Focal Meditech Dowing2 User manual

ID manual: 606281
Revision: 1.0.0
Date: 1 May 2020
User manual
Dowing2

2 3
Disclaimer
The content of this manual is for informational use only and is subject to change without
notice. Focal Meditech BV assumes no responsibility or liability for any errors or inaccuracies
that may appear in this document.
Periodically, changes may be made to the information in this manual; these changes will be
incorporated into new editions of this publication. Focal may make improvements and/or
changes in the products and/or software programs described in this publication at any time.
Copyright Notice
© Focal Meditech BV. All rights reserved.
This manual may only be copied or used within accordance with the terms of the sale
agreement of this product. Except as permitted by agreement, no part of this publication may
be reproduced, stored in any retrieval system, or transmitted, in any form or by any means,
electronic, mechanical, recording, or otherwise, without prior written consent of
Focal Meditech BV.
Address comments about this publication to: [email protected]
Trademarks
Focal Meditech is a registered trademark of Focal Meditech BV.
Dowing2 is a registered trademark of Focal Meditech BV.
Dowing2 Model Design is registered by Focal Meditech BV.
Content
Disclaimer 2
Copyright Notice 2
Trademarks 2
Content 3
Manual introduction 5
Symbol explanation 6
Certification Notices 7
Safety notices 8
Contact information 9
Intended use and operation of the device 10
Intended use 10
Intended users 10
Operation of the device 10
Usage of the device 11
Risks and contra-indications 11
Technical information 13
Description 13
Adjusting the arm fitting and elbow fitting 14
Adjust the balancing force 15
Disconnecting the human interface 16
Park position Dowing2 17
Attach or detach Dowing2 18
Controls 19
Accessories 20
Mounting instructions 21
Installing the table clamp 21
Installing the chair / stand mount 22
Adjusting the angle of the rotation head 22
Maintenance instructions 24
Maintenance hardware 24
Cleaning 24
Reuse 24
Decommissioning 24
Appendix 1 Technical specifications 25
Specifications Dowing2 25
Dowing2 dimensions (human interface excluded) 26
Dimensions Table clamp and Chair / Stand mount 26
Dimensions loadarm Large (right handed version) 27
Dimensions loadarm X-Large (right handed version) 27
Dowing2 content of case 28

4 5
Manual introduction
This is the user manual for Dowing2, a dynamic arm support system. This product is developed,
manufactured and distributed by Focal Meditech B.V. or one of its authorized representatives.
This manual contains important information regarding Dowing2, its intended use and possible
consequences of usage. The aim of this information is to ensure successful, safe and effective
use of the device. This manual contains essential information for using Dowing2, information
about safety issues and contact information.
Please read this information carefully: increase of knowledge of the arm support will result in
an increase of effectiveness. Important: always keep this user manual in a convenient location
for easy reference.
Appendix 2 Part numbers 29
Appendix 3 Used materials 31
Appendix 4 Quick Start Guide 33
Appendix 5 Declaration of conformity 47
Appendix 6 Conditions and Warranty 48
Conditions and Warranty: Dowing2 supplied through a representative of Focal Meditech 48
Conditions and Warranty: direct supply by Focal Meditech BV to consumers 48

6 7
Certification Notices
This is a CE Class I medical device
Do not remove this label. If the label is removed, the warranty will be void.
This label is positioned at the bottom side of Dowing2.
Classification cf. Dutch Cliq 2013:
241827030309 Dynamic Arm Supports, compensation of diminished muscle function and
change of range of motion, loadarm construction, hybrid actuation
241827060309 Dynamic Arm Supports, managing excessive muscle functioning, hybrid
actuation
241827090309 Dynamic Arm Supports, redistribution of pressure/forces, hybrid
actuation
241827990306 Forearm support
Symbol explanation
Symbols used in this manual
Danger
This symbol in combination with the word “Danger” is used when there is
important information which can help you avoid the risk of an equipment failure
and serious personal injury or death.
Warning
This symbol in combination with the word “Warning” is used when there is
important information to avoid certain actions that can lead to an equipment
failure.
Caution
This symbol in combination with the word “Caution” is used to warn about
possible unsafe practices. Extra attention is required.
Disposal
This symbol indicates that this product is not to be disposed of with your
household waste, according to the WEEE Directive (2002/96/EC) and your
national law. This product should be handed over to a designated collection
point, e.g., on an authorized one-for-one basis when you buy a new similar
product or to an authorized collection site for recycling waste electrical and
electronic equipment (EEE). Improper handling of this type of waste could
have a possible negative impact on the environment and human health due
to potentially hazardous substances that are generally associated with EEE.
At the same time, your cooperation in the correct disposal of this product will
contribute to the effective usage of natural resources. For more information
about where you can drop off your waste equipment for recycling, please contact
your local city office, waste authority, approved WEEE scheme or your household
waste disposal service.
Packaging
Fragile This way up
Keep away from water Do not stack
Non-sterile product Do not use if package is
damaged

