Akces-Med NOOK User guide

R
CORNER CHAIR
NOOK ™
Use and Maintenance Instruction

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.
Producer's identification number in the Registration Department of Healing Products,
Medical Products and Biocide Products:
PL/CA01 04088/W
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..
13485
QUALITY
MANAGEMENT
SYSTEM

CONTENT
1. ........................................................................5
2. ..............................................................................................5
6. Detailed description how to use the rehabilitation chair NOOK ………..8
6.1 The adjustment of chest pelotte..……..............................................8
6.2 The adjustment of removable abductor .........................................9
6.3 The adjustment of pelvic stabilizing belt ....................................9
6.4 The adjustment of chest stabilizing belt…….......................……9
7.
7.2 Headrest...........….......…………......................................................................11
7.3 Head supporting belt..................…........…….......………..................…………….11
9. Adopting the sitting position...........................................................................15
10. Safety rules ...........…..….…...............................................................................16
11. Maintenance and cleaning..............................................................................18
The purpose of user manual
Indications for use
3. General characteristics of Nook chair......................................................................6
3.1. Standard equipment...........................................................................................6
3.2. Additional equipment..........................................................................................6
8. The use of Nook chair.....................................................................................13
8.1. Preparation of the patient.........................................................................13
8.2. How to use Nook chair...............................................................................14
4. Weight and measurements..............................................................................7
5. Size table...........................................................................................................7
Assembly as well as the use of optional equipment …........…..................10
7.1 Tray.............…...…………................................................................................10
7.4 Soft cover for tray.……................................................................................12
7.5 Headrest cotton cover.......................…........……………..................…………….12

INTRODUCTION
The corner chair NOOK was created for young patients who have disorders
which either impede or make it impossible for them to adopt the sitting position
single-handedly (it concerns paraparesis, trunk muscle paresis and tetraparesis .
What is more, it is recommended as the first rehabilitation chair. A vast array of
adjustments makes it possible to adapt the device according to the patient's height
and, moreover, it can be easily adapted to various disorders in order to help the
young patient. Regarding this device, it is made of natural materials such as wood.
Moreover, its colourful upholstery stimulates the sense of touch and sight and,
more to the point, this rehabilitation chair is perceived as user-friendly therapeutic
device not only for a child but also for the inner circle.
Please read this instruction carefully. You will find information concerning our
product and you will find out how to use this device safely as well as effectively.
If you would like to ask about something or make remarks, please contact our
medical consultant (ph. 508 382 509) or you can contact our firm directly (ph. (017)
864 04 70)
We would like to thank you for trust and purchase of our products.
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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.
!

1.
This manual contains information necessary for correct use of
NOOK, preparation of the device before the use, maintenance and
cleaning as well as the guarantee conditions. Manual should be kept in an
easy accessible place.
The manual is addressed to the people who take direct care of
handicap children, doctors and physiotherapists how handle the device.
Please, remember that following the rules of the manual enables safe
use of the product, its extended life and esthetics.
2.
THE PURPOSE OF USER MANUAL
corner
chair
INDICATIONS FOR USE
This rehabilitation chair NOOK is created in order that children, who have
disorders which either impede or make it impossible for them to adopt the upright
position, are able to sit down. Adopting the sitting position is a highly important
element which prepares children to adopt the upright position. The sitting position
is a really significant stage which exerts a positive influence on the psychomotoric
development and influences skeletal, muscular, circulatory, respiratory, digestive
and excretory system. Furthermore, the possibility of safe sitting the child has a
positive influence on not only patient's but also his caretaker's mental state. The
correct adjustment of removable abductor, pelottes and belts is really helpful in
adopting the upright position when it comes to the flabby and spastic body. It also
prevents limitations, contractures and deformations of bones as well as joints.
CAUTION! Before using the product, user is obliged to
familiarize himself/herself with user manual.
!
CAUTION! Decision about particular form of the rehabilitation
and the usage of the chair is always made by either the leading
doctor or physiotherapist.
!
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3. NOOK CHAIR
3.1 Standard equipment
GENERAL CHARACTERISTICS OF
1. Base
2. Sit
3. Removable abductor
4. Pelvic support
5. Pelvic belt
6. Chest support
7. Chest belt
4
6
7
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3.2. Additional equipment
11
2
3
5
NK_001 Tray NK_012 Headrest cotton cover NK_003 Head supporting belt
NK_005 Castors with brakes (5
pcs) (for size 1, 2) NK_023 Soft cover for tray NK_002 Adjustable headrest
NK_065 Tray for nonverbal
communication

