Akces-Med LIFTER User manual

STANDING FRAME
™
USER MANUAL

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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.

LIFTER
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CONTENTS
1. The purpose of instruction manual...................................................................................5
2. Indications for use..............................................................................................................5
3. General characteristics of Smart static standing frame.............................................6
3.1. Standard equipment..................................................................................................6
4. Size table... ...........................................................................................................................7
5. Desription how to use standing frame...........................................................................8
6. The use of standing frame..............................................................................................9
6.1 The preparation of patient...................................................................................9
6.2 How to use LIFTER................................................................................................10
6.3 Upright position.....................................................................................................11
7. Safety rules..........................................................................................................................13
8. Maintenance and cleaning...............................................................................................15

Daily patient's upright standing is a vital element of the process of
rehabilitation and it has a positive influence on mental state of disabled person.
Static standing frame LIFTER™ is a modern rehabilitation device
recommended to use during the process of prolonged rehabilitation for patients
with serious paraparesis and paraplegia as well as tetraplegia. The adoption of
standing position is a vital element of daily rehabilitation, especially at home
conditions. Technical solutions applied in this device make it possible for
disabled person to adopt and keep an upright position single-handedly.
Furthermore, it has a significant influence on patient's mental state due to
increasing of his independence and decreasing of dependence on environment.
It goes without saying that it helps him to perform activities which were
impossible earlier ( opening the window, removing the book from a shelf etc.) In
brief, it improves the quality and comfort of life.
Stability of the whole construction that gives sense of security, ease of
regulation that makes it possible to tailor person to the correct upright position,
simplicity of control – there are another advantages of our product.
Please read the instruction carefully. You will find information about our
product and you will find out about how to use it effectively and safely.
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: [email protected]
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.
: www.akces-med.com '[phone] *e[email protected]
INTRODUCTION
LIFTER

LIFTER
The present user manual contains basic information which is essential
for proper usage, preparation, maintenance, cleaning and guarantee conditions
LIFTER™ static 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.
5
THE PURPOSE OF USER MANUAL
SEINDICATIONS FOR U
CAUTION! Before using the product, user is obliged to
familiarize himself/herself with user manual.
: www.akces-med.com '[phone] *e[email protected]
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.

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GENERAL CHARACTERISTICS OF STANDING FRAME
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1. Handset
2. Hand grip
3. Electric actuator
4. Footplate with foot stabilization
5. Tray
6. Adjustable knee support
7. Battery with controller
8. Frame with castors and brakes
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LIFTER
SIZE TABLE
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Symbol Measurement Unit Size 1
G Knee supports width [cm] 21-41
H Knee supports height [cm] 24-60
I Height of seat (from the ground) [cm] min. 36
J Height of tray (from the foot-
plate)
[cm] 97-124
Max user weight [kg] 120
Product dimensions and weight Size 1
Width [cm] 66
Lenght [cm] 105
Height [cm] 110
Weight [kg] 43
Note: Measurement tolerance range is +/- 1 cm / ½ in.

