Dandy Stander User Manual
Contents
1. Pag 19 di 24 ADJUSTMENT of the CHEST and PELVIC SUPPORT HEIGHT height adjustment indicator 2 The STOP mark indicates the maximum height ADJUSTMENT of the TABLE in HEIGHT height adjustment indicator The STOP mark indicates the maximum height Pag 20 di 24 ADJUSTMENT of the TABLE DEPTH2. Pag 21 di 24 MAINTENANCE CLEANINGAND DISINFECTION OF DONDOLINO REGULAR OR PREVENTIVE MAINTENANCE REGULAR MAINTENANCE MUST BE PERFORMED ONCE A MONTH REGULAR MAINTE NANCE IS REGUIRED TO KEEP THE PRODUCT WORKING PROPERLY AND SAFELY AND IS ESSENTIAL FOR KEEPING THE C MARK THE MANUFACTURER IS NOT LIABLE FOR THE PERFORMANCE OF THE PRODUCT UNLESS REGULAR MAINTENANCE IS PERFORMED ATTACHMENT 1 DIRECTIVE 93 42 EEC THE MANUFACTURER ALSO RECOMMENDS THAT YOU HAVE THE SUPPLIER PERFORM PLETE REVIEW OF THE PRODUCT S OPERATION AND SAFETY WITH THE FOLLOWING FRE GUENCIES 1 within 3 months from purchase 2 within six months from purchase 3 once a year after the first year from purchase Clean and disinfect the device and its accessories regularly following the instruc tions provided below CLEANING AND DISINFECTIND THE VARNISHED AND CHROMIUM PLATED FRAME Clean and disinfect the varnished and chromium plated parts of the aid with a soft cloth dipped in a household detergent and disinfectant such as alcohol diluted in water DO NOT GREASE THE ADJUSTABLE PARTS CLEANING AND DISINFECTION OF THE COVERING padded parts Clean the coverings with a soft cloth dipped in water with detergent and a neutral home disinfectant CLEANING THE WHEELS Clean the wheels at least once a month by keeping them free fr
3. of destination CUSTOMER SERVICE AND SPARE PARTS Only contact the retailer where you purchased the product for service and replacement parts Pag 23 di 24 CONDITIONS FOR DURABILITY REUSE AND REASSIGNMENT i NEW USER Granted that Ormesa products should be selected evaluated and ordered for the needs of an individual user reuse is however possible with the respect the follow ing conditions Based on the erperience of other similar sold models on technological progress on the guarantees of the Quality Management System certificated in 1998 according to ISO 9001 there is adequate confidence that the average lifespan of the DONDOLINO is about 5 years on condition that it is used according to the directions given in the user manual Only when the conditions for storage and transport of chapter HOW TO STORE AND TRANSPORT THE MEDICAL DEVICE are followed the periods in which the product is stored at the dealer should not be considered in that time period Factors unrelated to the product such as the development of the user its diseases the use and the surrounding environment can make significantly lower the dura tion of life of the product on the contrary if the indications on the use and maintenance are properly observed the reliability of the product can extend well beyond the lifetime average above Prior to recycling or reassignment an already used Ormesa product it is required that 1 a d
4. position is the ideal antigravity posture for human beings It represents the conquest of a two legged bearing that thus frees the upper limbs and hands from acting as support and protection what we mean by posture is the body s constant relation with its environment achieved by maintain ing a balance between the elastic forces of the protagonist and antagonist muscles and between the body s inner forces and the forces exerted on it by the outside environment posture is maintained by integrating visual vestibular and somatic sensory proprioceptor information DONDOLINO is an aid that allows this information to be integrated and facilitates this process MORE SPECIFICALLY AN APPROPRIATE USE OF DONDOLINO CAN FACILITATE gaining experience with a posture that can act as an alternative to the one that has been forced or partially forced on the child by his pathology as well as enabling proper placement of the joints so that controlled and modulated variations can be introduced The aim of all this is to prevent from deformity Training the antigravity musculature controlling and straightening the head Conditions that are facilitated by the reduced antigravity involvement of the trunk this is achieved thanks to the table which is considered as an adjustable chest support the table can be removed once adeguate control of the trunk has been attained Experiencing visually guided manual activity Thanks to this it is possible to integ
