Kid Kart Xpress
Contents
1. 27 P Contoured Seating System Cushion Adj 27 O Standard Cushion without Lateral Hip Support 28 R Back Positioning Plate Height Adjustment 29 S Back Cushion Height Adjustment eee 29 T Footbed Adjustments ed ri weeds 29 Pelvic Positioning Belt Length Adjustment 30 V Pelvic Positioning Belt Position Adjustment 31 W Butterfly Harness uertit In tinte ees ean a phe Ue UR Haus 31 X Lateral Trunk Supports Assembly to the Seating Shell 32 Y Lateral Trunk Support Mounting Operating amp Adjustment 33 Z Head Support Installation amp Adjustment 34 AA Dynamic Forehead Strap Installation amp Adjustment 35 BB cu aeos pe E mda den lara a ara ole 37 CC Knee Abductor Installation eere 37 DD Knee Abductor Block Adjustment 38 EETray Support Adjustmeht oso ao ee cod Wed D ente 38 Installation amp Adjustment eene 38 GG Foot Strap Adjustment sis isis rr ror iere e 39 HH Shoe Holder Strap 39 MAINTENANCE2. 6 IV GENERAL WARNINGS jebi tea aaa 8 AS Weight 8 B Getting To Know Your 8 C Safety Checkliste riae tud ierant ete sata ehe be pep 8 D Changes amp Adjustments yh ice noe dde S 8 E Environmental Conditions eene 9 Street ond 9 Motor Vehicle Safety tee eer dieere o nt 9 H For Caregivers eire rne kei itn a Cono re eva ea Fh esae eR eS 10 V WARNINGS FOR SAFE USE 11 riis mE 11 B Centeror Balan Ges oon oso epe ene tesa A a Utd ds 12 C Dressing of Changing Clothes eese 12 D Obstacl s soo ione abore hm ar dpa ire i ose eos 12 E Reaching or Leaning aoc egent e n dades fov de 12 F Ramps Slopes amp Side Hills ento rtt 13 G Transfers MERC 13 H C rbs amp Steps an o er etr 13 s ler 14 J Descending Stairs K vob bes 14 K Iter Hem 14 BN Cini iri e e T ez 14 VI WARNINGS FOR COMPONENTS amp OPTIONS 15 A Transit OP HOM aside AA eti 15 BASNI TUBES oa darren mie eos 15 SUppOLt uai et there R EAEE RRR 15 Dy CUSHIONS A RE A RE abl 15 E PASEOMGNS
3. Figure 23 mkt3048 9921700000 Rev C VII OPERATING INSTRUCTIONS Lengthening the Footbed for Maximum Lower Leg Length Adjustment The foot bed is designed so that the brackets on the ends of the telescoping tubes can be reversed to add approximately 3 1 2 of leg length adjustment Remove the footbed from the telescoping tubes by unscrewing the four button head screws on the inside of the footbed 2 Remove the screw from each bracket by backing it out far enough to allow the bracket to slip off the end of the tube 3 Flip the bracket over and replace it on the end of the tube being careful to allign the screw with the same hole in the end of the tube Tighten the mounting screw so it goes through the hole and tightens up against the bracket 4 Replace the footbed onto the brackets assuring the same angle adjustment is achieved U PELVIC POSITIONING BELT LENGTH ADJUSTMENT 1 Remove any belt twists and place the belts outside of the seating area 2 Engage wheel locks seat the child and snap the pelvic positioning belt ends together 3 Adjust belt length to provide a snug fit The adjuster is to the child s left Positioning Belt 9921700000 Rev mkt3048 VII OPERATING INSTRUCTIONS V PELVIC POSITIONING BELT POSITION ADJUSTMENT For the standard seat configuration the belt is always adjusted to the rear most point approximately 45 When the contour seat cushion is used the belt ma
4. 4 Release the TIS lever and move shell slightly to be sure that it locks into position l HIPANGLE ADJUSTMENT FOR KARTS WITHOUT RECLINE 1 Adjust the fixed hip angle by removing the screw that attaches the tube at the shell back bracket Position the shell back to desired angle and re attach the screw 09 9 109902 7 a ba 9 A p Figure 15 2 The lower mounting point is provided with a quick release pin to facilitate folding of the shell back J RECLINE ADJUSTMENT OPTIONAL 1 Engage wheel locks and move to the child s left side 2 Squeeze the recline adjustment lever It is attached to the left side of the shell handle See Fig 16 3 Move the back to an appropriate position while watching the child Take care to avoid pulling or crimping any life support tubing that may be attached to the child 4 Release the adjustment lever to lock recline Note One or more adjustment limiting collars may be attached to the seating system to reduce the range of available hip angles They attach to the mechani cal lock shaft Consult your supplier and therapist for adjustment needs 9921700000RevC mkt3048 Figure 16 VII OPERATING INSTRUCTIONS K KNEE ANGLE ADJUSTMENT 1 Engage wheel locks 2 Press down on thumb activated levers at each side of the footbed hanger Levers will not move easily until you have adequately supported the weight of the occupant s legs
5. A ea objela eio nk 16 EF Footbeds ue eMe c 16 OM T T 16 FH Positionirig Belts iue ne oper nre loa one eri et h 16 LS Power DRIVE iio beet or aka Du ERR 17 Attendant Handle lese hus tip ro e urere 17 K QuicleRelease 17 Ls Wheel Locks 17 M Modified Seat Systems rre rr terreno Ea Rr Ve dg 17 N Upholstery Fabric oe odia br Pr eroi eb e s 17 VII OPERATING INSTRUCTIONS 18 A Wheel Locks os onec 18 Unfolding oerte tini tet tnt t Ue ERR MUR ani 18 C Folding asc oco P unre y atio utet i er 19 D Rear Wheel Removal amp Installation 21 4 VIII IX Il TABLE OF CONTENTS Transit sna ae aa ee a a ea 22 F Positioning Shell Installation 22 Positioning Shell Removal 23 H Tilt In Space TIS Angle Adjustment 24 I Hip Angle Adjustment ee t eer te ben hene erat RR n 24 J Recline Adjusttrientin ie eer aibi ae ine 24 K Knee Angle Adjustment eese 25 L Sunshade Installation amp Adjustment 25 M Positioning amp Growth Adjustments Guide 26 N Seat Depth Adjustment iere ntn tnn nhe nnn oan 26 O Standard Seat Cushion
6. change the product s structure This will void the warranty and may cause a safety hazard 9921700000RevC mkt3048 IV GENERAL WARNINGS ENVIRONMENTAL CONDITIONS 1 Your mobility device is designed for use on firm even surfaces such as concrete asphalt and indoor floors and carpeting 2 Use extra care if you must use this mobility device on a wet or slick surface If you are in doubt ask for help 3 Do not use this product in a shower pool or other bodies of water 4 Do not operate your mobility device in sand loose soil or over rough terrain F STREET USE This product is not intended for street use Be alert to the danger of motor vehicles on roads or in parking lots At night or when lighting is poor use reflective tape or clothing Due to your child s low position it may be hard for drivers to see the rider Make eye contact with drivers before you go forward When in doubt yield until you are sure it is safe pa a hae G MOTOR VEHICLE SAFETY As indicated on the front cover of this user manual identify whether your chair has been manufactured with the Transit Option installed 19 NEVER USE THE MOBILITY DEVICE SHELL AS A CAR SEAT If your chair is NOT equipped with the Transit Option Mobility device products do not meet federal standards for motor vehicle seating 1 NEVER let anyone sit in this product while in a moving vehicle 2 ALWAYS move the rider to an approved vehicle seat 3 ALWAYS secure
