Alu Rehab Netti 4U comfort CE PLUS User manual

MOBILE FAMILY
USER
MANUAL
NETTI 4U COMFORT | CE PLUS
NETTI 4U COMFORT | CES PLUS
My-Netti.com
4U FAMILY
COMFORT
This product conforms to
93/42/EEC for medical products.

CONTENTS
1. INTRODUCTION 4
1.1 Areas of use/indications for Netti 4U CE PLUS and CES PLUS 5
1.2 Contra indications 5
1.3 Quality and durability 5
1.4 Environment and waste disposal 5
1.5 Information for re-use 6
1.6 About this manual 6
1.7 Vital measures 7
2. QUICK REFERENCE 8
3. DESCRIPTION 9
4. FEATURES OF NETTI 4U CE PLUS and CES PLUS 10
5. ACCESSORIES 11
5.1 Assembly of Hip-Belt 13
5.2 Mounting of H-belt bar 13
6. ASSEMBLY AND ADJUSTMENT 14
6.1 Unpacking 14
6.2 Main wheel 14
6.3 Front castors 14
6.4 Seat height adjustment 14
6.5 Back rest 16
6.6 Backrest cushions 17
6.7 Seat depth adjustment 17
6.8 Anti tip 17
6.9 Seat cushion 18
6.10 Foot support 18
6.11 Head support 21
6.12 Arm support 22
6.13 Adjusting the brakes 23
6.14 Seat angle/tilt 25
6.15 Back rest angle 25
7. SEAT ANGLE / TILT AND BACK ANGLE/RECLINE 25
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7.1 Seat angle 25
7.2 Backrest angle 25
7.3 Keywords regarding tilt and recline 25
7.4 Decrease the possibility of sliding, shear and pressure sores 26
7.5 Operating the tilt handle 26
7.6 Operating the recline handle 26
8. MANEUVRING THE WHEELCHAIR 27
8.1 General about driving and parking 27
8.2 Driving techniques - Step up 27
8.3 Driving techniques - Step down 27
8.4 Driving techniques - Slope 28
8.5 Driving techniques - Up stairs 28
8.6 Driving techniques - Down stairs 29
8.7 Transfer 29
8.8 Lifting the wheelchair 30
8.9 Push rim 30
9. TRANSPORT 30
9.1 Transporting in car 30
9.2 Folding for transport 31
9.3 Transport in air plane 31
9.4 Travelling on public transport 32
10. MAINTENANCE 32
10.1 Maintenance instructions 32
10.2 Cleaning and washing instructions 33
10.3 Long time storage 33
11. TABLE OF VITAL MEASURES 34
12. TROUBLESHOOTING 35
13. TESTS & WARRANTY 36
13.1 Tests 36
13.2 Guarantee 36
13.3 Claim 36
13.4 Netti Customized / individual adaptation 37
13.5 Combination with other products 37
13.6 Service and repair 37
14. MEASURES & WEIGHT 38
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1. INTRODUCTION
Netti 4U CE PLUS and CES PLUS are comfort
wheelchairs meant for both indoor and
outdoor use. It is tested to DIN EN 12183:2014.
The tests were carried out by
TÜV SÜD Product Service GmbH in Germany.
In Alu Rehab we believe that wheelchairs
should be chosen based on a thorough
assessment focusing on the needs of the
user and demands from the environment.
Therefore it is important to know about
the possibilities and restrictions of the
wheelchair. Netti 4U CE PLUS and CES
PLUS are wheelchairs designed for users
with the need for comfort and relief. The
combination between the seating system
and the ergonomical solutions in the frame
construction, offers many possibilities for
adaptation and adjustments.
The wheelchair is constructed for indoor and
outdoor use, and offers the possibility to
vary the sitting position from activity to
rest using tilt and recline functions.
Netti 4U CE PLUS is available in 2 versions:
- Netti 4U CE PLUS with standard seat depths.
- Netti 4U CES PLUS for users with
need for shorter seat depth.
Max user weight: 135 kg.
When mounting accessories such as
power kit etc, the weight of the
accessories must be subtracted from the
max user weight.
Specifications varies between
countries.
