Akces-Med LIFTER User manual

L I F T E R ™
STANDING FRAME
USER MANUAL

5°C
70%
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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!
AKCES-MED. Ltd. reserve the right to introduce technical and trading
changes in the content of the instruction without warning.
Product marked with the CE sign is Class I medical device, of
rule 1, consistent with the requirements of Regulation (EU)
2017/745 of the European Parliament and of the Council of 5
April 2017 on medical devices.
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.
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CONTENTS
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3. General characteristic..................................................................................................................7
3.2 Accessories.............................................................................................................................8
4. Size table.......................................................................................................................................9
3.1 Standard equipment.............................................................................................................7
5. How to use lifter standing frame.............................................................................................10
1. The purpose of user manual......................................................................................................5
2. Indications for use.......................................................................................................................5
5.1 Height adjustment...............................................................................................................10
5.2 Tray.........................................................................................................................................11
5.2.1 Adjusting the height of the tray.................................................................................11
5.2.2 Adjusting the tilt of the tray.......................................................................................11
5.3 Knee supports......................................................................................................................12
5.3.1 Adjusting the width of the knee supports...............................................................12
5.3.2 Adjusting the height of the knee supports..............................................................12
5.4 Foot stabilization.................................................................................................................13
5.5 Castors with brakes.............................................................................................................13
5.2.3 Adjusting the depth of the tray.................................................................................12
5.6 Remote control....................................................................................................................13
5.7 Parameters od the control unit with battery...................................................................14
6. The use of standing frame........................................................................................................17
6.2 How to use lifter...................................................................................................................18
5.8 Charger parameters...........................................................................................................15
5.9 The stages of upright standing.........................................................................................16
6.1 The preparation of user......................................................................................................17
7. Safety rules..................................................................................................................................21
6.3 Upright position...................................................................................................................19
8. Terms of warranty......................................................................................................................23
10.1 Symbols...............................................................................................................................29
10.2 Sample data plate..............................................................................................................29
9. Maintenance and cleaning........................................................................................................24
10. Labelling....................................................................................................................................29

Remember to read this user manual carefully. You will find not only useful
Static standing frame LIFTER™ is a modern rehabilitation device. Electric actuator
with integrated sit allows the user for independent use of the device by means of
the remote control. Powerful actuator can lift the users with weight up to 120 kg.
LIFTER™’s seat also serves as a pelvic support that keeps the user in the proper
position and secures him in the device.
There is a possibility to equip LIFTER™ with upper torso stabilizer which perfectly
immobilizes the chest. This solution is highly recommended for users with upper
limbs paresis.
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: [e-mail]
Thank you for purchasing our product.
lifter ™
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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.
INTRODUCTION

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1. THE PURPOSE OF USER MANUAL
The device is recommended for people in the following cases:
The standing frames are intended for people with orthopedic, neurological and
cardiological diseases and for people after surgery who are unable to adopt and maintain
a standing position on their own as a result of prolonged immobilization. The device is an
irreplaceable aid in the rehabilitation process, both in terms of movement and social
integration. It is great help in everyday activities such as rehabilitation but also during
playing or studying. The selection of the appropriate size of the device depends on
medical indications and anatomical parameters, regardless of the age of the user.
§cerebral palsy – various types and forms,
§ paresis.
§ musculoskeletal disorders,
§ other condition connected with muscles weakness, paralysis and
§ after head and spinal cord injuries and spine trauma with paralysis and
§ egeneration and neurological diseases,
§ demyelinating disease (e.g. multiple sclerosis – SM),
§ brain and spinal cord injuries with lower limbs paralysis and weakness,
§ balance and motor coordination disorders with different etiology,
§ meningocele,
§ muscles diseases with weakness and paralysis (dystrophy, myasthenia
§ gravis, myositis),
§ genetic disorders,
2. INDICATIONS AND CONTRINDICATIONS FOR USE
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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. Before using the LIFTER ™ standing frame, user is obliged to familiarize
himself/herself with user manual.
The present user manual contains basic information which is essential for :
§preparation before use,
§proper usage,
§maintenance, cleaning and guarantee conditions.