7. USE A TRANSIT USE 1 If possible and feasible the child should be transferred to a car seat and the vehicle restraint used 2 If the mobility device is used for transport and has been installed with the Transit Option it must be used in a vehicle equipped for forward facing securement during transport The rider must not weigh more than 55 Ibs Figure 1 shows the location of the transit securement points A for this product 5 Use only with Wheelchair Tiedown and Occupant Restraint Systems WTORS that have been installed in accordance with the manufacturer s instructions and SAE J2249 See your local medical equipment supplier 6 Attach WTORS to securement points in accordance with the manufacturer s instructions and SAE 2249 7 Attach occupant restraints in accordance with the manufacturer s instructions and SAE J2249 Note To obtain copy of SAE 2249 Wheelchair Tiedown and Occupant Restraint Systems for Use in Motor Vehicles please contact the Society of Automotive Engineers 724 776 4841 or www sae org Figure 1 mkt3048 9921700000 Rev C V WARNINGS FOR SAFE USE B CENTER OF BALANCE Kid Kart mobility devices are designed for stability and performance The point where this device will tip forward back or to the side depends on its center of balance and stability The center of balance is also affected by The distance between the rear wheels The seat height and seat angle Backrest a
8. care must be taken to not over loosen or over tighten the screws In general positioning and growth adjustments should be done in the following order 1 Adjust seat Adjust back Adjust pelvic positioning belt Adjust footbed Adjust head support Make other standard and optional adjustments needed Check to be sure that all adjustment screws are tight SEAT DEPTH ADJUSTMENT 1 Determine the proper seat cushion depth 2 Remove the seat cushion It is attached with Velcro 3 Loosen the seat depth adjustment screws found on each side of the frame from under the seat base 4 Once they are loose grasp the bar under the front edge of the seat and slide to the desired length 5 Re tighten all four adjustment screws once the desired position is achieved See Fig 20 Figure 20 9921700000 Rev mkt3048 VII OPERATING INSTRUCTIONS O STANDARD SEAT CUSHION ADJUSTMENT The standard seat cushion comes in two seat lengths short and long The short seat is 7 long with capability for adding a 2 growth strip at the back of the cushion The long seat is 9 long with capa bility for adding a 2 growth strip at the back of the cushion Both are capable of adjustment from 5 5 to 11 5 inches width adjustment by adding or removing adductor foam pads To adjust width 1 Unzip and remove seat cover Add or remove the same combination of adductor foam pads to each side of the seat t
9. is being installed separately see positioning shell installation instructions on page 22 To position the shell back depress the recline lever and pull back Adjust legrest tilt and optional recline to appropriate configuration See Fig 7 C FOLDING FRAME AND ROTATING HANDLE INTO STORAGE POSITION Your kid kart is equipped with two stage folding 1 Stage one See Fig 9 does not effect the stroller wheels and base allowing only the handle to be brought forward to a storage position This is useful for transporting the Kid Kart in the back of a station wagon or van 2 Stage two See Fig 8 allows complete folding of the Kid Kart handle and base This folding system is accomplished via the two Stage trigger page 20 Figure 8 Figure 9 NOTE Seating system removed for clairity mkt3048 9921700000 Rev C VII OPERATING INSTRUCTIONS C1 TWO STAGE FOLDING o gt Figure 1 e gt Figure 2 C2 HANDLE ONLY FOLDING See Fig 3 NOTE With the locking pin installed See Fig 10 1 Remove the child from the seating system 2 Handle storage will work with or without the shell in the Kid Kart 3 Engage the wheel locks 4 Activate the trigger handle as shown See Fig 2 5 Rotate the handle forward and continue rotating the handle to it s folded position See Fig 3 6 As handle moves forward release the trigger and rotate the handle See Fig 3 C3 FOLDING FRAME COMPLE
10. it is locked in place Occasionally the wheels do not both snap into place If this should happen then swap the wheels to opposite sides mkt3048 9921700000 Rev C VII OPERATING INSTRUCTIONS E TRANSIT USE 1 If possible and feasible the rider should transfer to the vehicle seat and use the vehicle restraints 2 If the mobility base is used for transport it must be used with occupant facing forward in the vehicle except for infants See page 16 2a and 2b The occupant must not weigh more than 55 pounds 4 The location of the securement points is shown See Fig 13 A 5 Use only with WTORS that have been installed in accordance with the manufacturer s instructions and SAE J2249 6 Attach WTORS to the securement points in accordance with the manufacture s instructions and SAE J2249 w 7 Attach occupant restraints in accordance with the Figure 13 manufacturer s instructions and SAE J2249 Note To obtain a copy of SAE J2249 Wheelchair Tiedown and Occupant Restraint Systems for Use in Motor Vehicles please contact SAE International on the internet at www sae org or by phone at 724 776 4841 F POSITIONING SHELL INSTALLATION Forward Position Reversed Position The positioning shell has a pivot post on each side that mounts the shell to the mobility base The mobil ity base has a slot on each side that receives the shell pivot posts The shell will not install ont
11. lifting methods Have someone help you until you know how to do a safe transfer of your child on your own Engage the wheel locks before you transfer This keeps the rear wheels from rolling Move your child s mobility device as close as you can to the seat you are transferring to Rotate the front casters until they are as far forward as possible Transfer your child as far back onto the seat surface as you can This will reduce the risk that the mobility device will tip or move away from you ONU amp CURBS amp STEPS Follow the instructions below for descending or climbing a stair or curb Do not try to climb a high curb or step more than 4 high unless you have help Doing so may cause your mobility device to exceed its balance point and tip over To descend a curb or single step going BACKWARD 1 Stay at the rear of the mobility device 2 Several feet before you reach the edge of the curb or step turn the mobility around and pull it backward 3 While looking over your shoulder carefully step back until you are off the curb or stair and standing on the lower level 4 Pull your mobility device toward you until the rear wheels reach the edge of the curb or step Then allow the rear wheels to slowly roll down onto the lower level 5 When the rear wheels are safely on the lower level tilt the mobility device back to its balance point This will lift the front casters off the curb or step 6 Keep the
