Users Manual - Akces
Contents
1. Frame with castors and brakes Seat cushion Backrest cushion Independently adjustable chest supports Independently adjustable pelvic supports Hold amp Pull vest Abduction block Foot rest with feet stabilizing belts Oo Ju P DH Ei Iectect ltete es 6 AKCESMED 3 2 Additional equipment SL_014 H Harness SL_025 6 points safety vest SL_012 Headrest cotton cover 4 7 SL_023 Soft cover for tray SL_001 Tray mge SL_004 Adjustable headrest ee mm AKCESMED 4 WEIGHT AND MEASUREMENTS e ile o N o0 E cO 2 o 448u ynpodd 2 e oN 00 OI eiss ZS pm pnposd 5 e me o ei mM a D a ei e 431 4 yNpold Ln 2 S 00 x 34819m Pnpoud EI LN Ln 14Ziam Joen SS Las zazis ais 5 SIZE TABLE ajsue duUljIa1 Legal Op 100 120 100 120 100 120 w 343194 e s 0 JOO 52 5 64 58 w 343194 Aes 0 100 4 64 77 80 5 w9 w uat 1004 19 26 27 w9 1S91300 0 yeas WO4 JULJSIA 17 5 34 5 24 44 23 45 w9 Jsoupeay JO do ay 0 eas y woz JULJSIA 48 67 52 71 66 99 w9 431 y s peg 32 37 5 54 w3 y pim s peg 15 27 22 32 24 38 w3 udap yeas 16 34 21 39 29 54 w3 up 3e S2. AR ARR RR ARA 35 39 45 ul NEW ul XeIN HIM NEW T ZI ZIS C gail AKCESMED 7 DETAILED DESCRIPTION HOW TO USE JUMBO CHAIR 7 1 The adjustment of Jumbo Chair A The adjustment of headrest standard equipment It is possible to have top bottom adjustment and moreover headrest can be adjusted at any tilt angle B The adjustment of backrest tilt angle backrest tilt angle depends on the type on dysfunction C The adjustment of seat depth loosen knob in order to adjust the depth of seat B The possibility of front back adjustment D The adjustment of table additional equipment The possibility of front back adjustment It is possible to adjust table at any tilt angle E The adjustment of footrest height The possibility of top bottom adjustment It is necessary to adjust the height of footrest so as that thighs rest on the seat F The adjustment of abduction block The possibility of front back adjustment Abduction block prevents from falling out from the chair AKCESMED 9 G The adjustment of chest pelottes The possibility of side adjustment It is also possible to adjust pelottes at any tilt angle The adjustment of pelottes should be done according to the measurements of patient s chest H The adjustment of pelvic pelottes The possibility of side adjustment It is also possible to adjust pelottes at any tilt angle The adjustment of p
3. 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 Chair 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 chair 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 clean
4. CESMED 8 3 Sitting position Clinical research shows that it is really beneficial for children to adopt sitting position so as to stimulate psychomotor development Moreover adopting sitting as well as standing position is advantageous for disabled due to the fact that it has a positive influence on organs and systems Furthermore it often acts as the stage of upright position and learning to walk the most significant cause of using chair is the stimulation of psychomotor system it has an influence on patient s state of mind it has an influence on the development of muscles joints and musculoskeletal system it prevents from contractures or makes it easier to cure them it improves joint mobility it prevents from muscle atrophy especially postural it makes it easier to take exercises for upper limbs while sitting position it improves cardiovascular system it improves lung ventilation and prevents from pneumonia it improves intestinal peristalsis it prevents from urinary problems or makes it easier to cure it it prevents from bedsores or makes it easier to cure them passive sitting is usually only the stage of rehabilitation process AKCESMED 17 Taking the sitting position for the first time by the little patient usually happens in the rehabilitation neurology neurosurgery or orthopaedic ward Upright standing is supervised by the doctor and physiotherapist due to the possibility of occurrence such medical problem
5. POSITIONING CHAIR JUMBO USER MANUAL AND MAINTENANCE GUIDELINES 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 e MANAGEMENT SYSTEM 13485 QO ES 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 AKCESMED CONTENTS 1 The purpose of user EC 5 2 indications TOF CT 5 3 General characteristics of Jumbo Char 6 Re Ee Kean TE EE 6 3 2 Additional OQUIDMENT tee 7 4 Weight and ne ET EEN 8 SEE EE 8 6 Detailed description how to use Jumbo Chaire 9 6 1 The adjustment of Jumbo Chaire 9 7 Assembly of additional CQUIPMENC x cccssissisancsscavsrsencavaptavddbouvesauoussaavavessoecsevsvscaessavaneeves 11 7 4 Head stabilizing EE 11 KS KR Bn 11 Ta Cover ior Wea EE 11 rE WAN EAEE EEA A A EE E 12 7 5 Soft cover Tor Way E 12 7 6 Tray for manual therap
