ato form BS-200 User manual

User manual
Prone, supine
and upright stander
BS-200
Standing aids
edition 25/23

Page 3/36 (25/23)
Dear Customer!
We would like to thank you for your trust
extended to us and for purchasing our
product.
The Prone, supine and upright stander
BS-200 distinguishes itself by its quality,
security, easy operation and modern design.
For optimal use of this aid, we ask you and
possible other users to carefully read this
operating manual.
Please read through these instructions
carefully before first use and handle
equipment appropriately!
Foreword

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Table of contents
Topic Page
1 Foreword ……………………………………… 3
2 Table of contents……………………………… 4
3 Safety instructions …………………………… 5
4 Warranty and product liability …………… 9
5 CE sign and position ………………………… 9
6 Indications and prophylaxis ………………… 10
7 Purpose of use ………………………………… 10
8 Product overview …………………………… 11
8.1 Basic model ……………………………… 11
8.2 Accessories / options …………………… 11
9 Initial operation ……………………………… 13
10 Assembly and adjustment…………………… 14
10.1 Basic model ……………………………… 14
10.2 Accessories / options …………………… 16
11 Types and accessories………………………… 24
11.1 Basic model ……………………………… 24
11.2 Accessories / options …………………… 24
12 Technical details ……………………………… 26
13 Cleaning and disinfection …………………… 27
14 Maintenance and overhaul ………………… 28
15 Operating life and Re-use …………………… 30
16 Faults, repairs, spare parts ………………… 31
17 Storage ………………………………………… 32
2 Table of contents

Page 5/36 (25/23)
Safety instructions
The prone, supine and upright stander
BS-200 is CE-marked and fulfils the
requirements of the latest directives. It was
developed in line with most recent findings.
Production is subject to an on-going quality
control.
Please read this user manual carefully before
operating the prone, supine and upright
stander.
In case of loss, request a new copy or
download directly from our download area
on our homepage www.ato-form.com.
Please keep the user manual in a safe place,
accessible to care and maintenance staff.
The user manual does not replace the
experience of supervisory staff with the
experience and knowledge of operators,
which they gained from (for example)
training courses.
In the event of specific or difficult
applications, the user manual represents a
guide to the most important handling.
Ensure all users of this aid understand its
handling and the meaning of the symbols
attached to the device.
Accidents can be prevented when technical
instructions according to the EWG guidelines
are followed.
Protective coverings, labels and warning
notices may not be removed.
The maximum load-bearing capacity of the
BS-200 is 70 kg.
Regular monitoring at your specialist
dealer (at least once a year) length-
ens the life time of the prone, supine
and upright stander and gives you
security.
Please also see section: maintenance
and overhaul.
3 Safety instructions

Page 6/36 (25/23)
• Before mounting or using the prone,
supine and upright stander BS-200
carefully read all instructions of this user
manual, as these have been drawn up
for your safety and as a guideline for
the correct use and maintenance of this
product. This operating manual is an
indispensable component of the delivery
and should be stored carefully for further
use.
• The operating manual is intended for
retailers and users of theprone, supine and
upright stander BS-200, (or their carers),
it contains the required information to
secure the correct use of the product, it
cannot, however replace the necessary
experience of the user or assistant in
handling the device.
• The reseller has the duty to deliver the
device ready for operation and to explain
precisely the functions and technical
data of the device, as well as provide the
necessary support and briefing needed for
a correct and efficient use of the device.
• The given instructions of the operating
manual, refers to the point in time of
the device being placed on the market.
The manufacturer reserves the right to
introduce any modifications which prove
necessary to the device and associated
operating manual, without being bound
to change previous devices and associated
operating manuals.
• Use of the rehabilitation aid and its
accessories, must be administered under
medical supervision.
• The prone, supine and upright stander
BS-200 must only be operated under
supervision of a qualified person, or
respectively a family member of the user.
• Never leave the user of the aid unattended.
• The BS-200 may only be operated by
persons who have familiarized themselves
with the standards and rules of the present
operating manual.
• The BS-200 may only be used by persons of
a suitable stature and physical aptitude.
• Never place a patient in an aid, which is not
coordinated with his or hers body height
and weight.
• Adjust settings only in the unloaded
condition.
• When using a prone, supine and upright
stander the center of gravity is always
relatively high up. A person using a prone,
supine and upright stander is always
dependent on the stability of the device,
from the supporting points against the
body and support area to the floor.
• Do not place any hot beverages or objects
onto the aid you have purchased, as this
would seriously damage the aid.
• Do not load any heavy objects onto the
aid, as this would impair the structure, the
centre of gravity and consequently impair
the balance.
• Always ensure there are no obstacles in
operating range of the rehab aid, such
as carpets, stairs or objects on the floor,
which could lead to the prone, supine and
upright stander BS-200 overturning.
Safety instructions
3 Safety instructions