8 9
Contact information
Dowing2 is manufactured and sold by
Focal Meditech BV
Droogdokkeneiland 19
5026 SP Tilburg
Netherlands
Tel.: [phone]
Fax: [phone]
E-mail: [e-mail]
Internet: www.focalmeditech.nl
Safety notices
Danger: Prevent direct contact with water or any other liquid. Failure of this can lead to
malfunctioning of device or bodily harm.
Danger: Prevent extreme temperature (see environment conditions). Failure of this can
lead to malfunctioning of the device or bodily harm.
Danger: Mechanical energy is stored for balancing the arm. During non-intended
removal of the arm from the arm fitting of Dowing2, this mechanical energy will be
released resulting in a fast moving human interface which can result in bodily harm.
Warning: Do not modify any part of this equipment without authorization of the
manufacturer. Failure of this can lead to malfunctioning and will void the warranty.
Warning: In case of faulty device contact Focal Meditech. Do not try to fix it yourself.
Failure of this will void the warranty.
Warning: In case of doubt about safety of the device contact Focal Meditech.
Warning: In case of a serious incident when using the device, contact Focal Meditech
and the national authority of your country.

10 11
The user of Dowing2 can use this device in various environments like home, workplace, school
or institutional setting. A restricted tolerance of environmental humidity exists.
Dowing2 can be mounted on a table or working chair. Due to safety and functional reasons,
Dowing2 should not be mounted on a (electric) wheelchair.
Dowing2 is not designed to be used in combinations of large forces. Dowing2 cannot be used
as a support when standing up or getting seated or as an autonomous lifting device (without
supporting the human arm).
Dowing2 is not designed to withstand impacts that can be introduced during collisions with a
wall or other objects. Also Dowing2 is not constructed to withstand high external vertical forces
that can be introduced for example by (abnormal use of) patient hoist systems.
Usage of the device
Dowing2 supports the execution of numerous daily activities like eating, drinking, tooth
brushing, typing or scratching one’s nose. Independence in lifting and manipulating objects
and in personal care is possible again. In general it is desirable for users to use their remaining
capacities as much as possible. The device adds force to the user’s arm when lifting objects in
the vertical plane, if well-adjusted no more force is added than strictly is needed. The principle
at work here is called ‘Assist as needed’. Application of this principle is both beneficial from
a health perspective and for one’s self esteem, furthermore it is also cost effective. Dowing2
operates on the basis of compensation of the weight of the arm. This is called ‘balancing the
arm’. The large horizontal movements hardly require any effort anymore. The construction
enables easy and quick reach of the mouth and face and easier task performance at the
workplace. Dowing2 returns the natural freedom of movement to the user.
Warning: If the user experiences problems using the Dowing2, please contact Focal
Meditech or a healthcare professional as soon as possible.
Risks and contra-indications
No essential user risks are known while using Dowing2. Dowing2 is an aid which should be used
by the intended users. However there are no known contra-indications for Dowing2. To be able
to use Dowing2 the following warnings must be taken into account.
Warning: The arm support system cannot be used by the user as a support when
standing up and sitting down. During the evaluation attention is required to determine
if the user is able to sit in a stable position and if one can stand-up without using a
support.
Intended use and operation of the device
Intended use
Dowing2 is a dynamic arm support. It is designed for persons having a need for considerable
compensation against gravity during movements of the human arm.
Intended users
The intended users of the dynamic arm support Dowing2 are users in the need of a function
device requiring limited learning efforts:
1 Persons challenged by considerable muscular weakness resulting in the inability to perform
essential Activities of Daily Living (ADL) activities including eating, drinking, facial care and
computer use. Simple arm supports do not compensate sufficiently.
2 Persons challenged by excessive muscle functioning.
3 Persons in the need of redistribution of pressure/forces.
4 Persons who are at risk for Complaints of Arm Neck and-or Shoulder (CANS), overload or
strong fatigue due to challenging working conditions, which may be due to continuous or
frequent task performance above shoulder level or performance of many static manual
activities.
5 Combinations of these.
Operation of the device
The dynamic arm support system Dowing2 is a system that consists of several axes which are
interconnected via pivoting points. The axes are connected to a manually adjustable gravity
compensation mechanism. At the distal end of the system an arm fitting, elbow fitting and
optional a wrist support are attached. Dowing2 is mounted on the ‘solid’ world (table or
working chair). The lower arm of the user is placed in the arm fitting, and Dowing2 can support
the weight of the lower and partly the upper arm. The axes of Dowing2 will support movements
of the human lower arm and hand.
Dowing2 has a robust design combined with low friction and low play. This is realised by using
high quality bearing systems combined with high accuracy mechanical parts which results
in a smoothly running system. Therefore little energy is required to introduce the intended
movements. The smooth running Dowing2 combined with the accurate fit of the arm fitting
results in little muscle forces required from the user. The kinematic chain of the axes results
in a large range of motion. Gravity compensation characteristics of the device can depend on
individual requirements easily be adjusted.
Dowing2 can be used one- or two sided. Several properties of the user, being the personal
limitations and possibilities combined with the needs of the user, determine if one or two
Dowing2’s are required.