5. the adjustments have been correctly fixed in order to avoid any possible danger to the User WARNINGS THE ADJUSTMENTS MUST BE ALWAYS CONTROLLED BY THE DOCTOR WHO PRE SCRIBES THE AID AND BY THE THERAPIST WHENEVER THEY THINK IT IS NEEDED THIS IS IMPORTANT TO OPTIMIZE THE VERTICAL POSITION BECAUSE THE RIGHT USE OF THE STANDING FRAME CONDITIONS THE FLEXION OF THE USER AND IT REDUCES HIS RIGIDITY Pag 14 di 24 ADJUSTMENT of the FRAME TILT Pag 15 di 24 ADJUSTMENT of the FOOTREST in HEIGHT i BN mm sy 04 2 S lt v ur ADJUSTMENT of the HEELREST in WIDTH e N ble LU tel 2 p A 2m T Pag 16 di 24 ADJUSTMENT of the HEELRESTS in DEPTH SECTION FROM ABOVE LI DI ADJUSTMENT of the KNEE PADS in WIDTH D
6. A Da Sangallo 1 06034 FOLIGNO PG ITALY P I IT 00574020541 CCIAA Perugia 119215 Iscr Trib Perugia 11907 Tel 39 0742 22927 r a Fax 39 0742 22637 http www ormesa com E mail info ormesa com COMPANY WITH MANAGEMENT SYSTEM CERTIFIED BY 150 9001 OHSAS 18001 SINCE 1980 FDA REGISTERED USA Authorized Dealer The technical Data and information given in this handbook are not binding ORMESA reserves the right to carry out any necessary change without prior notice or replacements Your enthusiastic distributor is medifab Medifab Ltd New Zealand Head Office Phone 64 3 307 9790 Australian Head Office 32 Detroit Drive n m Fax 643 307 2820 26 Pardoe Street Rolleston 7675 solutions medifab com East Devonport TAS 7310 Call 0800 543 343 Call 1300 543 343 oF
7. Dandy Stander Use and Maintenance Handbook INGLESE Cod 22219 01 08 12 Medifab Ltd Australia 26 Pardoe Street Devonport TAS 7310 e New Zealand 32 Detroit Drive Rolleston 7675 Call 1300 543 343 AU e 0800 543 343 NZ www medifab com e info medifab com Please Read Before Use OROGOA ORMESA thanks you for the confidence placed in choosing our DONDOLINO standing frame DONDOLINO is a standing frame where the attention to its functionality unites with the respect of ergonomic and safety principles ORMESA then suggests you to read this handbook very careful to fully understand its con tents It will help you in becoming familiar with DONDOLINO soon and more efficaciously and you will also find many practical advices to use it safely and in the best possible way and to keep it perfectly efficient Following our advice we ll help you in reaching the rehabilitation aim this aid has been designed for If after reading it you still have questions contact your retailer who will be happy to help you or call ORMESA directly at 39 0742 22927 send a fax to 39 0742 22637 or send an e mail to info ormesa com Luigi Menichini Managing Director Pagina 1 di 24 o m mart LI INDEX WIEN Salieri 3 GUARANTEE iii 5 HOW TO STORE AND TRANSPORT THE MEDICAL DEVICE eene 5 LABELS AND PLATES n awa 6 SOME EXAMPLES OF WHAT SHOULDN
8. JUST DONDOLINO WHILE ADJUSTING THE STANDING FRAME IT IS IMPORTANT TO FOLLOW THREE PHASES AND IT MUST BE ADJUSTED UNDER THE DIRECT CONTROL OF THE DOCTOR WHO PRESCRIBES IT 1ST PHASE YOU HAVE TO CONSIDER 1 the height of the child from under his chest to the ground is needed to fix the chest support 2 the height from the knee cap to the ground is needed to fix the knee pads of the standing frame You can measure while the child is standing or while he is laying 2ND PHASE INITIAL ADJUSTMENT WITHOUT THE CHILD AND CONSIDERING THE MEASURES THAT YOU MUST MEASURE BEFORE 3RD PHASE SUBSEQUENT ADJUSTMENT WITH THE CHILD Check 1 that the back strap once it is closed is in the middle of the bottom The height of the arm supports depends on the position of the back support of the pelvis 2 the position of the knee pads 3 the position of the heel rests in width and depth 4 the position of the table It must be fixed controlling the height of the User from under his elbow to the ground minimum height Shouldn t it be possible to make this control you can measure the distance from the bended elbow to his feet while the User is laying 5 the vertical alignment of the chest and pelvis 6 the flexion of the limbs the vertical position is determined by the front and back adjustment of the pelvis support of the knee pads and of the heel rests WARNINGS ALL THE ADJUSTABLE PARTS MUST HAVE BEEN WELL LOCKED Always check that all
