Akces-Med ACTIVALL CROSS User manual

ACTIVALL CROSS™
DYNAMIC STANDING FRAME
USER MANUAL

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.
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.
5 9 0 3 2 4 0 6 3 2 4 7 3

ACTIVALL CROSS
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CONTENTS
3.1 Standard equipment..................................................................................6
3.2 Additional equipment................................................................................7
4. Size table.................................................................................................................9
5. Description how to assembly standing frame ...................................................10
Description how to use standing frame...........
7. Learning to walk..................................................................................................20
8. Additional equipment.........................................................................................22
9. The use of standing frame.................................................................................29
9.1 Preparation of the patient........................................................................29
9.2 How to use standing frame......................................................................30
9.3 Upright position.........................................................................................31
10. Safety rules.........................................................................................................33
11. Maintenance and cleaning...............................................................................36
1. The Purpose of user manual................................................................................5
2. Indications for use.................................................................................................5
3. General characteristics of standing frame.........................................................6
6. .................................................16
5.1 Basic version..............................................................................................10
5.2 Off-road version........................................................................................14

CONTENTS
ACTIVALL™ CROSS makes it possible for the patient to adopt upright
standing position and move within house, hospital ward or outside. These
activities are possible thanks to the big front castors and swivel back castors.
There is no doubt that this device exerts a positive influence on patient's
independence and self-reliance and it enables the patient to perform activities
which were impossible before. Active upright standing performed outside
improves fitness and mental condition and, moreover, it stimulates his senses
and makes his life comfortable. Patient has a chance to stand and walk.
Regarding standard equipment, this product is equipped with handbrake and
shopping basket. What is more, when you purchase this device, you will get
frame with castors which enables assembly of standard ACTIVAL's version
(used inside the room).
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 observations, please contact our company
medical advisor (telephone: [phone]) or directly with the Akces-Med ltd
facility (telephone: [phone]).
Thank you for purchasing our product.
ACTIVALL CROSS
CAUTION! Before using the product, the user is obliged to
acquaint with this manual. Please note that instructions
contained in this manual will allow safe usage of the product
and extend its durability and aesthetics.
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ACTIVALL CROSS
5
THE PURPOSE OF USER MANUAL
The present user manual contains basic information which is essential
for proper usage, preparation, maintenance, cleaning and guarantee conditions
ACTIVALL CROSS™ dynamic 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.
The device is recommended for people in the following cases:
■Degenerative arthritis
■Brain and spinal cord damages with lower limb paresis, sever balance and
movement disorder, quadriplegia.
■Advanced demyelinating diseases (multiple sclerosis, amyotrophic lateral
sclerosis)
■Myelomeningocele.
■Muscle diseases, dystrophy, myasthenia gravis, polymyositis
■Genetic syndromes connected with limb paresis.
■ Degenerative and metabolic diseases of the nervous system.
■After traumatic brain or spine injury with spinal cord and lower limbs damage
connected with paresis and paralysis, especially in quadriplegia condition (as
a stage of rehabilitation process or permanent orthopedic support).
INDICATIONS FOR USE
CAUTION! Before using the product, user is obliged to
familiarize himself/herself with user manual.
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BASIC VERSION
1. Frame with castors and brakes (rear
castors with friction brake).
2. Lower limbs separator .
3. Pelvic support.
4. Chest support with upholstery.
5. Pelvic harness.
1. Basket.
2. Large front wheels hand braked.
3. Rear swivel castors.
ACTIVALL CROSS
1
2
5
3
4
OFF-ROAD VERSION
1
2
3
3.1. Standard equipment
GENERAL CHARACTERISTICS OF STANDING FRAME
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ACTIVALL CROSS
3.2. Additional equipment
AVC_141 Hip supporting harness
AVC_112 Forearm supports (2 pcs)
7
AVC_002 Belt for moving the
patients AM-P
AVC_013 Set of large wheels (125
mm) (4pcs.)
AVC_011 Castors with fixed
direction of movement (2 pcs)
AVC_010 Castors with blockade of
reverse movement (2 pcs)
AVC_142 Narrowing pad for chest
support
AVC_143 Narrowing pad for hip
support AVC_145 Lower limbs separator
AVC_144 Lower limbs stabilizer
AVC_201 Lower limb immobilizer
AM-TUD-KD
AVC_202 Lower limb immobilizer with
kneecap protection AM-TUD-KD-02
AVC_203 Universal knee
immobilizer AM-TUD-KD-03
AVC_204 Post-operative knee brace
with polycentric 20° rom adjustment
and kneecap support AM-KD-AM/2R-02
AVC_205 Lower limb extension
immobilizer OKD-03
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Safety
Lower limb braces
Positioning

