95701-1 - HD Rehab
Contents
1. A If the pin is not properly mounted the bracket can break and the patient suddenly tip backwards Diagram 53 Folded Wheel chair For best safety and long life the wheelchair should be kept clean and tidy Any faults and failures must be addressed immediately Diagram 54 Thegas Estimated lifetime is 10 years at normal use with the same patient spring s mounting hole during the whole lifetime assuming maintenance is carried out according to the instructions How the chair is used affects the need for maintenance hard wear patients with particular movements and much outdoor use require more maintenance and shortens the lifetime Table 2 shows how the maintenance should be carried out Ongoing 1 2 At least Table 2 as times every Activity necessary per year 3rd year Cleaning of painted and coated surfaces and plastic parts ES Cleaning of upholstery see label on the upholstery TAN fo Checking all nuts and bolts a ea Control of castor wheels ra Control of antitip devices ooo x Control of the chassis x Checking the brakes Er Control of tilt and back angle functions ae a The control of the recline peg a i a Control of the cushions a ie Control of Tilt lock x Control and maintenance of accessories Functionality lockings markings x Total reconditioning see separate instructions article number 95725 1 a Manan X To be carried out by a specialist Drehab HD balance EXPLANATIONS FOR TABLE 2 COATED AND S2. Diagram 31 Folding up the footplate Diagram 32 Foot and calf supports 15 16 4 ACCESSORIES The following section briefly describes the accessories that are available for the HD Balance They are all CE labeled and approved for use with the wheelchair More information about the respec tive accessories is available as information sheets Instructions on how accessories are installed can be found in the respective accessory installation instructions Remember never to use accessories that are not approved for the HD Balance The wheelchair is then considered a custom product read more in 2 2 General safety aspects 4 1 Headrest Neckrest The headrest Diagram 33 and each neckrest Diagram 34 consists of two parts one extension tube 1 Diagrams 33 amp 34 and a pillow with a headrest tube 2 The pillow is slightly smaller on the neckrest than on the headrest Set the tube in the bracket 3 in Diagrams 33 amp 35 on the rear of the back by sliding it down through the sleeve to the desired posi tion and tighten the knob 7 Diagram 35 LATERAL ADJUSTMENT If necessary some models of headrests neckrests can be adjusted laterally to fit the user s head position Loosen the screws 6 Diagrams 33 amp 34 Move the headrest to the desired position and tighten the screws The pillow is shaped to provide support at the base of the skull so that the head can be positioned in a balanced comfort
3. 210 60 90 1050 1200 630 640 980 760 1050 750 29 8 29 9 1340 0 20 0 30 90 120 balance 42 16 24 135 420 430 520 380 470 480 570 430 520 560 610 450 510 540 500 420 n a 410 550 600 650 700 420 255 345 195 255 340 430 370 70 90 180 230 430 90 110 210 70 110 210 60 90 1050 1200 670 680 980 760 1050 750 30 1 30 2 1340 0 20 0 30 90 120 balance 46 16 24 135 460 430 520 380 470 480 570 430 520 560 610 450 510 540 500 420 n a 410 550 600 650 700 460 255 345 195 255 340 430 370 70 90 180 230 430 90 110 210 70 110 210 60 90 1050 1200 710 720 980 760 1050 750 30 4 30 5 1340 0 20 0 30 90 120 balance 50 16 24 135 500 430 520 380 470 480 570 430 520 560 610 450 510 540 500 420 n a 410 550 600 650 700 500 255 345 195 255 340 430 370 70 90 180 230 430 90 110 210 70 110 210 60 90 1050 1200 750 760 980 760 1050 750 30 7 30 8 1340 0 20 0 30 90 120 TANSPORTATION MEASURES Collapsed without wheels antitip protection legrests armrests seat and back cushion Width Length Height Weight kg 630 750 720 16 5 670 750 720 16 7 710 750 720 16 9 750 750 720 17 1 Drehab HD balance 23 24 Manufacturer Hantverksdesign amp Rehabiliteringsprodukter AB Tryffelsslingan 4 SE 181 57 LIDINGO Telephone 46 0 8 767 04 80 Fax 46 0 8 767 50 00 www hdrehab se info hdrehab se DOCU
4. Drehab HD Balance Tilt in soace wheelchair gt Manual English HD Balance 24 amp 16 2010 HANTVERKSDESIGN amp REHABILITERINGSPRODUKTER AB CONTENTS 1 WARRANTY 4 4 ACCESSORIES 16 4 1 Headrest Neckrest 16 2 GENERAL INFORMATION 5 eevee k 2 1 Intended use HD balance 5 ee moe SUPPEN Ne 2 2 General safety aspects 5 One 17 2 3 Tests 6 4 5 Pommel 18 2 4 Identification of the wheelchair 6 KN as a 2 5 The wheelchair parts 7 i Oa 12 2 6 Delivery Inspection Installation 7 2 7 Signs markings 7 5 TRANSPORT 20 5 1 Transport of wheelchair with patient in vehicles 20 3 FUNCTIONS AND SETTINGS 8 5 2 Weight of removable components 20 Sl BOKE j 5 3 Folding the wheelchair for 3 2 Wheels 9 transportation 21 3 3 Antitip device tipping bar 9 3 4 Push bar 10 6 MAINTENANCE CARE 21 3 5 Separate operating handles 10 6 1 Daily functional checks 29 3 6 Clothing Cushions 10 3 7 Seat tilt amp Recline function 11 7 RECYCLING amp DISPOSAL 29 3 8 Backrest Height 12 3 9 Setting the Flexi Back 12 3 10 Adjustable seat seat depth 13 IEC De SE MERS URES 23 3 11 Armrest 13 3 12 Legrest 14 3 13 Footrest 15 3 14 Calf support 15 Drehab HD balance rehab THANK YOU FOR CHOOSING A WHEELCHAIR FROM HD REHAB WE HOPE IT WILL SERVE YOU WELL WE MANUFACTURE QUALITY OF LIFE HD Rehab helps people achieve an improved quality of life Our products help make the lives of users their families and carers easier safer and more comfor