12 13
Technical information
Body
Swivel arms
Adjustment knob
Locking hook
Eject knobs
Table clamp
Level rotation head
Loadarm
Elbow fitting
Arm fitting
Locking ring
Wrist support
Description
The following parts of Dowing2 are described:
•From a user perspective the contact point with Dowing2 is the arm fitting where the lower
arm of the user is positioned in. This arm fitting is mostly a part that is individually adapted
to the user.
•The elbow fitting. The upper arm of the user should be in contact with this part during the
use of Dowing2. It will prevent that the user will slip out of the arm fitting when the user
bends his elbow.
•The wrist support. This part can be used to support the wrist and hand. This wrist support
can be shifted and can be removed. The support itself can rotate.
•The loadarm is with moving base plate to which the arm fitting, elbow fitting and wrist
support are attached.
•The loadarm is connecting the arm fitting, elbow fitting and wrist support to the body of
Dowing2.
Warning: Dowing2 is before all intended to be used by persons challenged by limited
muscle force in their arms and shoulder girdle. Due to diminished use of their
musculoskeletal functions prior to the supply of Dowing2 and also due to the limited
ability to stabilise and control joints, the risk of initial overburden is present. The user is
at risk of possible overburden of the arm and shoulder, but the possible risk exists for the
whole kinetic chain. The risk of overburden is considered to be the largest shortly after
supply of the device when the user experiences new freedom of movement of arm and
hand. It is advised to gradually build up deployment of the device in cooperation with a
skilled healthcare professional. In collaboration with Focal the user may choose to select
settings that initially protect joints that are at risk for overburden.
Warning: Dowing2 does not have parts that can be modified or repaired by the user or
other persons. Do not modify any part of this equipment without authorization of the
manufacturer. Failure of this can lead to malfunctioning and void of warranty.
Warning: For safety reasons, Dowing2 can only be removed from the locking position
when the user’s arm is correctly positioned in the arm fitting.

