CareFlex MultiAdjust Instruction manual

UI MultiAdjust User Guide. iss1 07/21
UI
MultiAdjust Quick User Guide
The MultiAdjust is an adaptable chair designed for
individuals who require a combination of comfort, function,
postural support and pressure care. This chair can be used
in multi-user environments or for individual users due to its
adjustability and range of accessories.
WARNING
A level of supervision appropriate to the user’s abilities should be
applied at all times.
Medical Device
Class 1

UI MultiAdjust User Guide. iss1 07/21
The MultiAdjust Chair
2
Most adjustments on the MultiAdjust can be made quickly and easily using no tools.
When set up correctly the MultiAdjust should:
• Support the user in a comfortable position.
• Promote the user’s functional ability.
• Provide appropriate postural stability and pressure management.
• Enable smooth and precise operation of the Tilt-in-Space, Back Angle Recline and
Legrest Elevation features.
For the MultiAdjust to perform effectively it is essential that an assessment has taken
place and that the chair has been set-up for the user based on the outcomes of the
assessment.
Adjustments
A: Overall Height 1350 mm (53”) H: Seat Width (inner) 400 mm (16”) to 550 mm (21”)
(150 mm range – 2 cushion sizes)
B: Back Height 830 mm (32”) J: Max Width (outer) 790 mm (31”)
C: Seat Height 540 mm (21”) K: Seat Base to Footplate Height 350 mm (14”) to 500 mm (20”) (150 mm range)
D: Castor Frame Width 675 mm (26”) L: Arm Rest Height 200 mm (8”) to 250 mm (10”) (50 mm range)
E: Overall Length 1285 mm (50”) M: Seat Depth 380 mm (15”) to 530 mm (20”)
(150 mm range)
F: Push Bar Height 1110 mm (43”) P: Narrow Lateral Width 230 mm (9”) to 360 mm (14”) (130 mm range)
G: Clearance Height 145 mm (6”) P: Regular Lateral Width 315 mm (12”) to 435 mm (17”) (120 mm range)
Maximum User Weight 160kg P: Wide Lateral Width 445 mm (18”) to 575 mm (23”) (130 mm range)
Chair Weight 70kg Q: Lateral Height 320 mm (12”) to 520 mm (20”) (200 mm range)
W: Back Angle Recline (BAR) 95° to 135° (40° range)
X: Tilt-in-Space (TIS)
Factory Setting 1: 0° to 35° (35° range)
Optional Setting 2: -5° to 30° (35° range)
Y: Leg Rest Angle
Factory Setting 1: 65° to 145° (80° range)
Optional Setting 2: 80° to 160° (80° range)
Z: Footplate Angle 4 Positions – 75° / 90° / 105° / 120°
The MultiAdjust - Technical Specification
Basic Dimensions

UI MultiAdjust User Guide. iss1 07/21
1. Brakes
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The lever on the right side of the push
handle operates the Tilt-in-Space (TiS).
Apply the brakes by pressing down the ends
of the blue levers on all four castors.
• To locate the brakes, push the chair
forward so that the rear and front castors
swing around and the brakes can easily be
accessed.
• Use the foot to press down on the end of the
blue brake lever to lock the castors.
• Gently knock upwards on the top of the blue
brake lever to unlock the castors.
• Always brake the castors before
transferring the user on or o the chair.
Tilt-in-Space is controlled with the lever on the
right hand side of the push handle at the back of
the chair:
• To adjust the angle of tilt, squeeze the lever
and tilt the chair to the desired angle. Release
the lever to lock the chair at the desired
angle.
• Do not attempt to raise the user to a
standing position when the chair is tilted
backwards.
2. Tilt-in-Space*
3. Tilt-in-Space -
Angle Setting
Located underneath the chair at the
bottom of the gas strut.
To adjust the setting of the Tilt-in-Space (TiS)
angle, loosen and remove the nut and bolt located
underneath the chair on the central bar and move
to the desired hole.
