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        Single Hand Manual Drive Wheelchair
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1.                                    A 25  5 Impact of Engineering Solutions                  cccccccssccsscccccccsscesscccsscesscessscesscesssees 26  6 Life Long Learning  6s vewawesavosevecavnseacos seis vives ERRAEEEPRVEREERVY ES VARERAVE RENE TES YT US 26  7 Budget and Timeline     2 uuu penes eei po 1g exo xo enne o MR XP awe danas ave WERE ER VER aV HN INS TV couscous 27  NEL T                                      aeeie 27   8 Team Members Contributions to the Project                        eeeeee eee eee eee eee enn 27  pel Dean Member   RR 27  5 2 Team Member 2s state uev EO dh Fou EMO EU I DRURRE NIE CA NER NEVER MEN NOVA EDU d da Pee do 28  8 3 Team Member 3 scssvawnsssn oo xv RII TOES EE DIRE FEVER PREDA PERNT S SEE Sanne es S EDU PRE UEM  28   9  Concl  si   n Fee                         PR 29  10  References oe ences ru rre S tanta e SIE Eb xt VERRE ested Ebo bud rRNA SUEDE LOL IN PET id ides 29  11 Acknowledgements iie res teta IR ERR EECESRSVER ON PRAM Ce FeuPer PPAR VER YER UR RATS v   PNE EPOR Ve ERN 30  12 Appendik       e ec exvesves  teksh een exVExE SEEK CSS REY SA MEUSE ERES ARTES RRVU Od EREE SE TENER MSS 31  12 1  Pechinical SpecrficalofiSe obesse sex ko o PKENRESMS QE OU EUR Ca PiPC EUER QU DAVE UM C ea 31  12 2  Relevant LINKS iss eecusveseueu vecawe uuo ue iu ea cine hav a Ea PAN E AR E ME Vo SYN EA SERA 31    Abstract    The single hand manual drive wheelchair was built so that the operator is able to  control the wheelchair solely by the right hand 
2.   wheelchair by turning the lever arm to the right or left  The lever arm is directly  attached to the front right wheel of the wheelchair and positioning of this wheel  determines which direction the chair will turn  The height of this lever arm is    19    adjustable so that it can be specifically tailored to the client s preferred height   After attaching the one arm drive lever system to the folding wheelchair  the team  was able to shift their primary focus on the proper seating position and safety  features of the wheelchair     2 3 2 Seating Position    The team was able to focus their attention on making sure the one arm  drive wheelchair provided proper support to the client  The team met with Matt  Luginbuhl at PediaFlex  who is Danielle s physical therapist  in order to get  recommendations about the proper seating position of the wheelchair  The team  purchased a headrest  seating pad  and foot rest at NEAT Marketplace that would  all be used as seating support elements for the wheelchair  During the team s  session with Matt  they were able to get advice on where to enhance the foam  support padding in the seat  Matt was able to take several measurements of  Danielle s body and the team even let her test out the wheelchair for the first time   She was very excited to test out the prototype and she seemed to be able to  operate the wheelchair with ease  Though her movement of the wheelchair was  not perfect on this initial trial  she will certainly get better at m
3.  Basics  Web  9 Dec  2011    lt http   mobilitybasics com onearmdrives htm gt       Quickie Iris  S N Prefix CGT  Replacement Wheelchair Parts   Accessories   One Arm Drive   S N Preifx CGT    Quickie  Wheelchairs com   Welcome to Quickie Wheelchairs com    Quickie Wheelchairs com  Web  09 Dec  2011   lt http   www quickie   wheelchairs com wheelchair parts sunrise medical quickie iris accessories one arm   drive s n preifx cgt gt       Variable Lever   ADI Rides  Web  09 Dec  2011   lt http   www adirides com variable html gt       Viper Lightweight Wheelchair by Drive   1800wheelchair com   Wheelchair  Manual  amp   Electric Wheelchairs   1800wheelchair com  Web  09 Dec  2011    lt http   www  1800wheelchair com asp view product asp product_id 1470 gt      Wheelchair  Manual  amp  Electric Wheelchairs   1800wheelchair com  Web  09 Dec  2011    lt http   www  1800wheelchair com gt       Wheelchair Positioning Adjustable Angle Hip Guide Hardware   Therafin Corporation     Quality  Cost Effective Wheelchair Seating and Positioning Solutions  Web  09 Dec   2011   lt http   www therafin com adjustableanglehipguidehardware htm gt       Wheelchair Rider Risk in Motor Vehicles  A Technical Note   Rehabilitation Research  amp   Development Service  Web  09 Dec  2011    lt http   www rehab research  va gov jour 00 37 1 shaw htm gt      WPI  One Arm Drive Manual Wheelchair  Web  9 Dec  2011   lt http   www wpi edu Pubs E   project A vailable E project 043009  1057 16 unrestricted Whee
4.  The purpose of the project is to allow the  client to have more freedom of movement in a lightweight  portable wheelchair  even  though she cannot control movement in her left hand  The team made modifications to  an existing manual wheelchair in order to incorporate a single hand mechanical drive  device  The team researched existing products on the market that allow for wheelchair  patients to control their chairs using one hand  The wheelchair must be no wider than 32  inches  standard doorway  and collapse to less than 12 inches for ease of portability    It was necessary to incorporate a safe braking system to the wheelchair so that the  client can stop easily  There are many different types of braking systems on the market   so the team had to decide which one was best for use on the single hand manual drive  wheelchair  Some braking systems require use with both hands  which was not feasible  for this project    The budget for this one arm drive wheelchair  along with the other two projects  for our team  is approximately  1000  The purchase of the manual wheelchair was the  most expensive item in the budget  The team also purchased additional items including  headrest and foam seating elements  The exact breakdown of the budget can be found in  section 7 1     1  Introduction    1 1 Background    Danielle Giroux is an eleven year old girl living with cerebral palsy  Cerebral  palsy is a condition that involves brain and nervous system functions  It is caused by  inju
5.  be weaved through  These foot straps are made out of Velcro and  are adjustable to fit the size of the client s feet     22    2 3 4 Safety Features    There are also a number of safety features that are included in the One  Arm Drive wheelchair  The first safety feature is the addition of a braking  feature  This braking features functions to stop the movement of the wheelchair  when the lever arm is pulled all the way back  The operator simply pulls back on  the drive arm to stop movement of wheelchair  There is a brake pad that rests  against the right wheel and prevents further movement of the wheelchair     The wheelchair also features a wheel locking system that prevents  movement while client gets in and out  This is to be used to prevent movement of  the wheels  The One Arm Drive wheelchair can also be used on incline surfaces   as demonstrated by one of our lab partners in Figure 25 below        Figure 25  Leah tests the One Arm Drive wheelchair on incline    23    3 Realistic Constraints    There are many physical constraints that come into play with the design of this  single hand manual drive system  For example  it was necessary for the team to consider  the realistic constraints associated with the economic  environmental  sustainability   manufacturability  ethical  social  political  and health and safety concerns  The team  must make sure that this design is feasible and that the final product is beneficial for the  client without hindering their safety or w