12. nede db ede peek ue to Dk is EA Le Eo ERE He 40 EIMITED WARRANTY lege 41 2 mkt3048 9921700000 Rev C Ill YOUR XPRESS AND ITS PARTS KID KART XPRESS Wheel locks Safety Lockout Pin Recline Control optional Attendant handle adjustment control button Transit Option optional Securement points Footbed adjustment button Anti Tip tubes Sunshade adjustment control CONAN AWN Positioning shell 9921700000 Rev mkt3048 10 11 12 13 14 Mobility base Tilt in space block Tilt in space adjustment mechanism Tray support Trigger mechanism Ill YOUR XPRESS AND ITS PARTS KID KART XPRESS TECHNICAL SPECIFICATIONS Weight Seating Options 34 lbs Standard Cushion without Lateral Shell only weight 16 Ibs Hip Support Base only weight 18 lbs Adjustable Contour Cushion w o Lateral Hip Support Color Options Frame All features may not be available with some Purple Silver Pink Black confiurations or in conjunction with another prod uct feature Please consult your supplier or custom Seating Shell Fabric Colors er service for more information Your authorized Jazz Classic Kaki Smoke Red Black supplier can also provide you with more information on accessories Seat amp Back Fabric Colors Black US Only Gray Navy Adjustment ranges Tilt range 0 45 Recline 85 to 130 Handle bar height 36 5 to 41 Seat depth 5 5 to 13 Seat width at hip 11 5 w
13. opt lateral hip supports 6 5 10 Knee width 13 w opt lateral knee supports 5 11 Top of head to seat 13 to 22 Top of shoulder to seat 7 5 to 16 Axilla under arm to seat 4 5 to 12 Chest width 4 to 10 Width of head 3 75 to 7 Shoulder width 5 to 11 Lower Leg Foot 5 to 14 Footbed adjustment 70 to 170 extension Dimensions Overall Width 24 Floor to seat height 21 Folded dimensions 24 X 28 X 20 mkt3048 9921700000 Rev C IV GENERAL WARNINGS Throughout this section you will find general warnings for the safe use of your dependent mobility device It is important that you read and understand these warnings before you use this product If you fail to do so a fall tip over or loss of control may occur and cause severe injury to the rider you or others A WEIGHT LIMIT Never exceed the weight limit for the rider 55 Ibs or for items carried the storage areas 15 Ibs The combined weight limit for the rider and storage areas is 70 pounds Never use the mobility device for more than one rider B GETTING TO KNOW YOUR XPRESS Read all instructions before using this product In particular you should 1 2 6 Be trained in the safe use of this product by your health care professional Practice bending reaching and transfers until you know the limit of your ability Have someone help you until you know what can cause a fall or tip over and how to avoid doing so Be awar
14. or excess moisture will reduce flame retardation of the fabric mkt3048 9921700000 Rev C VII OPERATING INSTRUCTIONS A WHEEL LOCK ADJUSTMENT 1 Loosen bolts and adjust wheel lock contact bar downwards Lock arms should embed into tires minimum of 1 8th inch when locked 2 With the wheel locks on the rear wheels should skid not roll when the Kid Kart is pushed with a child in the product Wheel Lock Adjustment Bolts E MN Locked Figure 2 B UNFOLDING 1 Unhook fold retaining strap and store in tray provided under seating shell 2 Insert or rotate anti tippers into a downward position facing the ground See Fig 4 3 Place the mobility base on the floor with wheel locks engaged Make sure that the mobility base fold lock out pin is not inserted into the lock out hole See Fig 4 4 Lift the handle bar over into locked position then lift up so that the frame unfolds and locks into an upright position See Fig 5 and 6 5 Insert the mobility base lock pin into the lockout hole When inserted into the hole the lock pin prevents the rear wheels and axle from folding under the Kart Before seating a child always check that the mobility base is properly locked in its upright position that the fold lockout pin is inserted and that the wheel locks are engaged Figure 4 9921700000RevC mkt3048 VII OPERATING INSTRUCTIONS a Figure 6 Figure 7 6 If the shell
15. page 11 2a The positioning shell mobility base unit has been dynamically tested with the occupant facing forward mode for a 30 mph 48 km h frontal impact test The occupant must be facing forward during transport if the occupant is greater than 20 pounds in weight 2b For infants 20 pounds or less in weight the positioning shell mobility base combination must be facing to the rear This means the shell is placed in the mobility base so the footbed is positioned away from the handle bar and the occupant is facing the rear of the vehicle 3 To reduce the potential of injury to vehicle occupants mobility device mounted accessories such as trays and respiratory equipment should be removed and secured separately 4 Postural supports and positioning devices should not be relied on for occupant restraint Do not alter or substitute mobility device frame parts components or seating 6 Sudden stops or impacts may structurally damage your stroller Mobility devices involved in such incidents should be replaced ANTI TIP TUBES Anti tip tubes can help keep your mobility device from tipping Do not remove the anti tip tubes and use in down position whenever the base is unfolded C TRAY SUPPORTS 1 Do not lift this product by its tray supports 2 Do not rest drinks on tray supports D CUSHIONS This mobility device s seating was designed for comfort and postural support If seating component modifi cations are necessary consult yo
16. 8 VII OPERATING INSTRUCTIONS R BACK POSITIONING PLATE HEIGHT ADJUSTMENT 1 Open the exterior back panel fabric sections on the outside to expose the back growth slots and adjustment screws 2 Loosen the screws through the access holes a See Fig 21 behind the back plate on each side adjust to proper height Tighten and retighten both adjustment screws See Fig 21 S BACK CUSHION HEIGHT ADJUSTMENT Figure 21 1 Fit the back cushion to the positioning plate at proper height 2 Add appropriate back cushion growth inserts if a gap is present at the bottom of the back cushion T FOOTBED ADJUSTMENTS Height Adjustment Two telescoping tube sections and locks control footbed height 1 Identify adjustment screw locations on the rear side of the footbed hanger 2 Loosen upper screw on each side of the footbed hanger See Fig 22 3 Slide the footbed up or down to proper height 4 Tighten both screws 5 Repeat procedure using lower screw in step 2 if additional range is required Angle Adjustment 1 The footbed has two screws that fit into a series of holes in the footbed sides and two more that allow footbed rotation Remove the footbed angle adjustment screw on each side of the footbed See Fig 23 Adjust the footbed to proper angle and align nearest adjustment holes with the footbed couplers Install adjustment screws through footbed and into footbed coupler to maintain proper footbed angle
