Akces-Med JUMBO User manual

™
USER MANUAL
POSITIONING CHAIR

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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.
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.

CONTENTS
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1. The purpose of user manual.................................................................................................5
2. Indications for use..................................................................................................................5
3. General characteristics of chair...........................................................................................6
3.1 Standard equipment...................................................................................................6
3.2 Additional equipment.................................................................................................7
4. Size table................................................................................................................................9
5. Detailed description how to use chair.............................................................................10
6. Additional equipment.........................................................................................................12
6.1 Head stabilizing belt................................................................................................12
6.2 H harness.................................................................................................................12
6.3 Cover for headrest...................................................................................................12
6.4 Tray............................................................................................................................13
6.5 Soft cover for tray....................................................................................................13
6.6 Tray for manual therapy.........................................................................................14
6.7 .....................................................................................................14
6.8 ................................................................................................15
7. The use of chair...................................................................................................................16
7.1 Preparation of the patient.......................................................................................16
7.2 How to use chair........................................................................................................17
7.3 Sitting position..........................................................................................................18
8. Safety rules....................................................................................................................20
9. Maintenance and cleaning .......................................................................................23
10. Labelling.............................................................................................................................25
6 points harness
Adjustable headrest

INTRODUCTION
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.
If you have any questions or remarks, do not hesitate to contact our medical
consultant (ph. 508 382 509) or directly AKCES-MED Sp. Z o.o. (ph. 17 864 04 70).
Taking sitting position by disable child from early stage of life is the
significant part of the rehabilitation process. It has very important, positive
influence on child’s development and improvement of motor skills.
Independent, safe sitting of a child that has lost the ability of independent
locomotion as a result of illness or accident, has positive influence of patient’ as
well as care people psyche.
JUMBO™ is a device designed to be used in the process of daily
rehabilitation of patients with illness which makes independent sitting or
standing impossible. Usage of wood, colorful upholstery, bright colors and
figure of elephant make the chair more a toy for children than a rehabilitation
device.
It is a universal device; flaccid children as well as children with muscle
tone and spastic children can be sited in it. The device improves comfort of life of
the child and child’s family
CAUTION!
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.
Before using the product, user is obliged to
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The present user manual contains basic information which is essential
for proper usage, preparation, maintenance, cleaning and guarantee conditions
regarding JUMBO™ positioning chair.
User manual should be kept in easily accessible place. It is designed for
people who look after disabled children, 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:
nCerebral palsy – various types and forms.
nBrain and spinal cord injuries with lower limbs paralysis and weakness,
balance and motor coordination disorders with different etiology.
nDemyelinating disease (e.g. multiple sclerosis - SM).
nMeningocele.
nMuscles diseases with weakness and paralysis (dystrophy, myasthenia
gravis, myositis).
nGenetic disorders.
nDegeneration and neurological diseases.
nOther condition connected with muscles weakness, paralysis and
musculoskeletal disorders.
nAfter head and spinal cord injuries and spine trauma with paralysis and
paresis.
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THE PURPOSE OF USER
INDICATIONS FOR USE
CAUTION! Before using the product, user is obliged to
familiarize himself/herself with user manual.
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3.1. Standard equipment
1. Frame with castors and brakes
2. Seat cushion
3. Backrest cushion
4. Independently adjustable chest supports
5. Independently adjustable pelvic supports
6. Hold&Pull vest
7. Abduction block
8. Foot rest with feet stabilizing belts
2
7
5
6
3
4
1
8
6
GENERAL CHARACTERISTICS OF CHAIR
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7
SLK_003 Soft cover for tray
SLK_002 Belt for moving the
patients AM-P
Safety
SLK_102 Head supporting belt SLK_104 Adjustable headrest SLK_114 H Harness
SLK_123 Extended headrest SLK_125 6 points safety vest SLK_401 Tray for manual therapy
SLK_403 Tray
SLK_407 Tray for nonverbal
communication
SLK_410 Headrest cotton
cover
SLK_413 Elastico cushion
backrest
SLK_412 Elastico cushion seat
SLK_419 Seat cushion
(pommel shape)
Stabilization
Comfort
3.2. Additional equipment
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SLK_101 Abduction-
adduction thight belts