6.  eee e eee eee eee eee eee eene nne 10   2 2 3 Invacare Cyclical Lever DEIVe d vecesutuokwts scan ea eU ER CRUR EREERERRT ROI Vau DER 11   2 24 Drive Arm Assembly fain da ebtaesn va e CEU VAM eh ER RAE SAM MEI NEEE ESER 12   2 2 9 Fork and Steering Assembly  li eic ca eie u esa ue dauast e au a EUR aaARR C DEKA e E Ex 13   2 2 0 Rear Wheel and AXleee  seuuavaxueva Versa Ea UE SMENTROE EE EEOFE aa eea E DRE rS 14  2 2 4  rans Mission esee tovs ux a a EAE RTE VERRE  RELPRRRTA VR ERE FUREAE TRIER S SERES LENA TERME 14  2 2 8 Ability to Disengapesc ees deve uuu d ad vua asa ea iui Va nuova saa oh eru ad eoi aie 15  22 9 Wheel LooKiseuvsen cesses e savee xs eis Qe PE e XR E EEEE EE Vasa E Pr zie 15  2 2  40  Wheel Braga uode ads yavuu queauaqaeu dis udo da Rau ad Esod e  Eve ua E RERE 16  2 21 TJ Satety Fea f  suseevedauaoiesee as seoses ease Vu De o VER E ERU Eees EDGARS 17  2 L2 FLOR Cr SUDDOFL duse saa de ku YG 32 caa Nvidia FU awe sean PURI QU DAN SUAE CIAR GR VUE 17  2 2 13 Detachable Seu  sic ases nutu n adea ipsuaa d ubakewvet ekezdadeh oak Era ide pu 18  2 3  Prototype Pp 18  2 3 1 Assembly of One Arm Drive System             cccccccesccecccccccccsssccesccees 18   2 3 2 DEALING  POSIHOT e oies eda haces exse kk sews ER ER IN SERT ERR RR PERUFON RENE UFAUUON avs 21   2 3  3 POOLTOB I es aya a eae ve UE Yn VM ge REN dieses CVV Ono GER CU UNS ed Peu EPPE A ei E SICH REN US 22  3 Realistic Constraints isis                                    24  A Safety ISSUES m               
7.  folding wheelchair that has been previously  owned  It has been cleaned and tested by the NEAT Marketplace staff to ensure  that it is safe for others to use  Figure 18 below shows an image of the wheelchair  that we purchased     18       Figure 18  Standard wheelchair purchased from NEAT Marketplace    In order to fold this wheelchair  it s necessary to remove the backrest and  the seat padding so that it can collapse  There are a set of pins in the backrest that  must be removed from their slots in order for the part to be separated from the rest  of the wheelchair  The seat cushion is simply fixed in placed with two strips of  Velcro  The seat padding was modified to match the physical needs of the client  and the design of this part can be seen later on in the report    The team was able to attach the Invacare Cylindrical Lever Drive system  to the right side of the wheelchair  This device operates by simply moving the  lever arm forward in a pumping motion  The transmission contains a gearbox that  allows the client to change between forward  neutral  and reverse movements    The operator simply changes the gear depending on which direction they would  like to move  Pumping the arm will cause the chair to move in the direction  specified  Figure 19 shows the completed assembly of the lever drive system to  the standard folding wheelchair        Figure 19  Assembly of the lever drive system to wheelchair    The operator can also control the steering of the One Arm Drive
8.  is owned by  David M  Counts of Quickie Designs Inc   US Patent  5306035   This innovative  design shows dual armrails on one side of the wheelchair that function to propel  each of the wheels  These two armrails rotate about a common wheel axis  One  armrail controls the wheel on the right side  while the other controls the wheel on  the left  Additionally  there is a locking mechanism that is controlled by the  operator that will allow simultaneous rotation of both wheels in order to propel  the wheelchair in a straight direction  A representation of this invention can be  found in Figure 5 below                       Figure 4  Representation of Self hand manual drive wheelchair  US Patent   5306035     1 4 Additional Requirements    The wheelchair must be aesthetically pleasing to the patient and others in her  environment  The family has requested that it not look    robotic    with all sorts of metal  contraptions  but that it has a soft feel and look to it  This will ensure comfort for the  patient and so that it looks like any other standard wheelchair  Extra padding and  covering shall be put in specific places to give a softer feel to the device    The team had to obtain their own manual wheelchair for this project  The specific  model does not matter  as long as it is sturdy  collapses for the patient  and is able to fit  through a doorway measuring no more than 32 inches wide  It is necessary for the  wheelchair to have a mechanical device that allows the operator
9.  of wheelchairs  ranging from lightweight   portable  heavy duty  manual  powered  folding  sport  and reclining  These  different types all have benefits over others and are for use with a variety of  different purposes  The type that the group used for this design was a  conventional folding wheelchair for the sole purpose of being lightweight and  portable  The client has specified that a folding manual wheelchair is necessary  for this project so that the family can easily transport it from one place to the  other  An example of a traditional folding wheelchair is shown in Figure 9 below        Figure 7  Example of a standard manual folding wheelchair    A standard non powered  manual  wheelchair must be controlled  manually by two hands  There are two different types of manual wheelchairs   which are folding and non folding  All standard manual wheelchairs have four  wheels   two large in the back and two small in the front  The two front wheels  are much smaller than the rear wheels and this is because they function for  stability and are responsible for guiding the chair in the right direction when the  operator makes a turn  The front wheels are able to swivel a full 360 degrees   while the rear wheels do not swivel at all  The purpose of the larger rear wheels is  to allow movement of the wheelchair  Notice the large metal hand rail in the  sample wheelchair in Fig  7  The operator must grab the hand rail and rotate the  wheels on the left and right sides of the whee
10.  to use solely their right  hand to propel and steer    The wheelchair must have appropriate seating to support the patient in and upright  position  Many manual wheelchairs contain seats that do not provide proper posture for  the operator  Often times  the patient does not have proper back support in these types of  wheelchairs  The group would take existing hip guides and heat support from one of    Danielle s wheelchairs and attach them to the single hand manual driven wheelchair  It  was necessary for the group to keep in contact with Danielle s physical therapist to  ensure that the one arm drive wheelchair provided adequate support for the client    After discussing all of these constraints with the client  the team was able to  create a chart detailing all of the specifications for this project  An outline of these  quantitative specifications can be found in Appendix Section 12 1     2 Project Design    2 1 Introduction    The team has designed the single hand manual wheelchair for a client who  does not have motor control in their left hand  The client has expressed a need for  an easier way to navigate her wheelchair using only one hand  while still being  able to control how fast it goes and which way it steers    There were three alternative designs that the team took into careful  consideration when selecting the optimal design  The first design incorporated a  one arm lever system that can be used in a pumping fashion to move the chair in  forward and reverse d
11.  turned that presses a  brake pad against the tires to prevent movement  This lever operates with a  simple turn and can lock the wheel in place  There are two wheel locks  one for  each side of the wheelchair to attach to the large rear wheels  The small front  wheels do not have locking mechanisms        Figure 14  Ability to lock wheel in place    2 2 10 Wheel Braking    Safety of the one arm drive wheelchair is a very important concern  The  team took into account a braking mechanism that allows the client to easily stop  the wheelchair on command  Some of the alternative designs discussed ideas  about disc brakes and hand brakes for the one arm manual drive wheelchair   However  these ideas needed separate mechanical drive and braking mechanisms   The CLD system incorporates its own braking mechanism within the design  In  order to apply the brakes  the operator simply pulls back on the arm drive lever   This motion can even be performed when the chair is in forward or reverse gears   An image representing the braking system and brake pads is shown in Fig  15  below  When the operator pulls back on the lever arm  it presses the brake bad  against the rubber tire  which hinders movement of the wheels  The advantage of  using this system is that there are very little mechanical pieces or wires sticking  out  Ifthe team were to incorporate a hand brake system similar to that seen in  bicycles  there would be many metal wires sticking out and running from the front  to the b
