Akces-Med URSUS User manual

URSUS™
USER MANUAL
SPECIAL NEEDS STROLLER

5 9 0 3 2 4 0 6 3 2 3 8 1
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.
R

URSUS
CONTENTS
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1.The purpose of instruction manual ......................................................................................6
2. Indications for use .................................................................................................................6
3. General characteristics of stroller.........................................................................................7
3.1. Standard equipment...................................................................................................7
3.2. Additional equipment..................................................................................................8
4. Size table...............................................................................................................................11
5.Description how to assemble stroller................................................................................12
6.Detailed description how to use stroller.............................................................................13
6.1 How to fold stroller ...............................................................................................13
6.2 How to unfold stroller .........................................................................................15
6.3 Brake, front wheel lock .......................................................................................15
6.4 Footrest ...................................................................................................................16
6.5 Seat .........................................................................................................................18
6.6 Pelvic and chest pelottes ................................................................................22
6.7 Head support ............................................................................................23
6.8 Backrest .....................................................................................................23
6.9 Adjustable handle ........................................................................................24
6.10 Safety rail ..............................................................................................................24
6.11 5 points belts.........................................................................................................25
6.12 Air pressure in tyres............................................................................................26
6.13 Wrench cover.........................................................................................................26
7. Assembly of elements from additional equipment........................................................27
7.1 USS_501 Lady's bag, USS_504 Men’s bag, USS_502 DeLux bag............................27
7.2 USS_128 Abduction block .......................................................................................27
7.3 USS_126 Trunk belt..................................................................................................27
7.4 USS_134 Narrowing pads 6 cm, USS_137 Narrowing pads 10 cm......................28
7.5 USS_505 Basket under seat ...................................................................................28
7.6 USS_402 Sun umbrella............................................................................................29
7.7 USS_411 Cup holder................................................................................................29
7.8 USS_405 Canopy without side covers.................................................................30
7.9 USS_420 Canopy with side covers.........................................................................33
7.10 USS_114 H Harness.................................................................................................33
7.11 USS_125 6 points harness......................................................................................35
7.12 USS_403 Tray............................................................................................................36
7.13 USS_408 Rain cover.................................................................................................37
7.14 USS_130 4 points safety vest..................................................................................37

URSUS
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8. The use of stroller...............................................................................................................38
8.1. Preparation of patient...............................................................................................38
8.2. How to use stroller.....................................................................................................39
9. Safety rules.........................................................................................................................40
10. Maintenance and cleaning................................................................................................43