14 15
Bolt elbow fitting
Set screws elbow fitting
The elbow fitting can be adjusted in two directions:
1 Adjusting the rotation of the elbow fitting: loosen the “bolt elbow fitting” until the fitting
can be rotated. Adjust the fitting in the desired position and fasten the “bolt elbow fitting”.
2 Adjusting the position of the elbow fitting: loosen one or multiple set screws of the elbow
fitting. Adjust the elbow fitting by shifting this fitting in the direction of the arrow. Fasten all
set screws of the elbow fitting.
Adjust the balancing force
Warning: Adjusting the balancing force can result in forces that are higher than the mass
of the arm, resulting in an upwards movement of the arm.
The upwards balancing force can be adjusted by turning the adjustment knob. The force
required to rotate the adjustment knob can change depending on the position of the human
interface. This is normal behaviour. Because of this, the system can be adjusted using little
force. Rotating the knob clockwise will give more balancing force, counter clock wise will give
less force.
•At the top of Dowing2 there are two eject knobs. Pressing these two towards each other
makes it possible to remove the human interface, containing the loadarm, arm fitting, elbow
fitting and wrist support.
•Body of Dowing2. The body of Dowing2 contains: the balancing system including the
possibility to adjust the balancing force.
•Balancing force adjustment knob.
•Swivel arms
•Level rotation head
•Locking hook
•Table clamp
Adjusting the arm fitting and elbow fitting
To move the arm freely the weight of the arm is balanced. To balance the arm in the vertical
direction, considerable forces are required. For safe use it is important that:
•the arm is positioned in a stable way in the arm fitting
•the arm is always in contact with the elbow rest
If you notice that the arm is not stable and tends to slip out, reposition the arm in the proper way.
Warning: The positions of arm fitting and elbow fitting are crucial for the performance
of Dowing2. Changing these positions can result in a severe decrease of the performance
or even malfunction of Dowing2. Therefore only trained persons are allowed to change
the settings of the arm fitting and elbow fitting.
Warning: Adjusting the arm fitting can result in malfunction of Dowing2.
Set screws arm fitting
The arm fitting can be adjusted in one axis. Adjusting the position of the arm fitting is done in
the following way: Loosen one or multiple set screws of the arm fitting. Adjust the arm fitting
by shifting this fitting in the direction of the red arrow. Fasten all set screws of the arm fitting.

16 17
Park position Dowing2
If Dowing2 is not used for a short time it is recommended to place the Dowing2 in his intended
parking bracket. This will provide a safe situation for both Dowing2 and its surrounding. This is
the same procedure for the table clamp and the chair / stand clamp.
Park Dowing2
STEP 1: Move human interface with the locking ring backwards over the locking hook.
STEP 2: Move the arm with human interface up until the balance becomes less.
STEP 3: Remove the user’s arm.
Start using Dowing2
STEP 1: Position the user’s arm in the arm fitting.
STEP 2: Apply a small force downwards and slide the locking ring forwards over the hook.
Disconnecting the human interface
Danger: Please carefully disconnect/remove the different parts and take notice of the
steps described in this manual to avoid possible injuries.
The human interface including the loadarm, arm fitting, elbow fitting and wrist support can
be removed easily. To disconnect the human interface, press both red buttons at the top of
Dowing2, and move the Human interface away from the body in the upwards direction.
Replacing the human interface can be done by pushing the human interface into the body of
Dowing2. The buttons do not have to be pushed. When the lever is in position, it cannot be
removed without pressing the buttons.

18 19
Controls
There are no electrical / software controls available for Dowing2.
Attach or detach Dowing2
If Dowing2 is not used for a long time it is recommended to detach the Dowing2 from its
bracket. This will provide a safe situation for both Dowing2 and its surrounding.
Hand position 1 Hand position 2
Detach Dowing2
STEP 1: Lock Dowing2 in the parking position (see park position Dowing2).
STEP 2: Remove the user’s arm.
STEP 3: Remove Dowing2 from the parking position. Warning: the arm fitting will move upwards
due to the energy stored in the spring.
STEP 4: Remove the human interface (See disconnecting the human interface).
STEP 5: Hold with one hand the body of Dowing2; with the other hand, lift up in a straight line
the lower swivel arm from the clamp.
STEP 6: Store Dowing2 in its case.
Attach Dowing2
STEP 1: Position Dowing2 above the clamp.
STEP 2: Insert the lower swivel arm into the rotation head.
STEP 3: Attach the human interface.
STEP 4: Lock Dowing2 in the parking position.