12. Assembly    Inner Hub Spacer        Transmission Rear Hub Slot  Pan Head Screw Hub Support Plate Transmission Rear Hub    Figure 11  CLD Rear Wheel and Axle Assembly    2 2 7 Transmission    The transmission component of the wheelchair design is responsible for  allowing the operator to change gears between forward  neutral  and reverse  movement  This piece comes with the CLD system and is part of the lower  portion of the lever arm  It basically attaches to the wheelchair side frame via a  set of screws and this is what ultimately holds the control arm in place  The  transmission functions using a small lever that protrudes out the top  This lever is  accessible to the client on the right side of the wheelchair  There are three  different gears as mentioned before   forward  neutral  and reverse  When the  client desires to move in the forward direction  they will engage the gear using the  small lever  The same process is necessary for moving in the reverse direction as  well  Figure 12 below demonstrates the basic setup of the transmission system    One thing that is important to take into consideration is how difficult it is  for the client to be able to switch gears  The shifting arm is a very simple setup  and should not require a lot of energy to move  The pumping action of the control  arm on the wheelchair is also another concern because it requires that the client  make several pumping motions back and forth to move the wheelchair in any  direction  The group has w
13. Final Report    single Hand Manual  Drive Wheelchair    Jordan R  Smith  Kayla Gosse  Leah McElhaney  Team  5    Project for Client  Danielle Giroux  Client Contact Information   Dave and Suzanne Giroux  53 Charlotte Dr  Tolland  CT 06084  girouxs Q sbcglobal net  860 604 0893    Table of Contents    Abstract usn nea i ve ex he eo ev Ead oM es SUR Cid SETENE EEE TENAR E CURE NEA MIN AE TN ORI E INN 3  I DIntroducHoh  ssssescsssisssess en ha net rau koe idem ti ko ple aed isei Vd dan sha e Pa e i ipe dese UE Y 3  IN duci RC                     3  I2  Purpose of PtGJeCbospqsudexebet  bieenk e EE E E nn AE EAEN e E T van t Oeo En o dpEs 4   1 3 Previous Work Done by Others    sueet exu eut tan oen eu no Nau RERReX NEU auae a P TURN NUR EANS 4   Edel PY OAUCIS di ese Vs Reus auae e redo pai VER ka ud dive v bans e  Uua DXSPRQUAI E009  EVE RAE pinned 4   L3 2 Patent Scarch Results ies keue die dduvs rivets adusque d Te EK aude VES Vo CR AYER ER ETY NIE 5   Td Additional Requirerients esses e eus epa n e rao eL E iu ona Qe koe ade a es eoe 6  2 Project Desigii sio vote ay yes ARE RR TORNA EE NE RAUM yeh VOR ERE VDO EAE ERE ieee 7  2 1 Introductions ssent sind viene Wau ERE USE ER EQ VR UUNFE deeds VENT FERA Qr DE 7   Zee Optimal Design Coosveduvcolea vere aU is Sas r EUN ten PUES RR PEL OU olnecuengaeaniaecassaaveuse 9   2 2 Introduction S  uie us eua euuoEEaa ak quaa T VE DR QU QUES d Ed VAR REEL VS VE Ca QN DEP OUA diesen 9   2 2 2 Conventional Folding Wheelchairs                
14. ack of the wheelchair  The existing system shown in Fig  15 eliminates all  these wires and large contraptions and keeps the design relatively simple     16       Figure 15  CLD braking mechanism    2 2 11 Safety Features    It was necessary for the team to take into account the safety features used  in a restraint system for a motor vehicle  The client s minivan already has the  necessary wheelchair tie downs for the wheels  The team had to design the  buckle system for the seat on the wheelchair  Both the front and rear wheels are  safely secured to the floor of the minivan so that the wheelchair cannot move   The team attached a restraint system to the wheelchair to ensure that the client is  secured while riding in the family s minivan  There is a strap that goes across the  client s chest and lap that will buckle into place just like a standard seat belt in a  car     2 2 12 Proper Support    One of the most important features of this wheelchair is the support  system for the client  The team worked closely with Danielle s physical therapist  to ensure that the wheelchair provides proper posture and support  The team  invested in padding including a head rest and additional foam seat cushioning so  that they can ensure the client gets the support she needs  Figure 16hows an  example of a headrest that was applied to the single hand manual wheelchair  The  headrest is approximately 8 inches wide by 5 inches tall  It was positioned behind  the client s head according to th
15. am member  Kayla  was responsible for also going to NEAT  marketplace to pick up wheelchair parts and accessories and visiting the client at  her home in Tolland  Kayla came up with the third alternative design for this  project and was responsible for creating Solidworks diagrams to show how the    28    wheelchair will operate  Kayla also worked on the assembly of the one arm drive  component to the wheelchair frame  She contributed by keeping our budget up to  date and was responsible for researching different safety restraint systems fir the  one arm drive wheelchair  Kayla also contributed by visiting the physical  therapist  collecting materials  and adding all the necessary foam to the  wheelchair seating pad  She is responsible for all of the seat padding that was  added to the seat cushion for support for the client     9 Conclusion    The completed single arm manual drive wheelchair functions to provide the  patient with an accessible way to maneuver her wheelchair with one hand and with ease   The finished product incorporates several safety features  including a braking system and  safety harnesses for travel in a motor vehicle  The wheelchair is able to easily collapse  for portability and it is lightweight    This product is different than any other product out on the market because it  contains several modifications to existing manual wheelchairs  There is a mechanical  one arm device that allows movement with a single hand  The final product is also able  to s
16. aneuvering her  wheelchair once she has time to practice  Figure 20 below shows our client   Danielle  with her physical therapist testing out the One Arm Drive wheelchair for  the very first time        Figure 20  Danielle and her physical therapist testing out OAD wheelchair    After getting the dimensions of our client s body  the team was able to  purchase high density foam and foam glue that can be used to enhance the seating  support in the seat cushion  The team cut the foam into several strips and glued it  to the existing foam seat cushion  The black outer cover to the seat cushion was  still able to fit around the outside in order to enclose all of the foam pieces  The  sides of the seat cushion  in addition to the front middle section  were all areas    20    where additional foam padding was added  Figure 21 shows the custom seating  pad in the One Arm Drive Wheelchair        Figure 21  Custom seating pad enhanced with foam    The purpose of this additional padding is to keep Danielle   s hips properly  aligned while sitting in the wheelchair  The folding wheelchair that the team  purchased is meant for a fully grown adult and was a little big for our client  The  placement of this foam padding compensates for the size of the wheelchair and  provides a better fit and better support for our client    The team also determined the exact height necessary for the headrest  It  was necessary to make a custom headrest bracket in the machine shop that will act  to hold th