INTRODUCTION
Special needs rehabilitation stroller was created for transport and daily
rehabilitation. The stroller is for patients with illnesses which make independent
sitting and standing difficult or impossible. (It refers to triplegia, paresis and
serious paraplegia).
Taking sitting position by someone who is disabled from birth is highly
important stage of complex rehabilitation process. Sitting position precedes
taking an upright position. What is more, it has a significant influence on
psychomotor development of the child. The fact that the patient can be safely
transported is beneficial not only for patients but also for his/her care person.
Proper use of safety wedges, belts and pelottes makes it possible to have correct
upright standing, even in case of patients with flaccid paralysis. It prevents
contractures as well as further deformations. Regarding stroller, it is designed to
be used indoors and outdoors.
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).
Thank you for purchasing our product.
URSUS
5
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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proper usage, preparation, maintenance, cleaning and guarantee conditions
regarding URSUS™ stroller.
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 present user manual contains basic information which is essential for
URSUS
6
THE PURPOSE OF USER MANUAL
CAUTION! Before using the product, user is obliged to
familiarize himself/herself with user manual.
The device is recommended for people in the following cases:
n Cerebral palsy – different types..
n Brain and spinal cord damage of different etiology with limb paresis,
severe balance and coordination disorder.
n Demyelinating disease (children's multiple sclerosis, etc.).
n Meningomyelocele defect.
n Muscle diseases with paresis and paralysis.
n Genetic syndromes with limb paresis. Degenerative and neurological
diseases (dystrophy, myasthenia gravis, polymyositis).
n Other diseases with paresis, paralysis, or movement disorders After
traumatic brain or spine injury with spinal cord damage withparesis and
paralysis.
INDICATIONS FOR USE
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12
14
13
1
4
2
8
7
9
6
11
1. Adjustable handle edged with leather
2. Adjustable backrest
3. Adjustable, removable seat
4. Head support equipped with width
adjustment
5. 5 points belts
6. Adjustable side pelottes
7. Safety rail
8. Footplate with 5 points feet stabilizing
belts equipped with heel support
9. Soft upholstery with spine load
reducing and ventilating function
17
3
16. Stroller frame
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GENERAL CHARACTERISTICS OF STROLLER
3.1 Standard equipment
10. Cover for folding mechanism
11. Rear wheels equipped with
inflatable TT tyres.
12. Brakes for rear wheels
13. Front PU swivel with direction
blockade
14. Front shock absorbers
15. Pump
16. Stroller frame
17. Adjustable pelvic pelottes
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Regulating knobs situated at the back of stroller:
A. Knobs for adjustment of headrests
B. Lever for adjustment of tilting function
C. Knobs for adjustment of backrest tilt angle
D. Knobs for adjustment of backrest height
E. Elements of folding mechanism
E
A
C
D
B
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3.2. Additional equipment
URSUS
USS_001 LED Lights USS_003 Soft cover for tray
USS_004 Low head
supporting pannels USS_101 Thigh abduction belts USS_107 Pelvic belt
USS_113 Trunk stabilizing
belt USS_114 H Harness USS_121 Head-neck support
USS_124 Loins support USS_125 6 points safety vest USS_126 Trunk belt
USS_002 Aid for moving
patients AM-P
Safety
Positioning
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URSUS
9
USS_128 Abduction block USS_130 4 points safety vest
USS_131 Firm headrest made
of foam
USS_134 Narrowing pads (set)
6 cm
USS_309 Seat cushion
Bodymap B
USS_137 Narrowing pads
(set)10 cm
USS_313 Back cushion
Bodymap B
USS_311, USS_315
Cover VisMemo
USS_310, USS_314
Cover frotte
USS_312, USS_316
Aerating-massaging pad USS_403 Tray
USS_405 Folding canopy USS_408 Rain cover USS_409 Mosquito net
Stabilizacja BodyMap
Comfort
USS_027 Side supports
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URSUS
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USS_411 Cup holder USS_414 Tray Plexiglas® USS_416 Summer footmuff
USS_417 Winter footmuff
USS_418 Hood for winter
footmuff
USS_420 Folding canopy with
side covers
USS_501 Lady’s bag USS_504 Men’s bag
USS_502 DeLux Bag USS_505 Under seat storage
USS_507 Oxygen tank
holder
US_601 Kid-sit Boggypod LITE
US_600 Kid-sit Buggypod IO USS_604 Rain cover for Buggypod
Storage
USS_402 Sun umbrella
Built-up
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URSUS
Symbol Measurement Unit Size 1 Size 2 Size 3
A Seat width [cm] 19-25 22-30 24-34
B Seat depth [cm] 21-26 27-35 34-42
C Backrest height [cm] 44-55 49-59 55-67
E Backrest width [cm] 23 27 32
F Footrests length [cm] 13-29 16-40
Footplate length [cm] 20 20
Push handle height [cm] 100 100 100
Seat tilt angle stroller that is placed forwards( ) [°] 0-20 0-25 0-30
Seat tilt angle stroller that is placed backwards( ) [°] 0-22 0-17 0-20
Backrest tilt angle [°] 90-180 90-180 90-180
Footrests tilt angle [°] 0-90 0-90 0-90
Maximum user weight [kg] 35 35 50
Weight and dimensions of the device
Width [cm] 59 66 67
After folding width [cm] 59 66 67
Length [cm] 90 90 90
After folding length [cm] 90 90 92
Height [cm] 100 100 100
After folding height [cm] 45 48 53
Weight [kg] 19,5 21 22,5
Note: Dimensional tolerance in the table is +1/-1 cm.
SIZE TABLE
4
11
20
16-43
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Size 1 Size 2 Size 3

