Akces-Med GRAVITY User manual

GRAVITY™
USER MANUAL
STANDER

R
5 903240 632862
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.

GRAVITY
CONTENTS
2. ... .......................5
3. General characteristics of stander.......................................................................................6
3.1 Standard equipment ................................................................................................. 6
4. Size table.................................... ...........................................................................................7
5. Description how to use stander ...........................................................................................8
6. Description how to use stander .........................................................................................17
7. The use of Stander..............................................................................................................18
7.1 Preparation of the patient........................................................................................18
7.2 .................................................................19
7.3 Upright position.......................................................................................................20
8. Safety rules...........................................................................................................................22
9. Maintenance and cleaning..................................................................................................25
1. The purpose of user manual...............……….........................................................................5
Indications for use
How to use stander..................................
.................................................................

INTRODUCTION
GRAVITY ™ is a stable and durable device, enabling the patient to adopt passive
upright position. The device is easy to operate, whereas the system of supports makes
the patient feel safe and confident. Pelvic and chest brace completely adapts to the
patient's body, greatly influences his proper upright standing position. By using a gas
spring you can easily set the patient either in prone or supine standing position.
Additionally, the GRAVITY ™ is equipped with four rotating castors which enable its easy
relocation along with the patient. A variety of design solutions of this device influence
positive development of the patient as well as make it easier to overcome the results from
injury or mobility limitations.
The replacement of the electrical supply system, typically used in this type of
devices, by the swivel mechanism made the device more user-friendly. No need to charge
the battery and control its power level will eliminate a lot of problems and inconveniences
regarding the use of electrical supply. In order to set the patient in upright position, you
only need to release the lever of the gas spring, and then set the device in the desired
position. By using such innovative mechanism supported by the work of the gas spring,
the operation of the device does not require much effort regardless of the patient's
weight. The operator of the standing frame is able in just a few seconds to change the
position of the patient, for example, in the case of his fainting.
Please read the manual carefully. You will find there detailed information about
the product and learn how to effectively and safely use it.
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]
GRAVITY
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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INDICATIONS FOR USE
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.
for proper usage, preparation, maintenance, cleaning and guarantee conditions
regarding GRAVITY™ stander.
User manual should be kept in easily accessible place. It is designed for
people who look after disabled children, and for both doctors as well as
physiotherapists who operate the device.
THE PURPOSE OF USER MANUAL
The present user manual contains basic information which is essential
Remember that complying with guidelines is highly important. It assures safety
and extends durability as well as aesthetics of the device
GRAVITY
CAUTION! Before using the product, user is obliged to
familiarize himself/herself with user manual.
5
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5
4
3
2
1
6
7
1. Headrest with special opening for the face.
2. Backrest / bed.
3. Chest brace.
4. Pelvic brace.
5. Adjustable knee supports.
6. Footrest with footplates and feet stabilizing belts.
7. Frame with castors and brakes.
GRAVITY
GENERAL CHARACTERISTICS OF STANDER
3.1. Standard equipment
6
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3.2.Additional equipment
GVY_135 Hip guide GVY_155 Plateral supports GVY_424 Handsgrips

7
SIZE TABLE
4
GRAVITY
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Size Table
Weight and dimensions of the device
Measurement Unit Size 1
Width [cm] 79
Length [cm] 175
Height [cm] 49
Weight [kg] 63
Symbol Measurement Unit Size 1
ABackrest length in lying position [cm] 200
BBackrest length in standing position [cm] 160
CBackrest width [cm] 55
DBackrest height from the floor in lying position [cm] 51-115
EDistance from the headrest to the platform [cm] 170-190
FFootplates length
[cm] 30
GFootplates spacing
[cm] 16-44
HKnee supports spacing
[cm] 16-42
IChest/Hip support width
[cm] 16-47
JTilting range
[°] 0-84
KHeadrest tilt angle [°] -10-90
LBase width (wheel axis)
[cm] 64
MBase length (wheel axis)
[cm] 133
Maximum user weight
[kg] 120
Indicative user height
[cm] 140-190

8
DESRIPTION HOW TO USE STANDER
5
GRAVITY
PRONE STANDINGSUPINE STANDING
5.1. Operation of the standing frame – GENERAL INDICATIONS
5.1 Height adjustment of the standing
frame
In order to raise the standing frame, you
should turn the crankshaft located
under the headrest until you reach the
desired height.
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9
GRAVITY
5.2. Knee supports and knee pads adjustment
A – Height adjustment knob relative to
the backrest / bed
B – Knee support adjustment knob
lengthwise the backrest / bed
C – Knee support spacing knob
5.3. Footrest
F – In order to adjust the footrest height,
you should pull the pin with knob and
set the desired height. It should be
noted if the pin jumped into the hole
and the footrest is completely blocked.
At the end, tighten the knob.
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fot.2
fot.4
CAUTION!
h . Please do not place the
fingers between the bed and frame during
adjustment.
Pay your attention during the
eight adjustment

GRAVITY
5.4. Footplates
In order to change the footplates
setting, you should loosen the indicated
screw by using the Allen wrench (fig.5).
10
5.5. Chest and pelvic brace
Braces adjustment takes place by use of Velcro straps. Braces should be
additionally secured by clasping the buckle.
CAUTION! Keep in mind that after the each
adjustment, you should tighten the adjustment knobs
and fastenings.
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fot.6fig.8 fot.6fig.9
fot.5
fot.6fot.6 fot.6fot.7

