Atlas Tommy User manual

P
Po os st ta al l a ad dd dr re es ss s
Atlas Revalidatie Techniek BV
PO Box 106
5370 AC Ravenstein
The Netherlands
Visiting address
Korte Stukken 7
5371 MN Ravenstein
The Netherlands
Tel: [phone]
Fax: [phone]
www.atlas-rehab.nl
[e-mail]
T
To om mm my y
Ventral standing frame
M
Ma ay y 2 20 00 08 8

Tommy User Guide
Foreword
No part of this User Guide may be reproduced, stored in a retrieval system, or published, in any form or by any means, electronic,
mechanical, photocopying, recording or otherwise, without the prior written permission of Atlas Revalidatie Techniek BV.
© 2008 Atlas Revalidatie Techniek B.V.
2
F
Fo or re ew wo or rd d
This user guide is intended for parents and/or supervisors of children who use the Tommy ventral
standing frame.
The Tommy bears the CE marking, which indicates that it meets European safety requirements.
The settings of the Tommy are adjusted by the dealer prior to delivery. This user guide
subsequently helps you to make the most important daily adjustments to the Tommy, thus enabling
the child for whom it is intended to make optimal use of it.
The user guide contains a great many photographs that will facilitate finding the adjustment facilities
on the standing frame.
Your experiences with the Tommy are important for its continual improvement. If you have remarks
or suggestions for improvement of this product, please contact us via:
Postal address:
Atlas Revalidatie Techniek BV
Antwoordnummer 3509
5370 ZX Ravenstein
The Netherlands
Internet:
www.atlas-rehab.nl
[email protected]
Read this user guide carefully.

Tommy User Guide
Contents
No part of this User Guide may be reproduced, stored in a retrieval system, or published, in any form or by any means, electronic,
mechanical, photocopying, recording or otherwise, without the prior written permission of Atlas Revalidatie Techniek BV.
© 2008 Atlas Revalidatie Techniek B.V.
3
C
Co on nt te en nt ts s
1. THE TOMMY............................................................................................................................................................ 4
2. SAFETY...................................................................................................................................................................... 5
2.1 S AFETY INSTRUCTIONS ........................................................................................................................................ 5
2.2 I MMEDIATE DANGER ............................................................................................................................................ 5
3. INITIAL USE ............................................................................................................................................................. 6
3.1 T RANSFERRING THE CHILD TO THE STANDING FRAME .......................................................................................... 6
3.2 T RANSFERRING THE CHILD FROM THE STANDING FRAME ..................................................................................... 6
4. OPERATION ............................................................................................................................................................. 7
4.1 D AILY ADJUSTMENTS ........................................................................................................................................... 7
4.1.1 The brakes...................................................................................................................................................... 7
4.1.2 The tilt angle .................................................................................................................................................. 8
4.1.3 The chest band ............................................................................................................................................... 8
4.1.4 The pelvic band.............................................................................................................................................. 8
4.1.5 Removing and adjusting the depth of the sacral support............................................................................... 8
4.1.6 Securing the child’s feet in the shoe holders and adjusting the angle of his or her feet ................................ 9
4.1.7 The angle of the tray table ............................................................................................................................. 9
4.2 S TANDARD SETTINGS ( IT IS ADVISABLE TO HAVE THESE SETTINGS FIXED BY A PARAMEDIC ) ............................. 10
4.2.1 The height of the chin support...................................................................................................................... 10
4.2.2 The height of the chest support .................................................................................................................... 10
4.2.3 The width of the chest side supports ............................................................................................................ 10
4.2.4 The height of the sacral support .................................................................................................................. 11
4.2.5 The height of the tray table .......................................................................................................................... 11
4.2.6 Height, width and depth of the leg supports ................................................................................................ 11
4.2.7 Height, width and depth of the shoe holders................................................................................................ 12
5. MAINTENANCE ..................................................................................................................................................... 14
6. REPAIRS .................................................................................................................................................................. 14
7. WARRANTY............................................................................................................................................................ 14
8. TECHNICAL DATA ............................................................................................................................................... 15
8.1 D IMENSIONS OF THE T OMMY ............................................................................................................................. 15
8.2 U PHOLSTERY ..................................................................................................................................................... 15
8.3 O PTIONS ............................................................................................................................................................. 15