17. Posterior amp Horizontal Angle Adjustment Bolts B 3 Pad tilt and angle adjustment Collar bolts C See Fig 4 ATTACHING HEAD REST PAD SEE FIG 4 1 Remove vinyl collar cover and insert over the knurled headrest ball 2 Loosen collar bolts enough to slip collar onto knurled ball 3 Evenly tighten collar bolts Make sure collar alignment is correct See Fig 4 Figure 2 Incorrect Alignment Correct Alignment Figure 4 Figure 3 9921700000RevC mkt3048 VII OPERATING INSTRUCTIONS AA User instructions for models DFSQ1 DFSQ3 DFSQ10 and DFSQ30 A WARNING READ BEFORE USE Read warnings and instructions often until they are second nature Keep this guide with the product for further reference If you have any questions on the assembly and installation of this product please contact the A R T Group at 866 725 SEAT or 850 575 3186 for international calls CHOOSING THE RIGHT POSITIONING PRODUCTS 1 Some clients due to their disability level or physical condition DFSQ1 amp DFSQ3 may need anterior supports to help maintain proper posture For use with S O F T Head Support systems or body position Such devices include head straps shoulder straps thoracic strap systems pelvic supports and belts 2 The A R T Group gives you a choice of many anterior and pel vic support styles and adjustments However final selection of the right product for your safety rests solely with you and your healthcare advis
18. SUPPLIER THIS MANUAL MUST BE GIVEN TO THE USER OR OWNER OF THIS DEPENDENT MOBILITY BASE BEFORE USING THIS DEPENDENT MOBILITY BASE READ THIS ENTIRE MANUAL AND SAVE FOR FUTURE REFERENCE ara A R T Group Artistry in Rehab Technology O With Transit Option CJ Without Transit Option Kid Kart Xpress NS A R T Group is a division of Sunrise Medical LP kto z PED EARLE LES E e User Instruction Manual amp Warranty Il INTRODUCTION A R T GROUP LISTENS Thank you for choosing this dependent mobility device We want to hear your questions or comments about this manual the safety and reliability of your mobility device and the service you receive from your A R T Group supplier Please feel free to write or call us at the address and telephone number below A R T GROUP 7128 Ambassador Road Baltimore MD 21244 Toll Free 800 333 4000 Fax 877 544 5813 www artgrouprehab com FOR ANSWERS TO YOUR QUESTIONS Your authorized supplier knows your mobility device best and can answer most of your questions about safety use and maintenance For future reference fill in the following Supplier Address Telephone Serial Date Purchased mkt3048 9921700000 Rev C 9921700000 Rev mkt3048 Il TABLE OF CONTENTS Lc INTRODUCTION 3 Il TABLE OF CONTENTS 4 Ill YOUR XPRESS AND ITS PARTS
19. See Fig 17 3 Hold the levers and adjust knee angle 4 Release the levers and allow the knee angle to lock into place as manual leg support is gently reduced L SUNSHADE INSTALLATION AND ADJUSTMENT Sunshade Installation 1 Loosen two thumbscrews located near the top of the back They screw into black couplers on each side of the back 2 Put the sunshade rod ends into the mounting holes raise to or lower the sunshade to proper height and tighten the thumbscrews Sunshade Adjustment 1 Once installed adjust sunshade angle by pushing it forward or backward until desired position is obtained See Fig 18 2 Lift the front of the sunshade all the way up to swing it out of the way See Fig 19 Figure 18 Figure 1 mkt3048 9921700000 Rev C VII OPERATING INSTRUCTIONS M POSITIONING AND GROWTH ADJUSTMENTS GUIDE If necessary a healthcare professional should make any changes to the positioning and growth adjustments These adjustments are very important to the orthopedic and neurological needs of the child Care should be taken to make sure they are appropriate Use the 5 32 hex head tool provided or an electric screwdriver with a 5 32 hex head bit to adjust the seating and positioning system The enclosed hand held hex bit wrench is ergonomically designed to work at many angles An electric screwdriver with a 5 32 hex head bit is useful when doing several fittings However
20. TE The mobility system folds compactly with the shell installed The system is designed to fold with the seat shell installed in the forward facing position 1 Engage wheel locks Remove the child from the seat shell 2 Elevate legrests tilt seat to most forward position and fold the back forward See instructions on pages 24 amp 25 Pull the fold lockout pin out See Fig 10 Activate the trigger See Fig 2 Holding the triggers and handle pull back on the frame in the direction shown See Fig 4 Rear wheels will move forward and frame will collapse As soon as the rear axel begins to move forward begin to rotate the push handle forward at the same time See Fig 4 Attach fold retaining strap to underside of storage tray 8 Rotate upward or remove anti tipper awn 4 W N 9921700000 Rev C mkt3048 VII OPERATING INSTRUCTIONS Figure 10 D REARWHEEL REMOVAL AND INSTALLATION The rear wheels may be removed to reduce the mobility base storage size 1 To remove depress the axle release button in the center of the rear wheel and pull the whole wheel and axle out of the axle tube See Fig 12 2 To reinstall align the axle with the axle tube end and depress the button to reinstall Push axle and wheel assembly inward until it can go no further When the wheel is properly installed and the axle release button will pop out v Figure 12 Pull on the wheel assembly to verify that
21. air Damage resulting from transit use Damage from exceeding the weight limit of 55 pounds for the rider 15 pounds in the storage areas 2 This warranty is void if the original serial number is removed or altered 3 This warranty applies in the USA only Check with your supplier if international warranties apply What We Will Do Our sole liability is to repair or replace covered parts This is the exclusive remedy for consequential damages What You Must Do Contact Dealer for warranty repair or replacement Notice to Consumer 1 If allowed by law this warranty is in place of any other warranty written or oral express or implied including a warranty of merchantability or fitness for a particular purpose 2 This warranty gives you certain legal rights You may also have other rights that vary from state to state mkt3048 9921700000 Rev C 9921700000 Rev C mkt3048 mkt3048 9921700000 Rev C A R T Group x xi Artistry in Rehab Technology A R T Group 7128 Ambassador Road Baltimore MD 21244 USA 800 333 4000 In Canada 800 263 3390 www artgrouprehab com Manufactured under one or more of the following patents U S and European patents pending 2001 Sunrise Medical 9 01 9921700000 Rev C A RT Group is a division of Sunrise Medical