9. LE in DEPT cla earn 21 ADJUSTMENT of the TABLE in TILT rni oio Fato son na d Spent ea tt one 21 MAINTENANCE AND CLEANING OF DONDOLINO 22 CUSTOMER SERVICE AND SPARE iii 23 CONDITIONS FOR DURABILITY REUSE AND REASSIGNMENT TO A NEW USER 24 Pag 2 di 24 CAREFULLY READ UNDERSTAND THE INSTRUCTIONS IN THIS MANUAL BEFORE USING THE DEVICE BECAUSE THEY HAVE BEEN WRITTEN WITH THE USER S SAFETY IN MIND and they will help the carer use the product safely and keep it in good working order The Use and Maintenance Manual is an integral part of the product and must be carefully preserved for future reference THE MANUAL IS INTENDED FOR TECHNICALLY QUALIFIED RETAILERS AND FOR USERS AND THEIR ASSISTANTS it provides instructions for using the product correctly and must be supplemented by adequate knowledge of the rehabilitation pro gram for which it has been prescribed The manual reflects the technical state of the product at the time it was sold ORMESA RESERVES THE RIGHT TO MAKE ANY CHANGES TO THE PRODUCT OR MANUAL suggested by experience technical considerations or regulatory devel opments without any obligation to update its previous production and relevant manuals DONDOLINO mus
10. O CO P N N V C 17 di 24 ORDGOIG ADJUSTMENT of the KNEE PADS in DEPTH VIEW FROM ABOVE ADJUSTMENT of the KNEE PADS in HEIGHT 7 N wu o o o 1 ee E m N al 0 AKI 2 DA e C 1 1 Lumi ip et TT 3 Pag 18 di 24 ADJUSTMENT of the KNEE PADS ROTATORY WAY p 9 L3 2 TA A VIEW FROM ABOVE ya 1 O o i ADJUSTMENT of the CHEST and PELVIC SUPPORT in its CIRCUMFERENCE
11. T BE DONE WHILE USING DONDOLINO 6 TECHNICAL SPECIFICATIONS Dv VE 7 WHAT DONDOLINO IS AND WHAT IT IS n enhn nnn nnn nnn annt 9 HOW DONDOLEINO WORKS Aa AA AAA Aaaa AR 10 INITIAL PREPARATION wi aa aa aaa aa xi aa aa wa ai ww wa waa 11 INFORMATION ABOUT THE aana ananuna manana nanunua 11 HOW TO ASSEMBLE DONDOLINO 12 HOW TO ADJUST DONDOO LINO waana aaa awa aa wa LEV Ge wakasikia wa akaa cw 14 ADJUSTMENT of the FRAME in itte ttes mti detis eu nnde tdi imet 15 ADJUSTMENT of the FOOTREST In HEIGHT carme 16 ADJUSTMENT of the HEELREST in WIDTH 16 ADJUSTMENT of the HEELRESTS in DEPTH aa 17 ADJUSTMENT of the KNEE PADS in WIDTH seen 17 ADJUSTMENT of the KNEE PADS in 18 ADJUSTMENT of the KNEE PADS in HEIGHT seen 18 ADJUSTMENT of the KNEE PADS a ROTATORY 19 ADJUSTMENT of the CHEST and PELVIC SUPPORT in its CIRCUMFERENCE 19 ADJUSTMENT of the CHEST and PELVIC SUPPORT in ii 20 ADJUSTMENT ofthe TABLE MAHENGA kaaa 20 ADJUSTMENT of tie TAB
12. THE INTERVALS INDICAT ED to VERIFY that it is WORKING PROPERLY and in GOOD CONDITION otherwise warranty will fail and marking will lapse PRODUCT REPAIRS other than the regular mainte nance shown on page 22 23 of the manual must be ONLY MADE by a SPECIALIZED SERVICE CEN TER in the maintenance of mechanical aids for disa bles otherwise warranty and C marking will be voided Any CHANGES in the product and the REPLACE MENT WITHOUT ORIGINAL PARTS OR COM PONENTS ARE NOT AUTHORIZED REFER ONLY TO ORMESA otherwise warranty and C marking will be voided In case of DOUBT about the SAFETY of the product or DAMAGE to parts or components you are urged to IMMEDIATELY DISCONTINUE USE and CON TACT a SPECIALIZED SERVICE CENTER in the maintenance of mechanical aids for disables or di rectly ORMESA Pag 4 di 24 GUARANTEE ORMESA warrants the DONDOLINO stander 2 years In case of problems tact the retailer where you purchased it Always ask for original spare parts otherwise the guarantee will decline ORMESA will not be liable for damage in the following cases use by an unsuitable person incorrect assembly of parts or accessories unauthorized modifications or service use of other than original replacement parts and parts subject to wear upholstery wheels etc improper use such as transporting objects or loads larger or heavier than those shown in the instru
