AKCES-MED Ltd ACTIVALL User manual

ACTIVALL
™
USER MANUAL
DYNAMIC STANDING FRAME

R
5 9 0 3 2 4 0 6 3 2 4 7 3
CAUTION! Manufacturer takes responsibility for proper usage
of the device only when the product was purchased from
qualified Akces-Med employee or at specialized medical store!
CAUTION! AKCES-MED Ltd. reserve the right to introduce
technical and trading changes in the content of the instruction
without warning.
Medical product first class according to the Regulation 93/42/EWG of
European Parliament and Council regarding medical products. For this
product the producer issued relevant declaration of conformity.
Akces-Med. Sp. z o.o. Company introduced quality
management system ISO 13485 regarding production, sales
and service. The system is certified by Det Norske Veritas.

ACTIVALL
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CONTENTS
3.1 Standard equipment..................................................................................6
3.2 Additional equipment................................................................................7
4. Size table.................................................................................................................9
5. Description how to assebly standing frame ...................................................10
Description how to use standing frame...........
7. Learning to walk..................................................................................................17
8. Additional equipment.........................................................................................19
9. The use of standing frame.................................................................................31
9.1 Preparation of the patient........................................................................31
9.2 How to use standing frame......................................................................32
9.3 Upright position.........................................................................................33
10. Safety rules.........................................................................................................35
11. Maintenance and cleaning...............................................................................38
1. The Purpose of user manual................................................................................5
2. Indications for use.................................................................................................5
3. General characteristics of standing frame.........................................................6
6. .................................................13

INTRODUCTION
As far as this standing frame is concerned, it is highly beneficial to the
process of daily rehabilitation which takes place not only in hospitals and
rehabilitation wards but also in patient's house. This device enables the patient
to stand and walk.
Moreover, children are able to take first steps and adults can either keep
or regain fitness. Both light and stable frame is helpful in independent
relocation in this device with slight involvement of the patient. The correct
adjustment of braces makes the patient feel secure as well as comfortable
during performing activities. Furthermore, this product may be used by patients
in different age groups due to a vast array of sizes. This device plays a significant
role because of the fact that patient has the possibility of gaining new
experience and, more to the point, being independent as far as possible.
Remember to read this user manual carefully. You will find not only
useful information but also guidelines regarding safe and effective use of the
product.
If you have any questions or remarks, do not hesitate to contact with us:
Medical consultant: mobile [phone]
Akces-MED Sp. z o.o.: ph. [phone]
e-mail:
Thank you for purchasing our product.
[e-mail]
CAUTION! Before using the product, user is obliged to
familiarize himself/herself with user manual. Remember
that complying with guidelines is highly important. It assures
safety and extends durability as well as aesthetics of the
device.
ACTIVALL
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5
THE PURPOSE OF USER MANUAL
The present user manual contains basic information which is essential
for proper usage, preparation, maintenance, cleaning and guarantee conditions
ACTIVALL™ dynamic standing frame.
User manual should be kept in easily accessible place. It is designed for
people who look after the disabled , and for both doctors as well as
physiotherapists who operate the device.
Remember that complying with guidelines is highly important. It assures safety
and extends durability as well as aesthetics of the device.
The device is recommended for people in the following cases:
nDegeneration conditions.
nBrain and spinal cord disorders with paraplegia, hemiplegia, balance and motor
coordination disorders.
nDemyelinating disease (e.g. multiple sclerosis – SM).
nMeningocele.
nMuscles diseases with weakness and paralysis (dystrophy, myasthenia gravis,
myositis).
nGenetic disorders.
nDegeneration and metabolic disorders.
nAfter head and spinal cord injuries and spine trauma with paralysis and paresis
with paraplegia, especially in quadriplegia condition (as a stage of rehabilitation
process or permanent orthopedic support).
nCerebral palsy – various types and forms.
INDICATIONS FOR USE
CAUTION! Before using the product, user is obliged to
familiarize himself/herself with user manual.
ACTIVALL
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1.Frame with castors equipped with brakes (2 back castors with friction brake)
2. Lower limbs separator
3. Adjustable pelvic support
4. Adjustable chest support
5. Pelvic harness
6
1
2
5
3
4
3.1. Standard equipment
ACTIVALL
GENERAL CHARACTERISTICS OF STANDING FRAME
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3.2. Additional equipment
Hip supporting harness
Forearm supports (2 pcs)
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ACTIVALL
Belt for moving the patients
AM-P
Tango wheels (75 mm / 125 mm)
Castors with fixed direction of
movement
Castors with blockade of reverse
movement
Narrowing pad for chest support Narrowing pad for hip support Lower limbs separator
Lower limbs stabilizer
Lower limb immobilizer
AM-TUD-KD
Lower limb immobilizer with kneecap
protection AM-TUD-KD-02
Universal knee immobilizer
AM-TUD-KD-03
Post-operative knee brace with
polycentric 20° rom adjustment and
kneecap support AM-KD-AM/2R-02
Lower limb extension immobilizer
OKD-03
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AVL_002 AVL_011 AVL_010
AVL_015
AVL_016
AVL_112 AVL_141
AVL_142 AVL_143 AVL_145
AVL_144 AVL_201 AVL_202
AVL_203 AVL_204 AVL_205

