Users Manual
Contents
1. es 2 S e E e 8 5 5 2 gt y E 3 5 ee s p gt c sil oa ge 2 Be 2 3 8 2328 s 5 PB 55 ii 2 o s o cr Fr x o U 3 E 2 ql gs 22 2 2 o o A 9 A 2 uL uL a 4 n s E Y als B 15 15 B 37 18 90 90 68 i 8 36 30 25 23 28 57 40 20 180 180 52 82 wile 2 19 16 5 e 41 18 90 90 74 z 8 41 34 35 27 5 35 61 40 22 180 180 58 85 ME 25 20 49 18 90 90 94 495 42 42 34 47 69 48 25 180 180 71 113 8 AKCESMED 6 DETAILED DESCRIPTION ON HOW TO USE DALMATIAN ELECTRIC MULTIFUNCTIONAL STANDER Il POSITIONING CHAIR 6 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 e adjust the depth of seat at your discretion e tighten knobs Please follow these steps so as to adjust the tilt angle of seat tilt in function ATTENTION Always keep the handset unlock remote control and press the c a button until the seat is placed at chosen CAUTION Remember to block the remote control after the adjustment of tilt in function AKCESMED 9 6 2 The adjustment of backrest s tilt angle Please follow these steps so as to adjustthe tilt angle of backrest e loosen fastening knobs adjust the tilt angle of backrest at your2. discretion e tighten firmly fastening knobs 6 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 10 AKCESMED 6 4 Theadjustment 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 e tighten knobs b Please follow these steps so as to adjust the tilt angle of footrest e loosen fastening knobs situated at the side of each footrest adjust the tilt angle at your discretion tighten knobs 6 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 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 fastenings knee pelottes e adjust the distance of pelottes at your discretion e tighten fastening knobs AKCESMED 11 CAUTION If vest
3. 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 it is damaged or any partis missing 4 1115 forbidden to leave the patient unattended 5 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 1115 forbidden to either go up or down the stairs it doesn t matter if the patient is placed in the device or not 1015 important to engage brake during getting into and getting out the device It s important to make sure that patient doesn t stand on footer during either getting into or getting outthe 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 AKCESMED CAUTION This device can be only used inside the buildings CA
4. 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 6 6 Theadjustment of headrest a Please follow these steps so as to adjust headrest loosen fastening knobs situated at both sides of headrest adjust headrest tighten firmly fastening knobs b Next itis important to 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 6 7 Assembly and adjustment of tray Please follow these steps so as to mount tray loosen fastening knobs situated undertray stop adjust upper limb support at the same height e place tray on upper limb support e tighten fastening knobs AKCESMED CAUTION Shin cannot be squeezed by seat or any other elements of seat 6 8 Assembly and adjustment of vest Please follow these steps so as to mount vest fasten 4 fastening buckles e pull cotters so as to adjust the vest at your discretion 6 9 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 12 AKCESMED 6 10 Theadjustment of upper limb support P
5. uses equipment for households is obliged to give used equipment to a person that is responsible for collecting both electronic as well as electrical equipment Selective collection as well as recycling of waste from households have a positive impact on environment due to the fact that it decreases the amount of harmful substances that can pass into atmosphere and surface water 32 AKCESMED AKCESMED ORTHOPAEDIC DEVICES MANUFACTURER quel 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 Authorised Dealer Date of issue 31 10 2012 The last update 11 05 2015 35 70 ZN AN 5 at a 45 AKCES MED Ltd reserve the right to introduce technical and trading changes in the content of the instruction without warning
6. 065 Tray for nonverbal communication DM 009 Independently p pl D adjustable side supports supporting cushions v DM 010 Thigh abduction belts DM 014 H Harness DM 025 6 points safety vest 3 3 Technical specification of DALMATIAN ELICTRIC _ Force of the drive 1000 N DT3 2000N Use od electricit 2A Battery capacity 2 Ah Operating voltage 24V Input voltage or converter 230V AKCESMED 7 The drive can work uninterrupted for maximum 2 min The proportion of work and break is 1096 after 2 min of constant work it requires 18 min break Full charging of the battery takes minimum 2 hours 4 WEIGHT AND MEASUREMENTS Weight kg Product dimensions cm 5 o0 o o 4 g m 5 lt 5 gt 3 7 bo 2 5 X 5 Sg 5 9 2 9 5 a gt a 3 a amp 75 Positioning chair 105 Positioning chair 25 28 91 Lying function 46 Standing frame 116 Standing frame 110 Lying function 110 Positioning chair 80 Positioning chair 45 35 102 Lying function 52 Standing frame n 134 Standing frame 128 Lying function m 120 Positioning chair 102 Positioning 60 48 105 Lying function 64 chair Standing frame o 162 Standing frame 160 Lying function 5 SIZE TABLE ts 5 9 E E
