DDO D-Xbasic User manual

© DDO2018
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ByDiversabilityDevelopmentOrganization
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USERMANUAL
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CONTENT
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Serviceproviderinformation 2
Intendeduseandbasicsafetyinstructions 2
Handlingyourwheelchair 3
Usingyourwheelchair 5
Pressurerelieftechniques 7
Careandmaintenance 7
Otherinstructionsgivenbythewheelchairserviceprovider 9

© DDO2018
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SERVICEPROVIDERINFORMATION
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TheD‐Xbasicisintendedtobedeliveredbyaqualifiedwheelchairserviceprovidertrainedinaccordance
withorequivalenttoWorldHealthOrganization’s(WHO)WheelchairServiceTrainingCurriculum.
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Forrepairs,adjustmentsand/orspareparts,pleasecontactyourqualifiedlocalserviceprovider.Please
recordyourserviceprovider’sinformationbelow:
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Serviceprovidername:
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Serviceprovideraddress:
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Serviceprovidertelephonenumber:
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Serviceprovideremailaddress:
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Serviceprovidercontactperson:
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INTENDEDUSEANDBASICSAFETYINSTRUCTIONS
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TheD‐Xbasicisanadultactivefour‐wheelfoldingframewheelchairdesignedforurbanenvironmentin
lowresourcedsettings.D‐XbasiciscompliantwithWHOGuidelinesandTraining.
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Important!
Everyuserisuniqueandthereforethebestinstructionswillbeprovidedbytheserviceproviderbased
ontheirassessmentoftheuser.Weencouragetheuserstoseekinstructionsfromtheirserviceprovider
andinaddition,toreadthroughWorldHealthOrganization’sGuidelinesontheprovisionofManual
Wheelchairsinlessresourcedsettingsformoreinformation.
Theinformationinthisusermanualisnotexhaustive.Theresponsibilityfortheinterpretationanduse
ofthemateriallieswiththereader.InnoeventshalltheDiversabilityDevelopmentOrganizationbe
liablefordamagesarisingfromitsuse.
Theproducthasbeendesignedforanaveragelifespanofapproximately3‐5years,providedthatthe
productisusedforitsdesignatedpurposeandtheproductismaintainedandservicedregularly.The
productlifespandependsonthefrequencyofuse,environmentandmaintenance.Theuseofspare
partswhenrequiredpositivelyaffectsthelifespanoftheproduct.
Pleasenotethattheindicatedlifespandoesnotconstituteadditionalproductwarranty.
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SAFETYCONSIDERATIONS
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Priortouse
Assembletheproduct,followingtheAssemblyandAdjustmentManual.Performthefollowingsafety
checksbeforeusingthewheelchairforthefirsttime:
 Rearwheelaxlesaresecurelylockedtotheframe
 Rearwheelsspinfreely
 Rearwheelaxlesleevesarecorrectlylocatedandsecurelytightenedontheframe
 Castorwheelsspinfreely
 Castorforkspinsfreelyinthecastorbarrel
 Footrestadjustmentboltsarefullytight

© DDO2018
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 Footrestscanbeeasilyremovedandsafelysecuredtotheframe,usingthefootrestlocking
mechanism
 Footplatesflip‐upeasily
 Sideguardsslideinandouteasily
 Brakesareassembled,adjustedandoperatecorrectly
 Seatfastenersarefullytightandseatstrapisfirmlyfastened
 Cushionsizeandorientationiscorrect
 Backrestadjustmentboltsarefullytight
 Backreststrapsarefirmlyfastenedtogether
 Allstrapsarecorrectlylocated
 Allfastenersaretight.
Note:Donotover‐tightenthenutsandbolts.
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Transport
 Removethequick‐releaserearwheelsbeforetransporting
 Removethecushion
 Removethefootrests,ifneeded
 Removethesideguards,ifneeded
 Foldtheframe
 Liftthewheelchairupbytheframe.Donotliftthewheelchairbytheupholstery.
 Beforeuse,replaceallthepartsthathavebeenremoved
Note:Checkthattherearwheelaxlesarecleanbeforeinsertingintotheframe,asdirtmaygetstuckon
totheaxles.Beforeusecheckthattherearwheelaxlesaresecurelylockedtotheframe.
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Ongoing
 Keepthewheelchaircleananddry
 Donotleavetheproductoutside,exposedtoelements,asthiswilldamagetheproductand
shortentheproductlifespan.
 Ifanypartoftheproductstopsfunctioningproperly,pleaseconsultatrainedwheelchair
technicianofyourlocalserviceprovider.
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HANDLINGYOURWHEELCHAIR
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Foldingthewheelchair
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Folding
Removethecushion
Foldthewheelchairframebypullingupontheseatpanel
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Unfolding
Unfoldtheframebypushingdownontheseatpanelandtheseat
tubes
Checkthattheseattubesarecorrectlyseatedintheseattubecups
Placethecushionontheseatpanel
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Note:
Pleasepayattentionatthecushionorientationrelativetotheseat
panel
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Removing/placingthefootrests