Tommy User Guide
1. The Tommy
No part of this User Guide may be reproduced, stored in a retrieval system, or published, in any form or by any means, electronic,
mechanical, photocopying, recording or otherwise, without the prior written permission of Atlas Revalidatie Techniek BV.
© 2008 Atlas Revalidatie Techniek B.V.
4
1
1. . T Th he e T To om mm my y
The ventral standing frame ‘Tommy’ was developed primarily for children who are difficult to
verticalise due to, for example, hip problems (luxations), flexion contractures in the lower extremities
and conjugate deviations of the feet.
It is suitable for children with a height of 80 cm to 140 cm.
Tilt adjustment
The Tommy can be tilted from a horizontal to a vertical position by means of a gas spring. This
means that a child lying on his or her tummy can be placed in the standing frame and gradually
verticalised. The tilt adjustment can also be used to promote the balance of the child’s head.
Settings
The shoe holders on the Tommy can be placed at any angle by means of a ball hinge. As a result,
conjugate deviations of the feet can be corrected. The height of the chest and chin supports can be
adjusted. The leg abduction can be adjusted simply, and separately, while the child is standing in
the standing frame, with a total abduction of up to 90°.
Tray table
The tray table encourages the child to be more active when he or she is in the standing frame.
The standard features of the Tommy are as follows:
(see illustration 1)
a) Chest support with side supports and band for securing the child in position
b) Chin support
c) Pelvic support with side supports and band for securing the child in position
d) Sacral support
e) Flexible leg supports
f) Shoe holders with safety straps
g) Tray table
Illustration 1:
The standard Tommy model.
d
a
b
e
f
c
g

Tommy User Guide
2. Safety
No part of this User Guide may be reproduced, stored in a retrieval system, or published, in any form or by any means, electronic,
mechanical, photocopying, recording or otherwise, without the prior written permission of Atlas Revalidatie Techniek BV.
© 2008 Atlas Revalidatie Techniek B.V.
5
2
2. . S Sa af fe et ty y
Atlas has paid a great deal of attention to the design of this standing frame and the child’s safety;
the settings are adjusted professionally prior to the initial use of the frame. It is, however, imperative
that the following safety instructions be observed by the child’s parents and supervisors to
guarantee that it is used safely.
2.1 Safety instructions
a) First read this user guide and test the standing frame before it is used;
b) Never leave the child alone in the standing frame and always supervise its use;
c) Ensure that all fastenings and parts used to secure the child in position are properly tightened;
d) Tighten the adjusting screws and clamps firmly and check them after each adjustment;
e) Only use the standing frame on a flat surface and always put the brakes on at least two of the
four wheels;
f) The standing frame may only be used inside;
g) The standing frame may not be used for transport purposes;
h) Do not allow other children to play with the standing frame or ride on it;
i) Adjustments may only be made by the child’s parents or carers. Adjustments may not be made
with the child in the standing frame unless absolutely necessary;
j) The child may become dizzy, always bear this in mind;
k) Increase the period for which the child uses the standing frame slowly (in consultation with the
therapist);
l) If the child has developed and grown, check that the standing frame does not cause discomfort
by pinching or squeezing him or her;
m) If the child has grown, only change the settings in consultation with the therapist;
n) Ensure that you adopt a comfortable position when helping the child in the standing frame for
long periods of time;
o) Never use the maximum height, width or depth to ensure a sturdy connection;
p) Do not exceed the maximum load of 50 kg;
q) Any service carried out by a person who has not been authorised by Atlas Revalidatie Techniek
will invalidate the warranty and Atlas Revalidatie Techniek will no longer be liable for injuries
and/or damage.
Safety instructions “b” and “c” are repeated on the standing frame in the form of a warning sticker
(see figure below). Ensure that this text remains legible at all times. If necessary, request a new
copy of the sticker.
2.2 Immediate danger
Practice the following operations so that you can remove the child from the standing frame rapidly in
the event of fire or other immediate danger.
Act quickly in the event of fire or other immediate danger:
a) Loosen the shoe holder safety straps;
b) Loosen the sacral support holder;
c) Hold the child firmly and loosen the pelvic and chest bands;
d) Lift the child out of the standing frame.
Ensure that all fastenings and parts used to secure
the child in position are properly tightened.
Never leave the child alone in the standing frame.
Always supervise its use.