6. al does not slip down AKCESMED 11 7 4 Tray SL_001 Please follow these steps so as to mount tray e loosen knob D which adjusts tray look page 9 adjustment D e insert tray in a way that its grips are situated between chair s side and cup e tighten firmly knobs 7 5 Soft cover for tray SL_023 Please follow these steps so as to mount soft cover for tray e Adhere 5 adhesive Velcro tapes e Put soft cover in a way that its edges cover tray edges 12 AKCESMED 7 6 Tray for manual therapy SL_006 Tray for manual therapy is mounted instead of standard tray If you want to mount it please follow instructions in point 7 4 gt look point 7 4 page 12 7 7 6 points harness SL_025 In order to mount 6 points vest it is necessary to e points vest should be put on and then it is important to fasten zipper and buckle at the front of vest e Adjust vest with the aid of Velcro tapes situated at the back of vest e 6points vest should be fastened ina place that is created for standard vest Look page 10 So as to fasten it use not only buckles but also fastening belt that should be threaded behind chair s backrest and fastened at the front of vest AKCESMED 13 7 8 Adjustable headrest SL_004 7 8 1 Assembly of headrest It is necessary to mount headr
7. elottes should be done according to the measurements of patient s hips I Vest Connect clamps from vest with clamps from adjustable belts that are fastened both at the bottom and top of backrest 4 pcs Next adjust vest to patient s body with the aid of belts It is highly important to adjust properly vest due to the fact that it protects the patient from falling out of the chair and moreover patient can move without freely Vest is equipped with hold amp pull system thanks to which all elements are precisely adjusted to patient This system is helpful because the product is stable and child feels comfortable while sitting in this device 10 AKCESMED 7 ASSEMBLY OF ADDITIONAL EQUIPMENT 7 1 Head stabilizing belt SL_003 Please follow these steps so as to mount head stabilizing belt e fasten belt to lateral parts of headrest with the aid of Velcro tape e adjust the length of belts to patient e pull belts so as to check if they are correctly mounted 7 2 H harness SL_014 Please look at point so as to find out how to assembly vest page 10 Initially patient should not adjust vest tightly Once vest is put on it should be fastened with the aid of belts with plastic straps Vest can be quickly unfastened 7 3 Cover for headrest SL_012 Cover is made of cotton and it should be put on headrest Regarding material it has some bands thanks to which materi
8. esn t take responsibility for damages which appeared due to improper preparation of the device during transportation U AeA UN CAUTION This device can be only used inside the buildings CAUTION The product contains small parts which children may swallow CAUTION It is forbidden to make any changes concerning stroller 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 8 where you will find information regarding this issue 20 AKCESMED 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 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
9. est to backrest with the aid of two screws together with cups Screws should be tightened with the aid of Allen wrench 7 8 2 The adjustment of headrest Please follow these steps so as to adjust headrest e loosen fastening knobs situated at both sides of headrest e adjust headrest e tighten firmly fastening knobs Next itis important to e loosen screws from headrest s ribbing with the aid of Allen key e adjust the shape of headrest at your discretion e tighten firmly screws 14 AKCESMED 8 THE USE OF JUMBO CHAIR CAUTION Jumbo chair has to be used with compliance to guidelines included in this 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 sh
10. ing Please rinse upholstery with warm water and clean white cloth once stain is removed 2 It is forbidden to soak upholstery 3 It is forbidden to clean upholstery with the aid of hard brushes 4 It 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 It is forbidden to clean make any changes and maintain chair 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 22 AKCESMED CAUTION Remember that upholstery has to be always dry Before using it is necessary to clean wheels check if base as well as wheels are correctly mounted check if brake stops turning wheel make sure that all wooden parts e g tray don t have splinters check if stroller construction is free of breaks or any kinds of deformities check if all movable parts are working and all screws nuts knobs etc are correctly tightened 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 de