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• Bone fracture with incomplete union, unless approved by a doctor.
Contraindications:
In case of people with impaired cardiovascular system (arterial hypertension at rest above
200/110 mmHg, pulmonary hypertension, cardiac arrythmias, moderate heart valve
disease); respiratory system (unstable asthma) and unstable metabolic disorders, it is
necessary to monitor the user while standing in order to prevent serious complications.
People with significant flexion in the hip or knee joints, as well as with contractures in the
ankle joint, may not be able to use the standing frame. Make sure that the position of the
user in the standing frame does not cause excessive pressure or stretching of affected
areas of the body. In such cases, standing upright may be contraindicated until a greater
range of motion is achieved in the contracted joints.
• Postoperative restrictions on joint loading.
• Pain while standing in the standing frame (caused by subluxation or dislocation of the hip
joint, overstretching of soft tissues or excessive pressure). Subluxation or dislocation of
the hip joint in the absence of pain is not a contraindication.
• Any condition, such as a healing fracture or severe osteoporosis, that makes it impossible
to bear the user's own bodyweight.
•Relative contraindications for upright standing are: arterial hypertension at rest above
200/110 mmHg, pulmonary hypertension, cardiac arrythmias, unstable asthma, unstable
metabolic disorders, moderate heart valve disease.
While standing upright, the user who is in a standing position should be closely
monitored. The therapy should be discontinued in case of such side effects as: turning pale,
sweating or fainting, joint strain and the resulting deformities of the body. Further
proceeding should be consulted with the medical specialist or a physiotherapist who
prescribed the treatment. The critical condition of the user is an absolute contraindication
to standing upright.
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2. Footplate with a sandals
4. Electric actuator
5. Knee suport with pads
3. Control unit with battery
1. Footboard with wheels
8. Tray
9. Remote control
6. Lifting mechanism with seat,
10. Charger
7. Stander’s handle
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8
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2
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3. GENERAL CHARACTERISTICS OF STANDING FRAME
3.1 STANDARD EQUIPMENT
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3.2 ACCESSORIES
Patient lift belt AM-P
LTR_002 LTR_015
LTR_015
LTR_020
TANGO Wheel with brake (75
mm/100 mm/125mm)
LTR_146
Hand grip
Chest support
LTR_424
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4. SIZE TABLE
Symbol Measurement Unit Size 1
CHeight of tray (from the footplate) [cm] 97 - 124
Knee supports height [cm] 24 - 60
Maximum user weight [cm]
GKnee supports width [cm] 21 - 41
I[cm]
Height of seat (from the ground) min. 36
LSeat length [cm] 50 - 60
Measurement Size 1
Width [cm] 66
Length [cm] 105
Height [cm] 110
Weight [kg] 43
Note: Measurement tolerance range is +/- 1 cm / ½ in.
Indicative user height* [cm] 120 - 200
H
W
*This measurement cannot be the main parameter while choosing the product size.
Note: Approximate values, depending on the product configuration.
As a part of our permanent product improvement, Akces-Med reserves the right to change design and specifications without notice. Further, not
all options and features offered are compatible with all configurations. Please refer to the user instruction manual for more information.
Note: Measurement tolerance range is +/- 1 cm / ½ in.
Unit
WEIGHT AND DIMENSIONS
120
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5. HOW TO USE THE LIFTER STANDING FRAME
5.1 HEIGHT ADJUSTMENT
Before using the LIFTER standing frame, adjust it to the user.
The height of the standing frame LIFTER is adjusted in steps. To adjust the height,
unscrew the knob, set the chosen height of the standing frame – inside there is a pin
that should click into one of the holes on the column. You should hear a
characteristic “click” sound, indicating that the pin popped into the hole. After making
the adjustment, tighten the knob firmly. Attention! Due to the heavy weight of the
stander, before unscrewing the knob, hold the upper part of the product firmly
to prevent the adjustable part from falling down.
When adjusting the height of the standing frame and the tray, check the
measurement C specified in the size table. After adjusting the height, the pelvic
support should be positioned at the height of the user's hips.
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5.2. TRAY
When adjusting the height of the standing frame and the tray, check the