Remember that stroller needs to be assembled. Manufacturer cannot assemble
this stroller due to transportation issues. We will give you stroller which needs to
be mounted. It consists of 2 parts: frame (16) and seat (3). In order to use the
stroller please follow these steps:
STEP 1. Activate brakes (12) (look point 6.3.1, page 15 );
STEP 2. Place seat (3) on stroller frame (16) in a way that front seat's mounting
bar (fig.2) (in case when stroller is placed backwards fig.4 ) or back seat's
mounting bar (fig.2) ( in case when stroller is placed forwards - fig.3) is placed in
catches situated on stroller frame (fig.1). Next, it is necessary to press firmly seat
until front or back mounting bar will make a sound ''click'';
Catches
Back seat mounting bar
Front seat mounting bar
URSUS
5DESCRIPTION HOW TO STROLLERASSEMBLE
fig.1
fig.2
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6.1. How to unfold stroller
Ursus stroller can be folded irrespective of whether seat is placed
forwards or backwards. It is also possible to fold only frame but
before it is necessary to remove seat (look point 6.5). It is
recommended to fold stroller when seat is placed forwards
In order to fold stroller it is important to :
STEP 1. Remove rail (7) (look point 6.10.1, page 24), activate brakes (12) (look
point 6.3.1,page 15), fold footplate (8) (look point 6.4.2, page 16);
Stroller that is placed
forwards
Stroller that is placed
backwards
URSUS
CAUTION! If you hear a “click”, it means that seat is correctly
mounted. In order to check if seat is placed in a correct place,
raise it upwards.
6
fig.3 fig.4
13
DETAILED DESCRIPTION HOW TO USE STROLLER
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STEP 3. Stand behind stroller and pull
upwards elements of folding mechanism
which are situated on both sides of stroller
frame until they are completely pulled out
(fig.5);
STEP 4. At the same time: Push stroller
handle forwards until stroller is completely
folded (fig.6). Picture 7 shows how stroller
should be folded (fig.7).
URSUS
STEP 2. Put backrest (2) as forwards as possible (the adjustment of backrest
tilt angle - look point 6.8.2, page 23);
CAUTION! Folding mechanism is situated under the cover
which should be removed or moved upwards as much as
possible.
CAUTION! Neither anyone nor anything can be placed on
stroller While performing all this activities!
fig.4
fig.7
fig.6
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6.3. Brake, front wheel lock
6.3.1. There is a possibility to activate break (12).
Press break lever (fig.9). Each wheel can be
blocked independently. Brakes are painted red.
6.3.2. Stroller is equipped with front PU swivel with
direction blockade (13). It is possible to activate
direction blockade : pull catch and turn it in a way
that the mandrel of catch is pulled out (fig.10).
Make sure that front wheels are seat towards
the back of the stroller (look fig.8).
6.2. How to unfold the stroller
(perform all activities from point 5.1 the other
way around)
In order to unfold stroller it is necessary to pull
handle backwards until all side elements
fromfrom are blocked and stroller is
completely unfolded (fig.8)
fot.5
URSUS
fig.8
fig.9
CAUTION! Make sure that all elements from folding
mechanism overlap stroller frame and are completely
blocked.
fig.10
15
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6.4. Footrest (8)
6.4.1. The adjustment of the footrest should be performed with the aid of
selector lever. Please follow these steps so as to adjust the footrest:
STEP 1. Turn the lever anti-clockwise (fig. 11);
STEP 2. Adjust the tilt angle of the footrest at your discretion and tighten firmly
the lever. Turn the lever clockwise as long as needed (fig. 12);
6.4.2. Please follow these steps if it is
necessary to change the tilt angle of
footrest's plate:
STEP1. Loosen the fastening screws as
well as strip situated under the footrest's
place (fig.13);
URSUS
fig.11
fig.12
fig.13
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6.4.2. It is possible to adjust the height of the footrest, please use Allen key so as
to adjust it. Loosen two screws situated at the back of the footrest (fig.17), adjust
the height at your discretion and remember to tighten firmly the screws (fig.18).
STEP 2. Adjust the tilt angle of the footrest at your discretion
STEP 3. Lower the strip downwards as much as possible (fig.14) and then
tighten firmly two fastening screws (fig.15);
STEP 4. Fasten the belt by means of
Velcro tape that is situated under the
footrest's plate (fig.16).
URSUS
fig.14 fig.15
fig.16
fig.17 fig.18
17
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6.5. Seat (3)
Seat can be adjusted according to patient's needs. There are two
possible ways: according to direction of stroller (fig.21) or the other way
around, when
Stroller that is placed
forwards
Stroller that is placed
backwards
6.4.3. Footrest is equipped with foot stabilizing belts which should be fastened
criss crossed with the aid of Velcro tapes. It is possible to adjust the length of
belts (fig.19,20).
URSUS
fig.19 fig.20
CAUTION! Once the adjustment of tilt angle is done, it is
necessary to tighten adjustable lever and screws which
regulate the height of footrest.
fig.21 fig.22
18
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CAUTION! If you hear a “click”, it means that seat is correctly mounted.
In order to check if seat is placed in a correct place, raise it upwards.
Back seat mounting bar
Front seat mounting bar
STEP 4. Move seat upwards and turn it (fig.26);
STEP 5. Place seat on stroller frame in a way that
back seat's mounting bar (fig.28) (in case when
stroller is placed backwards) or front seat's
mounting bar (fig.28) (in case when stroller is placed
forwards - fig.21) is placed in catches situated on
stroller frame (fig.27). Next, it is necessary to press
firmly seat until front or back mounting bar will
make a sound ''click''.
URSUS
fig.26
fig.27
fig.28
Catches
19
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6.5.1.Follow these steps so as to rearrange seat:
STEP 1. Block brakes (12) (look point 6.3.1, page 15);
STEP 2. Adjust the footrest angle in parallel with the seat (look point 6.4.1,
page 16);
STEP 3. Pull the mandrel of catch that is situated under seat (fig.23) and at the
same time pull handle that releases seat (fig.24). Next, push seat forwards
(fig.25) thanks to which seat is released from catches;
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fig.23
fig.24 fig.25
20
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