5. in about 10 steps As an Diagram 14 Controls for the optional extra there is a variant with a greater degree of seat tilt SERINE Lh GM la which provides up to 30 of tilt The tilt risk is slightly higher with eee increased tilt watch out for this It is also possible to allow for negative tilt forward up to 5 The seat will not tilt forward as standard this must be actively selected when ordering or be adjusted by A competent staff later If a forward bias is required special attention must be paid to the user as there is a risk that the user slides off the chair It is particularly important when users are left alone HOW TO OPERATE THE SEAT TILT Grip the push bar operating handles with both hands Release the tilt lock by pressing the green lever down gently and hold it down Pay attention when the lock is released depending on the seat s position it requires a different amount of force to resist movement Set the desired angle by tilting the seat unit and then release the green lever Make sure that the tilt lock locks properly by trying to tilt the seat without pressing the lever TILT LOCK The seat angle adjustment mechanism and the tilt lock are fitted E with an adjustable brake see Diagram 15 Brake 1 is adjusted with a screwdriver to the desired resistance This adjustment should be performed by qualified personnel BACK RECLINE The back angle is controlled by the gray bar on the left sid
6. may be easier if the lever 1 is moved forward Release the lever 1 and rotate the legrest so that it points straight ahead make sure that the locking pin clicks in and locks the knee joint Diagram 30 REMOVAL ANGLING OF FIXED ANGLE LEGRESTS Grip the legrest and move the lever 1 forwards Turn out lift off the legrest AMPUTEE LEGREST For information about use and mounting of the amputee legrest see separate User manual Assembly instructions 3 13 Footrest FOLD UP FOOTPLATE Footplates can be folded up to the side to facilitate entry and exit see Diagram 31 HEIGHT SETTING FOOT REST Press the snap lock 2 in Diagram 32 and move the footrest tube to the desired position ANGLE SETTING FOOTRESTS Loosen the lock nut 3 see Diagram 32 Tilt the foot plate to the desired position Tighten the lock nut securely Tools can be found under the seat 3 14 Calf support DEPTH SETTING OF CALF SUPPORT Loosen the lock nut 4 a few turns see Diagram 32 Slide the calf plate to the desired position Tighten the screw Tools can be found under the seat HEIGHT ADJUSTMENT CALF SUPPORT The height of the calf support is adjustable along the legrest tube Loosen the knob 5 in Diagram 32 then pull the calf support to the desired position and tighten the knob Drehab HD balance Diagram 29 Mounting of the fixed angle legrests Diagram 30 Fixed angle legrests in place 18
7. sufficiently so that it sits securely 10 a a Aa Diagram 4 Diagram 5 A Adjustment of the brake discs should only be undertaken by a qualified technician Information is avail able in Technical information art no 95720 1 PARKING WHEEL LOCK This brake works directly against the tire A If the wheelchair is equipped with pneumatic wheels it is important that the tires are kept inflated for the wheel lock to function properly To brake move the brake levers forward from the wheels To release the brake move the brake levers back towards the wheels Adjustment of the wheel lock must be performed by qualified personnel instructions are in the technical manual Drehab HD balance 3 2 Wheels The HD Balance is eguipped with either 24 20 or 16 driving wheels depending on model and design All tires are standard pump and puncture proof and eguipped with guick releases The castors are 175mm as standard but can be changed to other alternatives Alternatively the wheelchair can be eguipped with pneumatic tires HOW TO REMOVE THE WHEELS Press the lock button 1 on the top Balance 24 alternatively the bottom Balance 16 of the wheel bracket see Diagram 6 Remove the wheel HOW TO MOUNT THE WHEEL Insert the wheel axle 2 in the casing 3 on the wheel bracket see Diagram 7 Press the lock button 1 Diagram 6 on the top 24 and bottom 16 of the wheel atta
8. the seat plate and place it straight down The cushion is slightly higher at the front and has a label at the rear The underside is black and smooth Make sure the cushion is secure REMOVING THE SEAT CUSHION Take the front edge of the cushion and pull straight up POSITIONING OF BACK CUSHION Attach the straps 1 in the upper part of the back cushion around the flexi back s tubes 2 with Velcro as shown in Diagram 12 If a hard back is used attach the Velcro to the back of this Fold the cushion straight forward and press firmly against the back plate according to Diagram 13 Make sure the cushion is secure REMOVAL OF BACK CUSHION Take hold of the lower edge of the cushion and pull up Loose the straps REMOVABLE COVER Both the seat and back cushions covers are fitted with a zipper for easy removal and recovering Washing instructions are on the label Diagram 12 Fastening straps around the flexi frame 7 Diagram 13 Drehab HD balance 3 7 Seat tilt amp Recline function Diagram 16 shows the wheelchair in back reclined and seat tilted position The controls should be handled with moderate force and should A always be used one at a time NEVER at the same time Never hang items on the levers SEAT TILT The seat tilt is controlled by the green lever on the right side of the push bar or right push handle 1 in Diagram 14 As standard the seat can be tilted between 00 20
