Accora Configura User manual

Configura®Instruction Manual
Suitable for Duratek, Coffee Waterproof and Vinyl Chairs
V R S I O N T H R | J U L Y 2 0 1 4

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Contents
Introduction 3
Size 4
Pressure 4
Posture 6
Identification 7
Note: all of the below must be carried out by a trained technician
Assessment 7
Tools Required 8
Adjusting the Seat Height 8
Adjusting the Seat Depth 10
Changing the Pressure Cushions 11
Set-up of the Cushionair cushion 12
Fitting the Cushionair cushion 13
Fitting a Self Supply Cushion 17
Changing the Backrest Cushions 19
Changing the Headrest 21
Removing filling from the Multi-Adjustable Pillow Backrest 21
Fitting the 1/4Depth Adjustment 22
Reversing the Armrests 23
Fitting the Channel Legrest 24
Using the Handset 25
Removing the Backrest 26
Changing the Handset Side 28
Removing and Fitting the Overlay 29
Replacing the Armrests 31
Replacing the Armrest Covers 31
Replacing the Side Pieces 32
Replacing the Seat Base 32
Replacing the Legrest Assembly Upper and Lower Parts 35
Replacing the Actuator 38
Replacing the Actuator Brackets 40
Replacing the Control Box 42
Replacing the Handset 44
Adjusting the Rise Angle 47
Initial Installation 50
Troubleshooting 50
Upholstery Care 51
Cleaning 51
Regulations 51
Warnings 54
General Protection 54
lectrical Limitations 54
Weight and Dimensions 55
Guarantee 55
Contact Details 55
C Declaration of Conformity 56

© Accora Config ra® assessment helpline: 01223 206110 | config ra@accora. k.com | www.config ra. k.com 3
Introduction
These instructions apply to the Configura®
chair by Accora.
Please read them carefully before setting up and
using the chair and keep them in a safe place for
future reference.
These instructions include details of the
performance of the chair. If the chair
malfunctions, shows signs of damage or
excessive wear, or otherwise feels unsuitable,
please take it out of service and contact your
supplier immediately.
The Configura®is designed to be configured to
suit a range of different size, pressure and
posture requirements.
arning: do not allow children
or animals to play with or near
the chair.
Chair set-up
The chair configuration is selected by a healthcare
professional via the Configura®Assessment form. If
extra parts are required, they can be ordered
separately from Accora.
For a copy of the Configura®Assessment form or for
a parts and accessories manual, please email
[email protected].com
Weight capacity:
Small = 20 stone
Medium = 25 stone
Large = 25 stone
Medium Low Profile = 20 stone
Large Low Profile = 20 stone
Accora classifies the Configura®as a configurable
seating solution for varied and changing user needs.
The ability to configure the size, pressure and posture
requirements allows the chair to be used for many
different user requirements. It is particularly suitable
for quipment Loan Store use as the chair can be
easily re-issued.
We strongly recommend that anybody issuing the
Configura®has attended a Configura®Product
Training Session. For details of these courses, contact
[email protected].com
The Configura®should be selected for
users:
nWith neurological conditions who have reduced
sitting balance
nWith progressive conditions where the risk of
developing pressure damage is likely to increase
nWho have oedema or fluid build up on the legs
nWho have poor circulation
nWho have skeletal issues (such as kyphosis) and
require adjustment of support in the backrest
nWho have difficulty in sit-to-stand transfers
The Configura®is designed to offer the right size and
to accommodate pressure care and postural
requirements for different users. The Configura®can
accommodate moderate postural requirements but
is not suitable for users that lean to one side heavily
or have fixtures such as pronounced ‘windsweeping’,
fixtures or pelvic obliquity. It is also not suitable for
users who have severe involuntary movements. The
Configura®is suitable for users with neurological
conditions such as MS, MND, dementia and
Parkinson’s etc.
The suitability and effectiveness of these features are
dependent on correct chair set-up, which is
dependent on three key elements:
nseat to floor height
nseat width
nseat depth
The Configura®should be regularly checked to
ensure the set-up is correct and that it is working as
intended for the user.
This icon denotes that this item
is not normally stocked by
Equipment Loan Stores. However,
they are available from Accora.
Plus