17. any ways  Disc brakes are more  difficult to apply to this type of wheelchair when compared to hand brakes  The  downside is that hand brakes are harder for the client to use  The team was able to find a  system that allows the arm drive and braking system to be combined together for easy  use  The brake system acts similar to hand brakes where there is a brake pad that rubs  against the tire to prevent movement  However  since it is incorporated into the hand  drive mechanism  it is easier to use because all that must be done is that the operator pulls  back on the arm drive when they desire to slow down  The most important thing the team  has learned about is the condition of cerebral palsy and what sort of implications it has on  the client s mobility  The team is helping to improve the life of someone with disabilities  through the design of the single hand drive manual wheelchair     26    7 Budget  7 1 Budget    For the single hand manual drive wheelchair  the group purchased their own  portable wheelchair to use and make modifications to  It was possible to find one of  these wheelchairs used at NEAT Marketplace in Hartford  CT  for approximately  65    The team used the Cylindrical Lever Drive System manufactured by Invacare   They were able to assemble this drive system to the lightweight wheelchair in order to  ensure that it can be controlled using one arm  The team spent about  50 on the lever  drive system    It s also necessary to take into consideration costs o
18. ason so that the wheelchair does  not stand out in the client s environment  The family would like the wheelchair to look    24    like any other ordinary wheelchair to not draw a large amount of attention  The group  also does not want to design something that will be too difficult for the client to use in her  environment  The lever arm system must be a very simple design so that the client can  control it with ease  If the lever arm were too difficult to use  it would defeat the purpose  of making the wheelchair to begin with    Health and safety concerns are by far the most important aspect of the single arm  manual wheelchair design  The team took many precautions into consideration when  designing the final product to ensure complete operator safety  The first safety  component is the use of seat restraints  These can be used for when the client is in a  motor vehicle so that they properly restrain her in case of a motor vehicle accident   Another health and safety component is the seating position in the wheelchair  The team  worked closely with the client s physical therapist to ensure the head rest and seat were  positioned correctly so that they do not harm the client s health  The third health and  safety concern is the ability to stop the wheelchair  The chair has a built in braking  mechanism so that the operator can simply pull back on the one arm drive mechanism to  stop the wheelchair  The last safety feature is the ability to lock the wheels  This will be  us
19. asting money    The group took economic concerns into consideration when designing the single  hand manual drive wheelchair  The purpose of the project was to make a wheelchair that  can be fully functional using only the right hand  However the group did not want to  design a product that will be way too expensive  In other words  it is necessary that the  costs don t outweigh the benefits  In industry  engineers design products  but they will  not sell if the production costs are too high  The company would simply lose money out  of the manufacturing of the product  The same concept applies to our single hand manual  drive wheelchair    Another constraint that the team faces is the environmental impacts of the  wheelchair  The team did not use any motorized components  so they are not worried  about pollutants that could be harmful to the environment  The team must be careful with  what types of materials they are using and what kind of impact they will have on the  environment  If the team were using dangerous chemicals to construct the wheelchair   then there would be serious impacts on the environment and safety of the client and team  members  However  the team did not use any potentially dangerous chemicals or  pollutants in the fabrication of this product  so it is not necessary to be particularly  concerned about the impact on the environment    The manufacturability of the product is a large concern that the team had to take  into consideration when designing the wh
20. chair is being pushed by a caregiver    One of the complications of this project is that the one arm drive lever  mechanism only fits on specific types of wheelchair models  which are not built to  collapse  There are no one hand drive mechanisms out on the market that are  capable to use with an existing folding wheelchair  One of the specifications that  the client requires is that the wheelchair has the ability to collapse so that it can be  transported and stored easily  Therefore  the challenge of this design project is to  take the existing one hand drive lever system and modify it to fit a folding manual  wheelchair        Figure 5  One Arm Drive Lever System    The wheelchair must have proper support for the client  The team  worked closely with Danielle s physical therapist in order to determine the  proper seating position for adequate back and neck support  The team  purchased a headrest  shown in Figure 6 below  and attached it to the  wheelchair according to the recommendations from Danielle s physical    therapist  The team had to make a custom headrest mounting bracket that  was fixed to the back of the wheelchair  The team also purchased foam  and foam glue to use to enhance the seating pad in the One Arm Drive  wheelchair        Figure 6  Sample head rest for support    The wheelchair must have proper restraint system for use in a  motor vehicle  It is necessary for there to be straps in place so that the  operator can be safely secured in the family s miniva
21. ct  There are also a few  drawbacks to the CLD system as well  For instance  the system does not fit any  standard manual wheelchair   it will only fit the Invacare 9000 Series  wheelchairs  represented in Fig  8  This made it a challenge for the team   the  fact that they had to incorporate this system on any existing manual wheelchair    Another major drawback of the Invacare CLD system is that the online  specifications did not indicate whether it could be applied to a folding wheelchair   The Invacare 9000 Series wheelchair products are standard manual wheelchairs   but do not collapse for easy portability  Therefore  the team was not able to use  an Invacare 9000 Series wheelchair because it did not meet the specifications and  needs of the client  The client has requested that the wheelchair be able to fold  for easy transport and portability  The team was able to adapt a method to  incorporate the CLD system onto a standard folding wheelchair  The most  challenging portion of this project was designing a method for the existing single  arm drive system to fit to any standard folding wheelchair     2 2 4 Drive Arm Assembly    The CLD system is broken down into many different components  each  serving a purpose in the overall functionality of the wheelchair  The first major  component is the arm assembly and Fig  9 below shows a diagram of the basic  setup  Basically  there is a two foot long handle that attaches to the fork of the  front right wheel to control the steer