9. tilt bar or wire sleeve is stiff they can be lubricated More info regarding lubrication type is available in Technical info 95720 If it gives difficulty in any other way immedi ately contact the authorized personnel TELESCOPING ALUMINUM PROFILES e g armrests can easily be lubricated with petroleum jelly or food grade grease THE LATEST VERSION of the maintenance instruction article number 95 730 1 is always available at our website www hdrehab se To ensure the user s safety a daily functional check of the most vital parts should be carried out as described below Test the brakes both operating brake and user brake Check that the seat tilt and recline functions Check that the wheels and cushions are correctly located and are well maintained and clean Check that the antitip devices are in the appropriate position If the seat is equipped with a user card make sure that the chair s settings are consistent with its recommendations 7 RECYCLING amp DISPOSAL The HD Balance can be largely recycled Instructions for disassembly and recycling are avail able in the Scrapping instructions HD balance article number 95735 1 22 Drehab HD balance 8 TECHNICAL DATA MEASURES Measures in mm if not stated Maximum user weight kg Seat width Seat depth standard frame with cushion Seat depth standard frame without cushion Seat depth extended frame with cushion Seat depth extend
10. ALWAYS DO THE FOLLOWING ON DELIVERY Check that the seat does not have any visible damage Any shipping damage must be reported immediately to the transport company The wheelchair s par ts al 6 a an 15 14 8 Then follow the instructions in the unpacking instructions that come with the delivery This can be supplemented with further instructions depending on the wheelchair s equipment 2 7 Signs markings The following markings are on the wheelchair 4 balance ar Model label Showing that the wheelchair is the model HD Balance and the wheel size and seat width of the chair HDrehab S Hantverksdesign amp Rehabiliteringsprodukter AB A Tryffelslingan 4 C 181 57 LIDING SWEDEN SN CE labeling Showing that the wheelchair is a CE labeled medical device and who the manu facturer is SN stands for serial and REF for model number 2 4 5 el CAP 21 5 2 AA 2 3 5 _a_ 6 7 5 4 p V sn SZ sl Z ae Y dDrehab 10 Scales Indicates the angle of the backrest in relation to the seat 1 the seat tilt angle 2 knee joint position 3 armrest position 4 and seat depth 5 The scales are used in conjunction with a user card where the recommended settings can be easily re
11. MENT INFORMATION ARTICLE NUMBER 95701 1 REVISION D REALEASE DATE 2013 08 30 Drehab HD balance
12. SETTING The arm pad can be adjusted to six depth settings as standard If the chair has a special configuration such as a wider flexible back the furthest back positions cannot be used Press the locking bolt 4 in Diagram 23 and set the desired position Release the locking bolt Make sure the plate is locked in position by pulling a bit on it Drehab HD balance Diagram 20 The lever 1 for seat depth adjustment is located under the left side of the seat Diagram 21 The locking clasp 2 and the lever for seat depth adjustment 1 as seen from below YF 14 fi ce PN Diagram 22 The armrests are inserted into the brackets on each side of the seat frame Diagram 23 Armrest parts 13 3 12 Legrest ANGLE ADJUSTABLE LEGREST Angle adjustable legrests are standard on the HD Balance They can be angled between 90 straight down and 180 straight ahead with 10 steps 10 positions Components see Diagram 24 1 Locking button for removal of legrests 2 Angle control release button 3 Legrest tube 4 Plastic housing outside 5 Padding inside 6 Kneejoint 7 Turnable link 8 Snap lock footrest XS Diagram 25 Angling of legrest Diagram 26 Slewing of legrest ANGLING OF LEGRESTS DIAGRAM 25 1 Grip the legrest tube 3 in Diagram 24 as far down as possible Lift slightly to lighten the load on the locking mechanism 2 Push button 2 in Diagram 24 on the ou
13. STMENT OF THE PUSH BAR Grip the push bar a diagram 10 with one hand Press in one snap lock 1 diagram 11 and pull the push bar up on the same side Hold the bar up and push the second snap lock 2 Set the push bar to the desired position Ensure that both snap locks have sprung out into the holes Check brake and control cables run freely and are not subject to damage They should run along the back tube 3 5 Separate operating handles The wheelchair can alternatively be equipped with separate oper ating handles b Diagram 10 HANDLE HEIGHT ADJUSTMENT Loosen the screws 1 amp 2 in Diagram 11 Move the operating handles vertically to the desired position and tighten the screws Make sure the screws are securely tightened Check brake and control cables run freely and are not damaged They should run along the back tube 3 6 Clothing Cushions Diagram 10 Push bar and separate operating handles Diagram 11 The snap locks push bar alternatively the screws separate operating handles position Seat and back cushions are attached to the wheelchair with Velcro and are therefore easily remov able and interchangeable Alternative cushions and upholstery come for example with inconti nence protected upholstery A Check cushions according to the maintenance directions Worn out cushions can cause pressure ulcers 10 POSITIONING OF SEAT CUSHION Align the cushion over
14. URFACE TREATED SURFACES AND PLASTIC PARTS Wash wipe with regular all purpose detergent or disinfecting agents No caustic agents SCREWS AND BOLIS Make sure the nuts and bolts are tight tighten any that are loose CASTOR WHEELS Check that the link wheels spin freely and do not have any visible damage Clear away any debris ANTITIP DEVICES Check that the antitip devices has no visible damage and is operating normally CHASSIS Inspect the chassis for cracks warping and other defects and notify authorized personnel if damaged BRAKES Check that the brakes work firmly both operator and user brakes Contact a qualified technician if adjustment or lubrication is necessary TILT AND BACK RECLINE FUNCTIONS Check that the controls are easy to use and that the levers do not have any damage 6 1 Daily functional checks RECLINE PIN Check that the recline pin is intact and sits prop erly Make sure the knob is tightly screwed on CUSHIONS amp BELTS Cushions wear out and become compressed check them to see if any need replacing Check that the belt s Velcro and locking mecha nism works properly ARMRESTS SIDE SUPPORTS AND CALF SUPPORTS Wipe with damp cloth or with disinfectant TILT LOCK Remove any dirt in the holes along the rod and the spring pin where the wire is attached Check that the stop rings on the tilt bar are securely fastened If the