20 21
Mounting instructions
In order to make stable and safe use of Dowing2, there are two options available to mount
Dowing2. The way to attach those mounting options is explained in this chapter.
Warning: Due to safety and functional reasons, Dowing2 should not be mounted on a
(electric) wheelchair.
Installing the table clamp
Bolts to fixate
the clamp on the table
Bolt to adjust
the locking hook
When a Dowing2 have to be mounted on a table top the
table clamp should be used.
The table clamp can be mounted on a large variety of
tables with a thickness between the 17 mm and 75 mm.
Also the orientation angle of the locking hook can be
adjusted from 0o to 66o to the left or right, this can be
useful when it is hard for the user to make a straight
line. To change the angle loosen the bolt first before
adjust the locking hook. If the locking hook is set to the
desired angle tighten the bolt with 6 Nm.
Edge depth
Edge depth 40mm OK Edge depth 25mm not OK!!!
Edge tickness
Please check the thickness, edge depth and type material off your table top before installing
the table clamp. Edge thickness should be between 17 mm and 75 mm, the edge depth should
be at least 40mm see picture above. It is not allowed to install the Table clamp to a table top
made of glass.
To install the clamp to the table, make sure that the gap of the clamp is bigger than the edge
thickness of the table. Slide the clamp completely over the edge of the table top and tighten
the bolts. Turn them clockwise to fixate the clamp, be aware that if the bolts are tightened too
strong the table top might deform.
Accessories
There are no accessories available for Dowing2.

22 23
For setting the orientation of this angle the complete rotation head upper and lower half
should be turned together to the desired orientation. If the setting is done fixate the rotation
head by tighten the bolt with 6 Nm.
Installing the chair / stand mount
When a Dowing2 needs to be mounted on a working chair or stand the Dowing2 should be
mounted on the chair/stand mount.
Setscrews to fixate the Chair/ Stand mount
The chair/stand mount is designed to fit on a square tube 20 x 20 x 1.5 mm.
To install the chair/stand mount slide it over the tube and tighten the screws. For a proper
installation, the tube should slide at least 25 mm into the bracket. Tighten both screws with
6 Nm.
Adjusting the angle of the rotation head
Dowing2 will perform the best when the rotation head is leveled. By default the rotation head
is parallel with the table- and chair/ stand mount (i.e. the stripes on the two rings are in line).
In some cases it is desired to adjust the angle of the rotation head. For example when a table is
tilted, or according to user needs.
Bolt to fixate
the roation head
Lower part
Upper part
To change the angle of the rotation head, first the bolt which fixates it has to be loosened.
Second, only the upper half of the rotation head should be turned to the desired angle.

24 25
Appendix 1 Technical specifications
Specifications Dowing2
Mass
• Mass Dowing2 (body) 0.680 [kg]
Dimensions (in default position)
• Height 341 [mm]
• Width 72 [mm]
• Depth 241 [mm]
Rotation tilt function
• Angle -20...20 [º]
Range of motion
• Up/Down 415 [mm] @ end of lever
• Forward backward stroke 420 [mm] @ end of loadarm
• Horizontal rotation unlimited [º]
Balance mass
• Up/Down
• Mass .25...4.5 [kg] @ end of loadarm
• Mechanic adjustable 0...100 [%]
Mounting position
• Maximum allowed mounting angle -20...20 (º)
Storage conditions
• Temperature -40...85 [ºC]
• Humidity 35...85 [%] non condensing
Operation conditions
• Temperature -10...+50 [ºC]
• Humidity 35...85 [%] non condensing
Degree of protection
• IP-class IP40 (IEC60529)
Safety features
• IFDS
Maintenance instructions
Maintenance hardware
Do not place the device in direct sunlight or in the direct vicinity of a heat source, otherwise
this might result in discolouration or scorching of plastic parts. Direct sunlight may reduce the
lifetime of system parts and interfere with operation.
All housings must be regularly inspected. If any housing is visibly damaged, do not use the
device. It is prohibited to physical modify Dowing2. There are no serviceable parts inside
Dowing2. Contact Focal Meditech for any maintenance issues.
In case Dowing2 is not mounted on the mounting base it should always be stored in the case to
prevent falling or other impacts that can damage the system.
Cleaning
Maintenance of Dowing2 is limited. Dowing2 can be cleaned using a moist cloth and a non-
aggressive cleaning agent.
Reuse
To reuse Dowing2, it must be disassembled and reviewed by Focal Meditech or an authorized
professional that is approved by Focal Meditech. Dowing2 must intensively be cleaned and
inspected. The plastic parts of the buttons can be removed and replaced by new button parts.
The arm fitting, elbow fitting and wrist support have to be replaced.
Focal Meditech will refurbish and repackage the reused Dowing2 in such a way that it will meet
the safety and performance requirements according to applicable regulations.
Decommissioning