SLK_421 Seat cushion (thighs
shape)
Storage
SLK_427 Tango Wheel SLK_507 Oxygen tank holder
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Symbol Size 1 Size 2 Size 3
A Seat width 35 39 46
Seat depth 13-31 19-38 29-54
Distance from pommel to back rest 0-24 3-29 8-45
C Backrest height 34 38 55
E Backrest width 17-27 22-32 22-35
FFootrests length 18-35 24-45 28-45
Footplate length 19 25 26
Seat tilt angle 10 10 10
Backrest tilt angle 100-125 100-125 100-125
Maximum user weight 30 45 75
Width 50 56 60
Length 82 100 120
Height 76 95 105
Weight 14 20 24,5
SIZE TABLE
4
L
L1
X
Y
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Measurement
Size 1 Size 2 Size 3
Weight and dimensions of the device
Note: Dimensional tolerance in the table is +1/-1 cm.
Unit
[cm]
[cm]
[cm]
[cm]
[cm]
[cm]
[cm]
[°]
[°]
[kg]
[cm]
[cm]
[cm]
[kg]

A. The adjustment of headrest - additional equipment. It is possible to have
top-bottom adjustment and, moreover, headrest can be adjusted at any tilt
angle.
B. The adjustment of backrest tilt angle - backrest tilt angle depends on the
type on dysfunction
C. The adjustment of seat depth - loosen knob in order to adjust the depth of
seat B. The possibility of front-back adjustment
D. The adjustment of table - additional equipment. The possibility of front-
back adjustment. It is possible to adjust table at any tilt angle.
E. The adjustment of footrest height - The possibility of top-bottom
adjustment. It is necessary to adjust the height of footrest so as that thighs rest
on the seat.
F. The adjustment of abduction block - The possibility of front-back
adjustment. Abduction block prevents from falling out from the chair.
E
F
D
C
B
A
DESRIPTION HOW TO USE CHAIR
5
10
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G
H
G
H
1111
G. The adjustment of chest pelottes -
The possibility of side adjustment. It is also
possible to adjust pelottes at any tilt angle.
The adjustment of pelottes should be done
according to the measurements of
patient's chest.
H. The adjustment of pelvic pelottes -
The possibility of side adjustment. It is also
possible to adjust pelottes at any tilt angle.
The adjustment of pelottes should be done
according to the measurements of
patient's hips.
Connect clamps from vest with clamps
from adjustable belts that are fastened
both at the bottom and top of backrest (4
pcs.). Next, adjust vest to patient's body
with the aid of belts.
It is highly important to adjust
properly vest due to the fact that it
protects the patient from falling out of
the chair and, moreover,
patient can move without freely.
Vest is equipped with "hold&pull" system
thanks to which all elements are precisely
adjusted to patient. This system is helpful
because the product is stable and child
feels comfortable while sitting in this
device.
I. Vest
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6.1.
6.2. H Harness
6.3.
Head stabilizing belt
Please follow these steps so as to mount head
stabilizing belt:
źfasten belt to lateral parts of headrest
with the aid of Velcro tape,
źadjust the length of belts to patient,
źpull belts so as to check if they are
correctly mounted.
(®page 10). Initially, patient
should not adjust vest tightly. Once vest is put
on, it should be fastened with the aid of belts
with plastic straps. Vest can be quickly
unfastened.
Cover for headrest
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.
Please look at point I so as to find out how to
assembly vest
ADDITIONAL EQUIPMENT
6
SLK_102
SLK_114
SLK_410
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6.5. Soft cover for tray
Please follow these steps so as to mount soft cover for tray:
źAdhere 5 adhesive Velcro tapes;
źPut soft cover in a way that its edges cover tray edges.
6.4. Tray
Please follow these steps so as to mount tray:
· loosen knob D which adjusts tray
(look page 10, adjustment D);
· insert tray in a way that its grips are
situated between chair's side and cup;
· tighten firmly knobs.
SLK_003
SLK_403
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6.6 Tray for manual therapy
Tray for manual therapy is mounted instead
of standard tray. If you want to mount it,
please follow instructions - page 11.
6.7 6 points harness
In order to mount 6 points vest it is
necessary to:
ź points vest should be put on and then it
is important to fasten zipper and buckle
at the front of vest;
źAdjust vest with the aid of Velcro
tapes situated at the back of vest.
ź6 points vest should be fastened
in a place that is created for
standard vest (®look page 10). So
as to fasten it, use not only
buckles but also fastening belt
that should be threaded behind
chair's backrest and fastened at
the front of vest.
SLK_125
SLK_401
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6.8 Adjustable headrest
6.8.1. Disassembly of the plug
To remove the plug you must:
-unscrew two screws (J) with the allen key,
and next:
-remove the cap and install the headrest.
6.8.2. Assembly of headrest:
It is necessary to mount headrest to backrest with
the aid of two screws together with cups. Screws
should be tightened with the aid of Allen wrench.
6.8.3. The adjustment of headrest
Please follow these steps so as to adjust
headrest:
• loosen fastening knobs situated at both
sides of headrest,
• adjust headrest,
• tighten firmly fastening knobs.
Next, it is important to:
• loosen screws from headrest's ribbing
with the aid of Allen key,
• adjust the shape of headrest at your
discretion,
• tighten firmly screws.
SLK_104
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GJ