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Placingthefootrestsontheframe
Insertthefootrestplasticplugintheframefrontuprighttube
Alignthefootrestbottomclampwiththeframefrontuprighttube
Rotatethefootrestuntilitlocksinplace
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Removingthefootrestfromtheframe
Unlockthefootrestusingthefootrestbottomclamp
Rotatethefootrestandpushupwards,untilthefootrestplastic
plugisreleasedfromtheframefrontuprighttube.
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Removing/placingthesideguards
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Slidethesideguardinandoutofthesideguardsockettoplaceor
removethesideguardon/fromtheframe.
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Removing/placingtherearwheels
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Pressthequickreleaseaxlebutton.
Pulloutwardsfromtheframetoremovetherearwheelortowards
theframeinordertoplacetherearwheelsontheframe.
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Tiltingthewheelchair
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Pushthebottomrailrearenddownwhilepushingdownandback
onthepushhandles.
Tiltthewheelchair,asneeded.
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© DDO2018
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USINGYOURWHEELCHAIR
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Movingto/fromthewheelchair
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Propel the wheelchair as close as possible to the
surface that
you want to moveto.Applythe brake.
Remove thearmrests,  i f 
needed,and detach thefootrestsorswingthem
outwards.Do
not support yourself on the footplates as thismaycause the
chair to tip
forwards. 
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Stretchingandleaning
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Propelthe
wheelchair ascloseas possible .  When stretching and
bending, doalways have full
contact betweenthebackrestand
the back
otherwise the wheelchair may tip over. Stretching
behindthebackisnot
recommended. 
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Propellingupaslope
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Many
experienced userscanpropelt hemselves up a slope. In
ordernot to lose controlof the
steering andto  avoid tipping
backwards,you shouldalwayslean
forwards whilstpropellingup
a slope. 
Propel the wheelchair forwards using short, quick
strokes applied to the hand rims, inorderto maintain speed
andsteering control. Generally, helpisneededonsteep slopes. 
If you have to stop on a slope, it is particularly important to
ensure that you do not make any
sudden or unexpected
backward movements when you start movingthe wheelchair
forwards again. Asthe wheel chair isalready leaningbackwards,
such a
movement may causethe wheelchair totip backward s . 
The maximum gradient of slopes that can be attempted is
varied between3° and13.5° depending on the
user weight and
the
adjustments ofthe wheelchair s . 
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© DDO2018
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Propellingdownaslope
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We  recommend  that  you obtain  the  help of one 
or more
assistants whengoingdown steepandwet  slope s . 
Firstcheck the slope to see if
 there are any particular hazards,
potholes, slippery sections, etc.  Never
use the user‐operated
brake to slow d own . Whenyou apply the brake on adownward
slope,thewheelslockandthe wheelchair cansuddenly pullto one
side,
tip sideways or stopimmediately, which maycause youtobe
thrownoutof thewheelchair. Always control
the speedusing the
hand rims.Rememberthatthehandrims may becomehotdueto
friction, and this may cause injury to yourhands. Try to propel
down
the slope inastraightlineas muchaspossible.
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Climbingacurb
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

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Thismethod
i s forsituationswhen theassistant is alwaysbehind
the wheelchairand it
creates the greatest safety for the use r . 
Thefollowingadviceisfor the
assistant
Illustration1
Adjusttheanti‐tipdevices upward s . Ensure that the user's feet
rest securely on the
foo trestsand cannot s l i d e off.Thentilt the
wheelchair backwards and pushitforwardsagainstthe curb. 

Illustration2
Lowerthe frontpartof the
wheel chair ontothepavement and
placeyourself as
close to the chair aspossible, before you liftup
the
whole wheelchai r . 

Illustrat i on 3
Lean forwardand lift/roll the wheelchair over the pavement edge . 

Illustration 4 
Lowerthe wheelchairontothe pavement so that the
w e i gh t is
divided  on allfour wheel s . Ensure that the wheelchair does not
roll
backward s . 

