Users Manual
Contents
1. 9 Maintenance and ClEANING cccccccsecccssceesseeceseceeneeceneeeeeeceeeeeeseeeees 18 INTRODUCTION Rehabilitation standing frame REHASUV was designed for herabilitation of patients with paresis of lower limbs and trunk to enable them taking upright position and independent walking You receive a functional product ergonomic and safe Light and stable base easiness in adjustment of supports armpit supports as well are one of the most important advantages of our rehabilitation standing frame In case of any questions please contact our medical consultant ph 0048 508 382 509 or directly our office ph 0048 17 864 0470 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 AKCE MED 1 The purpose of instruction manual The present instruction manual contains basic information which is essential for proper usage preparation maintenance cleaning and guarantee conditions regarding REHASUV Instruction manual should be kept in easily accessible place It is designed for people who look after disabled and for both doctors as well as physiotherapists who operate the device CAUTION Before using the product user is obliged to familiarize himself herself with user manual Remember that complying with guidelines is highly impo2. make a decision concerning using any kind of orthopedic supply AKCESMED 7 2 Howto use REHASUV 1 Before use it is necessary to e Unfoldthe device Place the device on even ground Make sure that all parts are serviceable correctly mounted and stable Block brakes Adjust the device to patient s measurements Undo vest trunk belts etc so as to place easily the patient is the device Place patient in the device Fasten all elements which stabilize patient e g vest trunk belts feet Stabilizing belts etc e Mountadditional equipment e g tray 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 product is 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 Remember to makes sure that all belts and locking and correctly adjusted and fastened Check also if fastenings from adjustable elements are firmly tightened AKCESMED 13 7 3 Upright position 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 o
3. Dynamic standing frame REHASUV Instrukcja uzytkowania i konserwacji 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 ei QUALITY MANAGEMENT SYSTEM 13485 ESY 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 AKCE MED CONTENT 1 The purpose of instruction manual ee e aaa aa aaa aaa aaa anna aa aaa a zaz aan 5 2 Guidelines for using REHASUV STANDING FRAMEE sscccsseeceseeeeeeeees 5 3 General characteris CE oai aa A OO AAC A 6 BM ILS CAO OPON ZNP 7 5 Assembly of standing frame cccssccsseccssscccssccesesccsssencesesusencusesensesees 8 6 Learning to Walk stanac a ERA EE od a Adda 11 7s The USE OLRENASUW oicccosadecxcusceresaeanoceenaaacnbesesataasetsseu daaa vasa Tn a 12 3 SIE PUE ana E A OO TEE EE IE EEO 15
4. ent feels strong enough he she may start using the device as a standing frame The wheels can be unblocked and the exercisse may begin Before the patient takes first steps he she learns how to keep the balance gently leaning forward backwards and to the side After the patient is used to independent standing first steps can be taken Arms are resting on the grips grips are additionally covered with foam fabric to secure hands from slipping or arm supports Patient mooves pelvis forward balance is shifted forward to simulate the process of walking The position acheived by shifting patient s body forward shouldn t be forced as it may give opposite result and teach patient negative habits Before the patient starts learning to walk he she learns under the supervision of the care person how to independently stay in upright position Next the patient starts to shift weight form left to right leg and learns how to block the knee joints First steps should be taken forward than backward and finally in different directions At the beginning the patient is learning to take regular steps than faster longer slower or shorter In order to improve walking it is advisable to make use if possible of available at hospitals or rehabilitation centers exercisse places Such places can be also prepared especially for the patient by the therapist These usually are special obstacle courses characterised by different surface obstacles like sma
5. f 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 CAUTION Make sure that all belts as well as fastenings from adjustable elements are correctly adjusted and fastened CAUTION It is forbidden to leave the patient unattended CAUTION Only trained staff can adjust standing frame to the patient 14 AKCESMED CAUTION As far as first upright standing is concerned it takes place in rehabilitation neurosurgery or orthopedics wards Moreover it has to be performed together with doctor and physiotherapist due to the fact that medical problems may appear during first treatments such as fainting drop in blood pressure dizziness etc Upright standing is continued in home together with trained staff rehabilitation technician district nurse trained family members 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 positio
6. feguards him her from falling out If abduction contracture occurs it is recommended to use abduction block in order to prevent ulcers between knees Itis forbidden 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 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 UB UN 16 AKCESMED CAUTION This device can be only used inside the buildings CAUTION The device contains small parts which children may
7. 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 u 4 25 RQ 4 AKCE MED 19 AKCE MED PRODUCENT PRZEDMIOT W ORTOPEDYCZNYCH Akces MED Sp zo o ul Leszka Czarnego 3 35 615 Rzesz w tel 17 864 04 70 www akces med com e mail akces med akces med com Autoryzowany Przedstawiciel Data wydania 06 02 2008 Data ostatniej aktualizacji 30 03 2015 Z z er 35 C 70 ZN AN 5c rhe a 45 AKCES MED Sp z 0 0 zastrzega sobie prawo do wprowadzania zmian technicznych i handlowych w tre ci instrukcji bez wcze niejszego uprzedzenia