13. ction manual damage caused by incorrect use and lack of regular maintenance as shown in the instruction manual exceptional events failure to follow the instructions in this manual THE GUARANTEE DOES NOT COVER WEAR PARTS which are subject to wear and tear such as the upholsteries and the wheels HOW TO STORE AND TRANSPORT THE MEDICAL DEVICE THE DEVICE MUST BE STORED AND PACKED using the Ormesa original packag ing materials unless the guarantee will be voided Once unpacked THE TRANSPORT OF THE DEVICE must be done by ANCHORING ADEQUATELY it to the vehicle When travelling by plane or in the car DO NOT SUBJECT THE FOLDED FRAME TO LOADS THAT especially with road bumps COULD DAMAGE ITS STRUCTURE THE DEVICE MUST BE PARKED STORED IN CLOSED AND DRY PLACES The operating environment has no particular influence on the device unless it is used incorrectly such as by leaving it parked for a long time in direct sunlight or exposed to bad weather such as rain or in marine environments where the salt air could corrode the paint and sliding parts In this case we recommend carefully cleaning and drying the frame following the instructions shown in the Mainte nance Cleaning and Disinfection chapter on pages 22 23 AND THE WARNINGS A ON PAGE 23 Pag 5 di 24 LABELS AND PLATES Name of the model Series number Article number PART N ii MAX KG Max load MA CE LOT code Date of Warning Read t
14. he Conformity with the production useand maintenance European safety handbook before use standards THE C MARKING CERTIFIES THAT DYNAMICO WALKING AID IS IN CONFORMITY WITH THE SAFETY STANDARDS FIKED BY THE EUROPEAN COMMUNITY AND PARTICULARLY WITH THE 93 42 EEC AND SUBSEQUENT MODIFICATION AND SUPPLEMENTS SOME EXAMPLES OF WHAT SHOULDN T BE DONE WHILE USING DONDOLINO DONDOLINO has to be used by those children whose bodily size and weight are just like the ones we specify it has to be prescribed by a specialized doctor ac cording to the laws standards and rules in force Never put the aid on a slope Never lift the standing frame in order to move it while the User is using it Don t put anything too hot on the tray because the wood or covering could be hardly damaged In order to adjust the parts while the user is using it scrupulously follow the par agraph HOW TO ADJUST DONDOLINO on page 14 of the Use and Mainte nance Handbook DONDOLINO has not been designed for the outdoor use unless it is on flat paved ground well sheltered from bad weather Never use the product if there are damaged or missing parts Always ask for original spare parts on the contrary the guarantee decays and ORMESA will be no more responsible for the product Pag 6 di 24 ORDGOG TECHNICAL SPECIFICATIONS e DONDOLINO is available in three sizes see page 8 e FRAME varnished with non toxic epoxy powder paint and with chromium plated a
15. nd adjustable parts It is adjustable in tilt e TABLE in multilayer wood It is adjustable in height tilt and depth can be removed e KNEE PADS adjustable in height width depth and in a rotatory movement e HEELRESTS adjustable in depth and width e MULTILAYER WOOD BASE adjustable in height PELVIC SUPPORT adjustable in its circumference thanks to Velcro straps in height back and forward e CHEST SUPPORT just for size 2 and 3 adjustable in its circumference thanks to Vel cro straps and in height e Unpierceable WHEELS diam 75 mm with brakes Thanks to the wheels the aid can be moved from one room to another with the User Pag 7 di 24 The numbers divided by dash specify a minimum and maximum adjustment Measures in cm 39 57 DONDOLINO 3 Weight of the aid Kg 24 Max Load Kg 55 Pag 8 di 24 ORDGOG WHAT DONDOLINO IS AND WHAT IT IS FOR DONDOLINO IS A STANDING FRAME DESIGNED AND MANUFACTURED TO HELP CHILDREN FROM 1 TO 10 YEARS OLD TO ACHIEVE AND MAINTAIN AN UPRIGHT POSITION DONDOLINO HAS BEEN DESIGNED AND MANUFACTURED for training and achieving an independent upright position to maintain a vertical position with a two foot load as an alternative to an independent position that would otherwise be impossible It is important to remember that the upright
