dalmatian invento
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1. DALMATIAN INVENTO MULTIFUNCTIONAL STANDER USER MANUAL our in dependen ce gur pass 4 s a KCESMED e e ele 351 70 Zw AY x 45 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 CAUTION AKCES MED Ltd reserve the right to introduce technical and trading changes in the content of the instruction without warning 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 CAO01 04088 W 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 v LA E i CE SYSTEM ae o ZARZADZANIA 7 FIN AS JAKOSCIA R ISO 13485 CERTIFIED COMPANY 13485 af DALMATIAN INVENTO AKCESMED CONTENTS he The purpose or user tiun loa 5 Ve suep mue diem 5 3 General characteris c TG 6 nie Tener T EST 7 2 2 Addiional eguiDMe Mss Ea r E E 9 r SIS TO EE EE E NEE S A TA E ME UNMIURNEEDNRIMESPU I 8 52. af DALMATIAN INVENTO AKCESMED 6 It is forbidden to leave the device 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 patientis placed in the device or not 8 Itisimportantto engage brake during getting into and getting outthe device 9 It s important to make sure that patient doesn t stand on footer during either getting into or 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 doesn t take responsibility for damages which appeared due to improper preparation ofthe device during transportatio 28 www akces med com 48 17 8640477 K export akces med com af DALMATIAN INVENTO AKCESMED 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 stander 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 maxi
3. Detailed description on how to use multifunctional stander 10 Hes SIO INI GC aR m teasae ee 10 EN m 16 ESTEN DING T cr 17 CAdditonaleduUipnE EEn 18 OI Footers a T 18 6 2 Cushions for upper limbs SUpport sessssssesssrsssrrsrssorrsrsserrsssernrsssernrssseenssernnssseenns 18 6 3 Independent adjustable side DelOU CS ooi chere ge dorus cba oso eed eret desee serene cras 19 6 4 Adjustment of thigh abduction belts venunverseenseservenn 19 6 5 CUSHIONS TOF UK SHDDOELE senen us En re EAO ANENE RSEN E 20 66 Hedd OO 20 C SOE oS mem 21 Ce M WVU E E 21 69 NODE 21 TOR Gal HRS 22 7 The use or multifunctional stander Dn Rud nep qe 23 7 1 Preparation of the PION UT 22 7 2 How to use multifunctional stander 23 Ae NE DO O neten EE E E 24 ZAU ENO a TT 26 E dend 27 9 Maintenance and Clean ONT 30 www akces med com 48 17 8640477 DS export akces med com af DALMATIAN INVENTO AKCESMED INTRODUCTION DALMATIAN INVENTO is widely used in the process of rehabilitation It is recommen
4. 17 8640477 DS export akces med com DALMATIAN INVENTO AKCESMED THE PURPOSE OF USER The present user manual contains basic information which is essential for proper usage preparation maintenance cleaning and guarantee conditions regarding DALMATIANINVENTO multifunctional stander 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 The device is recommended for people in the following cases Infantile cerebral palsy different types Brain and spinal cord damage of different etiology with limb paresis severe balance and coordination disorder Menigomyelocele defect Demyelinating diseases multiple sclerosis amyotrophic lateral sclerosis and others Muscle diseases connected with paresis and paralysis Genetic disorders connected with paresis Rheumatic diseases www akces med com 48 17 8640477 DS export akces med com 5 DALMATIAN INVENTO AKCESMED EN GENERAL CHARACTERISTICS OF STANDER 3 1 Standard equipment 1 Frame with castors 2 Footrest with feet stabilizing belts 3 Abduction
5. a place that is created for standard vest point 5 6 page 13 So as to fasten it use not only buckles but also fastening belt that should be threaded behind chair s backrest andfastened atthe front of vest 6 10 Tray for manual therapy Tray for manual therapy is mounted instead of standard tray look point 5 9 page 14 www akces med com 48 17 864 0477 DS export akces med com DALMATIAN INVENTO AKCESMED THE USE OF MULTIFUNCTIONAL STANDER CAUTION DALMATIAN INVENTO multifunctional stander 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 using DALMATIAN INVENTO multifunctional stander 7 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 notto disturb during usingthe product if itis necessary for a patient to wear orthopedic supply collar corset orthes
6. adjust both distance and height to trunk e tighten adjusting knobs for distance and height tn 3 LE 6 6 Head stabilizing belt 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 www akces med com 48 17 864 0477 DS export akces med com af DALMATIAN INVENTO AKCESMED 6 7 Soft cover for tray 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 6 8 H harness Please look at point 6 6 so as to find out howto assembly vest point 5 6 page 13 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 6 9 6 points harness 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 www akces med com 48 17 864 0477 DS export akces med com af DALMATIAN INVENTO AKCESMED e Adjust vest with the aid of Velcro tapes situated at the back of vest e points vest should be fastened in
