Akces-Med CAT I User manual

STANDER
™
USER MANUAL

5 9 0 3 2 4 0 6 3 2 4 2 8
R
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.

CONTENT
1. The purpose of use...........................……….........................................................................5
2. Indications for use..............................................................................................................5
4. .................................................................................................................................7
5. ........………….......................................8
5.1 Adjustment of the height of trunk stabilization and pelottes................................8
5.2 Adjustment of the pelottes.....................................................................................9
5.3 Adjustment of the stabilizing belts............................................…………………….10
5.4 Adjustment of thigh abduction wedge..................................................................11
5.5 Adjustment of foot stabilizer....................................……........………………………....11
5.6 Adjustment of tilt angle.……...................................................................................12
5.7 Adjustment of table and pillow assembly...............................................................13
6. …… …….......................................14
6.1 ... .................................................................14
6.2 ... .............................................................................14
6.3 ……......….........…………..........………………………….14
How to use stander..................................
3. General characteristics of stander......................................................................................6
3.1 Standard equipment ................................................................................................. 6
3.2 Additional equipment ................................................................................................. 6
Size table
Detailed description how to use stander..................
Additional equipment................................... ..................
Head supporting belt ....................
Table for manual therapy .....
Presser foot with adjustment
7. The use of Stander.............................................................................................................15
7.1 Preparation of the patient........................................................................................15
7.2 .................................................................16
7.3 Upright position.......................................................................................................17
8. Safety rules...........................................................................................................................19
9. Maintenance and cleaning .......................................................................................22
10. Labelling.............................................................................................................................24
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INTRODUCTION
Stander CAT I™ was created for little patients with disorders which
hinder or make it impossible for them to adopt an upright position single-
handedly ( with trunk or lower limbs paresis and tetraparesis of different
origin). A wide range of adjustment in this device enables children with different
dysfunctions of locomotor system to adopt an upright position. This device is
user-friendly because of colourful upholstery which stimulates the sense of
sight and touch. Moreover, the manufacturer used wood , a natural material,
whose pattern and colouring are well-known for children.
Please read the instruction carefully. You will find the information about
our product and you will find out how to use it effectively and safely.
If you have any questions or comments, please contact the medical
consultant of our company (ph. 516 183 883) or contact directly with our office:
(017) 864 04 70. Thanks for confidence and buying our product.
The manual contains basic information which is essential for correct
using of this device such as: the preparation of standing frame for work,
guarantee conditions and the way of maintenance as well as cleaning. This
handbook ought to be kept in an accessible place. The manual is designed for
people who take care of disabled children as well as for doctors and
physiotherapist operating that device.
Please, remember that complying with guidelines included in this manual will
make it possible to use this device safely. Furthermore, it will prolong its
durability and aesthetic.
CAUTION!
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.
Before using the product, user is obliged to
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The present manual contains basic information which is essential for
correct using of the stander CAT I™ . Thanks to this manual we will get to know
with guarantee conditions and we will find out how to prepare, clean and
maintain the device.
This handbook ought to be kept in an accessible place. The manual is
designed for people who take care of disabled children as well as for doctors
and physiotherapist operating that device.
Remember that complying with guidelines is highly important. It assures safety
and extends durability as well as aesthetics of the device.
CAUTION! The user is obliged to get to know with the content
of this manual before the use of the stander CAT I™.
INDICATIONS FOR USE
5
The device is recommended for people in the following cases:
nCerebral palsy – various types and forms.
nBrain and spinal cord injuries with lower limbs paralysis and weakness,
balance and motor coordination disorders with different etiology.
nDemyelinating disease (e.g. multiple sclerosis - SM).
nMeningocele.
nMuscles diseases with weakness and paralysis (dystrophy, myasthenia
gravis, myositis).
nGenetic disorders.
nDegeneration and neurological diseases.
nOther condition connected with muscles weakness, paralysis and
musculoskeletal disorders.
nAfter head and spinal cord injuries and spine trauma with paralysis and
paresis.