16. nee hip flexion as well as in its circumfer ence Two front knee pads and two heel rests fix the position of the lower limbs The physiatrist and or therapist must continuously monitor the child s position on the DONDOLINO In fact DONDOLINO is used by handicapped children during their developmental period Since they grow up quickly and they can also change in terms of their pathological picture this entails constant assessment and adjustment ATTENTION Before starting to position the child brake the wheels of DONDOLINO When starting it is advisable to have an adult stand behind the child and hold his sides firmly if the child has an adequate control of the trunk Otherwise the child should be supported by his armpits The therapist should temporarily position the lower limbs first followed by the pelvis and the chest At this point always attempting to get the child cooperate as actively as possible and ex plaining him what is being done and why the position of the feet in the heel rests and knee pads must be controlled following any flexion that may be present Subsequently the pelvis must be controlled through the pelvic support and then the trunk must be controlled using the chest support It is important to pay special attention to dosing the right amount of chest and pelvic support There must be an adeguate support to assure a minimum amount of stability Avoid any excessive support since it could give the child a hea
17. octor or therapist verifies that the aid is appropriate and adequate to meet the dimensional functional and postural needs of the new user and if all its components are suitable appropriate for him You should also con sider that the C marking and the manufacturer s responsibility for safety requirements for the product remain only if the original product still has not changed and only original accessories or spare parts have been applied 2 qualified technical personnel of a company specialized in the maintenance of technical aids for disabled people performs a detailed technical inspec tion to verify its condition and wear the absence of any damage and failure of all components adjustments the presence of the user s manual of the label with the date and serial number A copy of the manual and mainte nance may be always requested to the retailer that supplied the product or directly to Ormesa 3 The product has been thoroughly cleaned and disinfected following the di rections given in the MAINTENANCE CLEANING AND DISINFECTION Chapter We recommend you keep written records on all inspections performed on the product before any assignment to the new user or components you are urged to immediately discontinue use and contact a specialized service center in the maintenance of mechanical aids for disabile or directly ORMESA In case of doubt about the safety of the product or damage to parts Pag 24 di 24
18. om waste threads hair etc which can stick to them CLEANING THE TABLE Clean the table with a damp sponge dipped in neutral soap diluted in water After rinsing dry well with a soft cloth CLEANING THE BASE Use a soft cloth with water and a mild detergent After cleaning dry thoroughly with a soft cloth If you notice any INEFFICIENCY even partial of the BRAKES immediately contact the reseller where you purchased the product who will determine whether they need to be repaired or replaced to avoid dangerous situations that could cause accidents Do NOT perform maintenance or replace parts or accessories when the user is sitting on the device Intensifie all checks in marine environments clean more often anoint the parts ex posed to salt corrosion such as chrome bolts and screws Pag 22 di 24 EXTRAORDINARY OR CORRECTIVE MAINTENANCE EXTRAORDINARY MAINTENANCE MEANS ANYTHING DONE TO THE PRODUCT THAT IS NOT MENTIONED ABOVE WE RECOMMEND THAT THE USER RETAILER AND HEALTH FACILITIES ENTRUST ALL EXTRAORDINARY OR CORRECTIVE MAINTENANCE TO THE MANUFACTURER OR OTHER FACTORY AUTHORIZED SERVICE CENTRE ANY OTHER SOLUTION WILL RESULT IN THE USER AND THE THIRD PARTY MAINTAINER FULLY RESPONSIBLE FOR THE RESULTS OF THEIR WORK AND THE MANUFACTURER WILL ONLY BE LIABLE FOR ORIGINAL DEFECTS OF MATERIALS OR WORKMANSHIP N If the product is to be disposed of it must be done according to the law in the coun try