7. 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 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 www akces med com 48 17 8640477 DS export akces med com 31 AKCESMED ORTHOPAEDIC DEVICES MANUFACTURER Akces MED Sp z o o 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 25 10 2015 The last update 17 112015 rm 000
8. block with knee support 4 Chest pelottes 5 Tray 6 Upper limb support 7 Adjustable headrest 8 Pelvic belt 9 Vest 10 Gas spring www akces med com 48 17 864 0477 DS export akces med com DALMATIAN INVENTO AKCESMED 3 2 Additional equipment DM 407 Tray for ERVE DM 401 Tray for manual communication therapy KEER v DM 109 Independently DM_106 Lower limbs adjustable side supports E j supporting cushions DM_507 Oxygen tank holder DM 114 H harness DM 1256 points safety vest DM_002 AID FOR MOVING PATIENTS AM P DM_126 Trunk belt DM_123 Longer headrest www akces med com 48 17 864 0470 lt produkcja akces med com DALMATIAN INVENTO AKCESMED uA v BEXERXHSBUBMGIE DM 412 Elastico cushion seat shape DM_101 Thigh abduction belts E m e DM 080 Elastico cushion backrest DM_427 Tango wheel www akces med com 48 17 8640477 DS export akces med com DALMATIAN INVENTO AKCESMED Symbol Measurement Unit Size 1 Size 2 Size 3 A seat width cm 33 36 45 B seat depth cm 17 26 20 31 28 44 C backrest height cm 28 35 47 D headrest height cm 40 60 47 71 54 77 E backrest width cm 16 22 18 26 18 32 F footrest length cm 18 40 18 40 18 51 knee supports spacing cm 18 26 21 29 2
9. of abduction block c It is possible to adjust standing frame Please follow steps described in point 5 5 Look point 5 5 Knee support page 12 www akces med com 48 17 864 0477 DS export akces med com at DALMATIAN INVENTO AKCESMED 1 STANDING FRAME Please prepare the device for lying function if you want to move on to upright Standing This process is described on page 16 Look point II LYING FUNCTION page 16 Mount knee support and move on to upright standing once all elements are prepared and adjusted to the patient Unblock safety mandrel press pedal a and place the patientina proper position b CAUTION It is important to make sure that both vest and pelvic belt are correctly fastened and adjusted before upright standing Furthermore check if knee support is properly mounted and moreover make sure that knee support protects legs from bending www akces med com 48 17 8640477 DS export akces med com 17 af DALMATIAN INVENTO AKCESMED CAUTION Please always make sure that patient s body parts are not placed between movable elements from the device otherwise patient will hurt 6 ADDITIONAL EQUIPMENT 6 1 Footers with adjustment Please follow these steps so as to mount footers with adjustment e dismantle standard footers e mount footers with adjustment mount them in a places where standard footers were mounted e adjust footers
10. to familiarize with the guidelines described in user manual before using the device 1 Before use itis 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 sprawdzi prawid owo dzia anie sprzaczek always use safety belts Velcro tapes should overlap min 8cm adjust the device according to patient s measurements and needs e g the adjustment of pelottes footplate etc make sure that all movable parts and knobs for adjustments are stable and locked secure patient with the aid of elements such as vest foot stabilizing belts pelottes abduction block headrest It is highly important to secure patient because it safeguards him her from falling out If abduction contracture occurs it is recommended to use abduction block in order to prevent ulcers between knees 2 Itis forbidden to use the device for different purposes that it is intended to 3 Itis forbidden to use the device when itis damaged or any partis missing Altis forbidden to leave the patient unattended 5 The device should be used only when there is someone who is trained and knowledgeable www akces med com 48 17 864 0477 DS export akces med com 27
11. 5 37 footplate length cm 19 22 25 standing frame tilt angle 0 85 0 85 0 85 tray tilt angle 67 80 74 97 95 112 5 backrest tilt angle 0 90 0 90 0 90 footrests tilt angle 0 90 0 90 0 90 maximum user weight kg 25 45 60 Weight and dimensions of the device Size 1 Size 2 Size 3 width cm 46 50 60 length sitting position cm 70 81 97 height sitting position cm 96 118 138 weight kg 29 33 5 53 Note Dimensional tolerance in the table is 1 1 cm www akces med com 48 17 864 0470 lt produkcja akces med com DALMATIAN INVENTO AKCESMED 5 DESRIPTION HOW TO USE MULTIFUNCTIONAL STANDER I POSITIONING CHAIR 5 1 The adjustment of seat Please follow these steps so as to adjust the depth of seat loosen 4 fastening knobs situated under the seat adjust the depth of seat at your discretion tighten knobs Please follow these steps so as to adjust the tilt angle of seat press pedal situated at the back of chair and atthe same time adjust the tilt angle of seat at your discretion block seat release pedal It is always better to adjust it when patient is placed in the device because his her weight makes it easier to cope with spring force otherwise you need to use more strength www akces med com 48 17 8640477 DS export akces med com at DALMATIAN INVENTO AKCESMED 6 2 The adjustment of backrest s tilt angle Pl