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1.1 AREAS OF USE/INDICATIONS
NETTI 4U CE PLUS / CES PLUS
Netti 4U CE PLUS and CES PLUS are multi-
functional wheelchairs for partially or fully
immobile persons with physical and/or
mental disabilities. These disabilities may
have multiple causes. Netti 4U CE PLUS and
CES PLUS have an adjustable seat and back
angle, thus facilitating for the user change of
position, mobilisation or posture correction
(stabilisation), wherever the following
functional impediments with their multiple
possible causes are present:
• limited or lacking mobility
• limited or lacking muscle power
• limited movement range
• lacking or limited trunk and body stability
• hemiplegia
• rheumatic-type disorders
• craniocerebral injuries
• amputations
• other neurological or geriatric disorders.
1.2 CONTRAINDICATIONS
Netti 4U CE PLUS and CES PLUS are not
suited for persons with a strongly enhanced
muscular spasticity. In this case we
recommend the Netti Dynamic System which
offers a frame construction that follows the
movement pattern of the user. Ignoring this
advice could in unfavourable circumstances
lead to the deformation or fracture of metal
parts in the area of the back tube, the leg
support or the arm support.
1.3 QUALITY AND
DURABILITY
The Netti 4U CE PLUS and
CES PLUS wheelchair are tested at
TÜV SÜD Product Service GmbH in
Germany, following the European
Standard DIN EN 12183:2014. As
manufacturer, Alu Rehab A.S evaluates
the test to be equal to 5-6 years of
normal use of the chair. The disability
of the user as well as the level of
maintenance done foremost decides
the durability of the wheelchair. Thus,
the durability will vary depending on
these two factors.
1.4 THE ENVIRONMENT
AND WASTE DISPOSAL
Alu Rehab and its suppliers
wish to protect
the environment.
This means:
• That we avoid using environmentally
harmful substances and processes to
the greatest extent possible.
• That Alu Rehab’s products are
ensured a long service life and a high
degree of flexibility - to benefit the
environment and economy.
• That all packaging can be recycled.
• That the wheelchair was designed to
be separated into its component
materials - to make recycling easier.
Contact your local recycling
agent to get correct information
how to handle in your area.
Netti 4U CE PLUS and CES PLUS
are designed for temperature
range from -10°C to +40°C
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1.6 ABOUT THIS MANUAL
In order to avoid damages while using the
Netti 4U CE PLUS or CES PLUS wheelchair,
please read this manual carefully before
starting to use the chair.
Symbol of forbidden actions.
No warranty can be claimed when-
ever these actions are implemented.
Symbol of warning.
Whenever this symbol is used,
caution has to be taken.
Symbol for
important
information.
Symbol for useful tips.
Symbol for tools.
7
°Symbol for parking brake safe
slope.
Max.
135 kg
Symbol for max user weight.
Please note that this manual is updated
according to the year and date stated on
each page.
User Manual on web
For enhanced readability ( advantageous for
users with visibility challenges) please find
our user manual om our web page:
www.My-Netti.com - manuals - user manual -
Netti 4U CE PLUS and CES PLUS.
Latest user manual updates, product safety
notes, addresses and other product
information like recalls etc. will be published
on our web page.
1.5 INFORMATION FOR
RE-USE
All products from Alu Rehab are
designed to give years of maintenance-
free service. All products can be adap-
ted for re-use by an authorised dealer.
In order to guarantee performance and
safety, Alu Rehab recommends the
following tests prior to any re-use.
Please examine the following
components for function, integrity etc.
and replace parts as necessary:
• Wheels (tyre tread)
• Wheelchair frame
• Front castors and quick release
• Hubs
• Brake function
• Directional stability of wheels
• Bearings: test for wear and
lubrication.
• Cushions
• Leg supports
• Arm supports
• Recline/tilt function
• Push bar / handles
• Anti tip
Please also note the content of chapter
10.2 Cleaning and care.
For hygienic reasons: please replace the
head support for a new user.
Anti-tip
Correctly fitted, the anti-tip will secure
the chair from tipping backwards. We
strongly recommend use of the anti-
tips.
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1.7 VITAL MEASURES
Netti 4U CE PLUS and CES PLUS are
comfort wheelchairs designed for both
outdoor and indoor use.
Specifications varies between
countries.