Tommy User Guide
3. Initial use
No part of this User Guide may be reproduced, stored in a retrieval system, or published, in any form or by any means, electronic,
mechanical, photocopying, recording or otherwise, without the prior written permission of Atlas Revalidatie Techniek BV.
© 2008 Atlas Revalidatie Techniek B.V.
6
3
3. . I In ni it ti ia al l u us se e
Before using the standing frame, check it for visible defects. Contact your supplier if you have any
doubts about its safety. Ask your supplier to instruct you if you are not yet familiar with the use of the
standing frame.
Before using the standing frame, read this user guide carefully and ensure that you understand the
purpose of all the parts. (Test everything before allowing the child to use the standing frame.)
Familiarise yourself with the safety instructions in chapter 2.
Your supplier can instruct you personally. In the event of problems, contact the attending therapist
or the supplier of the standing frame.
3.1 Transferring the child to the standing frame
To transfer the child to the standing frame safely and responsibly, the following instructions must be
observed in the order indicated. See chapter 4 “Operation” for instructions on how to operate the
standing frame.
a) Put the brakes on at least two of the four wheels so that the standing frame cannot roll away
while you are transferring the child;
b) Ensure that all the adjustments are properly tightened;
c) Loosen the shoe holder safety straps, the pelvic and chest bands and the sacral support holder;
d) Transfer the child to the standing frame, securing him or her in position with the pelvic and chest
bands;
e) Fasten the sacral support holder;
f) Tighten the shoe holder safety straps;
g) If necessary, make any adjustments that might make the child more comfortable in his or her
standing position;
h) Never leave the child alone in the standing frame and always supervise its use.
3.2 Transferring the child from the standing frame
To transfer the child from the standing frame safely and responsibly, the following instructions must
be observed in the order indicated. See chapter 4 “Operation” for instructions on how to operate the
standing frame.
a) Put at least two of the standing frame’s brakes on;
b) Loosen the shoe holder safety straps;
c) Loosen the sacral support holder;
d) Hold the child firmly, loosen the chest band and, subsequently, the pelvic band;
e) Transfer the child from the standing frame.
Attention:
Read chapter 4 “Operation” before using the standing frame for
the first
time.

Tommy User Guide
4. Operation
No part of this User Guide may be reproduced, stored in a retrieval system, or published, in any form or by any means, electronic,
mechanical, photocopying, recording or otherwise, without the prior written permission of Atlas Revalidatie Techniek BV.
© 2008 Atlas Revalidatie Techniek B.V.
7
4
4. . O Op pe er ra at ti io on n
A distinction is made between the daily and the standard settings of the standing frame. Tools are
always required for the standard adjustments.
4.1 Daily adjustments
Several settings are adjusted continually during the daily use of the standing frame, when
transferring the child to and from the standing frame and when changing his or her standing position
slightly if this is required. No tools are required for the daily adjustments.
4.1.1 The brakes
•The brakes of the Tommy consist of projecting lips at the top of each wheel.
•Brake on:
Push the projecting lip downwards with the front of your shoe (see illustration 2A) until it remains
in a fixed position.
Brake off:
Push the smaller lip forwards with the front of your shoe (see illustration 2B) so that the larger lip
comes up again.
Attention:
Adopt a comfortable posture when tightening/loosening the adjusting screws and knob.
Ensure that
they are tightened properly again after making adjustments.
Attention:
The first adjustments or major alterations in the standing
posture may only be made by personnel
specially instructed to do so.
The standing frame may only be adjusted by parents or carers after
comprehensive instruction and careful studying of this user guide.
Attention:
Always use at least two of the four brake
s.
minstens twee van de vier remmen.
Illustration 2A:
Brake on.
Illustration 2B:
Brake off.

Tommy User Guide
4. Operation
No part of this User Guide may be reproduced, stored in a retrieval system, or published, in any form or by any means, electronic,
mechanical, photocopying, recording or otherwise, without the prior written permission of Atlas Revalidatie Techniek BV.
© 2007 Atlas Revalidatie Techniek B.V.
8
4.1.2 The tilt angle
•The lever for adjusting the tilt angle is located just above the base
of the standing frame (see illustration 3).
•Hold the standing frame firmly in position with one hand and move
the lever up or down with the other. Adjust the standing frame to
the required angle and release the lever.
•The child can be placed in the standing frame while lying on his or
her tummy and gradually verticalised using the tilting facility. The
tilt adjustment can also be used to promote the balance of the
child’s head.
4.1.3 The chest band
•The chest band is located on both sides of the chest support
(see illustration 4).
•Place the band across the child’s back, feed it through the
slot and then pull it back across the child's back. The band is
fixed in place using Velcro.
•If necessary, the trunk can also be secured so that the
child’s upper body is held firmly in position.
4.1.4 The pelvic band
•The band for securing the pelvis is located on both sides of the pelvic support and works along
the same lines as the band used to secure the chest (see illustration 4).
•Place the band across the child’s pelvis, feed it through the slot and then pull it back across the
child's pelvis. The band is fixed in place using Velcro.
•The pelvic band ensures that the child can be secured in position when he or she is transferred
to the standing frame.
4.1.5 Removing and adjusting the depth of the sacral support
Removing the sacral support
•The fastening is located on the sacral support holder (see illustration 5).
•Hold the sacral support firmly in position with one hand and pull the
string down with the other. Lower the sacral support slowly. The lever
(to which the string is attached) must be returned to its original position
after the sacral support has been replaced. Check that the sacral
support is properly fixed.
•When transferring the child to and from the standing frame, remove the
sacral support; this is a simple operation that facilitates transfer.
Illustration 5:
Removing the sacral
support.
Illustration 4:
Adjusting the chest band.
Illustration 3:
Adjusting the tilt angle.