12. astenings knee pelottes e adjust the distance of pelottes at your discretion e tighten fastening knobs Y N wu www akces med com 48 17 8640477 DS export akces med com at DALMATIAN INVENTO AKCESMED CAUTION Shin cannot be squeezed by seat or any other elements of seat 5 6 Assembly and adjustment of vest Please follow these steps so as to mount vest fasten 4 fastening buckles pull cotters so as to adjust the vest at your discretion 5 7 Assembly and adjustment of pelvic belt Please follow these steps so as to mount pelvic belt fasten two fastening buckles pull cotters so as to adjust the length of belt at your discretion www akces med com 48 17 864 0477 DS export akces med com EE DALMATIAN INVENTO AKCESMED CAUTION If vest and pelvic belt are mounted it is necessary to make sure that buckles do not unfasten under pressure buckles do not shift due to incorrect assembly 5 8 Theadjustment of headrest a Please follow these steps so as to adjust headrest loosen fastening knobs situated at both sides of headrest e adjust headrest tighten firmly fastening knobs b Next itis important to loosen screws from headrest s ribbing with the aid of Allen key adjust the shape of headrest at your discretion tighten firm
13. at your discretion e tighten fastening knobs 6 2 Cushions for upper limbs support Please follow these steps so as to mount cushions for upper limbs support e unscrew fastening knobs from each cushion e put cushions on footrest s profiles e adjust the height at your discretion e tighten fastening knobs n www akces med com 48 17 864 0477 DS export akces med com af DALMATIAN INVENTO AKCESMED 6 3 Independent adjustable side pelottes Independent adjustable side pelottes are mounted by manufacturer Please follow these steps so as to adjust them e measure patient e loosen fastening knobs e adjustthe distance e move pelottes either upwards or backwards so as to adjust them to the patient e tighten knobs if heightis adjusted 6 4 Adjustment of thigh abduction belts Thigh abduction belts are mounted by manufacturer Please follow these steps so as to adjust them e adjusttheir length at your discretion e fasten buckles CAUTION If vest and pelvic belt are mounted it is necessary to make sure that buckles do not unfasten under pressure buckles do not shift due to incorrect assembly www akces med com 48 17 864 0477 DS export akces med com 19 at DALMATIAN INVENTO AKCESMED 6 5 Cushions for trunk support Please follow these steps so as to mount cushions for trunk support e put cushion on headrest s batten e
14. ber about proper maintenance in order to extend product s aesthetics So as to do that it is essential to comply with these guidelines 1 It is recommended to clean upholstery with the aid of cleaning product soft sponge and warm water If you use sponge which is too wet stain may get bigger upholstery may be destroyed It is necessary to remember that the excess Of dampness should be removed from fabric before next cleaning Please rinse upholstery with warm water and clean white cloth once stain is removed 2 Itis forbidden to soak upholstery It is forbidden to clean upholstery with the aid of hard brushes 4 Itis forbidden to clean upholstery with strong chemical agents such as solvent or caustic chemicals UJ 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 hasto be always dry before using 6 Itisforbidden 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 www akces med com 48 17 8640477 DS export akces med com af DALMATIAN INVENTO AKCESMED CAUTION Remember that upholstery has to be always dry before using Before using it is necessary to clean wheels check if base as well
15. ded for not only children but also young people It is used as a rehabilitation chair during adopting the sitting position and then as a static standing frame in the further process of rehabilitation Besides it can be a lying function during the whole process This device is equipped with the gas spring thanks to which both therapists and care takers can put the child in upright position without removing him from the chair This multifunctional device completes the process of rehabilitation due to adjustment and equipment Upright standing may be performed from 0 to 90 degrees Moreover safety vest and pelvic belt are equipped with innovative hold amp pull system which allows for quick and precise stabilization of the child in the device As far as this product is concerned itis created from ecologic materials and itis hand painted 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 directly AKCES MED Sp Z 0 0 ph 17 864 04 70 Thank you for purchasing our product 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 www akces med com 48