Standard Factory Setting 1: 0° to 35°
Optional Setting 2: -5° to 30°
• It is recommend that the Tilt-in-Space
angle setting is only changed to the
optional setting on the recommendation of
a Health Care Professional.
Front
of chair

UI MultiAdjust User Guide. iss1 07/21
4. Back Angle Recline*
The lever on the left side of the push
handle operates Back Angle Recline (BAR).
Back Angle Recline (BAR) can be used to adjust
the angle between the seat and back, thus
changing the angle of the user’s hips. When the
back is fully upright, the user’s hip angles will
be approximately 95°; in combination with the
contoured prole of the back, this will enable a
comfortable position for mealtimes, activities
and for preparing to raise to standing. The back
angle can be reclined to 135°; this promotes a
comfortable position for resting.
• It is controlled with the left hand lever on the
push handle at the back of the chair.
• To adjust the angle of recline, grip the
handlebar rmly. With the left hand, use the
index nger to locate the small locking lever
which is tted in front of the main lever.
• Once the locking lever has been activated,
the main lever can then be squeezed to
adjust the back angle.
• Release the lever to lock the chair at the
desired angle.
• It is recommend that Back Angle Recline is
only used within the ranges recommended
by a Health Care Professional.
The seat depth release lever is twisted down
to release the locking mechanism.
Appropriate seat depth is critical to the
performance of the chair and the user’s postural
stability. When set correctly, the user’s pelvis
should be positioned at the back of the chair
with an approximately two-nger gap between
the back of the knee and the front of the seat
cushion. To adjust seat depth:
• Locate the lever at the back and left-hand
side under the chair.
• Twist lever down and pull/push handle on
right hand side until seat depth is in desired
position.
• Release the lever and pull the handle until the
seat “clicks” positively into position.
• Never adjust the seat depth when the user
is in the chair.
5. Seat Depth
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UI MultiAdjust User Guide. iss1 07/21
6. Seat Width
The MultiAdjust has a width size guide
on each arm to assist with adjustments.
Correct seat width is important for the user’s lateral
stability. To adjust seat width, each arm rest can be
moved in or out:
• Locate the two hand wheels; one is located at the
front of the seat base and one at the rear.
• Turn in clockwise direction to loosen.
• To reduce seat width, move the arm rests inwards
to the centre of the chair by placing the palm of
the hand on the outside face of the arm rest and
push.
• To increase seat width, move the arm rests
outwards by placing the palm of the hand on the
inside face of the arm rest and push.
• Once the desired seat width is achieved, turn the
hand wheels in anti-clockwise direction to lock the
arm rests in position.
• Arm rests can be set at dierent seat widths
from front to back and left to right, which may be
indicated for users with xed lower limb postures
such as windsweeping, or those with increased
body mass in the gluteal and hip areas.
Location of the hand wheels underneath
the seat base for seat width and arm
removal.
7. Arm Rest Height and Removal
• To adjust arm rest height, locate the two plunger
pins located on the inside of the arm rest; one
towards the front and one towards the rear.
• With a plunger pin in each hand pull out.
• Slide the arm up or down, to adjust to the desired
height.
• Release the plunger pins to lock into position.
• Arm rest height can be set dierently from front
to back resulting in angled arm rests, which may
be indicated for users with specic upper limb
positioning requirements.
• Arm rest height should be based on the outcome
of the user’s assessment; please refer to these
measurements or seek further guidance from
the Health Care Professional.
Plunger pins located on the inside of the
arm rest.
The arm rests can be removed to aid user transfers,
positioning, cleaning and servicing:
• Locate the two hand wheels; one is located at the
front of the seat base and one at the rear.
• Turn in clockwise direction to loosen.
• The arm rest can then be removed completely.
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UI MultiAdjust User Guide. iss1 07/21
8. Leg Rest Elevation
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The leg rest angle nut and bolt is located on
the front end of the seat base.
Locate the lever on the right side of the
chair to adjust leg rest elevation.
