Akces-Med ASTRIDE User manual

www.akces-med.com
TM
ASTRIDE
Standing frame
User manual

TM
astride
5°C
70%
45%
35°C
ATTENTION!
Manufacturer takes responsibility for proper usage of the device only when the product was
purchased from qualified Akces-MED Ltd. 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.
Akces-MED Ltd. company introduced quality management system ISO 13485 regarding
production, sales and service.
The system is certified by Det Norske Veritas.
Product 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.

Introduction.................................................................................................................................................................................4
2. Indications and contraindications for use.....................................................................................................................5
1. The purpose of user manual...............................................................................................................................................5
3. General characteristic...........................................................................................................................................................7
4. Size table...................................................................................................................................................................................8
5. Assembly..................................................................................................................................................................................9
6. How to use standing frame..............................................................................................................................................18
6.1 Height adjustment.......................................................................................................................................................20
6.4 Pelvic belt adjustment................................................................................................................................................24
6.5 Chest belt adjustment - accessories......................................................................................................................25
6.2 Feet adjustment............................................................................................................................................................21
7.1 Preparation of the user...............................................................................................................................................26
10. Maintenance and cleaning............................................................................................................................................30
7.3 Upright position...........................................................................................................................................................27
8. Safety rules............................................................................................................................................................................28
11. Labelling..............................................................................................................................................................................34
9. Terms of warranty................................................................................................................................................................30
6.3 Knee supports adjustment........................................................................................................................................22
7.2 Preparation of the product.......................................................................................................................................26
7. The use of standing frame................................................................................................................................................26
TM
astride
Contents

The new version of ASTRIDE™ features easy-to-fasten belts: chest and hip belts, with independent
adjustments in all planes within the pelvic and torso area, providing complete control over hip
positioning. This function is particularly helpful in cases of concurrent postural abnormalities.
Individually tailored foot stabilizers and contoured footrests with lateral supports ensure a stable
positioning of the lower limbs. Rotating kneepads within the knee joint area alleviate pressure on the
patella, stabilizing and maintaining correct leg positioning during upright standing.
ASTRIDE™ is a modern static standing frame with an abduction function. Its improved and lighter
version allows for a wide range of adjustments within the feet, knees, and torso area, enabling fully safe
and proper positioning of the user’s body in a standing position.
A stable base equipped whit wheels with independent brakes allows easy transfer of the standing frame
between rooms. The smooth height adjustment of the standing frame and table, aided by a gas spring
mechanism, facilitates therapy and everyday activities such as learning, playing, or having meals.
TM
astride
4
Introduction
e-mail: expor[email protected]
Remember to read this user manual carefully. You will find not only useful information but also
guidelines regarding safe and effective use of the product.
Akces-MED Ltd.: ph. [phone]
If you have any questions or remarks, do not hesitate to contact with us:
Medical consultant: mobile [phone]
Before using the stander, read this user manual which is essential for proper and safe usage of the
stander.
Remember that complying with guidelines is highly important. It assures safety and extends durability as
well as aesthetics of the device.
ATTENTION!

5
TM
astride
1. The purpose of user manual
The present user manual contains basic information which is essential for: preparation before use,
proper usage, maintenance, cleaning and guarantee conditions.
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 ASTRIDE™ , standing frame, user is obliged to familiarize himself / herself with user
manual.
ATTENTION!
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.
źcerebral palsy – various types and forms,
źother condition connected with muscles weakness, paralysis and musculoskeletal disorders,
źdemyelinating disease (e.g. multiple sclerosis – SM),
It is recommended for users in the following cases:
źmuscles diseases with weakness and paralysis (dystrophy, myasthenia gravis, myositis),
źgenetic disorders,
źbrain and spinal cord injuries with lower limbs paralysis and weakness, balance and motor
coordination disorders with different etiology,
źafter head and spinal cord injuries and spine trauma with paralysis and paresis.
źmeningocele,
źdegeneration and neurological diseases,
2. Indications and contraindications for use

6
TM
astride
2. Indications and contraindications for use
The critical condition of the user is an absolute contraindication to standing upright.
Contraindications:
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.
źPain 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.
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.
źBone fracture with incomplete union, unless approved by a doctor.
źPostoperative restrictions on joint loading.
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.
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.
źAny condition, such as a healing fracture or severe osteoporosis, that makes it impossible to bear
the user's own bodyweight.