16. ease follow these steps so as to adjust the tilt angle of backrest loosen fastening knobs adjust the tilt angle of backrest at your discretion tighten firmly fastening knobs 5 3 The adjustment of trunk pelottes Please follow these steps so as to adjust trunk pelottes loosen 4 fastening knobs e adjust the width and the height of pelottes in compliance with patient s measurements tighten knobs www akces med com 48 17 864 0477 DS export akces med com EEI DALMATIAN INVENTO AKCESMED 5 4 The adjustment of feet support a Please follow these steps so as to adjust the height of footers loosen fastening knobs adjust the height of footer at your discretion tighten knobs b Please follow these steps so as to adjust thetilt angle of footrest loosen fastening knobs situated at the side of each footrest e adjust the tilt angle at your discretion e tighten knobs 5 5 Abduction block with knee support a Please follow these steps so as to adjust abduction block loosen fastening knob move abduction block either forwards or backwards tighten knob a Please follow these steps so as to mount knee support e unscrew significantly fastening knob situated at the front of abduction block e insert knee support e tighten fastening knob b Please follow these steps so as to adjust knee stabilizing pelottes e loosen knobs f
17. es 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 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 www akces med com 48 17 8640477 DS export akces med com af DALMATIAN INVENTO AKCESMED SAFETY RULES CAUTION DALMATIAN INVENTO multifunctional stander has to be used in compliance with guidelines in this user manual Itis highly important to consult either doctor or physiotherapist in order to make right decision concerning the choice of DALMATIAN INVENTO and its size It is also essential
18. ese 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 www akces med com 48 17 8640477 DS export akces med com at DALMATIAN INVENTO AKCESMED 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 of upright position process Upright position process has to be always performed under the supervision of trained person It is recommended to divert patient s attention during upright position process by manipulation games educational games touch stimulation and others CAUTION It is highly important to adjust the device to the patient before using it 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 www akces med com 48 17 8640477 DS export akces med com 25 af DALMATIAN INVENTO AKCESMED CAUTION As far as first upright standing is concerned it tak
19. is shoes if itis recommended by doctor CAUTION Outfit should protect patient s skin from direct contact with upholstery as well as other parts of equipment CAUTION Only doctor can make a decision concerning using any kind of orthopedic supply www akces med com 48 17 864 0477 DS export akces med com 23 af DALMATIAN INVENTO AKCESMED 7 2 How to use multifunctional stander 1 Before useitis necessary to Unfold the device Placethe device on even ground Make sure that all parts are serviceable correctly mounted and stable Block brakes Adjustthe device to patient s measurements Undo vest trunk belts etc so as to place easily the patient is the device Place patientin 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 Before the product is used itis highly necessary to make sure that all belts as well as safety equipment are correctly fastened as well as adjusted What is more check if they do not become undone due to the pressure and moreover make sure that clampings 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 th
20. ly screws 5 9 Assembly and adjustment of tray Please follow these steps so as to mount tray loosen fastening knobs situated under tray s top e adjust upper limb support at the same height place tray on upper limb support tighten fastening knobs www akces med com 48 17 8640477 DS export akces med com at DALMATIAN INVENTO AKCESMED 5 10 The adjustment of upper limb support Please follow these steps so as to adjust the height of upper limb support loosen two fastening knobs that bolt batten with upper limb support e adjust the height and tilt angle of upper limb support at your discretion tighten fastening knobs Please follow these steps so as to adjust the tilt angle of upper part of upper limb support loosen fastening knob e adjust the tilt angle at your discretion tighten fastening knobs www akces med com 48 17 8640477 DS export akces med com 15 af DALMATIAN INVENTO AKCESMED Il LYING FUNCTION If you wish to adjust chair to lying position it is necessary to adjust two footrest and backrest horizontally Points 5 2 and 5 4b clearly show how footrest and backrest should be adjusted Knee support in lying position a Knee support in lying position is mounted on upper part of abduction block b Adjust the height of knee support with the aid of knob situated at the front
21. mal weight described on page 9 where you will find information regarding this issue 1 AKCES MED Sp z o o sells products free from manufacturing defects or faults 2 Manufacturer gives the purchaser 36 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 www akces med com 48 17 864 0477 DS export akces med com E at DALMATIAN INVENTO AKCESMED MAINTENANCE AND CLEANING DALMATIAN INVENTO 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 Itis highly advisable to remem
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