. ice before each USC cceccccssssecccseseecceceeeseeesseseccesaeeeceesaaaees 16 8 3 Upright POSIT OW NT E RRRTRTRRTR 9P P 17 BSc s RE 19 10 Maintenance and cleaniNE ossscmto du diua xe ment isod enr eE otUt ra ds esp bR EU T aA 22 INTRODUCTION Stander CAT 1 was created for little patients with disorders which hinder or make it impossible for them to adopt an upright position single handedly with trunk or lower limbs paresis and tetraparesis of different origin A wide range of adjustment in this device enables children with different dysfunctions of locomotor system to adopt an upright position This device is user friendly because of colourful upholstery which stimulates the sense of sight and touch Moreover the manufacturer used wood a natural material whose pattern and colouring are well known for children Please read the instruction carefully You will find the information about our product and you will find out how to use it effectively and safely If you have any questions or comments please contact the medical consultant of our company ph 0 508 382 509 or contact directly with our office ph 0 17 864 04 70 Thanks for confidence and buying our product The manual contains basic information which is essential for correct using of this device such as the preparation of standing frame for work guarantee conditions and the way of maintenance as well as cleaning Thi
13. measurements 3 Release actuator s lever so as to adjust trunk support 4 Unfasten chest and pelvic belt footer belts so as to easily place the patient in the device Equipment works correctly only when the device is adjusted according to patient s height as well as weight Remember to take all these measurements into account while purchasing the product Correct adjustment is the most important due to the fact that only then the productis safe It is forbidden to force child to keep specific position because he she will feel uncomfortable and it may lead to wrong posture CAUTION First adjustment of standing frame can be performed only by someone who is traned Further adjustment is performed by patient s relatives who had proper training concerning the usage as well as adjustment of this device Remember that correct adjustment is essential due to the fact that the product is safe and moreover the rehabilitation process CAUTION Remember to make sure that all belts and locking are correctly adjusted and fastened Check also if fastenings from adjustable elements are firmly tightened 16 AKCESMED 8 3 Upright position Itis necessary to 1 Prepare a place for upright standing It is important to choose a room without any dangers such as strewn toys or other objects 2 Move astanding frame closer to a place in which the patient is situated 3 Block castors from a standing frame wheel chair or other device in which the pati
14. npoJd Weight kg 1u819M P Npold xew 43193m 5 Size table ajsue uonisod yy3udN w2 43u9 1004 w3 Aes 0 1S21 1004 u2 yapim diH wo yapim 15942 AKCESMED 6 Detailed description how to use Cat 1 Stander 6 1 Adjustment of the height of trunk stabilization and pelottes In order to adjust the height of trunk stabilization it is necessary to e loosen 4 fastening knobs e adjust the height according to the measurements of the patient which were taken with the standing frame when we obtain the suitable height we should screw knobs Next itisessentialto adjust pelvic pelottes e loosen two blocking knobs e adjustthe suitable position of pelottes move pelottes up or down e screw knobs 6 2 Adjustment of the pelottes In order to adjust pelottes it is necessary to e loosen knobs which fasten chest pelottes 1 pelvic pelottes 2 e adjust pelottes according to measurement of the patient e screw knobs AKCESMED 9 6 3 Adjustment of the stabilizing belts In order to adjust the stabilizing belts it is necessary to e unfasten snap clips from a supporting belt e tailor the length of the main belt to the patient with the use of Velcro situated on the pelottes e after obtaining the correct length of the main belt it is necessary to use snap clip as well as adjust the length of the suppor
15. orentesxesbasimesadbsrns TRES svonsawennnteorsdeseeadvorinesivadianesatansss 7 5 5126 I Oa L TNR EHI IMEEM Eu NNI Id MU ME NUM 7 6 Detailed description how to use Cat 1 Stander ccc cccsssecccesseeeeeeceeeeseceeeneeeeenees 8 6 1 Adjustment of the height of trunk stabilization and pelottes 8 6 2 Adjustment of the pelottes usse asnccwnounansdndacounee soe REN VENE T Nn RU REN aet Vt 9 6 3 Adjustment of the stabilizing belts esee LO 6 4 Adjustment of thigh abduction wedge eee 11 6 5 Adjustment of foot stabilIZet coooes eh ord rrr reper FI ei dt be arvis bd 6 6 Adjustment of tilt dngle ouemue eve neo bles eo ERR EXR NEXa NE RYE up a ecu dad 12 6 7 Adjustment of table and pillow assembly eeeeereeeeenne 13 7 How to assemble an optional CQuipMentt ccccccccssssecssseeceeeceesecccsseeceesaeeeecesseaeees 14 7 1 Head S pporting Bella ceerseen ien ur FRE URUEETE UE ER FUS Era ttqu reU E HOUR eii 14 7 2 Table for manual ther api edes ec mtra I EtEUpkr SR RETI QR FEPDER S EuS ATO adr TORIA UP RFVITPI e p SUR UU TN 14 7 3 Presser foot with Sous fielE see ec remind Esse ots ia se bsktak Osce he UeE opa Que i ESE mos 14 8 The use of Cat 1 Stander ae esteesest iiem PERPEHEIN ME TOI MM errare I UbNDI RM HN NOMINE 15 8 1 Preparation OF the pallet pase ett deh a i PO Ure PEE OLD UE I VIS itp UT EEU PME IU Ou Ida AER UVP KENU 15 8 2 Preparation of dev
16. s handbook ought to be kept in an accessible place The manual is designed for people who take care of disabled children as well asfor doctors and physiotherapist operating that device Please remember that complying with guidelines included in this manual will make it possible to use this device safely Furthermore it will prolong its durability and aesthetic CAUTION Before using the product user is obliged to familiarize himself herself with user manual Remember that complying with guidelines is highly important It assures safety and extends durability as well as aesthetics of the device 4 AKCESMED 1 The purpose of the manual The present manual contains basic information which is essential for correct using of the stander Cat 1 Thanks to this manual we will get to know with guarantee conditions and we will find out how to prepare clean and maintain the device This handbook ought to be kept in an accessible place The manual is designed for people who take care of disabled children as well as for doctors and physiotherapist operating that device CAUTION The user is obliged to get to know with the content of this manual before the use of the stander Cat 1 Please remember that complying with guidelines included in this manual will make it possible to use this device safely Furthermore it will prolong its durability and aesthetic 2 Indications for use Cat 1 Stander CAT 1 is created for upright standing in
17. ting belts Pull the belt in order to check if e the clips do not unfasten because of pressure force e the clips do not move over the belt because of incorrect assembly 10 AKCESMED 6 4 Adjustment of thigh abduction wedge In order to adjust the wedge it is necessary to e loosen fastening knob e move the wedge up or down till we obtain the correct alignment e after obtaining the correct alignment we should screw the knob 6 5 Adjustment of foot stabilizer In order to adjust the foot stabilizer it is necessary to e loose set screw knob e move presser foot till we obtain an appropriate position e after obtaining the correct position of presser foot we should screw AKCESMED 11 6 6 Adjustment of tilt angle In order to obtain desired tilt angle it is advisable to e move lever which protects a servo motor e lower or lift trunk stabilizer in order to obtain a proper tilt angle e after obtaining a proper tilt angle we should protect a servo motor by lowering a lever 12 AKCESMED 6 7 Adjustment of table and pillow assembly In order to adjust a table gradient it is necessary to loose all set screw knobs e lower or lifta table until we will obtain a proper angle e screw knobs An angle should be adapted to e tiltangleofa standing frame e thewayin which children s hands are placed Hands should lie freely on the table it makes it poss
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