ACTIVALL
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Lower limb in 10° flexion
immobilizer OKD-03/10
Lower limb in 20° flexion
immobilizer OKD-03/20
Universal knee immobilizer
OKD-01
Lower limb brace with polycentric
20° rom adjustment OKD-02
Post operative knee brace with
polycentric 20° rom adjustment
AM-KD-AM/2R
Post operative knee brace with
15° rom adjustment AM-KD-
AM/1R
Foot-drop brace with frontal
plate equalization AM-ASS-OS
Kafo brace for lower limb with splints
2r and dynamic foot made of carbon
fibre AM-KDS-AM/2R
Knee and hip orthosis with rom
adjustment OKD-14
The lower limb brace
OKD-13
AVL_218 Dynamic lower limb
brace raising the leg OKD-10
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AVL_206 AVL_207 AVL_208
AVL_209 AVL_210 AVL_211
AVL_212 AVL_213 AVL_216
AVL_217 AVL_218 AVL_145
CROSS Module

4
ACTIVALL
Symbol Measurement Unit Size 1 Size 2 Size 3 Size 4 Size 5
Apelvic support width [cm] 26 28 31 37 42
Bpelvic support depth* [cm] 22 25 27 29 35
Cpelvic support height [cm] 44-60 66-82 77-102 85-112 98-120
pelvic support circuit [cm] 87 97 106 124 144
A1 chest support width [cm] 26 28 31 37 42
B1 chest support depth [cm] 22 25 27 29 35
C1 chest support height [cm] 52-70 77-95 89-116 92-126 108-143
maximum user weight [kg] 25 40 60 80 95
Weight and dimensions of the device Unit
width [cm] 59 60 63 66 74
length [cm] 73 84 84 91 98
height [cm] 54 79 90 96 112
weight [kg] 13,5 16,5 18 20,5 23
*pelvic Measured without harness
Note: Dimensional tolerance in the table is: +1/-1 cm.
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SIZE TABLE
Size 1 Size 2 Size 3 Size 4 Size 5
A1
A
B1
B
C
C1

LIST OF ELEMENTS:
3) Frame with lower limbs separator 4) Columns (2pcs.)
5
ACTIVALL
1) Chest brace 2) Pelvic brace
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DESCRIPTION HOW TO ASSEMBLY STANDING FRAME
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To assemble ACTIVAL™ you should:
STEP 1. Attach the columns (4) to the standing frame's base (3). Columns should
be fastened to the base in place of two holes by use of attached screws.
ACTIVALL
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STEP 2. Attach the pelvic support (2) to
the base (3). In order to do that, insert
the pelvic brace brackets into the first
frame of the base.

CAUTION! After assemble of
the pelvic support and adjusting
it at the desired height be sure
to tighten the knobs!
ACTIVALL
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STEP 3. Attach the chest support (1) to the
base (3). In order to do that, insert the
chest support brackets into the second
frame of the base.
CAUTION! After assembling of
t h e c h e s t s u p p o r t a n d
adjusting it at the desired
height be sure to tighten the
knobs!