15. able position LATERAL SUPPORT FOR THE HEADREST amp NECKREST Some models of headrests neckrests can be equipped with one or two removable lateral supports 4 Diagram 33 to increase lateral stability In this case the back of the main headrest is fitted with 2 stand sleeves 5 to adjust the positions of the lateral supports Do not hang things on the headrest neckrest Some users with special involuntary movements might risk to get caught between the rest and the wheelchair In these cases individual assessments to decide if rests can be used shall be done 4 2 Bag hook The bag hook 1 Diagram 36 is mounted on the operating handle tube 2 under the operating handle joint 3 The hook is clamped to the pipe by tightening the screw 4 On installation and use of the bag hook ensure that the brake cables 5 are not damaged Amaximum of 5kg may be hung on the bag hook When bags etc are hung on the bag hook the risk increases of tipping backwards How much depends on the weight and the back and seat angle settings It is the responsibility of the carer user to check the risk of tipping and make sure the antitip device is used S j e 4 Diagram 33 Headrest with lateral supports Diagram 35 Headrest mount Diagram 36 Bag hook mounted Drehab HD balance A 4 3 Thoracic support The thoracic support which is available i various models is mounted by inserting the hook 1 in Di
16. ad see Section 4 7 User Cards Drehab HD balance P gt Parking brake Showing how the sleeve on the brake lever is moved to activate the parking brake Transport bracket Marks the attachment points for transportation Max 135 kg Max user weight Shows the maximum allow able user weight applicable to the wheelchair A BH Attention Wheelchairs with accessories or alterna tive embodiments that can imply additional risks are marked with this symbol Read the attached informa tion Appendix to manual 95706 1 or document 95707 1 www hdrehab com for further information 3 FUNCTIONS AND SETTINGS 3 1 Brakes The HD Balance can be supplied with two different types of brakes combined service and parking disc brakes 1 in Diagram 3 and the wheel lock 2 in Diagram 3 COMBINED SERVICE AND PARKING BRAKE t The brake levers are located under the push bar push handles 1 operated by carers from the chair s back The brake is operated by pressing the brake levers 1 in Diagram 5 against the push bar push handles Hold the brake levers slightly pressed to achieve a braking effect for example when moving downhill The parking brake is activated by pressing the brake levers up against the push bar push handles In this position move the locking sleeve a in Diagram 4 forward so that the brake lever is locked in the brake mode see Diagram 4 NOTE Make sure the locking sleeve is pushed forward
17. agram 37 amp 38 in the thoracic support fastening 2 on the rear of the back and tight ening with the knob 3 in the desired position The cover is removable and mounted with Velcro washing instructions are on the labels HEIGHT ADJUSTMENT See separate installation instructions Note that the use of the thoracic support requires thorough testing to ensure users receive good support and that the thoracic support does not cause pressure that can lead to injury Avoid placing the thoracic support near the user s armpit since the area is generally considered to be intimate and pressure sensitive 4 4 Table The table which is available in various models is intended to be used to put smaller things on and in some cases to position the user by working as a support for the lower arms Installation is carried out by inserting the two pins 1 Diagram 39 on the table top into the table bracket 2 on the outside of the armrests The table brackets can be easily adjusted for depth by sliding them along the rail under the arm pad Loosen the screws under neath slide the bracket along the track and tighten the screws in the desired position Keep in mind that armrests should be placed at the same height and depth if the table is to sit well A version with lock is available Push the button and hold to lock and unlock the mechanism see diagram 40 When using a table there is a risk of pinching when the back is lifted up f
18. chair has been transported a further check can be good to note that no cables or the like have been damaged e If damage is detected or any detail found to be missing the seat must be taken out of service until this is fixed e The wheelchair should be operated and used judiciously to avoid unnecessary risks e Children should not operate the wheelchair without adult supervision e Be aware that certain items of clothing are not suitable for the user to wear as they may get caught in the wheels Be especially careful with scarves and similar items that can be tightened around the user s neck if they get caught e If the wheelchair is exposed to external heat sources such as sunlight some parts may become hot Pay attention to this so that no user is harmed e Be careful with all wires so that they do not get damaged e The user might accidentaly slide out of the wheelchair be aware of this See info regarding belts RISK OF TIPPING e The risk of the wheelchair tipping backwards will increase if the seat is equipped with an increased seat tilt capacity In these cases the risk of tipping is always evaluated on an indi vidual basis Remember the risk of tipping also increases when bags oxygen bottles are hung on the seat back especially if the seat is at the maximum backward tilt Drehab HD balance e In addition some users have involuntary movements or are very active and want to grab hold of solid objects e g door frames