GRAVITY
5.6. Bed mode
In order to prepare the standing frame to
the bed mode, you should:
STEP 1. Fold the footrest, previously
pulling the indicated pin (fig.10).
STEP 2. Disassemble the knee supports
and handgrips. In order to do that,
loosen the A and D knobs (fig.13).
11
After their removing , put their
profiles into a specially prepared
slots under the standing frame bed /
backrest. (fig.14).
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fot.6fot.10
fot.6fot.11 fot.6fot.12
fot.6fot.13
fot.6fot.14

fot.6fot.15 fot.6fot.16
fot.6fot.17
fot.6fot.18 fot.6fot.19
CAUTION! The knee supports
should be put in a way showed in the
picture, so that to not collide with
other standing frame elements
(fot.17).
GRAVITY
12
STEP 3. In the headrest there is a special opening for the face used for the
prone standing or prone lying position.
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GRAVITY
5.7. Supine standing
In order to prepare the standing frame to the
supine standing, you should:
STEP 1. Disassemble the knee supports and
handgrips according to the instruction (see
page 9, 5.2, 5.3);
STEP 2. Set the footplates in the supine
standing mode (fig.20) (adjustment – see page
10, point 5.4);
STEP 3. Lock the wheels;
STEP 4. Put the patient on the back, and then
secure him with the properly adjusted chest and
pelvic brace (see page 10, point 5.5), fasten the
footplates belts (see page 10, point 5.4);
Assemble the knee supports and the handgrips,
make their adjustment (knee supports – see
page 9, point 5.2), (the handgrips see page 17,
point 6.3);
SUPINE STANDING
STEP 6. The caretaker or the person trained to do so can begin the upright
standing position process of the patient.
13
STEP 5. Raise the standing frame backrest /bed to the maximum
height (see page 8, point 5.1).
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In order to set the standing frame into the standing position, pull the pin
securing the lying position and simultaneously release the lever of the gas
spring. When holding the gas spring lever, set the desired position.
fot.6fot.20

GRAVITY
14
CAUTION! It is essential to not let the gas spring
lever to release automatically especially during
the process of upright standing.
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fot.6fot.21 fot.6fot.22
CAUTION!
standing. Please do not place the fingers between
the bed and frame during the process of standing.
Pay your attention during the process of

fot.6fot.23
GRAVITY
5.8. Prone standing
In order to prepare the standing frame to the
prone standing, you should:
STEP 1. Disassemble the knee supports and
handgrips according to the instruction (see page
9, point 5.2, 5.3);
STEP 2. Set the footplates in the prone standing
mode (fig.23) (adjustment – see page 10, point
5.5);
STEP 3. Lock the wheels;
PRONE STANDING
STEP 4. Put the patient in the prone position, and
then secure him with the properly adjusted
chest and pelvic brace, (see page 10, point 5.6),
fasten the footplates belts (see page 10, point
5.5);
15
When you set the standing frame to the desired angle, release the lever which
will lock the gas spring at a selected angle.
STEP 7. To end the process of upright standing, release the gas spring lever once
again and rotate the standing frame to the horizontal position. Make sure that
the standing frame has been completely locked at the horizontal position!
Afterwards, unclip the security belts and remove the patient from the device.
STEP 5. Raise the standing frame backrest /bed to the maximum height
(see page 8, point 5.1).
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STEP 6. Prone upright standing process is the same as in the case of supine
upright standing (look page 13, STEP 6).
STEP 7. Afterwards, set the headrest to the prone standing position . The
headrest can be set at any angle but it is highly recommended to set it parallel to
the ground.
In order to do that, you should release the red lever located behind the backrest
(fig.24). and simultaneously set the desired angle. It will act as a hand support or
table.
GRAVITY
CAUTION! It is essential to not let the gas spring
lever to release automatically especially during
the process of upright standing.
16
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fot.6fot.24 fot.6fot.25 fot.6fot.26
CAUTION!
headrest tilting. Please do not place the
fingers between the headrest and frame
during adjustment.
Pay your attention during the

GRAVITY
17
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ADDITIONAL EQUIPMENT
6
6.1 Hip guide
GVY_135
A – Height adjustment knob relative to
the backrest / bed
B – Hip guide adjustment knob
lengthwise the backrest / bed
C – Hip guide spacing knob
D - Hip guide spacing knob
H – Handgrip adjustment knob
lengthwise the backrest /bed
I – Height adjustment knob relative to
the backrest /bed
fot.4
6.3 Handsgips
GVY_424
D
I
fot.2
H
6.2 Lateral supports
GVY_155
fot.3
F
E
G
E – Height adjustment knob relative to
the backrest / bed
F – Lateral support spacing knob
G – Lateral support adjustment knob
lengthwise the backrest / bed

THE USE OF STANDER
7
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 GRAVITY™ 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.
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!
GRAVITY
18
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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
źadjust the device according to patient's measurements
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
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!
GRAVITY
19
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7.3. Upright position
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!
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! First adjustment of standing frame can be
performed only by someone who is traned.
GRAVITY
20
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