11. ith 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 If abduction contracture occurs it is recommended to use abduction block in order to prevent ulcers between knees AKCESMED 19 Itis forbidden to use chair for different purposes that it is intended to Itis forbidden to use chair when it is damaged or any partis missing Itis forbidden to leave the patient unattended Chair should be used only when there is someone who is trained and knowledgeable 6 It is forbidden to leave chair and the patient on unstable ground unattended even if the brake is engaged 7 It is forbidden to either go up or down the stairs it doesn t matter if the patient is placed in the device or not 8 It s important to make sure that patient doesn t stand on footer during either getting into or getting out the chair 9 Itis important to engage brake during getting into and getting out the chair 10 Make sure that all limbs are not close to spokes or other adjustable elements 11 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 chair shouldn t be stored in rooms with high humidity 12 Secure chair during transportation in order to avoid any possible damages Manufacturer do
12. ould 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 Howto use Jumbo Chair 1 Before use it is necessary to Unfold the 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 Mount additional equipment e g tray 2 In case of patients who have problem with bladder it is necessary to put special cloth on seat This cloth can be purchased in pharmacy or medical shops 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 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 16 and it may lead to wrong posture AK
13. s like loss of consciousness drop of blood pressure etc It is very important to adjust all parts of the device to the condition of the child taking into consideration contractures and deformations Taking the sitting position at home is supervised by qualified staff physiotherapists nurse trained members of the family CAUTION Only doctor can make decision concerning the use of rehabilitation chair 18 AKCESMED 9 SAFETY RULES CAUTION Jumbo chair 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 chair 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 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 w
14. spite 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 SX lll RK AAR mM AKCESMED 23 AKCESmED ORTHOPAEDIC DEVICES MANUFACTURER Akces MED Sp z 0 0 Jasionka 955B 36 002 Jasionka tel 17 864 04 77 www akces med com e mail export akces med com Authorised Dealer Date of issue The last update 05 10 2015 e j op
15. y esssenseseenesssenssererssserssserersssersssererssseresssreresseress 13 Tack et ele EE 13 7 8 Adjustable ME AGI E 14 8 ZEHREN 15 8 1 Preparation of the patient 15 8 2 How touse Jumbo EC EE 16 Soa VEU PO de EE 17 S Ee 19 10 Maintenance nee E ue EE 22 INTRODUCTION Taking sitting position by disable child from early stage of life is the significant part of the rehabilitation process It has very important positive influence on child s development and improvement of motor skills Independent safe sitting of a child that has lost the ability of independent locomotion as a result of illness or accident has positive influence of patient as well as care people psyche Elephant is a device designed to be used in the process of daily rehabilitation of patients with illness which makes independent sitting or standing impossible Usage of wood colorful upholstery bright colors and figure of elephant make the chair more a toy for children than a rehabilitation device It is a universal device flaccid children as well as children with muscle tone and spastic children can be sited in it The device improves comfort of life of the child and child s family Remember to read this user manual carefully You will find not only useful information but also guidelines regarding safe and effective use of the product If you have any questions or remarks do not hesitate to contact our medical consultant ph 508 382 509 or directl
16. y AKCES MED Sp Zo o ph 17 864 04 70 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 USER MANUAL The present user manual contains basic information which is essential for proper usage preparation maintenance cleaning and guarantee conditions regarding JUMBO positioning chair User manual should be kept in easily accessible place It is designed for people who look after disabled children 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 important It assures safety and extends durability as well as aesthetics of the device 2 INDICATIONS FOR USE It is recommended in the following cases e Infantile cerebral palsy different forms e Meningomyelocele Brain and spinal cord injuries Muscle diseases connected with paresis and paralysis Genetic disorders connected with paresis Other diseases connected with paresis paralysis and injuries regarding locomotor system e After traumatic brain injury spine with spinal cord and lower limbs injury AKCESMED 5 3 GENERAL CHARACTERISTICS OF JUMBO CHAIR 3 1 Standard equipment
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