Total weight: 28,5 Kg
(450 mm width chair)
Seat width:
350, 400, 450, 500 mm
Seat depth:
(From back rest cushion to front of seat
plate)
CE PLUS:
425, 450, 475 and 500m
CES PLUS:
375, 400, 425 and 450mm
Seat height:
(From floor to top seat plate using 24”
main wheels in upper hole position).
465 mm*
*By changing position of main wheels, it is
possible to achieve seat height of 500
mm.
Backrest height:
500 mm*
*Using back rest extender
gives 600 mm
A table with dimensions is found on
page 34.
Netti 4U CE PLUS and Netti 4U CES PLUS
are identical chairs except for the shorter
seat depth by Netti 4U CES PLUS.
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2. QUICK
REFERENCE
The content of this page is a summary
of the whole manual. It gives a brief
introduction to the use and care of the
Netti 4U CE PLUS & CES PLUS wheelchair.
The quick reference is not a
replacement for the manual, only a
reminder/check list.
• Unpack the wheelchair (Chapter 6.1)
• Mount the main wheels (Chapter 6.2)
• Mount the front castors (Chapter 6.3)
• Put the back rest back, and mount the
recline gas strut to the back rest using
the locking bolt. (Chapter 6.5)
Mount the arm support. ( Chapter 6.11)
• Mount the seat cushion (Chapter 6.9)
• Mount the leg supports (Chapter 6.10)
• Mount the head support (Chapter 6.11)
• Set anti-tip in active position
(Chapter 6.7)
• Mount accessory. (See chapter 5 for more
information. Mounting descriptions will
folloe the accessory.)
Adjust the wheelchair to the user:
Adjust seat depth and eventually the
wheelchair balance, leg support height,
arm support height, head support height
and depth, chair back cushion height.
For more information about adapting
the wheelchair to the user, please see:
My-Netti.com Knowledge center.
For troubleshooting, see chapter 10.
For mounting and adjustments see
chapter 6.
Announcements to product safety
and eventually product recalls will be
published on our home page
www.My-Netti.com
Drive carefully!
Be aware that friction against push
rims can create a warm surface.
Salt water can increase risk of
corrosion. Further precautions related
to environmental conditions not
needed.
When the chair is tilted rearwards,
the anti tips and brakes should
always be in use.
Be sure to lock all handles properly.
The anti-tips should always be used
for the safety of the user.
Watch out for pinching danger when
folding and unfolding, tilting, reclining
and all other adjustment movements.
Surface temperature of metal parts in
frame structure might increase when
exposed to direct sunlight.
Never stand on the foot plates due
to risk of tipping forwards.
Never lift the wheelchair by the leg
supports, arm supports or head
support.
Product configuration may vary
between different countries.
For visually impaired people,
manuals and catalogues can be
downloaded at www.My-Netti.com
If in doubt - contact your dealer!
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3.DESCRIPTION
Standard version*
1. Head support
2. Angle and depth adjustment
for head support.
3. Head support bracket
4. Push bow
5. Release handle
6. Main wheel
7. Anti-tip
8. Brakes
9. Front castors
10. Front fork
11. Foot plate
12. Calf support
13. Calf support bracket
14. Angle adjustable leg support
15. Seat cushion
16. Arm support with pad
17. Back cushion
If any of these parts are missing,
please contact your dealer.
* Product configuration may vary
between different countries.
Netti 4U CE PLUS and Netti 4U CES
PLUS are identical chairs except for
the shorter seat depth by Netti 4U CES
PLUS.
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STANDARD
SEAT
• Pressure distributive cushion Uno
• Tilt -5° to +20°
• Adjustable depth of 75 mm
WHEELS
• 24” x 1 3/8” puncture proof main
wheels with quick release axle
• Push rim: Aluminum
• 7” Puncture proof front castors with
quick release axle
* Standard main wheels may vary
between countries.
PUSH HANDLE
• Height adjustable push handles
BRAKES - User brakes
ANTI-TIP - Upward swingable
BACKREST
• Angle: 90° to 135°
• Height: 500 mm
• Netti|Uno Back
LEG SUPPORT
• Universal or Angle adjustable
leg support
• Height- and angle adjustable foot
plates
• Removable
ARM SUPPORT
• Height adjustable
• Removable
HEAD SUPPORT
• Height, depth and angle adjustable
• Removable
ACCESSORIES
BELTS • Hip belts (See chapter 5)
SEAT
• Pressure distributive cushions
WHEELS
• Puncture proof PU wheels 12”, 16” and 24x1”
with drumbrake (See chapter 5)
• Puncture proof PU 22 x 1” & 24 x 1”
• 6” & 7” puncture proof front castors with
quick release axle
• Pneumatic wheels
PUSH BOW
• Height and angle adjustable push bow.