To dismountcurb, follow the
procedure above, butinre verse
order (step4,3, 2and thenI) to move offa curb. 

Climbingacurb‐alternative


This methodisgenerally used byexperienced assist ants who are
strongerthanaverage.Itcanalsobeusedwhen thecurb or stepis
lowand only
constitutes aminimal obstacle. 
The assistant steps backwards onto the pavement
and pulls the
wheelchairuponto thepavement.Itis
impor tantforthe assistant
to use his or her body
correctly to prevent injury. Tip the
wheelchairbackwards
and rollthe chair over the curb onto the
pavement.
Take particular careifthe curb iswet or slippery. 
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© DDO2018
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Stairsandescalators

Do not useescalators whenyouare
in the wheelchai r . Findout
whetherthereisalift
nearb y . 
We
recommend thatyoureceive helpfromtwoassistantstoget
up and down stairs. One
assistant walks in frontof the chair
holdingthe frame of
the wheelchair,whilstthe other assistant
walksbehind
the chair,holdingthe push handle s . Check that the
push handles/push bar are securely fixed
in place before you
start. Foldthe anti‐tip devices upwards. Balancethe wheelchair
on the rear wheels until the
balance point is found. The
wheelchairisthenrolled
down thestairs,step bystep, byletting
the rear wheels rollovertheedge of eachstep
. Assistantsmust
notliftbygrippingthe removable
armrests or footrests. They
must remember to lift the chairat the correct points, touse
theirlegsand tokeep theirbacksas
straight as possible. 
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PRESSURERELIEFTECHNIQUES
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Wheelchairservicepersonnelneedtotrainallwheelchairuserswhoareatriskofdevelopingapressure
soreatleastonewaytorelievepressurebasedontheuser’sstrengthandbalance.
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Bendingforward:Suitableformostwheelchairusers.Thistechniquecanbeusedindependentlyorwith
assistance.
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Leaningsidetoside:Suitableforwheelchairuserswithlimitedstrengthandbalance.Thistechniquecan
beusedwhiletheuserhookstheirarmoverthepushhandleforadditionalsupport.
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Formoreinformationonpressurereliefmanagementandtechniques,pleaserefertoWorldHealth
Organization’sGuidelinesontheprovisionofManualWheelchairsinlessresourcedsettings.
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CAREANDMAINTENANCE
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Takingcareofyourwheelchairandperformingregularmaintenancewillincreasethelifespanofthe
wheelchairandwillensureproductperformance.
Rearwheels
 Checkiftherearwheelsturnsmoothly.Ifthewheelsdonotturnfreely,therearwheelbearings
mayneedtobechanged
 Checkspokesaretightatleastonceamonth
 Checktyresareseatedcorrectlyinthewheelrimdaily
 Checkthattherearwheelaxlesquickreleasemechanismisfunctionalandthereisnocorrosion
ordebrisobstructingitonceaweek
 Cleanandoiltherearwheelaxlesonceaweek
 Checktherearwheelquick‐releaseaxlesaresecureonceamonth
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Castors
 Checkifthecastorwheelsandcastorforksturnsmoothly.Ifthecastorwheelsand/orforksdo
notturnfreely,thecastorwheelorcastorforkbearingsmayneedtobechanged
 Checkcastorforkaxlesaretightonceamonth

© DDO2018
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 Checkcastorwheelaxlesaretightonceamonth
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Frame
 Checkallframefastenersaretightonceamonth
 ChecktheX‐bracefoldingmechanismfastenersaretightonceaweek
 Checktheframepaintforscratches/damageonceamonth.Cleanandapplypaintinareas
wherepainthasbeenremovedduetodamage.
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Footrest
 Checkallfootrestfastenersaretightonceamonth
 Checkthatthewheelchaircanberemovedandmountedontheframecorrectly,usingthe
footrestlockingmechanism
 Checktheheelstrapforanydamage
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Brakes
 Checkallbrakefastenersaretightonceamonth
 Checkthebrakeadjustmentonceamonth,readjustasneeded
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Seatandbackrestupholstery
 Checktheseatandbackrestupholsteryconditionatleastonceamonth
 Keeptheupholsterycleananddry
 Washcushioncoverandupholsterywheneveritisuncleanorifitcomesincontactwithurine
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Cushionandcushioncover
 Checkthecushionandcoverconditiononceaweek
 Washthecushionandcushionwithsoapywater,asneeded
 Donotdryindirectsunlight
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© DDO2018
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OTHERINSTRUCTIONSGIVENBYTHEWHEELCHAIRSERVICEPROVIDER
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