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The Configura®is available in five sizes: Small, Medium, Large, Medium Low Profile and Large Low Profile. All five sizes
can be increased in seat height by 1” or 2” and decreased in seat depth by 2”. This provides the following size options:
Configura®has a number of pressure care options:
ressure
P
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S
S
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Size
S
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E
Self Supply
Chair supplied without a cushion.
Price of chairs on application = standard option
°=includes 2” Depth Adjustment Kit
*=includes 1” Height Adjustment Kit
** = includes 2” Height Adjustment Kit
◆= Special request on longer delivery
time - please call for details.
Select Select Select Select Mechanism Chair Weight
Seat Width Seat Height Seat Depth Single Motor Dual Motor Dual Motor Capacity
Tilt-in-space Tilt-in-space Non Tilt-in-space
16” ❑15” ❑16”* ❑17”** ❑16”° ❑18” ❑N/A ❑N/A xtra Small 20 stone
18” ❑16” ❑17”* ❑18”** ❑16”° ❑18” ❑❑ ❑ ❑ Small 20 stone
18” ❑18” ❑19”* ❑20”** ❑18”° ❑20” ❑N/A ❑N/A Small Tall 25 stone
20” ❑18” ❑19”* ❑20”** ❑18”° ❑20” ❑❑ ❑ ❑ Medium 25 stone
16” ❑17”* ❑18”** ❑18”° ❑20” ❑N/A ❑N/A Medium Low 20 stone
22” ❑18” ❑19”* ❑20”** ❑18”° ❑20” ❑❑ ❑ ❑ Large 25 stone
16” ❑17”* ❑18”** ❑18”° ❑20” ❑N/A ❑N/A Large Low 20 stone
24” ❑18” ❑19”* ❑20”** ❑18”° ❑20” ❑❑ ❑ ❑ ◆xtra Large 25 stone
16” ❑17”* ❑18”** ❑18”° ❑20” ❑n/a ❑N/A xtra Large Low 20 stone
AB C D
▼ ▼ ▼
Castellated
revention/management: Prevention
Castellated, pressure reducing cushion for users who cannot tolerate Visco foam.
Similar in performance to the Visco cushion. 160kg (25 stone) weight capacity.
(Not available on xtra Small).
Visco (std)
revention/management: Prevention
Heat sensitive memory foam moulds to the user providing maximum support and
pressure reduction. Suitable for users who are at risk of pressure damage.
160kg (25 stone) weight capacity.
Cushionair Cushion
revention/management: Management
Powered alternating air cushion which, coupled with the memory foam and vapour
permeable fabric of the seat overlay, provides excellent comfort, stability and pressure
relief. 160kg (25 stone) weight capacity.
Drop-in overlay
Chair supplied with 18”x18”x3” cut-out to accept self-supply cushion of similar dimensions.

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Visco and Vapour ermeable fabric on armrests
Visco and Vapour Permeable fabric on armrests for increased comfort and pressure
reduction.
Vapour ermeable fabric on Backrest
Visco and Vapour Permeable fabric on backrest to provide increased comfort and pressure
reduction.
Vapour ermeable fabric on Lateral Support Backrest
Vapour Permeable fabric on backrest to provide increased comfort and pressure
reduction.
2 x Lateral Supports
Lateral Supports to fit underneath the backrest pillows to provide lateral support combined with
the comfort and adjustability of the Multi-adjustable Pillow Backrest.
Dyna-Tek™ Intelligent Air
Risk level: High/very high risk
revention/management: Prevention
The Intelligent Air cushion sets a new standard in innovative seating, delivering superior
‘bespoke’ pressure redistribution without the need for set up or re-pumping air lost over time.
Demonstrating more effective pressure redistribution than the market leading wheelchair
cushion, Intelligent Air incorporates Reactive Airflow technology, a system of air and foam-
filled cells with a patented valve system designed to displace and adjust air in response to
user body weight and movement.
Intelligent Air automatically adjusts to each user so is also ideal for use in multi-user care
environments such as nursing homes or hospital wards.
Dyna- ad® Mercury Advance Alternating Cushion
Risk level: High/very high risk
revention/management: Management
The Dyna-Pad® Mercury Advance Alternating
Cushion is a “High / Very High Risk” dynamic replacement seating system, combined with
the benefits of modern foam technology.
Offering high levels of patient comfort, this unique system has the facility to “step up” to that
of a dynamic cushion when clinically required. Similarly, the cushion‘s function can be
downgraded as the patient’s condition improves. Designed using the latest medical grade
cell technology to create greater postural management and pressure relief, this
product is specifically made for users considered to be at “High / Very High Risk” of pressure
ulcer development and those with minor postural issues.
Direct Healthcare cushions
Direct Healthcare Services cushions are clinically proven to be appropriate
for users who are at high or very high risk of pressure damage.