26 27
Dimensions loadarm Large (right handed version)
111
349
158
90°
+
-
45°
45°
Dimensions loadarm X-Large (right handed version)
142
351
172
90°
+
-
45°
45°
Dowing2 dimensions (human interface excluded)
Dimensions of the Dowing2 are variable. This is because it is a device with moving parts and
different configurations. All dimensions are given in [mm] millimetres.
141
121
90° ±35°
76
72.00
341
76
Dimensions Table clamp and Chair / Stand mount
43
219
135
49
17 >< 75
48
203
112
98
52
20
15040 140

28 29
Appendix 2 Part numbers
Article number Description
600817 Dowing2 Start kit
603194 Table clamp left/right
600600 Chair/stand mount left/right
601826 Loadarm with arm swing left (Large)
601830 Loadarm with arm swing right (Large)
601828 Loadarm with arm swing left (X-Large)
601832 Loadarm with arm swing right (X-Large)
603165 Wrist support left
603167 Wrist support right
606021 Wrist support cushion left
606020 Wrist support cushion right
603137 Elbow fitting left (Small)
603143 Elbow fitting right (Small)
603135 Elbow fitting left (Large)
603141 Elbow fitting right (Large)
603139 Elbow fitting left (X-Large)
603145 Elbow fitting right (X-Large)
603140 Elbow fitting left (XX-Large)
603146 Elbow fitting right (XX-Large)
603109 Arm fitting size 1 left
603111 Arm fitting size 1 right
603113 Arm fitting size 2 left
603115 Arm fitting size 2 right
603117 Arm fitting size 3 left
603119 Arm fitting size 3 right
603121 Arm fitting size 4 left
Dowing2 content of case
Place for Human interface
Swivel arms Place for screws
Chair /
stand clamp
Body Dowing2
Table clamp
Standard content of case
•Dowing2
•Allen Key (6 mm)
•Set screws for assembling the loadarm with the elbow fitting and arm fitting
•Receptacle locking mechanism with countersunk bolt for assembling
•Table clamp or chair/stand mount
Some parts are individual and are added on specifications but these depend on the user:
•Loadarm
•Arm fitting
•Elbow fitting
•Wrist support

30 31
Appendix 3 Used materials
Article number Description Material(s)
600817 Dowing2 Start kit Aluminium 6082T6 + stainless
steel (AISI 304) + steel
603194 Table clamp left/right
600600 Chair/stand mount left/right
601826 Loadarm with arm swing left (Large) Aluminium 6082T6 + stainless
steel (AISI 304)
601830 Loadarm with arm swing right (Large)
601828 Loadarm with arm swing left (X-Large)
601832 Loadarm with arm swing right (X-Large)
603165 Wrist support left Aluminium 6082T6 + stainless
steel (AISI 304)+Neoprene
603167 Wrist support right
606021 Wrist support cushion left
606020 Wrist support cushion right
603137 Elbow fitting left (Small) Aluminium 6082T6 + stainless
steel (AISI 304) +Neoprene
603143 Elbow fitting right (Small)
603135 Elbow fitting left (Large)
603141 Elbow fitting right (Large)
603139 Elbow fitting left (X-Large)
603145 Elbow fitting right (X-Large)
603140 Elbow fitting left (XX-Large)
603146 Elbow fitting right (XX-Large)
603123 Arm fitting size 4 right
603125 Arm fitting size 5 left
603126 Arm fitting size 5 right
605658 Inlay arm fitting size 1 left
605638 Inlay arm fitting size 1 right
605662 Inlay arm fitting size 2 left
605642 Inlay arm fitting size 2 right
605666 Inlay arm fitting size 3 left
605646 Inlay arm fitting size 3 right
605670 Inlay arm fitting size 4 left
605650 Inlay arm fitting size 4 right
605674 Inlay arm fitting size 5 left
605654 Inlay arm fitting size 5 right
603097 Assembly bracket human interface
604191 Fixation strap complete (Small)
604190 Fixation strap complete (Large)
605926 Elbow bracket L shape short left
605927 Elbow bracket L shape short right
605683 Mobile stand