THE STAGES OF UPRIGHT STANDING
DESRIPTION HOW TO USE STANDING FRAME
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THE USE OF STANDING FRAME
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6.1. 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.
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CAUTION! LIFTER™ 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. Do not forget to prepare both product as well
as patient before using LIFTER™!
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!
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6.2. How to use LIFTER
1. Before use it is necessary to:
· Unfold the device;
· Place the device on even ground;
· Make sure that all parts are serviceable, correctly mounted and stable;
· Block brakes;
· Adjust the device to patient's measurements;
· Undo vest, trunk belts etc so as to place easily the patient is the device;
· Place patient in the device;
· Fasten all elements which stabilize patient e.g. vest, trunk belts, feet
stabilizing belts etc.;
· Mount additional equipment e.g. tray.
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.
CAUTION! Remember to makes sure that all belts and
locking and correctly adjusted and fastened. Check also if
fastenings from adjustable elements are firmly tightened.
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LIFTER
6.3. 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! Only trained staff can adjust standing frame to
the patient!
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LIFTER
CAUTION! As far as first upright standing is concerned, it
takes place in rehabilitation, neurosurgery or orthopedics
wards. Moreover, it has to be performed together with doctor
and physiotherapist due to the fact that medical problems
may appear during first treatments such as fainting, drop in
blood pressure, dizziness etc. Upright standing is continued
in home together with trained staff (rehabilitation technician,
district nurse, trained family members).
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 LIFTER™ 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.
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.
CAUTION! Static standing frame LIFTER™ has to be used in
compliance with guidelines in this user manual.
SAFETY RULES
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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.
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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1) AKCES-MED Sp. z. o. o sells products free from manufacturing defects or faults.
2) Manufacturer gives the purchaser 24-month guarantee from the date of purchase. All
defects revealed during warranty period will be repaired free of charge.
3) All defects which appear after warranty period can be repaired only when the user will
pay for it. This rule doesn't apply to refunded products - user can ask National Health
Refund for refund.
4) Manufacturer claims that the product can be used for 48 months. User can use this
product after this period only when he/she will send the device to manufacturer so as
to service it. Next, manufacturer determines again how long the product can be used
and, moreover, the date of the next service will be determined.
5) If product is damaged, please contact our dealer or AKCES-MED customer service (ph.
17/864 04 77)
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LIFTER™ should be kept clean and used in compliance with the
manufacturer's recommendations. The device should be kept in clean, dry and
ventilated room. Maintenance as well as cleaning have to be performed at least
once a month. Regular cleaning and maintenance of device are indispensable to
maintain its correct functionality as well as safety.
It is highly advisable to remember about proper maintenance in order to
extend product's aesthetics. So as to do that, it is essential to comply with these
guidelines:
1. It is recommended to clean upholstery with the aid of cleaning product, soft
sponge and warm water. If you use sponge which is too wet, stain may get
bigger, upholstery may be destroyed. It is necessary to remember that the
excess of dampness should be removed from fabric before next cleaning.
Please rinse upholstery with warm water and clean white cloth once stain is
removed.
2. It is forbidden to soak upholstery!
3. It is forbidden to clean upholstery with the aid of hard brushes.
4. It is forbidden to clean upholstery with strong chemical agents such as
solvent or caustic chemicals.
5. It is forbidden to soak upholstery during cleaning. Remember that upholstery
has to be always dry before using.
6. It is forbidden to clean, make any changes and maintain stroller during using
it.
7. All metal as well as plastic elements should be cleaned by hand with the aid of
general cleaning products. Remember to familiarize yourself with cleaning
product's leaflet.
MAINTENANCE AND CLEANING
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CAUTION! Akces-MED. Sp z o. o takes no responsibility
for damages caused by use of wrong clearing agent.
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Before using it is necessary to:
clean wheels;
check if base as well as wheels are correctly mounted; check if
brake stops turning wheel
make sure that all wooden parts e.g. tray don't have splinters
check if stroller construction is free of breaks or any kinds of
deformities;
check if all movable parts are working and all screws, nuts, knobs
etc. are correctly tightened
check if belts, vests, trunk belts, feet stabilizing belts etc are not
frayed; check if buckles and clamps work correctly
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CAUTION! Remember that upholstery has to be always dry
before using!
CAUTION! Manufacturer takes responsibility only for
hidden faults or damages which appeared despite the fact
that user complied with the guidelines.
CAUTION! In case of any damages, it is essential to contact
the person who sold you the product.
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According to art.22, par. 1 and 2 of the Act about used-up
electrical and electronic equipment ( Journal of Laws No. 180
item 1495), placing, discarding and storing up is not allowed
with other waste products.
Dangerous compounds included in electrical and electronic equipment
demonstrate disadvantageous affecting plants, microorganisms and
human.
Used-up equipment should be delivered to local Collection Point of used-
up electrical devices which is registered in Inspectorate for Environmental
Protection and leads selective waste collection.
Remember!!!
According to art.35 of the Act, person who uses equipment designed for
household, after using this equipment is committed to return it to person
who is responsible for collecting electrical and electronic equipment.
Selective waste collection that come from household and its transforming
contributes to environmental protection, reduces permeating of
dangerous chemicals into the atmosphere and water.
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ORTHOPAEDIC DEVICES MANUFACTURER
Date of issue: The last update: 01.04.2009 23.01.2017
Authorised Dealer
Akces-MED Sp. z o.o.
Jasionka 955B
36-002 Jasionka
tel. [phone]
www.akces-med.com
e-mail: e[email protected]
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