THE PURPOSE OF USER
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1. Frame with castors equipped with brakes
2. Foot stabilizer
3. Pelvic pelottes with belt stabilizing hips
4. Chest pelottes with belt stabilizing chest
5. Thigh abduction wedge.
6. Tray
7. Soft cover for tray
8. Gas spring
5
2
3
4
7
6
6
3.1. Standard equipment
GENERAL CHARACTERISTICS OF STANDER
3.2. Additional equipment
KTK_103 3D foot adjustment
KTK_425 Tray with bowl
KTK_401 Tray for manual
therapy
KTK_427 Tango wheel
KTK_102 Head supporting belt
Stabilization Comfort
8
9
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4
Symbol Unit Size 1
APelvic supports spacing [cm] 12-23
BPelvic supports depth [cm] 12
CPelvic supports height adjustment [cm] 39-60
A1 Chest supports spacing [cm] 12-21
B1 Chest supports depth [cm] 12
C1 Chest supports height adjustment [cm] 50-72
Footplate length [cm] 17
EStanding frame tilt angle [°] 25-85
Maximum user weight [kg] 25
Unit Size 1
Width [cm] 54
Length [cm] 100
Height [cm] 73
Weight [kg] 17
UWAGA: Tolerancja wymiarów zawartych w tabeli wynosi +/- 1 cm.
C
C1
A
A
1
B1
B
EE
7
SIZE TABLE
Measurement
Weight and dimensions of the device
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5.1 Adjustment of the height of trunk stabilization and pelottes
In order to adjust the height of trunk stabilization it is necessary to:
źloosen 4 fastening knobs,
źadjust the height according to the measurements of the patient which
were taken with the standing frame,
źwhen we obtain the suitable height we should screw knobs.
Next, it is essential to adjust pelvic pelottes:
źloosen two blocking knobs,
źadjust the suitable position of pelottes, move pelottes up or down,
źscrew knobs.
8
DESRIPTION HOW TO USE STANDER
5
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5.2 Adjustment of the pelottes
In order to adjust pelottes it is necessary to:
źloosen knobs which fasten chest pelottes (1) pelvic pelottes (2),
źadjust pelottes according to measurement of the patient,
źscrew knobs.
12
9
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5.3 Adjustment of the stabilizing belts
In order to adjust the stabilizing belts it is necessary to :
źunfasten snap clips from a supporting belt
źtailor the length of the main belt to the patient with the use of Velcro
situated on the pelottes,
źafter obtaining the correct length of the main belt it is necessary to use
snap clip as well as adjust the length of the supporting belts.
Pull the belt in order to check if:
źthe clips do not unfasten because of pressure force,
źthe clips do not move over the belt because of incorrect assembly.
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5.4 Adjustment of thigh abduction wedge
In order to adjust the wedge it is necessary to:
źloosen fastening knob,
źmove the wedge up or down till we obtain the correct alignment,
źafter obtaining the correct alignment, we should screw the knob.
5.5 Adjustment of foot stabilizer
In order to adjust the foot stabilizer it is necessary to:
źloose set screw knob
źmove presser foot till we obtain an appropriate position,
źafter obtaining the correct position of presser foot, we should screw the
knobs
11
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6.6 Adjustment of tilt angle
In order to obtain desired tilt angle it is advisable to:
źmove lever which protects a servo-motor,
źlower or lift trunk stabilizer in order to obtain a proper tilt angle
źafter obtaining a proper tilt angle, we should protect a servo-motor by
lowering a lever.
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5.7 Adjustment of table and pillow assembly
In order to adjust a table gradient it is necessary to:
źloose all set screw knobs
źlower or lift a table until we will obtain a proper angle,
źscrew knobs.
An angle should be adapted to :
źtilt angle of a standing frame
źthe way in which children's hands are placed
Hands should lie freely on the table, it makes it possible for a child to perform
different manual actions. It is recommended to leave a pillow for children who:
źhave uncontrolled pressure force from upper limbs towards a table,
źhave problems with controlling limbs atheotosis.
Pillow should be assembled by putting three belts into slots which are
situated on the edge of a table. After we should fasten a pillow to the second side
of a top by using Velcro.
13
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6.1. Head supporting belt
6.2.