22. d like to use the manual  wheelchair within the house or in other informal settings    Danielle and her family are worried about safety of this wheelchair  It is  important that the wheelchair incorporate a braking system so that the patient can easily  slow down and stop without hesitation  A quick braking system was applied to the  wheelchair so that the patient can easily stop on command  The final product allows the  patient to stop simply using her right hand     1 3 Previous Work Done by Others  1 3 1 Products    There is a product that is manufactured by Complete Medical called a One  Arm Drive for Viper manual wheelchairs  model  10960RD   which is a  replacement armrail mechanism that can be applied for patients who have limited  mobility  Basically  this product is a replacement part in which the system can  replace both wheels on an existing manual wheelchair  This product is sold for   256 36 online at http   makemeheal com  Figure 1 below demonstrates this  product        Figure 1  One Arm Drive for Viper manual wheelchair    The company Southwest Medical specializes in a product line called  Quickie Wheelchairs  along with a set of replacement parts to go along with their  products  The company offers complete sets of one arm drive replacements for    their wheelchairs  These complete sets can be purchased and modified to fit onto  an existing Quickie Wheelchair  An example of these replacement kits can be  found in Figure 2 below  It is possible for the group t
23. e headrest in place while the wheelchair is in use  The custom headrest  bracket was made so that it can attach to the back of the wheelchair  There is a  small aluminum piece that fits the headrest support rod through it and a bolt can  be tightened to hold it in place  This allows the headrest to be vertically  adjustable so that it can fit the client perfectly  Figure 22 below shows the custom  headrest bracket that the team made in the machine shop        Figure 22  Custom headrest bracket for wheelchair    21    2 3 3 Foot Rest    The placement of the One Arm Drive system interferes with the right foot  rest placement  The way the footrest attaches to the wheelchair interferes with  how the operator uses the One Arm Drive system  The team had to develop a  method for the footrest to reach the right side of the wheelchair from the left side   The team designed a footrest plate that folds out from the left side  Figure 23  below shows this footrest in the folded position        Figure 23  Footrest in folded position    The team added an aluminum plate to make the footrest extend to the right  side of the wheelchair  Figure 24 below shows the footrest in the useful position        Figure 24  Footrest in useful position    The team was able to bolt this extended aluminum piece to the existing  left foot rest so that the system folds out at normal  The team filed down all the  edges so that it isn t sharp  Also  a set of holes were cut in the aluminum to allow  foot straps to
24. e recommendations from her physical therapist        a       Figure 16  Example of headrest    17    2 2 13 Detachable Seat    One of the most important features of the single hand drive manual  wheelchair is the ability of it to fold for easy portability and storage  This task is  very difficult with all the support padding in place  so the team designed a seat  that can be easily removed  This chair will be set into the wheelchair and will  contain all the necessary padding and support  The chair will not be able to fold  when the seat is in place  Once the seat is removed from the wheelchair  it will be  able to collapse     2 3 Prototype    2 3 1 Assembly of One Arm Drive System    After developing an optimal design for the One Arm Drive wheelchair  the  team began assembling a prototype for our client  The team started making the  prototype by first purchasing the Invacare Cylindrical Lever Drive  CLD  System  from NEAT Marketplace  The team was able to get this part for about  50  which  is much cheaper than the cost of purchasing a new system online  This device  functions to move the wheelchair forward by simply performing a pumping action  of the right hand  Figure 17 below shows an image of the one arm drive system  that we purchased        Figure 17  Invacare Cylindrical Lever Drive System    The team also purchased a standard folding wheelchair from NEAT  Marketplace to be used for attachment of the Invacare Cylindrical Lever Drive  System  This is just a standard
25. eelchair  The team did not want to design  something that would be extremely difficult to produce or hard to use  The design should  be kept as simple as possible  and consideration into every detail was critical to ensure  that the final product would be successful  The constraints of the project were within  reason  This was important so that the team was not trying to build something that was  close to the impossible  The feasibility of the project is something that is critical both in  the senior design course and in real world industry    The sustainability of the product is very important as well because the team did  not want to create something that will fall apart after a short period of use  The final  product should be strong and sturdy and able to support years of use without falling to  pieces  The group was sure to double check all mechanical parts on the wheelchair  before turning it over to the client to make sure that everything is safe and that bolts and  screws are tightened in place  Should the unexpected happen and something to go wrong   the group provided an instruction manual for the client to perform simple repairs and  preventative maintenance    The social concerns have to do with how the client interacts with her environment  and the people around her  The client has specified that the wheelchair not look so  robotic and that special padding or paint be used to cover large protruding parts if  necessary  The team kept the mechanical parts within re
26. eful if the client is getting into or out of the wheelchair and will prevent the wheelchair  from moving during the process     4 Safety Issues    The team took into account many safety and health concerns when designing the  one arm drive manual wheelchair  For example  many of the possible safety concerns  that were necessary to address were components that have to do with electronics   mechanical pieces  biological hazards  decontaminants  chemical hazards  radiation   thermal factors  biocompatibility  and host reaction to materials  Fortunately  there are no  materials in this project that are being inserted into the human body  so the team does not  need to worry about biocompatibility and how the body will react to foreign substances   There are also no electrical concerns associated with this project because the team did not  include any electronics in the design of the one arm drive manual wheelchair    However  there are always potential safety concerns with the mechanical pieces of  the wheelchair and the possibility of someone pinching their hand or fingers in a moving  component  The concerns are very minimal with the design of this single hand manual  drive wheelchair  but it should be noted that it is always possible for it to happen  The  team has addressed this issue by using an existing one hand manual drive system that has  already been tested against these types of hazards  The rotating mechanical pieces are  located underneath the wheelchair and are out o