CAUTION! The adjustment of standing frame to the patient
should be always made by suitably trained staff. Suitably
trained persons have to assist patient while doing exercises.
.
Before use of you should block the wheels' brakes and
unlock pelvic support and chest support Not blocking the wheels of standing
frame can cause its shifting while uprising, which results in patient's fall,
breakage or body's injury. During coming into standig frame or getting out of it
you mustn't rest on rear clamping-rings' locks whilethey are being opened. The
attempts of overloading the opened locks of clamping-ring can cause a fall of
device or deformation which results in incorrect functioning of fastener lock.
standing frame
6.1.1. In order to adjust the height of the
chest support, you should loosen the knobs
and set the desired height. Afterwards
tighten the knobs.
6.1. Chest Support
6
ACTIVALL
DESCRIPTION HOW TO USE STANDING FRAME
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Height of chest support depends on patient's control over his
chest. If control is good, patient keeps upright position, it does
not require his big effort and patient feels safe, the clamping-
ring can be fixed below. Nevertheless, in such case a walking
process should begin with fixing the clamping-ring under one's
arm and then you can gradually level down. To regulate the
height of chest support use knobs A.
6.2. Pelvic Support
6.2.1 In order to adjust the height of the
pelvic support, you should loosen the
knobs and set the desired height.
Afterwards tighten the knobs.
ACTIVALL
6.2.2 Pelvic support can be adjusted
horizontally. In order to change the pelvic
support depth, you should unscrew the
knobs placed located under the support
and set the desired position (so that the
holes on the frames overlap). Afterwards
tighten the knobs.
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Pelvic support
pelvic
support
should be fixed at the level of trochanter of lower
limbs. After fixing height you must regulate position of
(regulation forward and backward) The proper position
of trunk and pelvis depends on precise adjusting. The ideal
position is one line of arms, trunk and hips.
.
CAUTION! While regulating the height of the
and chest you cannot exceed the double lines on
cantilever.
pelvic support
support
ACTIVALL
6.3. Pelvic Harness
Pelvic harness protects the patient from
falling out of the device. In order to
attach it to the pelvic support, fasten the
harness buckle on the pelvic support.
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CAUTION!
CAUTION!
!
While buttoning buckles please place your
attention on characteristicsound "CLICK" which informs
about correct fastening.
Pelvis' harness cannot be treated as a seat, it
serves as a protection from the fall only in case of
faintness
Straight position is safe and comfortable. While standing in this
position patient is being adapted to the vertical position as well as
sense of equilibrium, internal organs, circulation system are
being adopted to the new conditions and to bigger load. Patient
can stand in straight position quite long time, can simultaneously
do exercises or simple everyday-life activities etc. The device is
safe and will remain solid and stable even if patent loses his
consciousness
ACTIVALL
6.4. Castors with friction brake
Using the castors with friction brake enables
patient to fit the speed of moving in
ACTIVALL™. It is of importance during the first
exercises in dynamic standing frame. Knob A
regulates strength of stress of a metal strip
which brake the rotating castors. While first
steps in ACTIVALL™ it is recommended to use
friction brakein order to move slower. When
patient gets more confidence, the resistance of
break can be reduced. Knob A
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LEARNING TO WALK
If the patient feels well you can unblock the brakes and start practicing. If the
patient feels well you can unblock the brakes and start practicing. While using
off-road version you should check if swapped chassis is suitable matched and
fastened. Also check the brakes and their assembly.
By shoving the trunk and pelvis ahead, with both hands on handles (handles are
additionally protected from sliding of hands and coated with washable spongy
material) or on supports (ADDITIONAL EQUIPMENT). Then the equilibrium point
will Shift forward, which stimulate walking process. This position should not be
forced, because then can bring about the opposite effect.
The first steps should be done forward and then backward and finally to diverse
directions.
While walking, firstly normal steps should be done and then fester or slower
steps.
We recommend to use special paths in order to help in orientation for both
courageous and not courageous type of patients.
After practicing in verticalizer ACTIVALL™ patient must return safely on
wheelchair, chair, armchair, bed etc.
7
ACTIVALL
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CAUTION!
.
!
Patient cannot leave standing frame
independently Therapist is obliged to patient's
insurance at side or at the back
You should pay your special attention to
block the wheels of wheelchair and protect the chair or
armchair before patient is going to seat on it. Backing off
of the seat can cause patient's fall or injuries.
CAUTION!
CAUTION! Construction assumptions involve
operation of the standing frame on a smooth ground. It
is forbidden to overcome obstacles like thresholds or
other when the standing frame is loaded. Failure to
above recommendations may lead to feet separator
damage (separator detachment or roller deflection).
Damage caused by improper operation are not subject
to warranty repair.
ACTIVALL
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8
8.1. Castors with blockade of reverse movement
Using the
movement is of great importance while first
steps in the dynamic standing frame.
Screwing tight the knob A blocks a bend of
castors and patient can move forward only.
castors with blockade of reverse
Knob A
8.2. Castors with blockade of reverse movement
Using of castors with blockade of reverse
movement is very usefull in learn walking
when patients are start to walk. To unblock
blockade please lift up a holdfast and push
metal rim under the holdfast (fig 2 and 3). To
block againg stick out a metal rim from
under the holdfast (fig 1). metal rim
holdfast
FIG. 1
Blockade
Off
Blockade On
Blockade
Off
FIG. 2 FIG 3
ACTIVALL
ADDITIONAL EQUIPMENT
AVL_011
AVL_010
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8.3. Forearm supports
8.4. Lower limbs separator
Lower limbs separator prevents crossing of
the legs during using of the dynamic
function of the device.
Perfect for people with limited control of the
upper body, provide additional side support.
You can order 1 or 2 pieces.
ACTIVALL
8.5. Lower limbs stabilizer
Lower limbs stabilizer converts the standing
frame into fully functional static version.
Knee supports can be adjusted to the user's
height.
8.6. Belt for moving the patients AM-P
Durable and ergonomic design greatly
facilitates daily care of the patient. Belt has
three comfortable and sturdy handles and
strong plastic buckle.
AVL_012
AVL_145
AVL_144
AVL_002
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