BRAKES - Drum brakes
BACKREST
• Back rest extender (See chapter 5)
• Lumbar support and wedge (See chapter 5)
• Different backrest cushions
LEG SUPPORT
•Amputation support
•Upholstery for foot supports
ARM SUPPORT
• Hemi cushions (See chapter 5)
HEAD SUPPORT
• Different head support models
(See chapter 5)
4. FEATURES OF NETTI 4U CE PLUS / CES PLUS
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4. FEATURES OF NETTI 4U CE PLUS / CES PLUS
5. ACCESSORIES
The anytime updated complete
accessory and spare part catalogue can
be downloaded from our home page
www.My-Netti.com order forms.
FRAME
Anti-tip
with tramp pedal
Brake extender
long 310 mm
Frame extender
Increases distance
between main wheels
and front castors.
Reduces tipping risk.
Eye bolt set
for fixing wheelchair in a
car
BACK
Backrest Cushions
Several models
Please contact your
dealer.
Wedge
Increases side support.
Lumbar support
Increases lumbar
curvature.
Backrest extender
12 cm extender.
To be used together with
60 cm back rest cushion.
Watch out that the chair
does not become unstable
when the back is reclined.
Side support Correction
Meant for correction of
bad postures in the
upper trunk.
Pad for side support
Side support Stable
Meant for users with de-
creased stability of the
upper trunk. For optimal
function use together
with Stable cushion.
Pad for side support Stable
SEAT
Seat Cushions
Many to choose from.
Please contact your
dealer.
Vital Base Integral
Pelvic stabilizer.
Abduction block
The block reduces
abduction.
Small: 80 mm width
Medium: 110 mm width
Large: 140 mm width
BELTS AND HARNESSES
Several models: Hip
belts with or without
upholstery and with
plastic lock or car lock.
(chapter 5.1 for
mounting)
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HEAD SUPPORT
Support C Large.
Support A Side support
Support B Small
Support D pressure
distribution
Support E side support adjustable
Support F with cheek support
Hygiene cover
Protects the core of the
head support.
Head cushion
40x40 cm cushion with
Kospoflex filling and rubber
band.
Head cushion Comfort
Cushion with Kospoflex
filling to pull onto head rest.
ARM SUPPORT
height adjustment by
star wheel
Hemi carm support
A support
for hemiplegic users.
LEG SUPPORT
Angle adjustable
Universal leg support
Adjustable in fixed positions
between 33° to 105° using an
adjustment wheel.
Amputation support
Upholstery for
calf support bracket
Reduces pressure.
Calf pad hinged
The user doesn’t
have to lift the leg
when mounting or
dismounting the
foot supports.
Foot board with lock
The foot support can
be swung to the side
like standard foot
supports.
Ankle huggers
WHEELS
Main wheels
12”, 16” and
24” with drum brake
Front castors
7”-175x45 Flexel
Spoke protectors
For 20”, 22” and 24”.
Transparent.
TRAYS etc.
2 models:
Swingable and lockable
Upholstery for tray
Offers a soft base for
the arm resting on the
tray.
Tool set
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5.1 ASSEMBLING OF HIP BELT
• Pull the belt through the hole in the
hip belt bracket.
• Thread the belt back through the belt
clamp.
• Fix the hip belt bracket to the back
rest hinge in the rearmost hole, using
the enclosed screws and nuts.
2pcs 13 mm open-end spanner.
Infusion stand
to be fixed to the horizontal
chair back tube.
The spare part and accessory
catalogue can be downloaded from
our home page www.My-Netti.com
downloads - orderforms.
http://www.my-netti.com/docs/order-
forms/order-form-netti-4u-comfort-
ce-plus
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To check that the main wheel is
properly attached to the hub, remove
the finger from the central knob and
pull at the main wheel.
If the main wheel doesn’t lock, don’t
use the wheelchair but contact
your dealer.