27. f seat support  The headrest  and foot rest parts were purchased from NEAT Marketplace for about  10  It was  necessary to make a headrest holding bracket and to extend the footrest  which cost about   10 in aluminum  The team also needed to purchase foam and foam glue for the  modification of the seat cushion  which cost about  10  These additional parts were  included in our budget  Table 1 below represents a total budget of  145 for the single  hand manual drive wheelchair     Table 1  Estimated budget for single hand manual drive wheelchair    Misc  Parts  foot straps  aluminum   20  foam  glue  etc      8 Team Members Contributions to the Project          8 1 Team Member 1    Our first team member  Jordan  contributed to this project by visiting the client at  her home in Tolland and discussing the specifications of the project with her and her  family  Jordan also was responsible for writing one of the three alternative designs  as  well as most of the reports for the one arm drive wheelchair throughout the semester    Our entire team  including Jordan  went to NEAT Marketplace in Hartford to purchase all    27    the wheelchair parts and accessories  Figure 24 below shows pictures of the wheelchair  and one arm drive system that were purchased from NEAT  The team was able to attach  the one arm drive to the right side of the wheelchair and next semester they will focus on  the proper seating position  Jordan has been responsible for keeping in close contact with  the c
28. f the way from any potential hazard  In  order for someone to pinch their fingers  they would literally have to have their hand  under the wheelchair while it is in use  Therefore  the chances of injury are very low due  to mechanical components based on the location of the moving pieces under the  wheelchair    The team had to be careful with what types of materials were used for the  wheelchair  The team had to make sure they weren t using anything that was radioactive  or conducted a lot of thermal energy  or that could be dangerous in any other way to the    25    client  Again  the client s health and safety is the number one concern for this project   The team used standard metals like aluminum  steel  or titanium that are strong and  reliable and are harmless to the client in terms of chemical or radioactive exposure     5 Impact of Engineering Solutions    The engineering solution to this problem is not an extremely difficult matter  The  team took an existing product out on the market and adapted it to fit the client s purposes   The global impact to the engineering solution is that the world might see a new way to  design the traditional manual wheelchair  Manual wheelchairs have always been made to  operate with two hands  but it s possible that in the future they will be designed similar to  the one the team is building for Danielle  The world could see a change in how  wheelchairs function in order to provide client s like Danielle with an easier way to get  arou
29. ing and forward and reverse movements of  the wheelchair  The drive arm functions as the main method of control for the  client  The arm is moved back in forth in a pumping action in order to propel the  wheelchair forward  With each pump  the lever system moves a set of gears  attached to the axle  and this provides movement to the rear wheels  The arm is  attached to the front wheel via a rotating mechanism  which allows the client to  steer the direction of the wheelchair by turning the lever arm left or right  The  client will also be able to adjust the height of the lever arm by simply unscrewing  a nut that holds it in position  The lever arm will be able to slide up and down to  the client s desired height and can be securely tightened in place  This will allow  the client to setup the arm assembly in a comfortable position in order to  minimize discomfort while the wheelchair is in use     12         Nee Drive Arm             Plunger  Extension  Tube    Drive Arm  Release  Lever    Bracket  Release  Lever    Figure 9  CLD Drive Arm Assembly    2 2 5 Fork and Steering Assembly    The second major component is the fork and steering mechanism  Figure  10 below shows a diagram of the basic fork and steering assembly  These  components are responsible for holding together the drive arm and the front right  wheel  The fork is a common part that attaches wheels because it has two prongs  that go on each side of the wheel with an axle holding it together in the middle   This 
30. irections with the turn of a switch  The client s  specifications called for a braking system to be built into the wheelchair so that  the client can easily stop movement on command  The braking system involved  with this design involves simply switching the gears into neutral and pulling back  on the lever arm to stop movement  The second and third designs both  incorporated a double railed wheel setup on the right side of the wheelchair so  that the client can propel the chair forward by spinning the rim associated with the  respective wheel  There will be two rails on the right side  one rail controlling  movement of the right wheel and another rail controlling movement of the left  wheel  A gear box will allow the client to switch between control of a single  wheel or control of both wheels in order to steer the wheelchair in different  directions    The fall back of these designs is that a separate braking mechanism must  be installed  Since the second and third alternative designs incorporated the same  double rail movement system  they had different braking mechanisms  The  second design incorporated a set of disc brakes into the system that are similar to  those in a motor vehicle  The disc brakes would be located within the rim of the  wheel and around the axle  When the client applied the brakes  the discs would  press against the wheel to cause friction in order to prevent movement  The third  alternative design incorporated a set of hand brakes similar to what is 
31. lchair in order to allow the chair to  move forward  The operator turns by simply stopping rotation of the wheel on the  side of the wheelchair where they wish to turn    The client for this project does not have motor control in their left hand   which makes it very difficult to control movement on the left side of a standard  manual wheelchair  This makes it extremely difficult for the client to propel the  chair forward in a straight direction  or to steer to the left or right  The client  normally uses her manual wheelchair within the home because it is easier to  control in a smaller environment when compared to a power wheelchair  The    10    purpose of this project is to adapt a mechanism that can allow the client to move  and steer a manual wheelchair using only one hand  Another requirement from   the client is that the one hand drive wheelchair be able to fold so that the family   can easily transport it when necessary     2 2 3 Invacare Cyclical Lever Drive    The team designed a system that incorporates all the specifications and  requirements to meet the client s needs  The team pulled from multiple resources  in order to satisfy the needs of the final product  The optimal design for this  wheelchair involves the use of a product manufactured by the Invacare Company   Invacare is a medical supply company that produces wheelchairs and wheelchair  accessories for clients with disabilities  The system that the team purchased is the  Cyclical Lever Drive  CLD  mecha
32. lchair_MQP_0809 pdf gt      11 Acknowledgements    Dr  Enderle  Design advice and guidance   Marek  Design advice and guidance   Giroux Family  Provided design ideas to benefit Danielle  NEAT Marketplace  Don  Assistance in finding parts   Matt Luginbuhl at Pediaflex  Danielle   s Physical Therapist  Pete and Serge  Provided advice and materials   Jennifer Desrosiers   Jim Gosse    30    12 Appendix    12 1 Technical Specifications    Physical   Type of Wheelchair   Model   Dimensions   Number of Tiedowns   Safety Harnesses   Type of OAD System   Attachment   Mechanical  Wheelchair    Size   Weight   Speed   Power     Mechanical  One Arm Drive      Weight    System Capacity    Mechanism Color    Installation    Added width to chair   Environmental     Operating Environment     Safety     Maintenance     Manual Wheelchair   Invacare 9000 Series   30  wide by 45  deep by 36  high  4  2 Front  2 Back    Yes   Invacare Cylindrical Lever Drive  Right Side    Width less than 32   able to collapse  Approximately 30 Ibs   User defined   Non powered    9 1 Ibs   250 Ibs  black chrome  right or left hand  1 5 in    Indoor Outdoor    Tie downs to secure wheelchair to vehicle  Vest support to secure patient to wheelchair  Simple braking mechanism    Easily fixed if malfunctions  Allows room for growth  Able to be transported  Able to collapse    31    12 2 Related Links    The following are related links that show more information about the Invacare CLD  mechanism     e Invacare CLD Prod