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Multi-adjustable illow Backrest (std)
ach pillow is height adjustable and the filling can be customised to the
user. Offering mild to moderate postural support, the Multi-adjustable Pillow
Backrest is highly effective for users with a kyphosis or a scoliosis.
osture
P
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Configura®has different options for posture management:
Lateral Support Backrest
The Lateral Support Backrest encourages a midline sitting position and is
suitable for users who require increased lateral support. Users with
neurological conditions (including MS) will benefit from the firm but
comfortable support.
Adjustable Lateral Support System
Flat foam backrest with adjustable Velcro lateral support system.
xcellent for providing more aggressive lateral support and mild positioning.
illow (std)
As per the top pillow on the Multi-adjustable Pillow Backrest.
rofiled Headrest
Suitable for users with reduced head control.
1/4Depth Adjustment
For use with the Lateral Support Backrest to adjust its angle. ither to tilt it backwards or
forwards or from one side to another.

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30mm Arm Height Increase
30mm arm increase in arm height to provide increased arm and elbow support
which can help the user to maintain a good midline sitting position. Not available
with Visco and Vapour Permeable fabric. Standard arm height is 180mm. This
adjustment increases the arm height to 210mm.
Channel Legrest
Provides side support on legrest to reduce abduction.
Identification
ach Configura®has an ID number on the base frame. This number must be quoted on any correspondence
with Accora.
Assessment
An individual assessment of the user’s needs is essential prior to issuing Configura®. Assessment should be
carried out by a competent healthcare professional with in depth knowledge and training on seating
requirements. We also strongly recommend regular product training from Accora to ensure the prescriber is up
to date with the features of the chair. Healthcare professionals should use the Configura®Assessment Form to
help with the assessment.

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Tools Required:
Adjusting the Seat Height
Carefully turn the chair on its side.
Remove the standard feet of the chair. At the front, this is achieved
by simply unscrewing the feet by hand; at the rear a spanner is
needed to undo the feet.
Having removed the standard feet, replace them with the larger
wooden feet which are supplied in the ‘Height Adjustment Kit’ on
the Configura® parts and accessories manual. Make sure both the
feet are tightened securely.
Actions on this page must be carried out by a trained technician
1
2
3

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When the feet are secured, check the chair is on a flat surface
and that the chair sits on all four feet without rocking from side to
side.
levate the legrest.
Remove the overlay from the legrest and from underneath the
seat base and the sides of the cushion.
Remove the legrest upper part which is secured by Velcro and
move it down 2” so the legrest becomes 2” longer.
4
5
6
7
Actions on this page must be carried out by a trained technician

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Re-fit the overlay. First fix the overlay at the bottom part of the
legrest, then the top part of the legrest and then fix it to the seat
base on the Velcro adjustment tabs underneath the seat base
and on the sides of the cushion. nsure the overlay is securely
fixed.
Adjusting the Seat Depth
Remove the bottom two cushions from the backrest.
Attach the ‘Depth Adjustment Kit’ with the Velcro at the top as
shown.
Re-attach the two bottom cushions to the depth adjustment kit on
the Velcro tabs provided. The top cushion fits as normal on the
Velcro tab at the top of the backrest. nsure the cushions are firmly
fixed on the Velcro tabs provided.
8
1
2
3
Actions on this page must be carried out by a trained technician

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Changing the ressure Cushions
Remove bottom cushion.
Remove overlay from the sides of the cushion and underneath the
seat base at the back.
Remove existing cushion.
Fit new cushion fastening it in place using the flap at the front of
the chair.
1
2
3
4
Actions on this page must be carried out by a trained technician

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Actions on this page must be carried out by a trained technician
Set-up of Cushionair cushion:
The Cushionair cushion is a powered alternating air
cushion. Regular alternation of the cell inflation
stimulates blood flow which can help heal skin tissue.
Below is a guide for setting up the Cushionair cushion
for Configura®chairs. Please note that professional
input may be required from a Tissue Viability Nurse or
District Nurse. This guidance should be used in
conjunction with regular monitoring of the user’s
pressure care requirements. A cushion is just one of
many factors influencing the risk of developing
pressure damage.
1) nsure the cushion is fitted to the chair correctly
as per the instructions below (note that there are
two versions of the Cushionair cushion – one with
a cover and one without).
2) nsure the cushion is switched on and that the
green light is showing on the pump.
3) nsure the pipes are channelled through the
back of the chair correctly and that the pump is
in a safe place behind the chair.
4) When the cells have fully inflated, transfer the user
onto the chair.
5) Use the following guidance as an approximation
for the setting on the dial of the pump according
to the approximate user weight:
1 bar approx. 40 kg
2 bars approx. 50 kg
3 bars approx. 60 kg
4 bars approx. 70 kg
5 bars approx. 80 kg
6 bars approx. 90 kg
7 bars approx. 100 kg
8 bars approx. 120 kg
9 bars approx. 140 kg
10 bars approx. 160 kg
Cushion dial:
6) Check with the user that the cushion feels
comfortable. Adjust as necessary until the
maximum comfort level is achieved
7) If the user is unable to provide feedback about
the comfort level, you have to make an informed
decision taking into account the weight levels
above.
NB: please note that the weight guidance in point
5) should only be used as a guide. A user who is tall
and thin would require a different setting to a user
who is shorter but may weigh the same.
small user
medium
user
large user