7. ION 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 Multifunctional stander is an individual device that helps children who suffer various diseases connected with nervous muscle or skeletal system It is recommended in the following cases e Infantile cerebral palsy different forms e Meningomyelocele e Brain and spinal cord injuries with paresis serious balance and coordination disorder e Muscle diseases with significant muscle weakness or the progressive muscle decline e Muscle diseases connected with paresis and paralysis e Genetic disorders connected with paresis e After brain spine spinal cord and lower limb injuries AKCESMED 5 3 GENERAL CHARACTERISTICS OF DALMATIAN ELECTRIC 3 1 Standard equipment GOOG 1 Headrest with head stabilizing belt 2 Chest pelottes 3 Vest 4 Tray 5 Abduction block with knee support 6 Upperlimb support 7 Lower limbs supporting cushions 8 Footrests with 3D footers 9 Remote control 10 Pelvic belt 11 Frame with castors 12 Navigating unit with power pack 6 AKCESMED 3 2 Additional equipment b g cushion DM 012 Headrest cotton cover DM 001 Head supporting belt DM 004 Neck supportin 2 E DM
8. MULTIFUNCTIONAL STANDER DALMATIAN ELECTRIC 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 gt QUALITY SYSTEM 13485 o FINAS Finnish Accreditation Service ISO 13485 CERTIFIED COMPANY Akces Med Sp 2 Company introduced quality management system ISO 13485 regarding production sales and service The system is certified by Det Norske Veritas AKCESMED INTRODUCTION DALMATIAN ELECTRIC is widely used in the process of rehabilitation It is recommended for not only children but also young people It is used as a rehabilitation chair during adoptingthe sitting position and then asa 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 chai
9. UNCTION If you wish to adjust chair to lying position it is necessary to adjust two footrest and backrest horizontally Points 6 2 and 6 4b clearly show how footrest and backrest should be adjusted 16 AKCESMED 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 of abduction block c It is possible to adjust standing frame Please follow steps described in point 6 5 gt Look point 6 5 Knee support page 11 AKCESMED 17 Ill 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 gt Look point II LYING FUNCTION page 16 Once the device is adjusted to the patient it is necessary to fix knee support in the same way asthe lying function look page 17 Next start upright standing press the button situated on remote control Please remember to adjust correctly knee support 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 CAUTION Remember to block the remote control after the adjustment ATTENTION Always keep the handset locke
10. UTION The product contains small parts which children may swallow CAUTION It isforbidden to make any changes concerning chair 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 1 AKCES MED Sp z o osells 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 29 10 MAINTENANCE AND CLEANING DALMATIAN ELECTRIC 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 hav
11. d when not in use 18 AKCESMED CAUTION Please always make sure that patient s body parts are not placed between movable elements from the device otherwise patient will hurt 7 DETAILED DESCRIPTION ON HOW TO USE ELEMENTS FROM ADDITIONAL EQUIPMENT 7 1 Tray for manual therapy Tray for manual therapy is mounted instead of standard tray 7 2 Independent adjustable side pelottes Independent adjustable side pelottes are mounted by manufacturer Please follow these steps so as to adjust them e measure patient loosen fastening knobs e adjustthe distance e move pelottes either upwards or backwards so as to adjust them to the patient e tighten knobsif height is adjusted 7 3 Adjustment of thigh abduction belts Thigh abduction belts are mounted by manufacturer Please follow these steps so as to adjust them e adjusttheirlength 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 AKCESMED 19 7 4 Cushions for trunk support Please follow these steps so as to mount cushions for trunk support e put cushion on headrest s batten e adjust both distance and height to trunk e tighten adjusting knobs for distance and height oW US TAR E 7 5 Soft cover for tray Please follo
12. 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 23 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 e the most significant cause of using chair is the stimulation of psychomotor system e ithasan influence on patient s state of mind e ithasan influence on the development of muscles joints and musculoskeletal system e itprevents from contractures or makes it easier to cure them it improves joint mobility e it prevents from muscle atrophy especially postural it makes it easier to take exercises for upper limbs while sitting position e itimproves cardiovascular system e itimproves
13. e 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 maintenance in order to extend product s aesthetics So as to do that it is essential to comply with these guidelines 1 It is recommended to clean upholstery with the aid of cleaning product soft sponge and warm water If you use sponge which is too wet stain may get bigger upholstery may be destroyed It is necessary to remember that the excess of dampness should be removed from fabric before next cleaning Please rinse upholstery with warm water and clean white cloth once stain is removed 2 Itisforbiddento soak upholstery 3 It is forbidden to clean upholstery with the aid of hard brushes 4 Itis 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 30 AKCESMED CAUTION Remember that upholstery has to be a