9. Leg Rest - Angle Setting
The leg rest can be elevated to promote comfort
during periods of rest, or to achieve a change of
position:
• Locate lever at the right-hand side of the leg
rest.
• Squeeze the lever then lift or lower the leg
rest to the desired angle.
• Release lever to lock the position.
• To lower the leg rest, pull the lever out and
the leg rest will return to its lowered position;
it may be necessary to push the leg rest
down.
• Never leave the user unsupervised in the
chair with the leg rest elevated.
• Leg rest elevation should only be used
within the ranges tolerated by the user
based on their knee range of movement and
should not aect pelvic stability.
• Located underneath the chair on the front
end of the seat base towards the leg rest.
• To adjust the setting of the leg rest angle,
loosen and remove the nut and bolt then
move to the desired hole..
Factory Setting 1: 65° to 145°
Optional Setting 2: 80° to 160°
• It is recommend that the leg rest angle
setting is only changed to the optional
setting on the recommendation of a
Health Care Professional.
Loop the headrest strap around to the back
of the chair.
The headrest should always support as much of
the user’s head as possible and the height of the
headrest should be set to provide comfortable
support.
• Each headrest has a strap attached to its
top edge. The straps have short strips of
plastic hooks sewn at intervals along its
length.
• It can be adjusted up and down via the strap,
the plastic hooks simply click onto the slots
on the back of the chair.
10. Headrests (Optional)
Front
of chair

UI MultiAdjust User Guide. iss1 07/21
The footplate fits into the bracket
on the back of the leg rest.
11. Height & Angle Adj. Flip-up Footplate
UK Patent Approved GB 2589439
Footplates are important for the user’s comfort,
postural stability and pressure distribution. The
MultiAdjust footplate is also suitable for users with a
longer lower leg length. The footplate is xed into a
bracket on the back of the leg rest. To insert and adjust
the footplate height:
• Pull out the locating pin on the bracket and insert
the footplate.
• Slide the footplate up or down to adjust to the
desired height.
• Release the locking pin; the pin should ‘click’ into
position when the footplate is properly located.
• Note that the footplate stem has a ratchet and
wheel safety feature. This ensures that should the
footplate come into contact with the oor it will rise
up out of the way maintaining chair stability. The
wheel oers some protection to the ooring.”
• The ratchet feature is predominantly for safety,
we advise that the Footplate height is reduced by
hand every time the leg rest is lowered. Parts of the footplate.
Locating the plunger pin
The footplate can be adjusted and set to a choice of 4 positions; 75°, 90°, 105° & 120°.
This equates to a 120° range of adjustment. In all angled positions the footplate can be
easily lifted up to 0 (vertical) to move it out of the way.
The MultiAdjust footplate angle can be adjusted
to correct positioning at the feet to neutral, or
accommodate xed postures at the ankles. To adjust
the footplate angle:
• Ensure this operation is carried out by a competent
person, and that no weight is being applied to the
footplate.
• The position is set by the plunger pins as shown;
each indicator oers 1 of 4 dierent positions
and 0ois achieved when vertical. Pull out one of
the plumgers and twist so that it is locked o (see
image).
• With one hand safely on the footplate, pull out the
second plunger pin so that the footplate can angle
to the desired setting.
• When this is achieved, lock both plunger pins into
position, fully engaging with the corresponding
holes on each side.
• The footplate will ‘ip-up’ to vertical 0ofrom any
position and return to its original setting.
• Keep Fingers away from the mechanism when
performing this task to avoid any potential nger
traps.
Unlocked Locked
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UI MultiAdjust User Guide. iss1 07/21
Dynamic chest harness provides support to
the upper trunk.
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A dynamic chest harness can provide anterior
support and comfort whilst not restricting
active positioning or function.
• The dynamic chest harness is held in
position with a strap from each corner, two
straps attach at the users waist and two
over their shoulders.
• These straps are attached to the harness
with side-lock buckles, the length of
the straps can be adjusted through the
buckles.