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Fitting a Cushionair cushion:
Test the pump and cushion to ensure it inflates correctly before use. The weight capacity for the Cushionair
cushion is 25 stone.
Remove lower backrest cushion
Remove overlay from underneath the seat base and from the
sides of the seat cushion
Remove the cushion from the seat base by removing the front flap
Version 1 only (without cover) – insert cushion packer on seat base
1
2
3
4
Actions on this page must be carried out by a trained technician

Version 1 only (without cover) – insert cushion cells on top of
cushion packer (see below ref correct positioning of pipes)
Version 2 only (with cover) – insert Cushionair cushion (see below
ref correct positioning of pipes)
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5
6
Incorrect positioning of cushion pipes:
Correct positioning of cushion pipes:
Actions on this page must be carried out by a trained technician

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Refit overlay – attach Velcro underneath the seat base and to the
sides of the seat cushion
Refit bottom backrest cushion
Connect cushion pipes to pump
7
8
9
Correct positioning of pump behind
the chair:
Actions on this page must be carried out by a trained technician

Cushionair cushion – version 1 (without cover – cushion packer and cells
separate)
Cushionair cushion – version 2 (with cover – cushion packer and cells
inside cover)
Cushion packer
Cushion cells
Pump
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Actions on this page must be carried out by a trained technician

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Fitting a Self Supply Cushion
When fitting a self-supply cushion to a Configura®chair, it is important to consider the size of the cushion you are
intending to fit. Below are the sizes of the seat base on the various Configura®chairs:
Small =18”, D=16”, H=4”
Medium/Medium Low Profile =20”, D=18”, H=4”
Large/Large Low Profile =22”, D=18”, H=4”
If it is not possible to provide a cushion that is exactly the correct size, it is normally acceptable to use a cushion
size that is within 1-2” of the seat base dimensions.
When fitting a self-supply dynamic cushion, remember that most dynamic cushions have a bolster at the front to
reduce the possibility of the user slipping forward. The Configura®chair has an inherent front bolster, so if using a
self-supply cushion with a bolster, the self-supply cushion will fit further back than normal.
There are two ways of fitting a self-supply cushion:
Method 1: Overlay underneath the self-supply cushion
This self-supply cushion fits on top of the overlay so the user is sitting directly on top of the cushion. Try to use a
cushion with dimensions as close as possible to the seat base dimensions.
Method 2: Overlay on top of self-supply cushion
The overlay fits on top of the self-supply cushion in the same way as with the Configura®cushion range. Although
the cushion fits better using this method (as the overlay holds everything together) the overlay may affect the
clinical effectiveness of the alternating therapy.
Remove lower backrest cushion
Remove the overlay from underneath the seat base and from the
sides of the cushion
1
2

Remove the cushion from the seat base by removing the front flap
Method 1 only (overlay underneath seat cushion) - Attach overlay
(with Velcro) to bottom of backrest:
Method 1 only (overlay underneath seat cushion) – Insert self-
supply cushion on seat base:
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3
4
4
5
Actions on this page must be carried out by a trained technician

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Method 2 only (overlay on top of seat cushion) – insert self-supply
cushion
Method 2 only (overlay on top of seat cushion) – Attach overlay
Refit lower backrest cushion
Actions on this page must be carried out by a trained technician
7
8
9

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Changing the Backrest Cushions
Remove the bottom two cushions.
Fit the new backrest ensuring it is firmly secured on the Velcro tabs
provided. This is important when using the depth adjustment kit.
The cushions and depth adjustment kit can be moved up and down on the velcro tabs to accommodate different
postural requirements. Always ensure the cushions are firmly fixed on the velcro tabs before use. Filling can also be
removed from the ‘Multi-adjustable Pillow Backrest’ as described below. Please note that filling should not be
removed from the ‘Lateral Support Backrest.’
When removing the cushions on the Multi-adjustable Pillow Backrest, fold the Velcro flaps on the cushions back onto
the cushions so that filling and dust does not get caught in the velcro. Use caution when using the lateral support
backrest with the dual motor tilt-in-space mechanism as it introduces shear.
1
2
Actions on this page must be carried out by a trained technician