14. lease follow these steps so as to adjust the height of upper limb support e 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 e tighten fastening knobs Please follow these steps so as to adjust the tilt angle of upper part of upper limb support loosen fastening knob adjust the tilt angle at your discretion e tighten fastening knobs 14 AKCESMED 6 11 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 6 12 Footers with adjustment Please follow these steps so as to mount footers with adjustment e dismantle standard footers mount footers with adjustment mount them in a places where standard footers were mounted e adjust footers at your discretion e tighten fastening knobs AKCESMED 15 6 13 Cushions for upper limbs support Please follow these steps so asto mount cushions for upper limbs support unscrew fastening knobs from each cushion e put cushions on footrest s profiles adjust the height at your discretion tighten fastening knobs Il LYING F
15. lung ventilation and prevents from pneumonia it improves intestinal peristalsis e it prevents from urinary problems or makes it easier to cure it e it prevents from bedsores or makes it easier to cure them e passive sitting is usually only the stage of rehabilitation process 24 AKCESMED 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 problems 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 ofthe family CAUTION Only doctor can make decision concerning the use of rehabilitation chair AKCESMED 25 8 4 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 attentio
16. lways dry before using Before using it is necessary to e clean wheels e check if base as well as wheels are correctly mounted check if brake stops turning wheel e makesurethatall wooden parts e g tray don t have splinters e check if stroller construction is free of breaks or any kinds of deformities e check if all movable parts are working and all screws nuts knobs etc are correctly tightened e check if belts vests trunk belts feet stabilizing belts etc are not frayed check if buckles and clamps work correctly CAUTION Manufacturer takes responsibility only for hidden faults or damages which appeared despite the fact that user complied with the guidelines CAUTION In case of any damages it is essential to contact the person who sold you the product SX AAR X AKCESMED 31 CAUTION Pursuant to Art 22 sec 1 and 2 of Legislation concerning used electrical and electronic equipment Journal of Laws No 180 item 1495 it is forbidden to place throw as well as store together with other waste Dangerous chemicals in electronic as well as electrical equipment have a bad influence on plants germs and human being Used equipment should be delivered to local Collection Point for used electronic equipment Local Collection point should be registered in Inspector of Environmental Protection and moreover it should carry out the selective waste collection Remember Pursuant to Art 35 person that
17. n 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 26 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 hasto 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 effec
18. r This multifunctional device completes the process of rehabilitation due to adjustment and equipment Upright standing may be performed from O 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 it is 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 ofthe 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 o o 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 4 AKCESMED 1 PURPOSE OF USER MANUAL The present user manual contains basic information which is essential for proper usage preparation maintenance cleaning and guarantee conditions regarding DALMATIAN ELECTRIC 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 CAUT
19. table 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 it is necessary for a patient to wear orthopedic supply collar corset orthesis shoes if it is recommended by doctor CAUTION Outfit should protect patient s skin from direct contact with upholstery as well as other parts of equipment CAUTION Only doctor can make a decision concerning using any kind of orthopedic supply 22 AKCESMED 8 2 How to use MULTIFUNCTIONAL STANDER DALMATIAN ELECTRIC 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 Equipment works correctly only when the
20. ts disappeared remember to inform doctor so as to make decision concerning further upright position process 9 SAFETY RULES CAUTION MULTIFUNCTIONAL STANDER DALMATIAN ELECTRIC 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 DALMATIAN ELECTRIC 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 moreover check if they are not broken AKCESMED 27 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 sprawdzic prawidtowosc dziatanie 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 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 safeguards him her from falling out If abduction contracture
21. w 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 20 AKCESMED 7 6 harness Please look at point 6 6 so as to find out how to assembly vest 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 7 6 points harness In orderto mount 6 points vest itis necessary to e points vest should be put on and then it is important to fasten zipper and buckle atthe front of vest e Adjust vest with the aid of Velcro tapes situated at the back of vest e 6 points vest should be fastened in a place that is created for standard vest 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 21 8 THE USE OF MULTIFUNCTIONAL STANDER DALMATIAN ELECTRIC CAUTION MULTIFUNCTIONAL STANDER DALMATIAN ELECTRIC hasto 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 outfitislightand comfortable sporty clothes are advisable shoes should be comfor
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