ato form Vision User manual

Standing
edition 28/21
User manual
Standing frame
Models:
Vision®,Vision®Jr.

Page 3/36 (28/21)
Dear Customer!
We would like to thank you for your trust
extended to us and for purchasing our
product.
The standing frame Vision®2000
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

Page 4/36 (28/21)
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 ………………………………… 11
8 Product overview ……………………………… 12
8.1 Basic model ……………………………… 12
8.2 Accessories / options ……………………… 13
9 Initial operation ……………………………… 14
10 Assembly and adjustment …………………… 15
10.1 Basic model ……………………………… 15
10.2 Accessories / options ……………………… 22
11 Types and accessories ………………………… 24
11.1 Basic model ……………………………… 24
11.2 Accessories / options ……………………… 25
12 Technical details ……………………………… 36
13 Cleaning and disinfection …………………… 27
14 Maintenance and overhaul …………………… 28
15 Operating life and Re-use …………………… 28
16 Faults, repairs, spare parts …………………… 28
17 Storage ………………………………………… 28
2 Table of contents

Page 5/36 (28/21)
Safety instructions
The standing frame Vision®2000 is CE-
marked and fulfills 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 standing frame.
The user manual is an integral part of
the Rehab aid. 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
Vision®2000 is 150 kg.
Regular monitoring at your specialist
dealer (at least once a year) lengthens
the life time of the standing frame and
gives you security.
Please also see section: maintenance
and overhaul.
3 Safety instructions

Page 6/36 (28/21)
• Before mounting or using the standing
frame Vision®2000 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 the standing frame
Vision®2000, (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 standing frame Vision®2000 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 Vision®2000 may only be operated
by persons who have familiarized
themselves with the standards and rules
of the present operating manual.
• The Vision®2000 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 standing aid, the overall
centre of gravity is always relatively high
up. A person who uses a standing aid is
dependent on the stability of the device
and support and guidance of the body as
well as the footprint of the device.
• The VISION®2000 is only intended for
use in dry areas.
• The VISION®2000 is not to be placed in
front of open fireplaces.
• 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.
Safety instructions
3 Safety instructions

Page 7/36 (28/21)
Safety instructions
• 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 standing frame
Vision®2000 overturning.
• 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.
• The brakes must be applied when the
device is switched off or not in use.
• The attendant or carer must ensure that
no part of the body can be squeezed or
crushed when lifting or lowering the user.
• 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 (uneven,
wet and smooth floors, steps or similar)
must be taken into consideration by the
carer or user.
• Do not use the Vision®2000 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 standing frame Vision®2000 in
accordance with the instructions given in
the chapter „cleaning”.

Page 8/36 (28/21)
• 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.
We constantly develop new aids and
improve existing products. We are happy
to receive your suggestions of every
description.
Safety instructions

Page 9/36 (28/21)
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.
Warranty and product liability
CE-sign and position
4 Warranty and product liability
5 CE sign and position
The CE label with details
of the manufacturer, arti-
cle number, serial number
and production date is lo-
cated on the inside of the
left vertical guiding post
for table adjustment.

Page 10/36 (28/21)
The standing frame VISION®2000 is an
raising aid for adults.
The aid was developed to allow prolonged
standing where the ability to stand is re-
stricted or lost altogether. Such standing is
indicated for, among other things, prepara-
tion for walking training and the recovery of
the ability to walk, balance training, throm-
bosis prophylaxis, decubitus prophylaxis and
metabolic stimulation. The standing aid can
be used for spacticity inhibition and contrac-
ture prophylaxis in cases of paralysis of the
legs; the legs and trunk; the legs, trunk and
arms e.g. due to paraplegia, cerebral palsy,
poliomyelitis or multiple sclerosis.
Contra indications
Epilepsy, spasticity, contractures and da-
mages to the upper and lower extremities,
open wounds in the belt area.
Indications and prophylaxis
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 expec-
ted benefits.
6 Indications and prophylaxis

Page 11/36 (28/21)
The VISION®2000 was designed and built
for:
• Exercise purposes for maintaining or inde-
pendently upholding an upright standing
body position;
• Maintenance of upright posture by means
of a support belt running under the
coccyx, or optionally available accessories,
as an alternative to autonomous upright
posture.
• Posture is the relationship between
the body and the environment, which
corresponds to the maintenance of a
balance between the elastic forces of the
extensor and flexor muscles as well as the
internal body forces and the forces of the
environment.
The VISION®2000 is the aid by which this
posture or this interaction of forces is made
possible and facilitated.
The device must be prescribed by a medical
specialist, who has tested beforehand and
determined if the Vision®2000 is suitable
for the individual therapeutic goal of the
patient. Furthermore, the medical special-
ist has determined 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
standing frame Vision®2000.
Purpose of use
7 Purpose of use

Page 12/36 (28/21)
Product overview
8 Product overview
8.1 Basic model
1 Handrail
2 Knee supports; multi-dimensionally
adjustable
3 Heel support
4 Therapy table
5 Rollen, feststellbar
6 Sicherungsgurt
7 Tilt adjustment for the therapy table