22. both guide rods evenly to desired diameter 6 Locate neoprene strap D in desired position on forehead 7 Slide guide rods through clamp until front of neoprene strap is approximately 2 from plastic guide support E Strap must fit snuggly on forehead See Fig H 8 Re Tighten guide rod adjustment screw F OPERATING INSTRUCTIONS to hold position 9 Guide rods may be trimmed to 1 limiting rearward protrusion Vinyl caps should be removed prior to trimming and then reinstalled See Fig 3 l 10 Re adjust forehead strap as necessary DOWNWARD STOP ANGLE ADJUSTMENT 11 Using 57 Allen wrench loosen the angle adjustment clamp screws See Fig 1 C 12 Insert an Allen wrench into the exposed hole See Fig 2 G on the silver angle adjustment pivot and rotate until the forehead pad and guide rods are at the desired angle 13 Re tighten the angle adjustment clamp screws and check all settings Notice Fasteners and DFS2 adjustment should be checked prior to each use Neoprene Strap must be replaced at the first signs of wear or loss of tension f e me wy V ww 20771 IIS NN 222 a b 109 o vy TU nec sa z A p s 4 gt 5 d j e R N N o S Se DFS HCPC Code K0108 SINGLE PAD SYSTEMS S O F T SYSTEM Part Number DFSQ30 small DFSQ3 small 9921700000Re
23. ctor block adjustment screw location under the lead edge of the seat There is only one abductor block adjustment screw See Fig 36 Loosen the adjustment screw Move the abductor block to the proper position and re tighten the screw To remove the knee abductor depress the button and lift the block out of the mounting bracket UJ EE TRAY SUPPORT ADJUSTMENT 1 Loosen two tray support adjustment hex screws on side of seat base 2 Adjust tray support to proper position and tighten screws See Fig 37 3 Repeat procedure for opposite side armrest FF TRAY INSTALLATION AND ADJUSTMENT OPTIONAL 1 Slide the tray over the tray supports adjust depth and clamp it in place 2 Adjust tray supports to get proper tray height and angle See Fig 38 Note The tray will not work if tray support heights and angles are too different from one another Try loosening both tray supports if tray will not align properly 9921700000RevC mkt3048 OPERATING INSTRUCTIONS D Figure 36 Figure 37 Figure 38 VII OPERATING INSTRUCTIONS GG FOOT STRAP ADJUSTMENT OPTIONAL Optional foot straps are intended for therapeutic positioning needs only Pelvic positioning belt use is critical for child safety when foot straps must be used for therapeutic positioning 1 Engage wheel locks and seat child 2 Unlatch and loosen the two foot straps See Fig 39 3 Place child s foot i
24. d the rider 2 Use positioning belts with a cooperative rider only Make sure that you can remove the belts in an emergency 3 NEVER Use Positioning Belts As a restraint Ona child who is comatose agitated or is prone to seizures As a motor vehicle restraint 9921700000 Rev mkt3048 WHEEL LOCKS VI WARNINGS FOR COMPONENTS amp OPTIONS POWER DRIVE Do not install a power drive on this product ATTENDANT HANDLE Your mobility device s attendant handle provides secure points for a caregiver to grasp the rear of this Kart to prevent a fall or tip over Check to make sure handle is locked in place after adjusting height QUICK RELEASE AXLES If this product has quick release axles ensure that both quick release rear axles are locked before using this product An axle is not locked until the quick release button pops out fully Quick release axles should be inspected for function and any signs of wear or bending Never engage wheel locks to slow or stop this product when it is moving To keep the rear wheels from rolling always engage both rear wheel locks when you transfer your child to or from this mobility device Make sure lock arms embed in tires at least 1 8 when locked MODIFIED SEATING SYSTEMS Do not change the seating system of your Kart UNLESS you consult your health care professional UPHOLSTERY FABRIC Replace worn or torn seating cover fabrics as soon as you can and be aware that laundering
25. device to the balance point of the rear wheels and rolls it to the edge of the top step 4 A second attendant stands on the third step from the top and grasps the frame He or she lowers the chair one step at a time by letting the rear wheels roll over the stair edge 5 The attendants move to the next stair down Repeat for each stair until you reach the landing K ESCALATORS NEVER use this mobility device on an escalator even with an attendant L MAINTENANCE Proper maintenance of your mobility device will ensure a long life for the product Inspect and maintain this mobility device per the Maintenance details listed in the back of this booklet If you detect a problem make sure to service or repair the product before use 9921700000 Rev mkt3048 VI WARNINGS FOR COMPONENTS a OPTIONS Below are warnings for various standard and optional components for your Xpress Options may vary based on your Kid Kart model If you fail to heed these warnings you may cause damage to your Kid Kart a fall tip over or a loss of control that may cause severe injury to the child caregiver or others A TRANSIT OPTION 1 Use only Wheelchair Tiedown and Occupant Restraint Systems WTORS which meet the requirements of SAE J2249 Recommended Practice Wheelchair Tiedown and Occupant Restraint Systems for Use in Motor Vehicles Do not use WTORS designed to rely on the stroller structure to transfer occupant restraint loads to the vehicle See
26. e and lift it from the velcro attachment 4 Add the either the 1 1 2 or the 3 growth strip at the back of the front foam section assuring that the angled edges and sides align Note Never use both growth strips at the same time 5 Re attach the rear section assuring the angled edges and sides align 6 Adjust the adductor wedges as needed and position the foam overlay over the cushion and attach to the velcro at the rear of the seat 7 Close the zipper around the cushion and install into the unit Cleaning the seat cover 1 Unzip the cover along the edge 2 Remove the cushion assembly from the velcro attachment inside the cover 3 The fabric seat cover should be hand washed in laundry soap thoroughly rinsed with clean water and air dried 4 The foam cushion pieces may be wiped down with soap and water Always be sure they are com pletely dry before replacing the fabric cover 5 Place the cushion into the fabric cover onto the velcro with the front edge of the cushion aligned with the front edge of the cover 6 Pull the cover over the cushion and close the zipper around the cover Q STANDARD CUSHION WITHOUT LATERAL HIP SUPPORT The standard Cushion without Lateral Hip Supports comes in two seat lengths short and long The short seat is 7 long with capability for adding a 2 growth strip at the back of the cushion The long seat is 9 long with capability for adding a 2 growth strip at the back of the cushion 9921700000RevC mkt304