8
AVC_206 Lower limb in 10° flexion
immobilizer OKD-03/10
AVC_207 Lower limb in 20° flexion
immobilizer OKD-03/20
AVC_208 Universal knee
immobilizer OKD-01
AVC_209 Lower limb brace with
polycentric 20° rom adjustment
OKD-02
AVC_210 Post operative knee
brace with polycentric 20° rom
adjustment AM-KD-AM/2R
AVC_211 Post operative knee
brace with 15° rom adjustment
AM-KD-AM/1R
AVC_212 Foot-drop brace with
frontal plate equalization AM-
ASS-OS
AVC_213 Kafo brace for lower limb with
splints 2r and dynamic foot made of
carbon fibre AM-KDS-AM/2R
AVC_216 Knee and hip orthosis
with rom adjustment OKD-14
AVC_217 The lower limb
brace OKD-13
AVC_218 Dynamic lower limb
brace raising the leg OKD-10
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ACTIVALL CROSS

Unit
A[cm] 37 42
B[cm] 29 35
C[cm] 85-112 98-120
[cm] 124 144
A1 [cm] 37 42
B1 [cm] 29 35
C1 [cm] 92-126 108-143
[kg] 80 95
[cm] 82 90
[cm] 131 138
[cm] 96 112
[kg] 28,5 32,5
ACTIVALL CROSS
28 31
25 27
66-82 77-102
97 106
28 31
25 27
77-95 89-116
40 60
76 79
124 124
79 90
23 26
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Size 2 Size 3 Size 4 Size 5
Symbol Measurement
pelvic support width
pelvic support depth*
pelvic support height
pelvic support circuit
pelvic support circuit
chest support depth
chest support height
maximum user weight
Unit Size 2 Size 3 Size 4 Size 5
Measurement
width
length
height
weight
* pelvic Measured without harness
Note: Dimensional tolerance in the table is: +1/-1 cm.
4SIZE TABLE

ACTIVALL CROSS
5.1. BASIC VERSION
5DESCRIPTION HOW TO ASSEMBLY STANDING FRAME
3) Frame with lower limbs separator 4) Columns (2pcs.)
1) Chest brace 2) Pelvic brace
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LIST OF ELEMENTS:

ACTIVALL CROSS
STEP 1. Attach the columns (4) to the standing frame's base (3). Columns should
be fastened to the base in place of two holes by use of attached screws.
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To assemble ACTIVAL CROSS™ in BASIC version, you should:

ACTIVALL CROSS
STEP 2. Attach the pelvic support (2) to the base (3). In order to do that, insert the
pelvic brace brackets into the first frame of the base.
CAUTION! After assemble of the pelvic support and adjusting
it at the desired height be sure to tighten the knobs!
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ACTIVALL CROSS
STEP 3. Attach the chest support (1) to the base (3). In order to do that, insert the
chest support brackets into the second frame of the base.
CAUTION! After assembling of the chest support and
adjusting it at the desired height be sure to tighten the knobs!
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ACTIVALL CROSS
To assemble ACTIVAL CROSS™ in OFF-ROAD version, you should:
pic.3
pic. 4pic.5
pic.2
pic. 1
STEP 1. Unscrew the standard castors destined for room ride using the key “19”
contained in the kit (pic.1,2).
STEP 2. Screw the front chassis from the front side as shown in the picture using
two of six M12 bolts and the key “19”contained in the kit.(pic.3,4).
STEP 3. Screw the two rear wheels along with suspensions using four M12 bolts
and the key “19” (pic.5).
5.2. OFF-ROAD VERSION
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STEP 4. Fasten the two brake levers on the hoop, so that the right hand of the
patient was at the right wheel brake lever, tighten the screws and then press the
eccentric mechanism (pic.6,7).
pic.8
pic.6
pic.7
STEP 5. Attach the brake cables using the special
“clips” contained in the kit (pic.8).
ACTIVALL CROSS
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CAUTION! It is necessary to pay particular attention if brake
cables proceed without breakdown, otherwise it can cause to
incorrect functioning of brakes which can result in accident.
STEP 6. Check air pressure in castors which should amount to about 2,5 Bar.
Supplement if necessary.
STEP 7. Check effectiveness of brakes, adjust
by the knob situated beside brake lever if need
be. Additionally adjust screw situated beside
front castors with the aid of spanner '8' if
necessary.
STEP 8. Fix basket to the handle placed on the
pelvic hoop like it was shown on the picture.
(pic.9)
pic.9