• Always ensure the harness is positioned
correctly and comfortably, not over-
tightened and not interfering with in-situ
medical devices.
14. Dynamic Chest Harness*
(Optional)
12. Pelvic Belt* (Optional)
The two halves of the pelvic belt buckle.
Pelvic belt length is adjusted by the two part
buckle and a ‘tri-glide’ adjuster:
• To fasten buckle ‘click’ two halves together.
• To release buckle, press tabs on the sides
of buckle and pull two halves apart.
• Pelvic belts are intended to be used
as positioning aids not for restrictive
practice. Please see *Disclaimer for
further information.
• 4-Point Pelvic Belt also available.
Groin harness to stabilise pelvic position in
the back of the seat.
The groin harness is a positioning aid that
can provide maximum pelvic control to help
stabilise the position of the pelvis and prevent
the user from sliding forward in the chair.
• The harness consists of a padded cross
shape and webbing straps. Two points of
the padded cross shape are attached at
the junction between the seat and back
cushions.
• When seated in the chair, the two loose
ends of the harness should be pulled up
over the users thighs and attached to the
straps at the rear of the chair.
• The harness can be adjusted through the
webbing straps.
13. Groin Harness* (Optional)

UI MultiAdjust User Guide. iss1 07/21 9
Fit the pommel into the bracket in the
middle of the bottom edge of the seat.
A pommel can be used to aid thigh positioning,
usually by abducting (moving apart), to promote
postural alignment and pressure care. The
pommel is designed to separate and support the
whole inside of the knee joint; for this reason the
pommel is not depth adjustable and is positioned
out in front of the seat edge.
• Fit the pommel with the leg rest angled
down as this will give the best access to the
bracket.
• Locate the cut-out in the bottom front edge
of the seat cushion; the opening for the
pommel bracket is located in this cut-out.
• Fit the metal stem of the pommel into the
bracket and push the pommel until it is felt
to ‘click’ into position.
• To remove the pommel, hold it at the bottom
edge of the metal stem and pull directly
outwards.
• A pommel must never be used as a
restraint and the user must not be allowed
to slide into sacral sitting and come to rest
against the pommel.
16. Pommel (Optional)
Straps on front and rear of tray fastened into
buckles in the inside of the arm rest.
15. Tray (Optional)
The MultiAdjust can be tted with a tray, which
can be used to assist in the user’s upper limb
positioning and engagement in activities; it
should never be used as a restraint.
• Once the occupant is sat in the chair, rest
the tray across the arm rests so that the
tray ts snugly against the user but does not
press in to their abdomen.
• The buckles on the tray straps connect with
the buckles on the inside of the chair sides.
Clip the two halves of the buckles together
on all four straps.
• Adjust the tension in the tray straps to
secure the position of the tray. Then tension
can then be adjusted to change the front-to-
back position of the tray.
• Always ensure that the tray does not
interfere with any stoma devices, feeding
tubes or similar devices tted into the
user’s abdomen.

UI MultiAdjust User Guide. iss1 07/21
Turn the hand wheel to adjust lateral width,
tighten the hand wheel to hold the setting.
Pull out the lower knob to adjust lateral
height.
Lateral supports are available in a narrow, regular
and wide setting. Lateral supports are usually
adjusted so that they are supporting the user’s
upper trunk; however, this depends on the
where support is required based on assessment
outcomes.
• Lateral supports should be positioned to
support the user in an upright position and
limit leaning at the trunk. For comfort leave
a three-nger gap between the top of the
lateral and the user’s armpit.
• Before transferring the user into the
MultiAdjust take a measurement of the
height of any lateral support they have tted
to a wheelchair or activity chair. Otherwise,
try to measure from seat to mid-chest height
as a guide. Position the lateral supports
accordingly.
• Similarly, measure the distance between the
lateral supports on the user’s wheelchair or
measure across their chest so that the width
between the lateral supports can be set-up
before transfer.