7.1. 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! JUMBO™ 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 JUMBO™ 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!
16
THE USE OF CHAIR
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7.2. How to use 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;
· 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.
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.
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! Before the product is used, it is highly necessary
to make sure that all belts as well as safety equipment are
correctly fastened as well as adjusted. What is more, check if
they do not become undone due to the pressure and,
moreover, make sure that clampings from adjustable
elements are firmly tightened!
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7.3. Sitting position
Clinical research shows that it is really beneficial for children to adopt sitting
position so as to stimulate psychomotor development. Moreover, adopting
sitting as well as standing position is advantageous for disabled due to the fact
that it has a positive influence on organs and systems. Furthermore, it often acts
as the stage of upright position and learning to walk:
· the most significant cause of using chair is the stimulation of
psychomotor system;
· it has an influence on patient's state of mind;
· it has an influence on the development of muscles, joints and
musculoskeletal system;
· it prevents from contractures or makes it easier to cure them; it
improves joint mobility;
· it prevents from muscle atrophy (especially postural); it makes it easier
to take exercises for upper limbs while sitting position
· it improves cardiovascular system;
· it improves lung ventilation and prevents from pneumonia; it improves
intestinal peristalsis;
· it prevents from urinary problems or makes it easier to cure it;
· it prevents from bedsores or makes it easier to cure them;
· passive sitting is usually only the stage of rehabilitation process
Taking the sitting position for the first time by the little patient usually
happens in the rehabilitation, neurology, neurosurgery or orthopaedic ward.
Upright standing is supervised by the doctor and physiotherapist due to the
possibility of occurrence such medical problems like: loss of consciousness,
drop of blood pressure etc. It is very important to adjust all parts of the device to
the condition of the child, taking into consideration contractures and
deformations.
Taking the sitting position at home is supervised by qualified staff
(physiotherapists, nurse, trained members of the family).
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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.
CAUTION! Only doctor can make decision concerning the
use of rehabilitation chair!
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It is highly important to consult either doctor or physiotherapist in order
to make right decision concerning the choice of chair 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;
SAFETY RULES
8
CAUTION! JUMBO™ chair has to be used in compliance
with guidelines in this user manual.
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