33. lient s physical therapist and also making sure the team s website is up to date   Jordan also was involved with meeting the client s physical therapist and discussing the  proper seating position of the one arm drive wheelchair  Both Jordan and Leah made the  headrest bracket that holds the headrest in the proper position on the back of the  wheelchair        Figure 24  Wheelchair frame and complete one arm drive assembly    8 2 Team Member 2    Our second team member  Leah  contributed to this project by visiting the  client at their home in Tolland to discuss the project specifications with her and  her family  Leah also contributed by creating the second of three alternative  designs for the one arm drive wheelchair  She also created most of the  Solidworks diagrams for the alternative and optimal designs  Leah was able to  come to NEAT marketplace with the rest of the team to purchase the wheelchair  and accessories  The most extensive part of this project involved attachment of  the one arm drive to the wheelchair  Leah was responsible for most of the work  involved with the assembly of these components  Leah also contributed by  helping to make the footrest modifications  She provided insight on how to attach  the foot straps to the wheelchair and was responsible for cutting the holes in the  foot rest plate to weave the straps through  Lastly  Leah and Jordan both worked  on creating the custom headrest bracket in the machine shop     8 3 Team Member 3    Our third te
34. n  The team  purchased a set of safety harnesses and attached them to the single hand  manual drive wheelchair  These straps were set in place to properly  restrain our client in case of a motor vehicle accident  The team is relying  on the existing restraint system in the family s minivan to tie down the  wheels of the chair to prevent movement while the vehicle is in motion   The family already has a lifting mechanism and tie down system in place  for the minivan  so the only modification that must be made will be the  addition of a safety harness on the wheelchair  This harness was made  adjustable so that the client can loosen and tighten it at her desire    The final product functions so that the operator of the wheelchair is  able to propel  steer  and stop the device using only their right hand   There are proper safety features in place to allow the chair to be stopped  when desired and for safe use in a motor vehicle     2 2 Optimal Design    2 2 1 Objective    The single hand manual drive wheelchair was built so that the operator is  able to control the wheelchair solely by the right hand  The purpose of the project  is to allow the client to have more freedom of movement in a lightweight   portable wheelchair  even though she cannot control movement in her left hand   The team made modifications to an existing manual wheelchair in order to  incorporate a single hand mechanical drive device     2 2 2 Conventional Folding Wheelchairs    There are many different types
35. nd  This type of design does not have any long term influences on the economy  If  the design were ever put into industry  it may perhaps be modified in the future to be less  costly to produce  This would allow the company to make more money by keeping  production costs low and market value high  This design has very little environmental  impacts because it does not contain any radioactive or toxic chemicals that may degrade  or corrode to have a negative impact on the environment  The wheelchair was made from  steel or aluminum components that do not have any negative impacts on the environment   The team would have to take precautions if they were working with hazardous materials  that could cause potential safety and health implications  The overall societal influence  that this design has is very small in terms of the entire society  However  if we were to  take into account the difference that it makes to the client  the impact that it has on her  ability to interact with society is phenomenal     6 Life Long Learning    The team has learned a lot through the design of the one hand manual drive  wheelchair  Before beginning this project  the team never knew that such a system  existed on the market  The group has been explored many different braking options and  has learned the difference between hand brakes and disc brakes based on how they  function  Both types are made to stop movement of the wheels to slow down the  wheelchair s speed  but they work differently in m
36. nism  It functions as a lever to control  movement of the wheelchair using a single hand  Figure 8 below shows an  example of the CLD system  This system is manufactured specifically to fit  Invacare 9000 Series wheelchairs for clients like Danielle who have loss of motor  control in their left hand    The way the system functions is that it incorporates a lever arm that must  be pumped in a forward motion to allow the wheelchair to move  The lever is  attached to a transmission drive system  which is attached to the axle of the rear  wheels  The client can control what direction they would like their chair to  move   forward or reverse   by simply switching the gear in the transmission   Movement of the wheelchair can be stopped by pulling the lever arm back to  prevent movement of the wheels  Further description of each of the components  will be discussed further on  The CLD system is available for purchase from a  number of different local retailers        Figure 8  Example of CLD system for Invacare 9000 Series wheelchairs    11    One of the advantages of the CLD system is that it functions using only  one hand  The purpose of this project is to design a system that can be applied to  a standard manual wheelchair for the client to control using only their right hand   The CLD mechanism also has a built in braking system that functions to stop  movement of the wheelchair upon command  This is one of the safety features  that the client had recommended for the final produ
37. o find an existing set of one   arm drive wheelchair parts  such as the one seen in Figure 2  and assemble them  to an existing manual wheelchair  The price of this kit costs anywhere between   680 to  900  depending on the model of wheelchair                                            SMALL  A   A           16 1 2  18                                     B       F  UNLOCKED OPEN       C Bis  nsa  10   L        4       1e  tms4     Lockepciosep   i7  1334   12  earns  18  1434   13  k    e   19  1534   14    20   16 3 4 15                                           Figure 2  Replacement parts for one arm drive    It is necessary for the single hand manual wheelchair to have a braking  mechanism so that the operator can easily stop  The company called ADI  manufactures a set of disc brakes for manual wheelchairs that allow the user to  simply push a lever to slow down  It   s called the Variable Lever Disc Brake  system and is easily controlled with one hand only  compared to other systems  that must be operated with both hands  Figure 3 below shows an operator  applying the brake using the simple hand lever  A set of disc brakes surround the  center of the wheel and when the hand brake is applied  the discs close to stop  wheel movement  The price of this system was not listed on the manufacturer   s  website  but can be approximated at about  250        Figure 3  ADI disc brake hand lever    1 3 2 Patent Search Results    The single hand manual drive wheelchair assembly patent