32 33
Appendix 4 Quick Start Guide
ID manual: 606280
Revision / Revisie: 1.0.0
Date / Datum: 01-05-2020
Quick Start Guide / Snelstartgids
Dowing2
603109 Arm fitting size 1 left Aluminium 6082T6 + Vikureen
(PS)+Velcro
603111 Arm fitting size 1 right
603113 Arm fitting size 2 left
603115 Arm fitting size 2 right
603117 Arm fitting size 3 left
603119 Arm fitting size 3 right
603121 Arm fitting size 4 left
603123 Arm fitting size 4 right
603125 Arm fitting size 5 left
603126 Arm fitting size 5 right
605658 Inlay arm fitting size 1 left Neoprene
605638 Inlay arm fitting size 1 right
605662 Inlay arm fitting size 2 left
605642 Inlay arm fitting size 2 right
605666 Inlay arm fitting size 3 left
605646 Inlay arm fitting size 3 right
605670 Inlay arm fitting size 4 left
605650 Inlay arm fitting size 4 right
605674 Inlay arm fitting size 5 left
605654 Inlay arm fitting size 5 right
603097 Assembly bracket human interface POM + stainless steel (AISI 304)
604191 Fixation strap complete (Small) Neoprene
604190 Fixation strap complete (Large)
605926 Elbow bracket L shape short left Aluminium 6082T6
605927 Elbow bracket L shape short right
605683 Mobile stand Steel S235

34 35
3
Overview / Overzicht
Body / Romp
Swivel arms /
Zwenkarmen
Adjustment knob /
Verstelknop
Locking hook /
Parkeerhaak
Eject knobs /
Ontkoppel knoppen
Table clamp /
Tafelklem
Level rotation head
/
Basis rotatiekop
Loadarm / Draagarm
Elbow fitting /
Elleboogsteun
Arm fitting /
Armschaal
Locking ring /
Parkeerring
Wrist support /
Polsondersteuning
Figure 1: Overview Dowing2 with terms of specic parts
Figuur 1: Overzicht Dowing2 met benaming specifieke onderdelen
Introduction / Voorwoord
This is the Quick start guide for Dowing2, a dynamic arm support system.
This product is developed, manufactured and potentially distributed by
Focal Meditech B.V. This quick start guide contains the basic information
regarding Dowing2. The aim of this information is to ensure successful, safe
and effective use of the device. This quick start guide will give you a quick
look on the features and important safety warnings of Dowing2 Please take
note of the safety warnings before using Dowing2.
Dit is de snelstartgids voor Dowing2, een dynamische armondersteuning.
Dit product wordt ontwikkeld, geproduceerd en eventueel gedistribueerd
door Focal Meditech B.V. Deze snelstartgids bevat de basisinformatie over
Dowing2. Het doel van deze informatie is te zorgen voor een succesvol, veilig
en effectief gebruik van het apparaat. Deze snelstartgids geeft u een snelle
blik op de functies en belangrijke veiligheidswaarschuwingen van Dowing2.
Houd rekening met de veiligheidswaarschuwingen voordat u Dowing2
gebruikt.