19. chment Press the wheel so that the three pins on the hub fit into the three holes in the brake disc Release the lock button and check that the wheel is secured by pulling on it Make sure the lock button has slid out and that the wheel is fixed Be careful not to allow the user s fingers hands to go into the wheels Diagram 6 The lock button Diagram 7 Wheel axle 2 for the wheel on the 24 model and sleeve 3 3 3 Antitip device tipping bar Antitip deivces are standard eguipment on the HD Balance and should always be used The antitip devices can be set in three positions by means of a snap lock see Diagram 8 The snap lock is unlocked by lifting the bolt 1 Diagram 8 It is also possible to turn up the antitip devices tempo rarily to assist in negotiating a pavement or the like see Diagram 9 The antitip device can also beused as a tipping bar i e provides resistance to the operators foot when the wheelchair is tipped back on the rear wheels The antitip devices are slightly different between the 16 and 24 models Always ensure that the snap lock locks firmly into place so that the antitip device is locked Make sure that correct model of antitip device is used for the wheelchair TR positions _ Diagram 8 The three modes Diagram 9 Antitip device in of the antitip device which are angled position set with a snap lock Drehab HD balance 3 4 Push bar HEIGHT ADJU
20. d if a user s disability changes or new needs arise All prescription and adjustment of the wheelchair must be carried out by qualified personnel Where the wheelchair has several users each patient s specific needs must be taken into account In addition the chair s upholstery on the back and seat cushions must be washed or changed for each user Washing instructions are on the seat and cushion covers If the user has a pattern of movement behavior that strains the chair excessively a strengthened frame version and one piece footrest and calf support must be used This includes users with significantly increased tonus spasticity The wheelchair is approved for use as a seat during transportation in vehicles 2 2 General safety aspects HD wheelchairs are intended for use both indoors and outdoors Before using the wheel chair it is important that users and carers are familiar with how the chair works and should be used Test the driving characteristics and features e Read all the instructions and ensure that the instructions are available Note that deviations may occur especially if the wheelchair is specially equipped adapted The wheelchair can also be equipped with accessories and equipment from other suppliers e From a safety perspective it is important that the maintenance instructions see Section 8 are followed A good rule is to keep the seat clean and periodically test the controls and brakes e Especially when the
21. e marked with the symbol described in section 2 7 Signs Markings THE FOLLOWING MUST BE CONSIDERED BEFORE TRANSPORT Table thoracic support and other accessories must be removed The headrest neckrest must be used The wheelchair seat and back angle must be positioned as upright as possible The wheelchair legrests must be angled down as much as possible Do not use too much tension Tensioners should only be tightened so that the wheelchair is stable Any Rocking may not be offset by tighten ing the straps tighter Tensioning devices can create excessive loads on the wheels and frame components and thereby damage the wheelchair The user must always use the vehicles fixed system of three point safety belts Any positioning safety belts that are mounted on the wheelchair and are usually used by the patient may not be used as substitutes for seat belts when traveling in vehicles Diagram 50 Rear transport mount The HD Balance is crash tested according to ISO 7176 19 2008 see Section 9 1 which means that it has been tested and passed the requirements of a standard test The test simulates a frontal colli sion at 48km hr with a test dummy weighing 79 2kg The standard specifies a minimum requirement for what the wheelchair must Diagram 51 Front tension handle regarding transport in a vehicle ing during transport Since an actual incident is likely to be different than the conditions at the time of
22. e of the push bar or left operating handle 2 in Diagram 14 By default your Diagram 15 The tilt lock s back is angled 30 90 120 infinitely A gas spring motion control adjustable brake 1 that ler provides a helping force when lifting up but it also makes the controls the inertia of the seat back heavy to recline if no one is sitting in the chair angle movement HOW TO OPERATE THE RECLINE FUNCTION Grip the push bar operating handles with both hands Release the lock by pressing the gray lever downwards and hold it down Set the angle by using the push bar as a lever and release the lever in the desired position A Risks exist for some accessories when changing back angle For example pinching towards the table when raising the back Similar risks also appear for belt pommel and hemiplegic armrest Diagram 16 Three positions Maximum recline maximum seat tilt and both recline and tilt in their maximum positions Drehab HD balance 3 8 Backrest Height The backrest height can be adjusted approximately 5 cm in the tracks that are where the flexi back is secured This requires a 10mm key diagram 17 which is located under the front seat s cross tube As an alternative for tall users there is an elevated back that is 10cm higher than standard HEIGHT ADJUSTMENT OF THE BACKREST Loosen the four nuts 1 in Diagram 18 a few turns Push the flexi back up or down to the desired height Tighten the n