Page 7/36 (25/23)
Safety instructions
• Move all objects out of the way, which
could be hit or fall whilst operating the aid.
• Never use the aid on rough terrain, steeply
sloping ground or stairs.
• Do not move the aid, if a person is standing
in the aid.
• Do not use the rehab aid before ensuring a
complete and correct fitting of the safety
belts, if available.
• Check all adjustable parts are locked,
before every use of the aid.
• Apply the lever brakes for a secure stand
when stopping.
• Always lock brakes before use, when
setting, adjusting functions or accessories.
• Please note the individual and overall
safety relevant information when using
several rehabilitation aids simultaneously.
• All aspects of spatial influences (wet and
smooth floors, steps or similar) must be
taken into consideration by the carer or
user.
• Do not use the BS-200 before checking the
wheels of the aid.
• Wet and dirtied wheels can decrease the
braking effect.
• Check regularly if all screws and handles
etc. are firmly tightened. Worn and defect
parts are to be repaired or replaced
immediately. This is especially important to
ensure a safe use of the rehab aid! Carefully
check the clamping jigs and the like are
securely fixed.
• Do not use the aid, if parts of it are
damaged or missing. Missing parts are only
to be replaced with original spare parts.
• Do not carry out any interferences or
measurements if you are unsure of their
effects; for your own safety contact the
nearest service centre or contact the dealer
directly.
• In case of accidents or malfunctions,
contact the dealer or manufacturer from
whom you purchased the device.
• The manufacturer is not liable for damage
to persons, objects or animals resulting
from false usage of the equipment by the
user or third parties, through incorrect
mounting of parts and accessories, by
neglect or poor maintenance, neglect,
through unauthorized alterations and
modifications, usage of non-original
spare parts or accessories, through
unpredictable and exceptional events
resulting from non-compliance of the
regulations in the presented operating
manual.
• Clean the prone, supine and upright
stander BS-200 in accordance with
the instructions given in the chapter
„cleaning”.
• Please ensure before use the product
is cleaned according to the cleaning
instructions and if indicated also
disinfected.
• Any serious incidents occurring in
connection with the product must be
reported to the manufacturer (ATO FORM
GmbH) and the competent authority of the
country in which the user is resident.

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We constantly develop new aids and
improve existing products. We are happy
to receive your suggestions of every
description.

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ATO FORM grants the required by law
warranty of your country against defects in
workmanship and materials.
The warranty would be adversely affected
if the customer’s responsibility of servicing
and/or daily maintenance is not carried out
according to the guidelines and intervals
prescribed by the supplier and/ or stated in
the manual.
For further information, we refer to the
ATOFORM homepage/download
www.ato-form.com.
The warranty can only be sustained if the
ATO FORM product is in use in the same
country where it was purchased and if the
product can be identified by the serial
number. The warranty does not cover
accidental damage, including damage
caused by misuse or neglect.
The manufacturer‘s obligations transfer then
to the person carrying out the modifications.
The warranty does not extend to non-
durable parts, which are subject to
normal wear and tear and need periodic
replacement.
The warranty is null and void if non-original
ATO FORM parts/accessories are used, or
if the product is repaired or altered by
anyone other than an authorized ATO FORM
representative or by trained personnel
officially recognized by ATO FORM for repair
and maintenance of ATO FORM products.
ATO FORM reserves the right to inspect the
product being claimed for and the relevant
documentation before agreeing to the
warranty claim and to decide upon whether
to replace or repair the defective product. It
is the customer’s responsibility to return the
item being claimed for under warranty to the
address of purchase.
The warranty is given by ATO FORM or,
subsequently, an ATO FORM dealer.
The CE label with de-
tails of the manufac-
turer, article number,
serial number and
production date is
located on on the
centre strut on the
base frame.
Warranty and product liability
CE-sign and position
4 Warranty and product liability
5 CE sign and position

Page 10/36 (25/23)
Indications and prophylaxis
Purpose of use
• Inability take and maintain the standing
position due to physical or mental disor-
ders, in particular as a result of:
• Paraplegia
• advanced multiple sclerosis
• Cerebral palsy
• Muscular dystrophy
• persistent vegetative state
• And others
The device must be prescribed by a medical
specialist, who has tested beforehand and
determined if the BS-200 is suitable for the
individual therapeutic goal of the patient.
Furthermore, the medical specialist has de-
termined the aid to be suitable according to
measurements, weight and willingness of the
patient to use the aid.
The aid is delivered via an authorised tech-
nician in compliance with the requirements
of the country where it is being used and in
strict accordance with the information and
instructions in this manual for adjustments
of the aid according to the measurements of
the user. Only compliance of the regulations
and instructions can lead to positive ergo-
nomically effects.
We wish you every success when using the
prone, supine and upright stander BS-200.
The prone, supine and upright stander is
intended only for indoor use.
It offers versatile therapeutic applications
such as, for example, as an upright stander,
prone board or supine board. The optional
therapy table optimally supports training of
head control.
6 Indications and prophylaxis
Contraindications
• Open wounds, weeping eczema
(at the girth sites).
• Fresh fractures of the joints and spine
The list of contraindications does not
grant guarantee completeness.
The patient‘s general condition is an
important part of the risk assessment. In
individual cases, the decision must be
made by the attending physician, who
must weigh the risks versus the expected
benefits.
7 Purpose of use