Seat depth [cm]
Seat width [cm]
Backrest
height
[cm]
Distance from
the seat to the
top of headrest
[cm]
Floor to tray
height
[cm]
Size
1
Min
- - 32 41 -
Max
28 50 42 58 20,5
Size
2
Min
- - 46 56 -
Max
30 55 60 83 27
Size
3
Min
- - 53 64 -
Max
41 66 72 95 29
5. SIZE TABLE
4. WEIGHT AND MEASUREMENTS
Weight [kg] Product dimensions [cm]
User weight
(Max)
Product
weight
Product
height
Product
width
Product
length
Size 1
25 4,3 38 50 58
Size 2
35 6,8 50 56 62
Size 3
50 10,7 58 67 72
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6.DETAILED DESCRIPTION HOW TO USE THE REHABILITATION CHAIR NOOK
Before the use of the device you have to adjust it to the size of the user.
Therefore, you should take measurement of the patient. It is really necessary to
adjust the device in a way which is described in the further part of this chapter.
ATTENTION! Adjustment of the chair must be done only
by qualified staff!
!
Regarding the configuration of the
device, it should be done with the aid
of the Allen key which is situated
inside of removable abductor. When
you will undo the zipper, you will have
an access to it.
6.1
:
,
,
.
The adjustment of chest support
In order to adjust support it is
necessary to
źLoosen knob with the aid of Allen
key
źAdjust the height according to the
measurement of the patient
źAfter obtaining the appropriate
distance, screw the knob
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6.2
6.3
6.4
ź
ź,
ź
,
:
ź
ź
.
The adjustment of removable abductor
When you adjust distance it is necessary to:
ź Loosen knob with the aid of Allen key
ź Adjust the desired position
ź After obtaining the appropriate
distance, screw the knob
When you adjust the belt it is necessary to:
ź Detach Velcro in the belt
ź Adjust the length of the belt to the
patient
ź After obtaining the appropriate length
of the belt you should fasten the belt
by means of Velco
It is important to check if:
ź The belt doesn't press the child
ź The belt doesn't unfasten because of
pressure
The adjustment of pelvic stabilizing belt
The adjustment of chest stabilizing belt
In order to adjust the belt it is necessary to:
Detach Velcro from this belt,
Adjust length of the belt to the patient
After adjusting the appropriate length,
it is important to fasten the belt with
the aid of Velcro.
You should check if
The belt does not press child,
The belt does not unfasten because of
pressure
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7.
7.1 Tray, NK
Tray has to be mounted after placing the child in the chair. You have to insert the tray
under the removable abductor until safety pin will slam. In order to dismantle the
tray it is necessary to pull away and hold the safety pin, after which you have to take
out the tray. Regarding the alignment of the tray (height, depth, tilt angle), it is
important to do it with the aid of Allen key by loosening as well as screwing the
suitable bolts.
Regarding the alignment of the tray (height, depth, tilt angle), it is important to
do it with the aid of Allen key by loosening as well as screwing the suitable bolts.
ADDITIONAL EQUIPMENT
_001
klik
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7.2 Head rest, NK_001
Firstly, it is necessary to dismantle pillow of the pelvis pelotte. You should insert
headrest into slot, screw it by means of bolt and mount the pillow on Velcro.
Regarding the alignment of the head rest
(height, depth, tilt angle), it is important to
do it with the aid of Allen key by loosening as
well as screwing the suitable bolts.
7.3 Head supporting belt, NK_001
In order to mount the head supporting
belt, you should:
ź Fasten it to the side parts of the head
rest with the aid of Velcro
ź Adjust the length of the belts to the
patient
ź Pull it so as to check the correctness of
assembly.
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7.4 Soft cover for tray, NK_001
Please follow these steps so as to mount soft cover for tray:
źAdhere 5 adhesive Velcro tapes;
ź Put soft cover in a way that its edges cover tray edges.
7.5 Headrest cotton cover, NK_012
Cover is made of cotton and it should be put
on headrest. Regarding material, it has some
bands thanks to which material does not slip
down.
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8. NOOK CORNER CHAIR
8.1.
THE USE OF
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! Nook corner chair 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 nook corner chair!
!
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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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!
!
8.2. HOW TO USE NOOK CORNER CHAIR
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 (only in chair with castors);
·Adjust the device to patient's measurements;
·Undo pelvic belt and chest belt so as to place easily the patient is the
device
·Place patient in the device;