23. ed frame without cushion Distance back knee joint standard frame Distance back knee joint extended frame Seat height without cushion Seat heght with original cushion rear end Seat heght with original cushion front end Seat height without cushion increased height Seat height without cushion lowered height Seat height without cushion 20 5 wheels Back height standard seat plate top of back frame Back height extended seat plate top of back frame Back width Armrest height standard from seat plate Armrest height low from seat plate Armrest depth from back frame reference point Armrest length Armrest width Leg support angle Footrest height seat plate foot plate Footrest angle legrest tube footrest Footrest depth Footrest rear end knee joint centre Calf support height Calf support depth to centre of knee joint Push bar height standard 3 positions Total width Total length with legrests Total length without legrests Total height back in 90 position Total height no cushion amp forward tilted back frame Total weight kg incl original cushions Turning space Seat tilt angle 5 possible Seat tilt angle extended seat tilt 5 possible Back angle balance 38 16 24 135 380 430 520 380 470 480 570 430 520 560 610 450 510 540 500 420 n a 410 550 600 650 700 380 255 345 195 255 340 430 370 70 90 180 230 430 90 110 210 70 110
24. handles etc Use caution with these users and ensure that you keep them under observation when their behavior can tip the wheelchair Avoid parking near fixed objects RISK OF PINCHING e Since the chair has many different configuration options the carer should be alert to the user s position in the chair to avoid the possibility that the user could become trapped Normally the risk of pinching is small e Remember that the user cannot always tell that a pinching injury is occurring LIFTING This advice is general since there are many different lifting aids available e Be very attentive to the user s arms and legs when lifting in and out so the user does not get caught in the middle Fold in the legrests or remove them so that they do not get in the way Follow the lifting aid instructions carefully e Often training is required to operate the lifting aid CE LABELED ACCESSORIES CUSTOMIZING e HD rehab has a wide range of CE labeled accessories that are authorized for use with the wheel chair while maintaining the CE label There are also combination agreements covering acces sories from other manufacturers that are approved for use on the HD balance while maintaining the CE label Accessories that have not been approved may not be used e Any change to the wheelchair or use of accessories that are not certified and CE labeled by HD Rehab is a special adaptation Wheelchairs customized without HD Rehab approval cannot keep
25. ht places so that the user s position is good Always have qualified person nel install them 4 POINT HARNESS DIAGRAM 44 The 4 point harness is attached to the four belt mounts two on each side It is important that the brackets are placed in the right places so that the user s position is good Always have qualified personnel install them There may be special restrictions on use of the belt Diagram 41 Leg divider with mount Diagram 42 Leg divider with mount Diagarm 45 Belt fastener Diagram 46 Belt fastener attached circled Individually adapted information about the use of belt has to be received from the prescriber for every user Pay attention to the use of positioning belt There is a risk that the user slides down in the chair and gets stuck in the belt if it is incorrectly installed or poorly fastened This can lead to impaired blood oxygen supply and risk of the user choking Always make sure that the belt is securely fastened when used If possible tighten the belt when in an upright position If the belt is tightened when the back is in an backward angled position it may cause pinching when raising it up Be aware of loose belts they can get caught in the wheels and cause a sudden stop or pinching Drehab HD balance 4 7 User Cards A User Card can be found hanging on the back of the wheelchair They are used to ensure the user s position is as good as possib
26. ich is located underneath the seat s cross tube NU Diagram 18 The nuts for the back height adjustment Diagram 19 The screws for adjusting the height of the back clamps Drehab HD balance 3 10 Adjustable seat seat depth Seat depth is controlled by a lever 1 under the seat s left side see Diagrams 20 amp 21 and can be held in seven different settings DEPTH SETTING Move the lever 1 outward and hold it in position Slide the seat plate to the desired position Release the lever and slide the seat plate slightly so that the lever snaps in the locked position Check that the seat plate is securely locked The seat plate can be pulled out for maintenance reasons by pulling the locking catch 2 in Diagram 21 down at the same time as the lever 1 is moved outwards A Make sure that the seat plate locks in position when it is put back 3 11 Armrest STANDARD ARMREST Armrests are located in separate brackets on both sides of the seat see Diagram 22 and can be adjusted vertically and horizon tally They consist of the following components 1 Arm pad 1 in Diagram 23 2 Side support plate 2 3 Locking button 3 4 Locking bolt 4 HEIGHT ADJUSTMENT Push button 3 Diagram 23 and hold it down Set the desired height The tube is marked with 1 cm intervals Release and push pull the arm pad until the lock snaps in place Maximum setting range is 9 cm DEPTH