7
TM
astride
3. General characteristic
TRAY
WITH SMOOTH HEIGHT
ADJUSTMENT
PELVIC BELT
WITH PELVIC ROTATION FUNCTION
KNEE SUPPORTS
WITH SOFT KNEE CAPS, INDEPENDENTLY
ADJUSTABLE FOR HEIGHT, DEPTH,
INDEPENDENTLY ADJUSTABLE
LOWER LIMB SPACING
SWIVEL WHEELS
WITH INDEPENDENT BRAKES
PLATFORM
WITH A SCALE FOR THE ANGLE
OF FOOT ABDUCTION
STANDING FRAME COLUMN
ADJUSTABLE IN HEIGHT,
SUPPORTED BY A GAS SPRING
THE ABDUCTION FUNCTION
ALLOWS THE FEET TO BE POSITIONED
IN THE DESIRED ABDUCTION
FOOT STABILIZERS
WITH SAFETY STRAPS
SCALE FOR EASY HEIGHT ADJUSTMENT
OF THE TABLE
TABLE OF FOOT ABDUCTION ANGLES CHEST BELT
WITH CHEST ROTATION FUNCTION
AVAILABLE AS AN ACCESSORY

8
B
J
E
K
W
A
H
I
Symbol
C
D
F
[cm]
[cm]
[cm]
[cm]
[cm]
[cm]
Unit
[cm]
[cm]
[cm]
[cm]
[cm]
[cm]
[cm]
[kg]
8 (size S) 10 (size M)**
90 - 130
12 - 63
68 - 98
54 - 92
54 - 98
Size 1
42 - 75
16 - 34
23 - 55
16 - 32
15 - 44
60 - 80
19 (size S) 23 (size M)**
50
[cm]
[kg]
[cm]
[cm]
Unit
19
70
88 - 118
Size 1
70
Y
Z
Symbol
X
TM
astride
4. Size table
chest belt height (accessories)
chest belt parimeter (accessories)
chest belt width (accessories)
indicative user height*
pelvic belt width
pelvic belt parimeter
knee supports height
knee supports width
Measurement
pelvic belt height
tray height
footer length
max. user weight
footer width
footer spacing
Weight and dimensions
height
weight
length
width
Note: Measurement tolerance range is +/- 1 cm / ½ in.
* Height cannot be the main parameter while choosing the product size
** The stander is equipped with feet in size S as standard. (It is possible to change to size M when placing an order).

9
TM
astride
5. Assembly
FRAME WITH WHEELS COLUMN WITH GAS SPRING
KNEE SUPPORTS WITH GUIDES
PELVIC BELT
CHEST BELT GUIDES
TRAY
PELVIC BELT FRAME AND GUIDES
CHEST BELT
ACCESSORIES

10
TM
astride
5. Assembly
Before insert the column, note whether the height graduation of the table has the correct direction (the
graduation values are larger towards the bottom).
INFORMATION!
Make sure that plates are lead in standing frame column properly.
ATTENTION!
CHARACTERISTIC CLICK
ATTENTION!

11
TM
astride
5. Assembly
It will be helpful to extend the column to install the upper gas spring attachment.
INFORMATION!
CHARACTERISTIC CLICK
After installing the gas spring, tighten the height
adjustment knobs of the column.
ATTENTION!
Knee pellet guides are asymmetrical. The shorter guide arm is inserted into the column.If you want to
gain a greater range of depth adjustment, the guides can be inserted in reverse.
INFORMATION!

12 13
TM
astride
5. Assembly
After the knee supports assembly, make sure to
tighten the knobs properly.
ATTENTION!

13
TM
astride
Before using the product, make sure that the fasteners on both sides of the pelvic belt are properly
fastened.
UWAGA!
5. Assembly
After the pelvic belt assembly, make sure to
tighten the knobs properly
ATTENTION!

14
TM
astride
spanner key 10
Using the spanner key included in the kit, tighten
the two nuts located under the table top.
INFORMATION!
5. Assembly

TM
astride
5. Assembly
15
Chest belt assembly - accessories
To install the chest strap, it is necessary to remove the table. A hex key is included.
ATTENTION!
hex key 3
Remove only the two caps located under the table top, on the arm where the chest belt guides will be
mounted.
INFORMATION!

TM
astride
5. Assembly
16
hex key 3

TM
astride
17
5. Assembly
Before using the product, make sure that the fasteners on both sides of the chest belt are properly
fastened.
ATTENTION!

13
TM
astride
18
6. How to use standing frame
ADJUSTMENTS
HEIGHT ADJUSTMENT
FEET ADJUSTMENT
KNEE SUPPORTS ADJUSTMENT

19
6. How to use standing frame
TM
astride
ADJUSTMENTS
PELVIC BELT ADJUSTMENT
CHEST BELT ADJUSTMENT - ACCESSORIES

20
6. How to use standing frame
TM
astride
6.1 Height adjustment
There is a pictogram on the column with a scale that indicates the height from the feet to the tray.
INFORMATION!
To reduce the height of the standing frame,
loosen the knobs located on the column of the
standing frame and exerting pressure on the
table, lower it.
INFORMATION!
The elements of standing frame are adjusted by knobs.
INFORMATION!