27. e that you must develop methods for safe use best suited to your level of function and ability Never try a new maneuver on your own until you are sure you can do it safely Get to know the areas where you plan to use your mobility device Look for hazards and learn how to avoid them Always use anti tip tubes when this product is unfolded and in use C SAFETY CHECKLIST Before each use of this product 1 2 Wheel locks must be adjusted to maintain proper performance Always engage the wheel locks before transferring a child Make sure the mobility device rolls easily and that all parts work smoothly Check for noise vibra tion or a change in ease of use They may indicate low tire pressure loose fasteners or other damage Repair any problem you may encounter Your authorized supplier can help you find and correct any problems Check to see that both guick release rear axles are locked When locked the axle button will pop out fully If not locked the wheel may come off and cause a fall Lock the anti tips in place 6 Never seat your child in the mobility device until is fully unfolded and locked Use a pelvic positioning belt when the child is seated Never leave your child unattended D CHANGES ADJUSTMENTS T 2 See your health care professional and have them adjust components and accessories as your child grows Unauthorized modifications or use of parts not supplied or approved by Sunrise Medical may
28. ge 32 from the rear of the shell only enough to gain movement of the laterals Adjust the pads for height and width bringing the pads to the correct position 3 Tighten firmly LATERAL LENGTH ADJUSTMENT SEE FIG 4 1 Slide the lateral cover and foam forward or remove to expose adjustment screws 2 Loosen screws b and move lateral to proper length 3 Tighten screws and replace the foam and cover Lateral Lock Angle Adjustment Note this adjustment may be able to be accomplished with the child in the seating system LATERAL ROTATION ADJUSTMENT SEE FIG 5 1 Lock the lateral by rotating inwards 2 Loosen the angle lock screw c See Fig 5 shown on the top of the lateral hinge point 3 Adjust angle to the appropriate position and tighten Figure 5 mkt3048 9921700000 Rev C VII OPERATING INSTRUCTIONS Z WHITMYER HEAD SUPPORTS Attaching Head Support Mount See Fig 1 1 Remove back cushion and unsnap rear shell upholstery exposing two head support mounting holes at center back of inner seat shell 2 Insert t nuts a from inside of shell attaching headrest mount b with supplied bolts c 3 Tighten securely ATTACHING HEAD SUPPORT SEE FIG 1 1 Align slot in head support vertical bar with the attached mount and assemble with height adjustment bolt d and washer HEAD SUPPORT ADJUSTMENT WHITMYER LIGHT WEIGHT HEAD SUPPORT SEE FIG 2 1 Height Adjustment Bolt D See Fig 1 2 Anterior
29. mobility device in balance and take small steps backward Turn the mobility device around and gently lower front casters to the ground mkt3048 9921700000 Rev C V WARNINGS FOR SAFE USE TO CLIMB A STEP OR CURB GOING FORWARD 1 Stay behind the mobility device 2 Face the curb and tilt the mobility device up on the rear wheels so that the front casters clear the curb or step 3 Move forward placing the front casters on the upper level as soon as you are sure they are past the edge 4 Continue forward until the rear wheels contact the face of the curb or step Lift and roll the rear wheels to the upper level I CLIMBING STAIRS Use at least two attendants to move this mobility device up stairs Move the mobility device and rider BACKWARD up the stairs The person at the rear is in control He or she tilts the mobility device back to its balance point Asecond attendant at the front firmly grasps a non detachable part of the front frame and lifts the mobility device up and over one stair at a time You may want to rotate the anti tippers up so that they do not interfere with steps 5 The attendants move to the next stair up Repeat for each stair until you reach the landing BRWN A J DESCENDING STAIRS 1 Use at least two attendants to move an occupied mobility device down stairs 2 Move the mobility device and rider FORWARD down the stairs 3 The person at the rear is in control He or she tilts the mobility
30. neck for easy breathing and eating See Fig 26 6 Once the butterfly straps are adjusted snap the lower straps into the plastic tri glide up against the quick release buckle Figure 26 mkt3048 9921700000 Rev C VII OPERATING INSTRUCTIONS X LATERAL TRUNK SUPPORTS OPTIONAL ASSEMBLY TO THE SEATING SHELL Move aside the back upholstery and remove the back va pad to expose back shell d See Fig 1 2 Insert bolts and washers a from the rear of the shell through the adjustment slots b See Fig 1 Thread the bolts into the lateral nut plate c clamping the lateral mounting plate d to the plastic shell See Fig 2 4 Tighten and properly seat the child to adjust the laterals Ww Figure 1 Figure 2 9921700000 Rev mkt3048 VII OPERATING INSTRUCTIONS Y LATERAL TRUNK SUPPORT MOUNTING OPTIONAL OPERATING AND ADJUSTMENT Lateral Swing Away Operation See Fig 3 1 Depress the silver lever a See Fig 3 allowing the lateral to swing inwards or outwards This is useful for storage or helping a child into or out of the seating system NOTE the laterals lock into the adjusted preset position LATERAL HEIGHT AND WIDTH ADJUSTMENT SEE FIG 1 PAGE 32 NOTE It is not necessary to remove the child from the seating shell 1 Open the rear cover to access the adjustment screws 2 Loosen the mounting screws a See Fig 1 pa
31. ng components with Teflon lubricant only caution Use of any other types of lubricant tend to foul moving components and may void warranty A w 7 Check the wheel locks for proper operation Rear wheels should skid rather than roll when pushed with a child in the product 8 If the release lever is not returning to its locked position or if the locking mechanisms are not catching and locking the rear axil for transport inspect them for any build up of dirt or grit If dirt is present the parts may be washed with warm soapy water dried thoroughly and then relubricated with a teflon based lubricant from a bike shop or hardware store Always check to assure this procedure corrected the problem If there is not a build up of dirt or grit the lubricant will help mechanisms function smoothly 9921700000 Rev mkt3048 IX LIMITED WARRANTY For Five Years A R T Group warrants the frame and positioning shell against defects in materials and workmanship for five years for original purchaser For Two Years We warrant all A R T Group made parts and components of this product against defects in materials and workmanship for two years from the date of first consumer purchase For One Year We warrant the fabric upholstery of the kart from fading or discoloration for one year from consumer purchase Limitations We do not warrant 1 Tires tubes and push handle grips Damage from neglect misuse or from improper installation or rep