27. le The prescriber or other authorized person can communicate the recommended settings for each individual patient Diagram 47 explains how the card should be interpreted The different settings are read from the wheelchair from the markings described in 2 7 Signs Markings Drehab lil Diagram 47 User Card Drehab HD balance NAME Here is the user s name BACK ANGLE Here is the recommended backrest angle SEAT TILT ANGLE Here is the recommended tilt angle ARMREST HEIGHT Here is the recommended setting for the armrest LEGRESTS Here is the recommended setting for the legrests BACK Other comments can be written on the reverse 19 A No other attachment points than those specified may be used 20 5 TRANSPORT 5 1 Transport of wheelchair with patient in vehicles The HD balance must be tied in place in the vehicle with a 4 point belt system see Diagram 48 and the user must use a 3 point safety belt Both must be approved according to ISO 10542 2 All transportation must be done with the wheelchair facing forwards See Diagram 49 Diagram 48 Wheelchair with clamp mounted Diagram 49 All transport must be forward facing When clamping fast the rear tension device is attached to the intended mounts on the wheel frame see 1 in Diagrams 48 amp 50 The front tension device is attached around the wheel frame s cross tube as 2 in Diagrams 48 amp 51 These attachment points ar
28. rd party other than HD rehab Unauthorized modifications adaptations Use of spare parts from other manufacturers than HD rehab if they are not mentioned in the document Permitted modifications 95724 1 Use by persons weighing more than the maximum user weight stated on the chair That the chair is placed in an inappropriate position location for the user Drehab HD balance 2 GENERAL INFORMATION HD balance is a class 1 CE labeled medical device 2 1 Intended use HD balance The wheelchair model HD Balance 24 is a manual wheelchair designed for users who can propel themselves to a certain extent The model can also be used by users who cannot propel themselves The wheelchair model HD Balance 16 is a manual wheelchair designed for users who cannot propel the wheelchair themselves Both models are intended for use by users in need of much comfort and support when seated The seat and back on both models can be tilted in various positions to give the user a varied position during activity and rest A varied seat position is very important Note that prolonged sitting with out a position change can lead to discomfort and excessive pressure If injury is suspected search for information regarding symptoms and contact the health care system A medical professional should always be consulted prior to using an HD balance wheelchair This applies to the new and used wheelchairs Note that a new prescription may be neede
29. rom a reclined position The table is not intended for heavy loads Maximum load is 7kg Restrictions might exist regarding the use of tables if this restrain the user from getting out of the wheelchair Especially when using the version with lock Do not sit on the table Drehab HD balance Diagram 37 Thoracic support and fastening circled Diagram 38 Thoracic support mounted in the fastening Diagram 40 Table lock mechanism 17 4 5 Pommel The pommels consists of see Diagram 41 1 Pommel cushion 2 Pommel fixing 3 Pommel mount with control Same bracket is used for all versions of pommels The pommel is attached by inserting the fixing into the bracket and locking into place with the knob See Diagram 42 SETTING DEPTH N A FOR SOME MODELS Open the cover on the underside of the pommel cushion Loosen the screw with a Phillips screwdriver Move the pommel on the hook to the desired position and tighten the screw 4 6 Positioning Belt Harness If there is a risk that the user can slide out of the chair a seat belt can be used The belt is available in two versions a 2 point belt and a 4 point harness These are used with belt fasteners Diagrams 45 amp 46 1 I ON LA NT Diagram 43 2 point belt 2 POINT BELT DIAGRAM 43 The 2 point belt is attached to the two belt mounts one on each side It is important that the brackets are placed in the rig
30. table HD Rehab offers aids for people living with disability Our best known product is the HD wheel chair which we have designed developed and manufactured for over 40 years No other tilt in space wheelchair on the market has the same well considered functional design precision and durability as an HD wheelchair We can pretty much promise that whatever others you try you will be able to tell the difference GLAD TO BE FLEXIBLE Whether you are a user a family member or a carer we welcome your requests and opinions Our designers and developers work closely with each other and with the production team at our Lidingo base Our creative employees use their specialist knowledge experience and inventive ness to find solutions for each individual person s unique needs 1 WARRANTY The warranty is only valid if the product is used as directed and the service cleaning instructions followed THE WARRANTY COVERS Frame 5 years against defects in materials manufacturing and or assembly Leg arm headrests Two years against defects in materials manufacturing and or assembly Upholstery Two years against defects in materials and faults in manufacture Gas springs Two years against defects in materials and faults in manufacture WARRANTY amp LIMITATION OF LIABILITY HD rehab assumes no liability for damages arising out of the following That the instructions in the manual were not followed Incorrect installation or setup by a thi