·Fasten all elements which stabilize patient e.g. ;
·Mount additional equipment e.g. tray.
2. In case of patients who have problem with bladder, it is necessary to put
special cloth on seat. This cloth can be purchased in pharmacy or medical
shops.
Pelvic belt
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9. ADOPTING THE SITTING POSITION
Regarding taking the sitting position by little patient, it generally occurs in
the rehabilitation, neurology, neurosurgery or orthopedic ward. Upright standing is
supervised by the doctor and physiotherapist owing to the fact that there is the
possibility of occurrence medical problems such as loss of consciousness, pressure
drop and others. It is really essential to adjust individual elements of equipment to
the condition of the child, taking into account contractures and deformations.
Furthermore, taking the sitting position at home is supervised by qualified staff who
was trained (physiotherapists, nurse, trained members of the family).
The decision about how long the patient will be situated in the device is
dependent on the patient's needs. It is necessary to prolong gradually the time
(the period of adaptation to the change of position).
What is more, the leading doctor or physiotherapist should decide about the
time spent in this device. When child is placed in the device, it is advisable to
encourage him to:
- Play manipulative games
- Play educational games
- Different forms of stimulation
ATTENTION! In case of worrying symptoms ( being pale,
bruised skin, the loss of contact and other) it is necessary to
stop sitting the patient down, take him out of the device and lay
him down. It is necessary to contact the doctor when
undesirable symptoms remain. When these symptoms
disappear, you should inform the leading doctor in order to
make the decision concerning the further rehabilitation.
!
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10. SAFETY RULES
It is highly important to consult either doctor or physiotherapist in order to
make right decision concerning the choice of stroller 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 etc.;
· make sure that all movable parts and knobs for adjustments are stable and
locked;
· secure patient with the aid of elements such as pelottes, abduction block,
pelvic belt, chest belt. 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 chair for different purposes that it is intended to.
3. It is forbidden to use chair when it is damaged or any part is missing.
4. It is forbidden to leave the patient unattended.
5. Chair should be used only when there is someone who is trained and
knowledgeable.
6. It is forbidden to leave chair 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 (only
in chair with castors).
CAUTION! Nook corner chair has to be used in compliance with
guidelines in this user manual.
!
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10.Make sure that all limbs are not close to spokes or other adjustable elements.
11.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, chair shouldn't be stored in
rooms with high humidity.
12.Secure chair 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! contains small parts which children may
swallow.
This device
!
CAUTION! It is forbidden to make any changes concerning chair's
structure due to the fact that it is dangerous and it results in
loosing warranty.
!
CAUTION! This device can be only used inside the buildings.
!
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 36 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 70)
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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11. MAINTENANCE AND CLEANING
Nook chair 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 chair 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 chair 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.
CAUTION! Akces-MED. Sp z o. o takes no responsibility for
damages caused by use of wrong clearing agent.
!
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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.
!
Before using it is necessary to:
· clean wheels (only in chair with castors);
· 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 chair 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 pelvic and chest belts etc are not frayed; check if buckles and
clamps work correctly
(only in chair with castors)
CL
CAUTION! In case of any damages, it is essential to contact
the person who sold you the product.
!
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Authorised Dealer
ORTHOPAEDIC DEVICES MANUFACTURER
R
AKCES-MED Ltd. reserve the right to introduce technical and trading changes
in the content of the instruction without warning.
Akces-MED. Sp. z o.o.
ul. Leszka Czarnego 3
35-615 Rzeszów
tel. [phone]
www.akces-med.com
e-mail: [e-mail]
..
Date of issue: 14.05.2012 : 01.04.2015 The last update