8. height Elbows should rest freely on the supports shoulders shold be neither raised nor dropped The length of hand grip must be adjusted according to the length of the forearm In order to do that remove the blockade G adjust the grip and tighten the blockade G inthe required position The angle of the grip can be also adjusted according to the need 5 3 Assembly of the pelvis stabilizing harness and modular apparatus Patient should wear the pelvis harness It should be put on before entering the standing frame Check if the stabilizing belts are well adjusted If required the patient can also put onthe modular apparatus J Modular apparatus should be put on by medical staff or other specially trained people AKCESMED 9 Opening hand grip covered with foam K makes easier the entering of the frame by the patient Provides support for patient s hands and increases safety Patient wearing the pelvis harness can be placed in the standing frame Grips F should be assembeld in the specified places Upright position of the patient is safe and comfortable In this position patient gets used to new conditions Patients sense of balance internal organs and blood circulation adopt to increased weight In upright position patient can exercise and improve walking skills It is advisable to collapse the chair during learning to walk 10 AKCESMED 6 Learning to walk If the leading doktor allows and the pati
9. ll slopes and turns marked with flags designed for the patient to practice improve and test his her ability to move Patient learns to walk on different surface flat hard soft narrow wide and light slopes After the exercisse is completed patient must safely leave the REHASUV and come back on his her wheelchair chair or bed etc AKCESMED 11 7 THE USE OF REHASUV CAUTION REHASUV has to be used with compliance to guidelines included in this user manual Remember to use the product only with someone who is trained and knowledgeable Do not forget to prepare both product as well as patient before 7 1 Preparation of the patient Before using the product it is essential to make sure that 12 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
10. n 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 8 SAFETY RULES CAUTION Dynamic standing frame REHASUV 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 REHASUV and its size It is also essential to familiarize with the guidelines described in user manual before using the device 1 Before use it is necessary to e 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 AKCESMED 15 check if allscrews knobsandall 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 e make sure that all movable parts and knobs for adjustments are stable and locked e 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 sa
11. nance 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 Itis forbidden to soak upholstery 3 It is forbidden to clean upholstery with the aid of hard brushes 4 t is 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 Itis forbidden to clean 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 18 AKCESMED CAUTION Remember that upholstery has to be always dry before using Before using it is necessary to e cleanwheels e check if base as well as wheels are correctly mounted check if brake stops turning wheel e makesurethatallwooden parts e
12. rtant It assures safety and extends durability as well as aesthetics of the device 2 Guidelines for using REHASUV STANDING FRAME REHASUV is a dynamic standing frame designed for active rehabilitation of patients with paresis of lower limbs and trunk Use of this device allowes for safe upright standing of the patient and learning to walk It can be done independently by the patient under supervision or with assistance of cearers trained in handling of REHASUV Thanks to its design REHASUV is very useful in rehabilitation of patients at home at hospitals and rehabilitation centers Correct use of this device may improve walking skills and speed up the process of rehabilitation AKCESMED 5 3 GENERAL CHARACTERISTICS OF REHASUV 3 1 Standard equipment 1 Frame with castors equipped with brakes 2 back castors with friction brake 2 Closing grip 3 Chair 4 Chestbelt 5 Low armpitsupports Back castors with friction brake Pokr t o A AKCE MED Castors with fixed direction of movement Castors with blockade of reverse movement of standing Fot 1 Blokada za czona Fot 2 Blokada wy czona 5 metalowa d docisk obr cz 4 SIZE TABLE fi Fr Size s a s s A A Ma
13. swallow CAUTION It is forbidden to make any changes concerning device s structure due to the fact that it is dangerous and it results inloosing warranty 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 17 9 MAINTENANCE AND CLEANING REHASUV 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 device are indispensable to maintain its correct functionality as well as safety It is highly advisable to remember about proper mainte
14. ximum width of pelvis em 28 37 42 k Lo I kr Gi C Maximum width of chest cm 18 28 27 37 25 42 ay Pees E Height to the axis of pelvic joint em 60 75 76 109 80 117 F dl fly i f 7 l F Height to the level of breast bone cm 79 101 96 139 115 162 E E _ zi za l G Weight of the user maximum kg 30 55 95 U Height of sit from the ground em 43 49 54 l i 5 Assembly of the standing frame To start the assembly of the standing frame insert the running pipes A into pillars of the base B and tighten the screws C in order to block them on the required level ATTENTION When you are adjusting the height of the standing frame it is not allowed to pull the pipes above the double line marked on the bearers 5 1 Assembly of armpits supports In order to assemle the armpits supports loosen up the screw D Assemble the armpits supports in such a psition that patient s shoulders are neither raised nor dropped Patient s shoulders should rest freely on the armpit supports located in the armpits while the patient is in upright position Armpits supports can be adjusted to the inside or to the outside in order to better match the patient s width 8 AKCESMED 5 2 Assembly of arm supports In order to assemble the arm supports loosen up the screws E and select required
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