measurement C specified in the size table. After adjusting the height, the pelvic
support should be positioned at the height of the user's hips.
The height of the tray is adjusted in steps. To adjust the height of the tray, unscrew
the knob, set the chosen height of the tray – inside there is a pin that should click
into one of the holes on the column. You should hear a characteristic “click” sound,
indicating that the pin popped into the hole. After making the adjustment, tighten
the knob firmly. Attention! Due to the heavy weight of the tray, before
unscrewing the knob, hold the upper part of the product firmly to prevent
the adjustable part from falling down.
5.2.2 ADJUSTING THE TILT ANGLE OF THE TRAY
5.2.1. ADJUSTING THE HEIGHT OF THE TRAY
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5.2.3 ADJUSTING THE DEPTH OF THE TRAY
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5.3 KNEE SUPPORTS
5.3.2 ADJUSTING THE HEIGHT OF THE KNEE SUPPORTS
5.3.1 ADJUSTING THE WIDTH OF THE KNEE SUPPORTS
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5.4 FOOT STABILIZATION
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5.6 REMOTE CONTROL
LIFTING THE
STANDING FRAME
LOWERING THE
STANDING FRAME
5.5 CASTORS WITH BRAKES
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15 16
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5.7. PARAMETERS OF THE CONTROL UNIT WITH BATTERY
In a situation where the user of the product is in the process
of upright standing and the battery is discharged, the actuator
will always lower the seat down despite the battery discharge.
Do not use the product while charging the battery!
Parameters of the control unit with battery:
źThe battery charging time is approximately 5 hours.
źThe battery capacity is 2.9 Ah / charging current 500 mA (max).
źDepending on the load, a fully charged battery will last approximately
100 cycles (1 cycle = 20 seconds up – 20 second down)
źThe unit is equipped with electronic protection to prevent overloading
the actuator.
źWhen the battery is low, it emits an audible alarm. You should start
charging the battery then.
źOperating temperature: from + 5°C to + 40°C.
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5.8. CHARGER PARAMETERS
źCable: 2000 mm with straight or angled DC plug (5.5 x 2.5)
źCharging current 500 mA (max).
źPower grid: switching power supply 100-240 VAC / 56-60 Hz
CHARGER PARAMETERS:
źCharging voltage: 27.6 VDC ± 2%
źA yellow LED diode indicates battery charging
źA green LED diode indicates that the battery is fully charged
PLACE OF CONNECTING THE
CHARGE
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5.9. THE STAGES OF UPRIGHT STANDING
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THE USE OF STANDING FRAME
6.
LIFTER™ standing frame 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 product!
Outfit should protect patient's skin from direct contact with upholstery
as well as other parts of equipment.
Only doctor can make a decision concerning using any kind of
orthopedic supply!
5.1
6.1. PREPARATION OF THE PATIENT
§shoes should be comfortable and, moreover, they should stabilize
ankle;
§drains, bags, catheters etc. if applied, have to be secured to function
properly and not to disturb during using the product;
Before using the product, it is essential to make sure that:
§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;
§if it is necessary for a patient to wear orthopedic supply (collar, corset,
orthesis, shoes) if it is recommended by doctor.
§patient's outfit is light and comfortable sporty clothes are advisable;
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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.
· Place patient in the device;
· Mount additional equipment
· Unfold the device;
1. Before use it is necessary to:
· 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;
· Fasten all elements which stabilize patient e.g. vest, trunk belts, feet
stabilizing belts etc.;
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6.2 HOW TO USE LIFTER

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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!
- touch stimulation and others
- educational games
It is recommended to divert patient's attention during upright position
process by:
- manipulation games
It is highly important to adjust the device to the patient before using it!
Make sure that all belts as well as fastenings from adjustable elements
are correctly adjusted and fastened.
Only trained staff can adjust standing frame to the patient!
It is forbidden to leave the patient unattended!
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).
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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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