Sand and sea water (salt used for
gritting in the winter) can damage
the bearings of the main wheels and
front castors. Clean the wheelchair
thoroughly after exposure.
6.3 FRONT CASTORS
Are equipped with quick release axle.
To take off
• Press the release button under the front
fork.
To mount
• Lead the quick release axle into the
bearing house. Pull the fork slightly to
ensure that the fork is fully locked.
6.4. SEAT HEIGHT
ADJUSTMENT
The seat height at the rear depends on:
• Size of main wheel.
• Position of main wheel.
6. ASSEMBLY AND
ADJUSTMENT
For information about adapting the
wheelchair to the user, please see:
My-Netti.com Knowledge center.
Tools needed are described under each
chapter. Accessories described in chapter 5 is
a presentation of options and will be delivered
with separate mounting descriptions.
6.1 UNPACKING
1. Unpack all the parts, and check that
everything is there according to the
packing list.
2. Mount the main wheels (Chapter 6.2)
3. Mount the front castors (Chapter 6.3)
4. Check and adjust the seat dept (Chap. 6.7)
5. Mount the back rest (Chapter 6.5)
6. Mount the arm supports ( Cahpter 6.12)
7. Mount the seat cushion (Chapter 6.9)
8. Mount the leg supports (Chapter 6.10)
9. Mount the head support (Chapter 6.11)
10. Mount any accessories (Chapter 5).
Weight of components (450 mm chair width):
Main wheels: 1,9 kg each
Anti tip: 0,1 kg each
Front castors: 0,8 kg each
Leg support angle adj.: 2 kg each
Seat cushion: App. 1 kg
Head support A: 1 kg
Head support C: 0,9 kg
6.2 MAIN WHEEL
To mount the main wheel remove the quick
release bolt from the hub bushing, lead it
through the
center of the
main wheel
and into the
hub bushing
while pressing
the knob in
center.
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24” main wheel
24”,16”and
12” main wheel 24”
16”
12” main wheel
24” main wheel
• Using 24” main wheels in the upper hole,
the seat height is 465 mm from the floor
to the seating plate. Using 24” main
wheels in the next lower position, the
height will measure 500 mm to the
seating plate.
If it is required to change position of the
main wheels or to change to a different
size of main wheels, unfix the hub bushing
including washer and nut. Remove the
hub bushing and mount it in the required
position.
2 pcs 24 mm open-end spanners
Make sure that the nut on inside of
frame totally wreathes the wheel
bushing.
Main wheels and front castors should be
mounted according to the description below.
When the seat height is changed
ensure:
that the front castors are positioned
so that the front castors bearing
houses stands vertical to the ground.
This is vital to have good wheelchair
driving characteristic.
Check the position of the anti-tip
and readjust the brakes after moun-
ting the main wheels or changing the
main wheel position.
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To check that the back rest is
locked, grip the push bow and
press the back rest forward.
If the back rest falls forward -
repeat the locking procedure
or contact your local dealer.
• The wheelchair is set to a standard seat
depth, and the plastic bracket has 4 holes
of which three are temporarily blocked
with plastic plugs.
• The back rest hinge has 4 holes.
The hole positions are in accordance with
the holes in the plastic bracket. If the
locking head of the gas spring is
mounted in the inner hole of the plastic
bracket, the back rest hinge should also
be mounted in the inner hole etc.
6.5 BACKREST
• To mount the gas spring, lift the push
bow with one hand, and lead the gas
spring locking head into the plastic
bracket with the other.
• Check that the hole in the locking head is
parallel with the open holes in the plastic
bracket.
• Lock the backrest by pushing the locking
bolt through the plastic bracket and
gas spring locking head.
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6.7 SEAT DEPTH
ADJUSTMENT
• If the seat depth can only be adjusted at
the rear, loosen the locking bolt in the
plastic bracket.
• Find the required position for the locking
head in the plastic bracket, and remove
the plastic plug from this hole.
• Lock the back rest by pushing the locking
bolt through the plastic bracket and
the gas spring locking head.
• After changing the hole position in the
plastic bracket, the hole position in the
back rest hinge must be changed into the
parallel position.
Check that the hole in the back rest
hinge and the plastic bracket are
mounted into the same hole position.