19. rate the visual information drawn from the objects with the information coming from the child s own body when it is in the correct posture Therefore this involves the possibility of grasping catching and exploring initially on an overall level and then selectively and handling through simple or complex constructive activities using objects This is also facilitated by the fact that the upper limbs have been relieved of their protective and support functions IN ADDITION THE UPRIGHT POSTURE ALSO ENABLES THE FOLLOWING A IMPROVED RESPIRATORY CAPACITY through increased ventilation and a decrease in obstructive phenomena B IMPROVED PERISTALSIS C IMPROVED CIRCULATION Above all it is important to emphasize that DONDOLINO Is an AID THAT CAN ENHANCE THE CHILD S CAPACITY TO ADAPT TO HIS SURROUNDINGS or in other words to interact positively with the world around him This will ultimately lead to MORE PERSONAL AUTONOMY so that the child can establish good relations with himself with the others and with his physical environment his skill at getting in touch with Pag 9 di 24 HOW DONDOLINO WORKS It works very simply and safely DONDOLINO is a standing frame composed of a lateral frame that is graduated so that its height can be easily adjusted When the child is standing he is supported by wide straps across the pelvis and trunk that can be adjusted from the front to the back to follow k
20. t be prescribed by a MEDICAL SPECIALIST who will also super vise its use The effective use of DONDOLINO requires training by SPECIALIZED PERSON NEL such as ORTHOPAEDIC TECHNICIANS THERAPISTS OR DOCTORS ATTENTION ADJUST DONDOLINO to the CORRECT POSITION for its use see 8 HOW TO ADJUST DONDOLINO pag 14 after making any type of adjustment MAKE SURE that ALL ADJJUSTABLE PARTS ARE LOCKED in order to avoid any possible danger to the User DONDOLINO must only be used by persons whose bodily measurements and weight conform to the specifications in the paragraph TECHNICAL CHARACTERIS TICS on page 8 DONDOLINO must be used with the assistance and constant presence of quali fied personnel or a family member Make sure that all adjustable parts have been locked before each use To make adjustments while the product is in use follow the instructions in section HOW TO ADJUST DONDOLONO on pages 14 and following of the manual ATTENTION THE PRODUCT IS NOT FIREPROOF so keep DONDOLINO far from flames cigarettes or fires Clean DONDOLINO following the instructions shown in the MAINTENANCE sec tion see page 22 DONDOLINO IS ONLY DESIGNED FOR INDOOR USE Pag 3 di 24 DONDOLINO IS MECHANICAL MEDICAL Perform REGULAR MAINTENANCE and CLEAN ING following the instructions shown in the Mainte nance chapter on page 22 23 and HAVE THE DE VICE INSPECTED AT
21. vy feeling of confinement At the same time however the support must not be too light since this could cause a reac tion of fear of falling or instability If the child is able to communicate it is important to listen to his feelings and impressions so that the amount of restraint can be modulated as correctly as possible Always bear in mind that DONDOLINO is a standing frame that must allow the child to carry out several activities and that it was not designed to keep him still and immobilized This is the main objective that must be taken as a guideline in using this aid which should work as a tool to do things in a correct and favourable position Naturally the correct posture will be different from one child to another according to their age motor picture and overall picture Pag 10 di 24 INITIAL PREPARATION INFORMATION ABOUT THE PACKING A C VOLUME WEIGHT e e e om DONDOLINO 3 HOW TAKE DONDOLINO OUT OF THE ATTENTION CUT WITHOUT PRESSING TOO HARD WITH THE BLADE SO AS NOT TO DAMAGE THE CONTENTS OF THE BOK Pag 11 di 24 HOW ASSEMBLE DONDOLINO 12 di 24 O R GJA Pag 13 di 24 HOW TO AD
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