32. ngle Changes in your child s body position postures or weight distribution e Pushing the mobility device a ramp or slope The use of a backpack or other options and the amount of added weight To maintain the proper center of gravity and balance Consult your therapist and supplier when the mobility device is set up e Consult your authorized supplier or therapist BEFORE you modify or adjust the mobility device Use anti tip tubes C DRESSING OR CHANGING CLOTHES Your child s weight may shift if you dress or change your child s clothes while they are seated in the mobility device To reduce the risk of a fall or tip over while changing clothes or diapers e Rotate the front casters until they are as far forward as possible e Engage the wheel locks Ensure that anti tip tubes are in the down position D OBSTACLES Obstacles and road hazards such as potholes and broken pavement can damage your mobility device and may cause a fall tip over or loss of control To avoid these risks Scan the area well ahead for danger as you push the mobility device Make sure the floor areas ahead are level and free of obstacles Install a ramp at entry or exit doors Make sure there is not a drop off at the bottom of the ramp E REACHING OR LEANING If your child reaches or leans it will affect the center of balance of your mobility device This may cause a fall or tip over NEVER allow your child to reach or lean if they mus
33. nto position and snap the foot strap into place 4 Keep the straps as loose as possible and only tighten enough to maintain therapeutic position Figure 39 HH SHOE HOLDER STRAP ADJUSTMENT OPTIONAL Shoe holders are intended only for therapeutic positioning needs KI Pelvic positioning belt use is critical for child safety when shoe holders must be used for therapeutic positioning 1 Engage wheel locks and seat child 2 Loosen two shoe holder straps 3 Child should be wearing shoes for this step Place child s foot into shoe holder and snap the two shoe holder straps into place See Fig 40 4 Keep the straps as loose as possible and only tighten enough to maintain therapeutic position Figure 40 mkt3048 9921700000 Rev C 1 Spray tilt in space control plunger with Teflon based lubricant every six months to ensure continued smooth operation The spray can be purchased at most bike shops and hardware stores 2 At least every four months check all screws and knobs for tightness If parts are missing broken damaged or won then stop use of the product until repairs are made using factory authorized parts Wipe down all plastic components periodically with disinfectant solution to maintain cleanliness Hand wash and air dry the fabric components as needed 5 Check tire pressure once a week Refer to the pressure recommendations printed on the tire side wall typically 35 psi 6 Lubricate all movi
34. o achieve the desired width 2 Re install the cover over the seat and close the zipper To add growth strip 1 Unzip seat cover to expose the back edge of the foam cushion 2 Lift the foam overlay pad at the back of the seat and install the growth strip with tapered ends down Standard Seating 3 Place the overlay evenly over the growth strip and close the zipper around the growth strip P CONTOURED SEATING SYSTEM CUSHION ADJUSTMENTS The contoured seat cushion comes in two lengths short and long The short cushion is 7 long with capability to add either a 1 1 2 or 3 growth strip making the length 8 1 2 or 10 respectively The long cushion is 8 long with capability to add either a 1 1 2 or 3 growth strip making the length 9 1 2 or 11 respectively These growth strips are added at the center of the seat cushion The front and rear section of the cushion has Velcro attachment points for positioning the adduc tor wedges provided They attach to the front and rear section of the cushion under the foam over lay The foam overlay attaches to Velcro at the back of the seat Contoured Seating mkt3048 9921700000 Rev C VII OPERATING INSTRUCTIONS Adding growth strips 1 Unzip seat cover and fold the top over the front edge to expose the cushion 2 Lift the foam overlay piece away from the velcro attachment using care not to tear the foam 3 Grasp the rear foam section at the middl
35. o nor remove from the mobility base when the mobility base push handle is folded The positioning shell may be installed in a child facing forward or rearward position Installation is the same either direction 9921700000 Rev mkt3048 VII OPERATING INSTRUCTIONS Unfold the mobility base and be sure that the wheel locks are engaged 1 Place the shell over the top of the mobility base and squeeze the tilt in space TIS lever attached to the right side of the shell handle See Fig 14 page 24 2 Align the tilt in space guide pins and pivot posts with the mobility base pivot slots and lower the shell into place 3 Adjust legrest tilt and optional recline to appropriate configuration G POSITIONING SHELL REMOVAL 1 Engage wheel locks Remove child from Kart The push handle must be in its normal use position to remove the shell Figure 14 2 Squeeze and hold the TIS lever See Fig 14 page 24 3 Lift the shell vertically from the mobility base mkt3048 9921700000 Rev C VII OPERATING INSTRUCTIONS H TILT IN SPACE TIS ANGLE ADJUSTMENT 1 Engage wheel locks and move behind the child 2 Support the shell with both hands and squeeze the TIS lever It is on the right side of the shell handle See Fig 15 3 Orient the seating system in an appropriate position while watching the child A ET CAUTION be careful to avoid pulling or crimping any life support tubing that may be attached to the child
36. or RISKS OF INJURY AND HOW TO AVOID THEM Excess Movement or Migration of the Pelvis This may cause the support to displace If this occurs severe injury to the client could result To avoid the risk DFSQ10 amp DFSQ30 A It is VITAL to keep the client in a stable pelvic position For use with Single Pad Head Support Includes Anterior Support Interface e Anterior supports should ONLY be used with seat back and pelvic supports or belts that keep the client from slid ing down in the seat B Anterior supports must be fitted by your authorized A R T Group supplier and your healthcare professional C After fitting anterior supports should ONLY be placed and adjusted by trained persons D DO NOT leave the client unattended when using anterior supports E This product has NOT been Transit Tested Not recommended for use in a Transit environment Patent Pending mkt3048 9921700000 Rev C Vit INSTALLATION 1 Using 3 6 Allen wrench Loosen the rear occipital screwball See Fig 1 A adjust up or down to provide slot access 2 Remove the bolt and washer B from the DFS2 mounting plate 3 Fit the mounting plate to the front of the occipital mount slot as shown Plate can be mounted above or below occipital pad 4 Replace the bolt and washer and tighten B FOREHEAD STRAP ADJUSTMENT 5 Using a 557 Allen wrench Loosen the guide rods adjustment screw See Fig 2 F and slide