36 37
5
Warning: In case of a faulty device contact Focal Meditech.
Do not try to fix it yourself. Failure of this will void the warranty.
Waarschuwing: Neem indien het apparaat onjuist functioneert
direct contact op met Focal Meditech. Probeer het niet zelf te
repareren. Het niet opvolgen van deze waarschuwing kan leiden tot
het verlies van garantie.
Warning: In case of doubt about the safety of the device contact
Focal Meditech.
Waarschuwing: Neem in geval van twijfel over de veiligheid van het
apparaat contact op met Focal Meditech.
Warning: In case of a serious incident when using the device,
contact Focal Meditech and the national authority of your country.
Waarschuwing: Bij een ernstig voorval met betrekking tot dit
apparaat dient contact te worden opgenomen met Focal Meditech
en de bevoegde autoriteit van de lidstaat.
4
Safety notices / Veiligheidsnotities
Danger: Prevent direct contact with water or any other liquid.
Failure of this can lead to malfunctioning of device or bodily harm.
Gevaar: Voorkom direct contact met water of enige andere vloeistof.
Het niet voorkomen hiervan kan leiden tot onjuist functioneren van
het apparaat of tot lichamelijke schade.
Danger: Prevent extreme temperature (see environment conditions
in user manual). Failure of this can lead to malfunctioning of the
device or bodily harm.
Gevaar: Voorkom extreme temperaturen (zie omgevingscondities).
Het niet voorkomen kan slecht functioneren van het hulpmiddel of
lichamelijk letsel tot gevolg hebben.
Danger: Mechanical energy is stored for balancing the arm. During
non-intended removal of the arm from the arm fitting of Dowing2,
this mechanical energy will be released resulting in a fast moving
Human Interface which can result in bodily harm.
Gevaar: Mechanische energie wordt opgeslagen om de arm te
balanceren. Tijdens niet-bedoelde verwijdering van de arm uit de
armschaal van Dowing2zal deze mechanische energie vrijkomen wat
resulteert in een snel bewegende Human Interface wat lichamelijk
letsel tot gevolg zou kunnen hebben.
Warning: Do not modify any part of this equipment without
authorization of the manufacturer. Failure of this can lead to
malfunctioning and will void the warranty.
Waarschuwing: Wijzig geen enkel onderdeel van dit hulpmiddel
zonder toestemming van Focal Meditech. Indien dit toch gedaan
wordt, kan dit leiden tot onjuist functioneren en zal de garantie
komen te vervallen.

38 39
7
Parkeer Dowing2
STAP 1: Plaats de human interface met de borgring achterwaarts over de
parkeerhaak.
STAP 2: Beweeg de human interface omhoog totdat de balans van de human
interface minder wordt.
STAP 3: Verwijder de arm uit de armschaal.
Figure 3: Start using Dowing2
Figure 3: Start using Dowing2
Start using Dowing2
STEP 1: Position the user’s arm in the arm fitting.
STEP 2: Apply a small force downwards and slide the locking ring forwards
over the hook.
Start gebruik Dowing2
STAP 1: Plaats de arm in de armschaal.
STAP 2: Oefen een beetje kracht uit naar beneden uit en schuif de armschaal
naar voren zodat de parkeerring loskomt van de parkeerhaak.
6
Park or start using Dowing2/
Parkeer of start gebruik Dowing2
If Dowing2 is not used for a short time it is recommended to place the
Dowing2 in its intended parking bracket. This will provide a safe situation
for both Dowing2 and its surrounding. The same procedure is followed for
the table clamp and the chair / stand clamp.
Wanneer Dowing2 korte tijd niet wordt gebruikt, is het raadzaam om de
Dowing2 in zijn beoogde parkeerhaak te plaatsen. Dit zorgt voor een veilige
situatie voor zowel Dowing2 als voor de omgeving. Deze procedure is voor
gebruik van de Dowing2 in combinatie met een tafelklem of een stoel/
standaardklem hetzelfde.
Figure 2: Park Dowing2
Figuur 2: Parkeer Dowing2
Park Dowing2
STEP 1: Move human interface with the locking ring backwards over the
locking hook.
STEP 2: Move the arm with human interface up until the balance becomes less.
STEP 3: Remove the user’s arm.