In order to assemble head supporting belt it is
necessary to:
źpull a bowl out of equipment,
źleave unsecured slot in a table which is
designed for a child's head,
źloose set screw knobs in a table,
źplace a table in order that it stabilizes
head from the front,
źscrew set screw knobs in a table,
źfasten head supporting belts and tailor
their length to a child.
Tray for manual therapy
In order to assemble a table for manual
therapy it is necessary to:
źput a therapeutic table on the standing
frame table in order that its side edge
would rest against a band.
6.3. 3D foot adjustment
In order to assemble presser foot with
adjustment it is necessary to:
źdismantle standard presser foot,
źdismantle presser foot with adjustment
in the same places
14
ADDITIONAL EQUIPMENT
6
KTK_102
KTK_401
KTK_103
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7.1. Preparation of the patient
Before using the product, it is essential to make sure that:
· patient's outfit is light and comfortable sporty clothes are advisable,
· shoes should be comfortable and, moreover, they should stabilize
ankle,
· due to hygienic reason and to avoid abrasion it is advisable for the
patient to always wear clothes when using the device, skin must not be
naked especially in places of regular contact with upholstery,
· drains, bags, catheters etc. if applied, have to be secured to function
properly and not to disturb during using the product,
· if it is necessary for a patient to wear orthopedic supply (collar, corset,
orthesis, shoes) if it is recommended by doctor.
CAUTION! Stander CAT I™ has to be used with compliance to
guidelines included in this user manual. Remember to use the
product only with someone who is trained and
knowledgeable.
15
CAUTION! Outfit should protect patient's skin from direct
contact with upholstery as well as other parts of equipment.
CAUTION! Only doctor can make a decision concerning
using any kind of orthopedic supply!
9 THE USE OF STANDER 7
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7.2.
1. Before use it is necessary to:
źunfold the device;
źplace the device on even ground in a way that it is easy to reach standing
frame and person who sits inside; remember to keep standing frame
away from fire and high temperature
źmake sure that all parts are serviceable, correctly mounted and stable
źcheck castors and brakes
źlock brakes
2. Adjust the device according to patient's measurements
3. Release actuator's lever so as to adjust trunk support
4. Unfasten chest and pelvic belt, footer belts so as to easily place the patient
in the device.
Equipment works correctly only when the device is adjusted
according to patient's height as well as weight. Remember to take
all these measurements into account while purchasing the
product. Correct adjustment is the most important due to the
fact that only then the product is safe. It is forbidden to force
child to keep specific position because he/she will feel
uncomfortable and it may lead to wrong posture.
How to use stander
16
CAUTION! First adjustment of standing frame can be
performed only by someone who is traned. Further
adjustment is performed by patient's relatives who had
proper training concerning the usage as well as adjustment
of this device. Remember that correct adjustment is essential
due to the fact that the product is safe and, moreover, the
rehabilitation process is proceeding correctly.
CAUTION! Remember to make sure that all belts and locking
are correctly adjusted and fastened. Check also if fastenings
from adjustable elements are firmly tightened.
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8.3. Upright position
It is necessary to:
1. Prepare a place for upright standing. It is important to choose a room without
any dangers (such as: strewn toys or other objects)
2. Move a standing frame closer to a place in which the patient is situated.
3. Block castors from a standing frame, wheel chair or other device in which the
patient is sitting.
4. Move the patient and place him in a standing frame. We ought to make sure
that all alignments are preserved. Implement corrections if necessary.
5. Fasten belts stabilizing chest, hips and foot.
6. Make sure that all belts and precautions were correctly adjusted and
fastened.
7. When we stabilize the patient's body we should unblock the lever which
protects a servo-motor. It is important to talk as well as have an eye contact
with the patient during that action. After, we slowly place the patient in the
direction of upright position. When we obtain a proper tilt angle, it is
necessary to block the device by releasing the lever in order that a servo-
motor will be blocked.
CAUTION!
The length of time for upright position process is different for each patient. It is
recommended to extend this time during the initial period (adaption period for
the change of position). Either doctor or physiotherapist can make decision
concerning the length of upright position process. Upright position process has
to be always performed under the supervision of trained person!