6 mm Allen-key
6.8 ANTI-TIP
The anti-tips should be mounted according
to the mounting description which is
enclosed with the chair upon arrival.
Use of the anti-tip
• Pull the anti-tip out
• Turn it up or down 180°.
• Lock it in position
6.6 BACKREST CUSHIONS
Backrest cushions are fixed and adjusted
onto the wheelchair using the Velcro.
The backrest comes with a one piece
Velcro back as standard.
Backrest cushions are attached with a
Velcro system.
It is imperative to correctly set-up
the cushion in order to ensure good
seating comfort
The cushion covers are washable and
thereby reusable. Follow the
instruction on the back of the
cushion for correct maintenance and
washing of the cushion.
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Adjusting the height of the anti-tip
The anti-tip can be adjusted in two fixed
positions. The short position is for 12” & 16”
main wheels and 24” in upper position. The
long position is for 24” main wheels in lower
position.
• Unx the screw in the adjustable extension
piece as shown in picture below.
• This extension piece has two holes. Place
it in the required position and tighten the
screw.
5 mm Allen key
The anti-tip should always be used for
the safety of the user.
6.9 SEAT CUSHION
The seat cushion is fixed on the wheelchair
with velcro.
It is very important to place the cushion
in the wheelchair before use.
The cushion cover is washable and
reusable. Follow the instruction
on the back of the cushion for
correct maintenance and washing of
the cushion.
6.10 LEG SUPPORTS
Netti 4U CE Plus and CES PLUS can be
delivered with either Universal or Angle
Adjustable leg support.
Universal leg
support
The Universal
leg support is
fixed with the
possibility of angle
adjustment. It is
swingable and
removable. The
foot plates are
foldable and can be
angled in fixed positions. It is delivered
with height and depth adjustable calf
support.
Angle adjustable
leg support
The angle
adjustable leg
support is freely
adjustable in angle.
It is swingable and
removable. The
foot plates are
foldable and can
be angled in fixed
positions. It is delivered with height and
depth adjustable calf support.
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Mounting of leg support
• Mount the leg support by holding onto
the bar bending down towards the
footplate. Hold it in an angle of app. 20°
to the side frame. Put it into the black
plastic lock for the leg support. Swing it
in and push down
Adjusting the angle - Universal leg
support
• The angle of the leg support can be
adjusted using the star wheel in center
of the hinge point.
• Loosening this star wheel enables you to
adjust the leg support to the required
angle.
• Fix the angle by tightening the star
wheel.
Adjusting the angle - Angle adjustable
leg support
• The angle of the leg support can be
adjusted using the star wheel
• Loosening this star wheel enables you
to adjust the leg support to the
required angle.
• Fix the angle by tightening the star
wheel.
Squeeze hazard. When adjusting leg
supports in angle, do not put the
fingers in the adjusting mechanism
between the moving parts.
Adjusting the length of the leg support
• Untighten the screw (A ill. next page)
to make the adjustment tube move
• Adjust the leg support in required
position and fix the screw properly.
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A
Adjusting the angle of the footplate
• The foot plates angle can be adjusted.
• Untighten the screw (B) and adjust the
foot plate to the required angle. Fix the
screw properly.
5 mm Allen key
Locking and releasing the foot plates
• The foot plates come with a locking
mechanism which makes the plates
stronger
• To lock the foot plates pull the plastic
lock on the right foot plate and place the
lock over the bolt on the left foot plate.
• To release the foot plate pull the plastic
lock and lift the right foot plate up.
For outdoor use, there should be a
clearance of 40-50 mm between the
foot plate and the ground.
While making the adjustment there
must be no load on the foot plates.
Removing the leg support:
• Pull the plastic lock on the foot plate
rearwards, so that the pin is released,
and the foot plate can be folded up.
• Raise the leg support a few degrees.
• Release the leg support by pulling it
slightly straight up.
• Swing the leg support outwards.
• Lift and remove the leg support.
Never stand on the foot plates!
Never lift the wheelchair by the
leg supports.
Adjusting the calf support
The calf support is height and depth
adjustable. To adjust height unfix the nut
on the outside of the calf support bracket,
find the required height and fix the nut
again (Ill. A).
20 My-Netti.com
Model: NettI 4U CE PLUS and CES PLUS
Language: English Version: 2017-06