• To adjust lateral height, pull out the lower
knob on the adjustment block tted to the
back of the chair. This knob controls the
indexing pin which locks into the holes in the
height adjuster. Raise or lower the lateral pad
to the desired height and release the knob.
Push the lateral down until the indexing pin is
felt to lock in place.
• Width is controlled by the clamp plate on the
adjustment block. Turn the hand wheel on the
adjustment block until the lateral is free to
slide sideways. Once in the desired position
tighten the hand wheel to lock the pad in
place.
• If the MultiAdjust is to be used without the
adjustable lateral supports undo the hand
wheel controlling the width adjustment
and slide the laterals completely out of the
adjustment blocks. Keep the laterals in a safe
place for future use.”
Standard and kidney pads available in small
and medium.
17. Laterals (Optional)
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UI MultiAdjust User Guide. iss1 07/21
The Notes Write the CareFlex Chair Number Here:
_________________________________
• When the chair is delivered and every time it is used, check the chair over for signs of damage or
excessive wear.
• If the chair shows signs of excessive wear, damage or incorrect performance, please take it out
of service immediately and contact CareFlex or the local CareFlex Distributor.
• If the user is experiencing severe discomfort, do not use the chair. Take it out of service
immediately and contact CareFlex or the local CareFlex Distributor.
• The MultiAdjust is upholstered in high quality material which is waterproof and re retardant.
However, do not store or use the chair in damp or wet areas.
• Do not attempt to carry out any structural maintenance or adjustment of the MultiAdjust or its
accessories without consulting CareFlex or the local CareFlex Distributor.
Details of cover material care and maintenance can be found in the Fabric Guide. Both are available in
hard copy on request from CareFlex, or are free to download at www.careex.co.uk.
Look after the MultiAdjust and it will provide years of trouble-free service.
LOOKING AFTER The MultiAdjust
Care & Maintenance
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UI MultiAdjust User Guide. iss1 07/21
Important Safety Information
• All those using, providing, setting-up or adjusting the MultiAdjust chair should take the time
to familiarise themselves with all aspects of the chair, including its functions and accessories,
before using the chair.
• Do not ‘ride’ on the push handles or subject them to excessive loads.
• Do not sit on the leg rest or subject it to excessive loads.
• Do not attempt to stand on the footplate.
• Do not tip the chair backwards to ascend steps or overcome thresholds, especially if a user is
sat in the chair.
• Always ensure that the user’s feet do not drag on the ground when the chair is moved by
elevating the leg rest to lift their feet o the oor or using the footplate.
• Always ensure that there are no obstructions under the chair and that there is plenty of space
around the chair before using the Tilt-in-Space facility.
• Always apply at least two brakes when the user is transferred to or from the chair.
• Always try to avoid storing or using the chair in areas where it may obstruct exits or
passageways.
• The MultiAdjust must never be used in motor vehicles for user transportation.
*Disclaimers
Tilt-in-Space and Back Angle Recline should always be prescribed responsibly, ensuring that
they are safe and appropriate for the user following a comprehensive assessment of posture and
risk, with advice sought from the multi-disciplinary team where indicated. In some cases these
functions will be contra-indicated, and they could also increase shear and friction forces.
All belts and harnesses must also be prescribed, implemented and monitored responsibly following
a comprehensive risk assessment. Please see the Device safety information alert for further
information: www.gov.uk/drug-device-alerts/all-posture-or-safety-belts-tted-to-supportive-
seating-wheelchairs-hoists-and-bathroom-equipment-risk-of-serious-injury-or-death
CareFlex Ltd. Templer House, King Charles Bus. Pk., Old Newton Rd., Heatheld, Devon. TQ12 6UT
Tel: [phone] | www.careex.co.uk | info@careex.co.uk
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Each MultiAdjust chair has a unique chair number which must be quoted during any
correspondence with CareFlex or the local CareFlex distributor. This is on a white label on the back
of the chair.
Identication