It is recommended to divert patient's attention during upright position process by:
- manipulation games
- educational games
- touch stimulation and others
CAUTION! It is highly important to adjust the device to the
patient before using it!
17
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The ending of upright position
1. It is essential to prepare a place in which the patient will be taken out from
a standing place. It is important to choose a room without any dangers.
2. Move a standing frame closer to a place in which the patient will be
moved.
3. Block castors from a standing frame, orthopaedic bed or other device in
which the patient will be situated.
4. When we stabilize the patient's body we should unblock the lever which
protects a servo-motor. It is important to talk as well as have an eye
contact with the patient during that action. After, we slowly place the
patient in the direction of gradient. When we obtain a proper tilt angle, it is
necessary to block the device by releasing the lever in order that a servo-
motor will be blocked.
5. Unfasten belts which stabilize foot, hips and chest.
6. Make sure that all belts and precautions do not block the patient.
7. Move the patient and place him on a prepared device.
CAUTION! Make sure that all belts as well as fastenings
from adjustable elements are correctly adjusted and
fastened.
CAUTION! It is forbidden to leave the patient unattended!
CAUTION! Incorrect adjustment of the device can lead to
side effects such as: fainting, body deformities, overloading
joints. It is highly advisable to adjust the device before every
use of a standing frame. This adjustment has to be done
only by a trained person or therapist. If any of these side
effects appear, it is highly important to stop the upright
position process, take out the patient from the device and
lie him/her down. If these undesirable side-effects still
occur it is necessary to contact doctor. If these side effects
disappeared, remember to inform doctor so as to make
decision concerning further upright position process.
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It is highly important to consult either doctor or physiotherapist in order
to make right decision concerning the choice of CAT I™ and its size. It is also
essential to familiarize with the guidelines described in user manual before
using the device.
1. Before use it is necessary to:
· make sure that there are no damages or different faults which could
endanger patient's life; check if all parts are working and are correctly
mounted and, moreover, check if they are not broken;
· check if all screws, knobs and all glued, sewed or tapped parts are
tightened;
· check if brakes are operating correctly;
· check if buckles are operating correctly;
· always use safety belts, Velcro tapes should overlap min. 8cm;
· adjust the device according to patient's measurements and needs e.g. the
adjustment of pelottes , footplate etc.;
· make sure that all movable parts and knobs for adjustments are stable and
locked;
· secure patient with the aid of elements such as vest, foot stabilizing belts,
pelottes, abduction block, headrest. It is highly important to secure patient
because it safeguards him/her from falling out. If abduction contracture
occurs, it is recommended to use abduction block in order to prevent
ulcers between knees.
19
SAFETY RULES
8
CAUTION! Stander CAT I™ has to be used in compliance
with guidelines in this user manual.
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2. It is forbidden to use the device for different purposes that it is intended to.
3. It is forbidden to use the device when it is damaged or any part is missing.
4. It is forbidden to leave the patient unattended.
5. The device should be used only when there is someone who is trained and
knowledgeable.
6. It is forbidden to leave the device and the patient on unstable ground
unattended, even if the brake is engaged.
7. It is forbidden to either go up or down the stairs; it doesn't matter if the patient
is placed in the device or not.
8. It is important to engage brake during getting into and getting out the device.
9.Make sure that all limbs are not close to spokes or other adjustable elements.
10.Although the device and the upholstery are made of fire-resistant materials,
please pay your attention when approaching to sources of fire or sources of
high temperature during using the device. Moreover, device shouldn't be
stored in rooms with high humidity.
11. Secure the device during transportation in order to avoid any possible
damages. Manufacturer doesn't take responsibility for damages which
appeared due to improper preparation of the device during transportation.
20
CAUTION! This device can be only used inside the buildings.
CAUTION! The device contains small parts which children
may swallow.
CAUTION! It is forbidden to make any changes concerning
device's structure due to the fact that it is dangerous and it
results in loosing warranty.
CAUTION! The weight of user should not be bigger than
maximal weight described on page 7 where you will find
information regarding this issue.
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