38. orked closely with the client to ensure that they are  able to operate the wheelchair with ease and that it does not require a high degree  of physical strain to use     14      Wheelchair  Y Side Frame ppe       Figure 12  CLD Transmission and Gear Lever Assembly    2 2 8 Ability to Disengage    One of the best features of this wheelchair is the ability to disengage the  gears  This is really beneficial if the operator decides they do not want to control  the wheelchair by themselves  This feature allows the ability for someone to  disengage the gears so that they can manually push the wheelchair from behind   The disengaging mechanism is something that functions using a spring and pin   The bottom of the lever arm contains a piece that attaches to the front wheels like  what is shown in Fig  13 below  The pin can simply be removed from its holder  on the front wheel to allow the wheelchair to be disengaged from the control arm  setup        Figure 13  Ability to disengage CLD system    2 2 9 Wheel Lock    Another important feature is the ability to lock the rear wheels in place   This is useful if the operator wants to prevent movement of the wheelchair if they  are getting in or out  This is an important safety feature because if the wheelchair  moves while the client is sitting down or standing up then it may cause the client  to slip and get injured  The wheelchair locking mechanism is shown in Fig  14    15    below  The functionality of this design allows a lever to be
39. piece is made of aluminum or stainless steel and must be strong enough to  support the weight of the wheelchair without falling apart  At the base of the  drive arm  and the top of the fork assembly  there is a rotating fork stem and  caster headtube that are essential for the 360 degree rotation of the wheel  The  fork stem is placed within the caster headtube and the hex nut prevents the fork  stem from being removed  The fork stem is free to rotate within the caster  headtube with very little friction  This fork assembly is attached to the lever arm  component and this entire assembly makes the wheelchair able to turn in any  direction by applying simple movement to the lever arm     Caster    CLD Fork Stem     UN Journal     S       13    2 2 6 Rear Wheel and Axle    The third set of components of the one arm drive system are the rear  wheels and axle  Figure 11 below shows a diagram representing how these  components function as the lever arm is pumped  When the operator of the  wheelchair desires to move forward  they will pump the lever arm and this will  move the transmission assembly and transmission rear hub  The motion of these  parts will essentially spin the rear wheel hub spokes and axle  which will  ultimately spin the right and left wheels  The rear wheels are connected to the  same rotating axle  so both wheels will rotate together at the same speed          Outer Wheelchair  Hub Side Frame  Spacer    Rear Wheel Axle Washer      AI  C  Hex Nut  Transmission  
40. ries or abnormalities in the brain that occur as the baby grows in the womb up until  two years of age  when the baby   s brain is still developing    Danielle lives with her parents and two siblings in Tolland  CT  She attends  Tolland middle school and rides the bus to and from school every day  Danielle is very  bright and is very outgoing  Danielle   s parents Dave and Suzanne Giroux contacted the  University of Connecticut Biomedical Engineering department to inquire about possible  design projects that could benefit Danielle   s daily life    Danielle also has certain physical limitations that inhibit her from controlling  movement in her left hand  This limited motor control makes it difficult to propel and  maneuver a manual wheelchair  The patient also recently had back surgery  which makes  it difficult for her to cross her right arm over the rest of her body     1 2 Purpose of the Project    The purpose of this project is to design a more user friendly wheelchair for our  client who suffers from limited mobility  It is very difficult for the patient to move her  manual wheelchair because she must make several movements with just one arm   crossing over her body to control the left side  The single hand manual wheelchair was  designed so that it is functional using only the operator s right hand  The patient uses a  motorized wheelchair to move around her school  but the heaviness and bulkiness make it  difficult for use within the home  Danielle and her family woul
41. seen on a  standard bicycle  The hand brakes would function using a set of rubber pads that  attach to a clamp around the tires  When the client desired to slow down or stop   they would squeeze a lever that would create tension in a wire connected to the  brake pads  This would cause the clamp holding the brake pads to close  and the  pads would create friction on the tire to prevent movement     The group discussed these three alternative designs and determined that  the first one using the one arm lever drive system would be best for a number of  reasons  One of the advantages of this system is that it is easy to control and  steer  There is only one lever that sticks out on the right side that allows the client  to control movement of the wheelchair with ease  Another advantage over the  other designs is that the existing system already includes a braking mechanism   Therefore  it will be less costly and more time effective for the group to use this  system because they will not have to look into purchasing a separate braking  system to attach to the final product  Figure 5 above shows a sample  representation of this one arm drive lever mechanism    A lever one arm drive  OAD  system consists of a lever mounted to the  front caster area of the wheelchair with linkages back to the rear wheel of the  chair  The lever drive has a forward  neutral  and reverse setting and when the  lever is pushed forward  the wheelchair will move  The neutral setting is used  when the wheel
42. top on command with the incorporation of a braking system  Additionally  the  wheelchair is patient specific because it includes specific padding and support to allow  proper posture     10 References     CLD  Cylindrical Lever Drive  9000 Wheelchairs    Web  9 Dec  2011    lt http   www invacare com doc_files 1087937 pdf gt       Fold Up Chairs   FoldupTables   Folding And Multi purpose Table  Web  09 Dec  2011    lt http   folduptables co uk category folup chair  gt       Invacare Cylindrical Lever Drive   Web  9 Dec  2011   lt http   www phc   online com v vspfiles docs CLD lever pdf gt       Lowrider Rear Hand Brake Kit   Bike Parts to Make Bicycles Look Good  Custom Bicycles and  Custom Bike Parts for Designers  Bicycle Parts That Work with Lowrider Bicycles and  Cruiser Bicycles and Chopper Bicycles and Trikes  Web  09 Dec  2011    lt http   www bicycledesigner com bike parts lowrider rear hand brake kit html gt       One Arm Drive Right for Viper  amp  Viper GT Wheelchairs  Complete Medical  10960RD    Plastic Surgery Recovery  Cosmetic Surgery  Anti Aging Skin Care  Message Board   Product  Web  09 Dec  2011    lt http   www makemeheal com mmh product do id 102831 gt      29     One Arm Drive Right for Viper  amp  Viper GT Wheelchairs  Complete Medical  10960RD    Plastic Surgery Recovery  Cosmetic Surgery  Anti Aging Skin Care  Message Board   Product  Web  09 Dec  2011    lt http   www makemeheal com mmh product do id 102831 gt       One Arm Drive Systems   Mobility
43. uct information   http   www phc online com v vspfiles docs CLD lever pdf       e Invacare CLD Product Manual   http   www invacare com au ass content 930 966 poirier user manual aus pdf       e Video demonstrating use of CLD system   http   www youtube com watch v eGk V5apxcvs       e Local Invacare vendors   http   www  invacare com cgi bin imhgqprd inv_dealer dealer_results jsp s 0       e Invacare CLD system for sale online   http   www phc online com CLD LEVER DRIVE LH 6 INSTALL p inv ldr96li htm       32    
    
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