31. testing HD Rehab does not accept any responsibility for the outcome of an accident in which the HD balance is involved 5 2 Weight of removable components Wheel 24 2 0 kg Wheel 16 1 85 kg Legrest 2 4 kg Armrest 1 1 kg Seat cushion ca 1 1 kg Back cushion ca 0 8 kg Drehab HD balance 5 3 Folding the wheelchair for transportation FOLDING OF WHEELCHAIR Tilt the front seat unit to its most forward position Remove the armrests and any accessories such as thoracic support and leg divider including pillows Remove the legrests if it helps Grasp the push bar with one hand and pull the recline peg 1 in Dia gram 52 The gas spring 2 then drops down from the mount 3 and the backrest can be folded forward against the seat see Diagram 53 The driving wheels may be removed to make the wheelchair even smaller REASSEMBLY AFTER FOLDING Raise the backrest Pull the pin 1 and fit the gas spring in the mount Slip the pin through the gas spring s mounting hole 4 Diagram 54 and completely through both plates of the bracket 3 Diagram 52 Diagram 52 Locking pin for the reclining the back rest CHECKLIST AFTER TRANSPORTATION Make sure the pin 1 goes completely through the bracket 3 Dia gram 52 Check that the wheels are securely fastened Make sure the antitip devices are positioned correctly Check the most important functions brakes seat tilt and back recline
32. the HD Rehab CE label and the warranty expires A transfer of liability then occurs Always consult HD Rehab if you are unsure about what applies We can help you with special adapta tions for individual users DAILY FUNCTIONAL CHECK To ensure that the chair works as it should a daily function test should be performed before the user is positioned in the seat See section 6 1 Daily functional check WARNINGS In addition to these general safety aspects there are warnings and notices contained in each section in the manual They are marked with an exclamation point as follows A Here are the warnings 2 3 Tests Several tests have been carried out on the HD Balance Wheelchair test at HI Vinsta Sweden Crash test and Fire test cushions at SP Boras Sweden More informa tion available at our web page 2 4 Identification of the wheelchair ce minni Manufacturer serial number SN article number REF in text and bar code formats are printed on the front cross tube of the wheel frame see diagram 1 Diagram 1 Marking the wheelchair for identification Drehab HD balance 2 5 The wheelchair parts 1 CON WWM BW N 9 Wheel frame Seat frame Back frame Flexi back frame Driving wheels Swivel casters Brake User brake Push bar handle 10 Tilt protection 11 Legrest 12 Calf support 13 Footrest 14 Armrest with side support 15 Balanceboard O 2 6 Delivery Inspection Installation
33. tside of the knee joint G and move the legrest into the desired position 3 Release the button and move the legrest in either direction so that leg angle mechanism snaps into the locked position TURN OUT LEGRESTS DIAGRAM 26 The legrests can be angled out by about 90 degrees for better access in and out of the chair In order to angle them out grip the knee joint from above and push in the lock button REMOVAL OF LEGRESTS DIAGRAM 27 Diagram 27 Removal of legrest 1 Grip the knee joint 6 in diagram 24 from above and press in the lock button 1 2 3 Lift straight up until the legrest is loose Thereafter the legrest can be lifted out without the user s legs needing to be stretched Alternatively the legrest can first be turned outwards and then lifted off MOUNTING LEGREST DIAGRAM 28 Grip around the knee joint from above and press in the control button Move the knee joint just above the bracket on the wheelchair Align the hole with the peg on the bracket and slide it down Turn the knee joint so that it points straight ahead and ensure Diagram 28 Mounting legrest that the locking pin clicks in 14 Drehab HD balance FIXED ANGLE LEGREST Alternatively the wheelchair can be eguipped with fixed angle legrests that can be designed at different angles MOUNTING FIXED ANGLE LEGRESTS Align the hole in the knee joint over the peg on the bracket and let the knee joint slide down see Diagram 29 It
34. uts securely Make sure the brake cables are not damaged when the back is moved If your back needs to be even higher the four clamps the flexi back back plate is attached to are moved upward along the back frame tube This gives a back position a further 30mm higher To continue Loosen the four back clamps by loosening the screws 2 in Diagram 19 a few turns Push the back clamps carefully along the back frame tube to the desired position Some risk of damage to the paint finish exists Note that the top position for the push bar becomes unusable because the snap hole is covered 3 9 Setting the Flexi Back Guide to set the flexi back 1 Before the user sits in a wheelchair a Make sure the back cushion is properly positioned in the seat See instructions for upholstery cushions b Release the straps properly c Loosen the nuts for height adjustment of the flexi back 2 Positioning of the user a When lifting tilt the wheelchair s seat unit backwards It can in many cases be easier to recline the backrest slightly b Position the user well into the wheelchair between the flexi frame s side tubes This is required to form the flexi back individu ally to the user s back 3 With the user sitting in the wheelchair a Set the seatback at the desired height b Adjust the seatback Velcro according to the user s back c Tighten the nuts for the seat back height adjustment 12 Diagram 17 The tool wh
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