37. t shift their weight sideways forward or backward and rise up off the seat f your child must reach move the mobility device as close as you can to the object they wish to reach and rotate the front casters until they are as far forward as possible Note To do this Move your mobility device past the object you want to reach then back up alongside it 9921700000RevC mkt3048 V WARNINGS FOR SAFE USE F RAMPS SLOPES amp SIDE HILLS Pushing the mobility device on a slope including ramps or hills will change the center of balance A few safety reminders include 1 Do not push this product on a slope steeper than 1096 A 1096 slope means one foot in elevation for every ten feet of slope length Do not turn or change direction on a slope or ramp For your child s safety ramps at home and work must meet all legal requirements for your area Always stay in the CENTER of the ramp Usea ramp with guardrails or raised borders at least 3 high Always go straight up and straight down on hills or ramps Do not stop on a steep slope Watch for a drop off at the bottom of a slope or ramp 9 Do not engage the wheel locks to slow or stop your mobility device 10 Beware of wet or slippery surfaces 11 Do not recline or tilt the shell while going up hills 12 Ask for help any time you are in doubt Ui BW TRANSFERS Work with your health advisor to learn safe transfer and
38. the rider with proper motor vehicle restraints 4 In an accident or sudden stop the rider may be thrown from the mobility device Mobility device pelvic positioning belts will not prevent this and further injury may result from these belts or straps 5 NEVER transport this mobility device in the front seat of a vehicle It may shift and interfere with the driver 6 When being transported in a vehicle ALWAYS secure the unoccupied mobility device so that it cannot roll or shift 7 Do not use this product if it has been involved in a motor vehicle accident If your chair is equipped with the Transit Option See sections Warnings for Safe Use Transit Use p 11 Warnings for Components amp Options p 16 and the Operating Instructions p 22 mkt3048 9921700000 Rev C IV GENERAL WARNINGS H FOR CAREGIVERS 1 Work with the child s health care professional to learn safe methods best suited to your abilities and those of your child 2 To prevent injury to your back use good posture and proper body mechanics when lifting or tilting your child Remind the child to lean back when you tilt the mobility device backward When you descend a curb or single step slowly lower the mobility device in one easy movement NEVER leave the child alone When making adjustments to the mobility device always engage the wheel locks to help minimize unintended movement 9921700000 Rev C mkt3048 V WARNINGS FOR SAFE
39. ur therapist or clinician mkt3048 9921700000 Rev C VI WARNINGS FOR COMPONENTS amp OPTIONS E FASTENERS Many of the screws screws and nuts on this product are special high strength fasteners ONLY use fasteners provided by an authorized supplier or ones of the same type and strength as indicated by the markings on the heads do not over or under tightened fasteners and If screws or screws become loose tighten them as soon as you can F FOOTBEDS 1 At the lowest point footbeds should be at least 2 off the ground If set too low footrest may interfere with obstacles you may encounter during normal use 2 Adjustment of the footbed may cause interference with the casters in some positions This may affect your ability to stear the Kart 3 Avoid putting weight on the footbed The mobility device may tip forward or backward if shell has been reversed 4 Never lift this mobility device by the footbeds G TIRES Proper inflation extends the life of your tires and makes your mobility device easier to use Do not under or over inflate tires Check weekly for proper inflation level as listed on the tire side wall H POSITIONING BELTS Use positioning belts ONLY to help support the child s posture 1 Make sure the rider does not slide down in the mobility device seat The belts must be snug but must not be so tight that they interfere with breathing You should be able to slide your open hand flat between the belt an
40. vC mkt3048 VII OPERATING INSTRUCTIONS BB HIP PADS OPTIONAL Hip pads are optional equipment available only with the optional contoured seating system Width Adjustment 1 Determine the proper location for each hip pad 2 Remove the back cushion to expose hip pad adjustment screws 3 Loosen two adjustment screws for each hip pad just enough to allow adjustment 4 Adjust hip pads to the desired position 5 Tighten the adjustment screws and replace the back cushion See Fig 34 Note Hip pad hardware must be removed for hip widths greater than 10 The foam hip pad attaches beneath fabric at seat back to seat base pivot point to accommodate 11 hip width Figure 34 CC KNEE ADDUCTORS OPTIONAL Knee adductors are optional equipment available only with the optional contoured seating system Angle and Width Adjustment 1 Locate knee adductor adjustment screws Screws are located beneath the forward edge of the seat Seat cushion removal aids greatly in finding screw location 2 Lock wheels seat child and buckle the pelvic positioning belt 3 Loosen two adjustment screws from beneath the seat and adjust knee adductor to proper width and angle See Fig 35 4 Tighten adjustment screws to lock adductor position 5 Repeat adjustment sequence on opposite knee adductor Figure 35 mkt3048 9921700000 Rev C Vii DD KNEE ABDUCTOR BLOCK ADJUSTMENT OPTIONAL Identify abdu
41. y be adjusted forward to achieve an adjustment of up to 90 1 Loosen the attachment screw one or two turns to allow the belt anchor point to slide in the slot See Fig 24 2 Move the belt to the desired adjustment position leave in the rear most position when the standard seat configuration is used 3 Tighten the screw securely Note Install the nylon web strap wraps under the tube beside the seat base and back over the top of the tube Figure 24 This keeps the belt in the outer most position so it does not interfere with the seat cushion W BUTTERFLY HARNESS A KZU To avoid serious injury or problems with eating or breathing the pelvic positioning belt must be used in combination with the butterfly harness Make sure any needed adjustments are made to ensure that there is no possibility of obstructing the airway or any other undesired constrictions Do not use the butterfly harness without the pelvic positioning belt Figure 25 Harness Adjustment 1 Place child in the seating system and fasten the pelvic positioning belt 2 Position the child s hips and tighten the pelvic positioning belt to the proper position 3 Connect the butterfly harness to straps already fastened to the positioning shell See Fig 25 4 First adjust the lower butterfly straps to keep the butterfly from riding up on the child s torso 5 Then adjust the upper straps making sure there is enough room around the child s
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