Page 13/36 (28/21)
Product overview
Initial operation
If required, the Vision®2000 standing bar
can be quickly and easily converted with
our retrofit kit for electronically assisted
standing up.
Ask your specialist dealer or one of our
rehab consultants for more information.
For a complete overview of our extensive
range of accessories for the Vision®2000
see item 11.2 Types and accessories on
page 23/24.
8.2 Accessories / options
The reseller is to unpack the unit, ensure
that the components and accessories listed
in the scope of delivery are all present and
undamaged, and give the buyer the initial
instructions on use of the aid. Above all the
reseller should read through the complete
present user manual carefully, in order to
then explain it to the customer in detail.
This way, with help of the reseller, the user
as well as the attendant must become famil-
iar 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 (28/21)
Assembly and adjustment
10 Assembly and adjustment
10.1 Basic model
Use
• The settings must be made according to
doctor‘s instructions and according to
indication.
Preparation:
Unpack the product and remove the pack-
ing materials.
The device is completely assembled.
Ensure that the product is complete and
undamaged.
First adjustment of device settings
without the patient
To be regulated:
• Height of the tabletop as well as the
handrails
• Knee pads, in height as well as in depth,
width and inclination (multi-dimensionally
adjustable). Reference point: knee.
Following adjustment with the
patient
To be regulated:
• Depth and angle of the therapy table
• Position of the knee pads
• Position of the heel supports (depth)
• Adjustment of the posterior support unit
(multi-dimensionally adjustable) (acces-
sory)
When positioning the limbs or the pati-
ent as shown in the instructions for use,
we point out that we can only provide
instructions for device settings.
Concrete statements and instructions
for positioning cannot be derived from
this. This is done by the responsible
therapist or their specialist dealer who,
together with the user, adjusts the
device to suit individual needs. For this
purpose, the described manual adjust-
ment options of the device elements are
used as well as the electrical functions,
which are done in part by means of
remote control or wireless control units.

Page 15/36 (28/21)
Assembly and adjustment
Discus elements
To achieve the greatest possible variability,
discus elements have been used on the
Vision
®
2000 standing frame. They can be
used to adjust the distance, depth, inclination
and rotation.
IMPORTANT: When attaching the discus
elements vertically, the Allen screw head
must always point to the left when viewed
from the front. When attaching them
horizontally (knee supports), the Allen screw
head must always point upwards.
Locking screws
Locking screws have been used on the
Vision
®
standing frame to enable tool-free
adjustments. They can be used to adjust and
secure the position.
IMPORTANT: When loosening the locking
screws, first turn them approx. one turn and
pull them out to adjust the element. Make
sure that the locking screw engages correctly
and tighten it again.

Page 16/36 (28/21)
Adjustment of the height of the
handrails
The height of the table surface and the
handrails can be adjusted separately.
• To adjust the handrails loosen the locking
screws (1) on both sides of the VISION®
2000 (see illustration) with one turn and
pull the locking screws outwards.
• Adjust the required height with the lock-
ing screws pulled out.
• Make sure that the locking screws click
back into place in the holes (3) and turn
them firmly.
Setting the height of electronic device
and therapy table
The height adjustment of the therapy table
is supported by mounted gas springs.
• Loosen the locking screws as described
above (2) on both sides of the VISION®
2000 (see illustration) for the table.
• Set the required height.
• Make sure that the locking screws click
back into place in the holes and turn them
firmly.
Caution!
In order to ensure sufficient comfort
and support for the user, the work
surface should, in most cases, be set so
that it is below the user‘s elbows.
1 2
3
Assembly and adjustment

Page 17/36 (28/21)
Adjustment of knee supports
Setting height
• The height adjustment is made via the
central handle (1) (see illustration)
• Adjust the height of the knee supports
with the cable pull lifted up to the handle.
• Release the cable pull and ensure that the
bracket for the knee supports securely
clicks into place in the side holes (2).
• Make sure the pads support the knees
below the kneecap.
Setting depth, distance, inclination and
rotation
• Use the hexagonal wrench to loosen the
screws in the discus elements connected
to the knee supports. Hold the knee pad
so that it does not tilt.
• Adjust the depth (A) and/or distance
(B) of the respective knee support and
retighten the screws in the discus ele-
ments.
• If necessary, the knee supports on the
discus element can also be individually
tilted (C) or rotated (D).
• When adjusting the knee supports and
the heel rests, ensure that the patient‘s
lower legs are largely vertical after they
have been raised.
A
B
1
2
C
D
Assembly and adjustment

Page 18/36 (28/21)
Positioning the wheelchair
• Move the wheelchair close enough to the
unit so that the front wheels touch the
footrest of the VISION®2000.
• Lock the wheels of the wheelchair.
• Always make sure that the wheels of
the VISION®2000 are securely locked in
place with the brakes.
Positioning the lower limbs
• Position the patient‘s feet and secure
them with the heel supports.
• When placing the feet, make sure that
the back of the heels are properly placed
in the heel supports and that the knee
supports allow for a slightly bent pos-
ture of the knees. The lower legs of the
patient should stand, as far as possible,
vertically after the patient is raised.
• The free play of the knee supports can
be increased or decreased depending on
more or less upright posture (see „Adjust-
ment of the knee supports“).
Mounting the heel support
In most cases, both heel supports should be
placed at the same depth and distance to
the centre.
Assembly and adjustment

Page 19/36 (28/21)
1
2
Depth and inclination of the tabletop
Setting the depth
• Release star knobs (1) below the tabletop.
• Set appropriate depth of the therapy
table.
• Retighten star knobs.
Setting the inclination
• Release the lever (2) on the right side
below the table surface.
• Set the desired inclination of the therapy
table.
• Secure the inclination of the therapy table
by locking the lever.
Assembly and adjustment

Page 20/36 (28/21)
Savety belt
The savety belt is pre-mounted on the stan-
ding frame underneath the therapy table.
The length of the safety belt is adjusted on
both sides by adjusting the webbing in the
ladder buckles.
Assembly and adjustment