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I
B
H
J
D
A
C
K
L
F
M
G
E
Product overview
A Standard support cushion (large)
B Standard support cushion (small)
C Belts
D Foot pedal for tilt settings
E Swivel wheels (lockable)
F Heel support partitioned
G Basic frame
H
Therapy table with holder
I Extension cushion wide/low
J Knee supports
K Posterior support
L Abductor wedge
M Thorax- and pelvic support
8 Product overview
8.1 Basic model 8.2. Accessories / options

Page 12/36 (25/23)
Product overview
N – Head support with
facial aperture for prone
position
(W 31 x H 26 cm)
O – Chin support
(H 3.5 x D 9 x W 36 cm)
P – Therapy table
Q – Posterior support
(W 13.5 x H 19 cm)
R – Thorax- / pelvic supports
(W 13.5 x H 19 cm)
S – Knee supports
(W 13 x D 6.5 cm)
Abductor wedge
(L 16 x W 7.5 x H 9 cm)
T – Footplates with heel
supports
Page 11
I – Extension cushion
narrow/high
(W 27 x H 23 cm)
Extension cushion
wide/low
(W 36 x H 11 cm)
Without pictures:
Electric motor,
rechargeable
Foot shells
N
Q
S
P
O
R
T
For a complete overview of our
extensive range of accessories for
the BS-200 see item 11.2 Types
and accessories on page 24.

Page 13/36 (25/23)
Initial operation
The reseller is to unpack the unit, ensure that
the components and accessories listed in the
scope of delivery are all present and undam-
aged, and give the buyer the initial instruc-
tions on use of the aid.
This way, with help of the reseller, the user as
well as the attendant must become familiar
with the correct operation of the aid.
Once the demonstration has been complet-
ed, the reseller must ensure the user and/
or the assistant have fully understood the
basic functions of the equipment. This is the
only way to prevent the user from dangerous
situations.
The above mentioned requirements must be
observed for first use and also for reuse.
The seller must give instruction for use, as
well as explain the basic functions of the
device according to MPG (medical products
law) to qualified staff.
9 Initial operation

Page 14/36 (25/23)
Assembly and adjustment
10 Assembly and adjustment
10.1 Basic model
Belts
The belt is moved freely guided
through the rail and fixed by a star
grip.
Foot support
The height and angle of the footrest is adjus-
ted using aclamping lever.
Preparation:
Unpack the product and remove the packing
materials.
The device is completely assembled.
Ensure that the product is complete and
undamaged.
Note!
Do not pull on the foot plates, therapy
table or other mounted components.
Neither to move the BS nor to position
the user. Always grasp the frame or the
lying surface.

Page 15/36 (25/23)
Assembly and adjustment
A
Tilt settings
Firstly loosen the clamping lever
on the connection bar between
the frame and board.
Hold on to the tilt table and pull
out the security lock.
Release the locking pin when the
stander is in the required posi-
tion and ensure the locking pin
clicks into place. Finally, fasten
the clamping handle securely.
Elektrical tilt adjustment
please rever to page 23

Page 16/36 (25/23)
Assembly and adjustment
Heel supports for the prone Position
The heel support is guided through the slot
from underneath the foot rest and fastened.
Chin support
Mount the chin support onto the bars (as
shown)and fasten screws carefully.
10.2 Accessories / options

Page 17/36 (25/23)
Assembly and adjustment
Thorax- and pelvic supports
Place the thorax and pelvic supports fittings
into the lateral guides as shown and fasten
the allen screws into the desired height. Then
push the side supports into the holder and
fasten using the star grip.

Page 18/36 (25/23)
Assembly and adjustment
Headrest with facial aperture
Push the long guide rails about 15 cm up-
wards and secure the headrest into the mid
pipes, fasten by use of the clamping screws.
Abductor wedge
Push the abductor wedge through the slot
centered in the lying surface. Fasten on the
backside using the allen screw.

Page 19/36 (25/23)
Assembly and adjustment
Extension cushion
The extension cushion is mounted onto the
two guide rails between the lower and upper
standard support cushion.

Page 20/36 (25/23)
Assembly and adjustment
Posterior support
The supporting adaptor for the posterior
support is mounted - as shown - onto the
long guide rails.
Lead the bars through the extension cushion
and the posterior support. Fasten with the
handle.
The posterior support can be adjusted (as
shown). The posterior support can be swung
aside for easy entering and exiting.