ACTIVALL CROSS
CAUTION! The adjustment of standing frame to the patient
should be always made by suitably trained staff. Suitably
trained persons have to assist patient while doing exercises.
.
Before use of you should block the wheels' brakes and
unlock pelvic support and chest support Not blocking the wheels of standing
frame can cause its shifting while uprising, which results in patient's fall,
breakage or body's injury. During coming into standig frame or getting out of it
you mustn't rest on rear clamping-rings' locks whilethey are being opened. The
attempts of overloading the opened locks of clamping-ring can cause a fall of
device or deformation which results in incorrect functioning of fastener lock.
standing frame
6.1.1. In order to adjust the height of the
chest support, you should loosen the knobs
and set the desired height. Afterwards
tighten the knobs.
6.1. Chest Support
6DESCRIPTION HOW TO USE STANDING FRAME
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ACTIVALL CROSS
Height of chest support depends on patient's control over his
chest. If control is good, patient keeps upright position, it does
not require his big effort and patient feels safe, the clamping-
ring can be fixed below. Nevertheless, in such case a walking
process should begin with fixing the clamping-ring under one's
arm and then you can gradually level down. To regulate the
height of chest support use knobs A.
6.2. Pelvic Support
6.2.1 In order to adjust the height of the
pelvic support, you should loosen the
knobs and set the desired height.
Afterwards tighten the knobs.
6.2.2 Pelvic support can be adjusted
horizontally. In order to change the pelvic
support depth, you should unscrew the
knobs placed located under the support
and set the desired position (so that the
holes on the frames overlap). Afterwards
tighten the knobs.
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ACTIVALL CROSS
Pelvic support
pelvic
support
should be fixed at the level of trochanter of lower
limbs. After fixing height you must regulate position of
(regulation forward and backward) The proper position
of trunk and pelvis depends on precise adjusting. The ideal
position is one line of arms, trunk and hips.
.
CAUTION! While regulating the height of the
and chest you cannot exceed the double lines on
cantilever.
pelvic support
support
6.3. Pelvic Harness
Pelvic harness protects the patient from
falling out of the device. In order to
attach it to the pelvic support, fasten the
harness buckle on the pelvic support.
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ACTIVALL CROSS
CAUTION!
CAUTION!
!
While buttoning buckles please place your
attention on characteristicsound "CLICK" which informs
about correct fastening.
Pelvis' harness cannot be treated as a seat, it
serves as a protection from the fall only in case of
faintness
Straight position is safe and comfortable. While standing in this
position patient is being adapted to the vertical position as well as
sense of equilibrium, internal organs, circulation system are
being adopted to the new conditions and to bigger load. Patient
can stand in straight position quite long time, can simultaneously
do exercises or simple everyday-life activities etc. The device is
safe and will remain solid and stable even if patent loses his
consciousness
6.4. Castors with friction brake
Using the castors with friction brake enables
patient to fit the speed of moving in
ACTIVALL™. It is of importance during the first
exercises in dynamic standing frame. Knob A
regulates strength of stress of a metal strip
which brake the rotating castors. While first
steps in ACTIVALL™ it is recommended to use
friction brakein order to move slower. When
patient gets more confidence, the resistance of
break can be reduced. Knob A
19
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ACTIVALL CROSS
LEARNING TO WALK
If the patient feels well you can unblock the brakes and start practicing. If the
patient feels well you can unblock the brakes and start practicing. While using
off-road version you should check if swapped chassis is suitable matched and
fastened. Also check the brakes and their assembly.
By shoving the trunk and pelvis ahead, with both hands on handles (handles are
additionally protected from sliding of hands and coated with washable spongy
material) or on supports (ADDITIONAL EQUIPMENT). Then the equilibrium point
will Shift forward, which stimulate walking process. This position should not be
forced, because then can bring about the opposite effect.
The first steps should be done forward and then backward and finally to diverse
directions.
While walking, firstly normal steps should be done and then fester or slower
steps.
We recommend to use special paths in order to help in orientation for both
courageous and not courageous type of patients.
After practicing in standing frame patient must return safely on wheelchair,
chair, armchair, bed etc.
7
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