Tommy User Guide
4. Operation
No part of this User Guide may be reproduced, stored in a retrieval system, or published, in any form or by any means, electronic,
mechanical, photocopying, recording or otherwise, without the prior written permission of Atlas Revalidatie Techniek BV.
© 2007 Atlas Revalidatie Techniek B.V.
9
Adjusting the depth of the sacral support
•The clamp for adjusting the depth of the sacral support is located on the
back of the sacral support (see illustration 6).
•Hold the sacral support firmly in position with one hand and loosen the
adjusting screw with the other. Adjust the sacral support to the required
depth. Tighten the clamp firmly again. Check that the sacral support is
properly fixed.
•The sacral support must be pushed up firmly against the child, so that
the pelvis is secured in position between the sacral and pelvic supports.
4.1.6 Securing the child’s feet in the shoe holders and adjusting
the angle of his or her feet
Securing the child’s feet in the shoe holders
•The shoe holder safety straps are located on the sides of the shoe
holders (see illustration 7). These straps are fastened when the child
is in the standing frame. Make sure that at least two of the standing
frame’s brakes are on.
•Hold the child’s foot firmly in the shoe holder with one hand. Place the
safety strap across the child’s instep in the quick fastener and click it
downwards. Check that the strap is properly fixed. Ensure that the
strap does not pinch.
•The shoe holders with safety straps ensure that the child’s feet
remain vertically under the trunk so that he or she can maintain his or
her standing position.
Adjusting the angle of the feet
•The 2 clamps for adjusting the angle of the shoe holders are located
underneath the shoe holders (see illustration 8).
•Hold the shoe holder firmly in position with one hand and loosen the
clamp with the other. Adjust the angle of the shoe holder as required
and tighten the clamp firmly again. Repeat this for the other shoe
holder. Check that the shoe holders are properly fixed.
•The shoe holders can be adjusted to any angle required using the ball
hinge so that the optimal angle for the ankle can be realised.
4.1.7 The angle of the tray table
•The clamp for adjusting the angle of the tray table is
located under the tray table in the middle (see illustration
9).
•Hold the tray table firmly in position with one hand and
loosen the clamp with the other. Adjust the tray table to
the required angle and tighten the clamp firmly again.
Check that the tray table is properly fixed.
•If the standing frame is tilted, the tray table can be placed
horizontally.
Illustration 8:
Adjusting the angle of the
shoe holders.
Illustration 7:
Adjusting the safety straps on
the shoe holders.
Illustration 9:
Adjusting the angle of the tray table.
Illustration 6:
Adjusting the
depth of the
sacral support.

Tommy User Guide
4. Operation
No part of this User Guide may be reproduced, stored in a retrieval system, or published, in any form or by any means, electronic,
mechanical, photocopying, recording or otherwise, without the prior written permission of Atlas Revalidatie Techniek BV.
© 2007 Atlas Revalidatie Techniek B.V.
10
4.2 Standard settings (it is advisable to have these settings fixed by a paramedic)
A number of standard settings must be fixed in accordance with the child’s length, weight and
handicap; these will have to be altered after a while, if necessary in consultation with the attending
therapist.
4.2.1 The height of the chin support
•The screw for adjusting the height of the chin support is located
on the back of the chest support (see illustration 10). You will
need hexagonal key (Allen key) number 6 to make this
adjustment.
•Hold the chin support firmly with one hand and loosen the
adjusting screw with the other. Adjust the chin support to the
required height and tighten the screw firmly again. Check that
the chin support is properly fixed.
•The child must be able to support him or herself by leaning his
or her chin on this support, if necessary.
4.2.2 The height of the chest support
•The 2 screws for adjusting the height of the chest support are
located on the top back of the chest support (see illustration 11).
You will need hexagonal key (Allen key) number 6 to make this
adjustment.
•Hold the chest support firmly with one hand and loosen the
adjusting screws with the other. Adjust the chest support to the
required height and tighten the screws firmly again. Check that
the chest support is properly fixed.
•The chest support must be located level with the child’s chest.
4.2.3 The width of the chest side supports
•The 2 screws for adjusting the width of the chest side
supports are located on the back of the chest support (see
illustration 12). You will need hexagonal key (Allen key)
number 6 to make this adjustment.
•Hold the side support firmly with one hand and loosen the
adjusting screw with the other. Adjust the side support to the
required width and tighten the screw firmly again. Adjust the
other side support to the same position. Check that the side
supports are properly fixed.
•The width of the side supports must be adjusted such that
the child is supported on both sides. This setting will vary
according to the child. Ensure that the side supports do not pinch in the child’s armpits.
Attention:
Adopt a comfortable posture when tightening/loosening adjusting screws.
Never use the maximum height, width or depth to ensure a sturdy connection.
Illustration 10:
Adjusting the height of the chin
support.
Illustration 11:
Adjusting the height of the chest
support.
Illustration 12:
Adj
usting the width of the chest side
supports.