Invacare A-4 Series Manual

Owner's Operator and Maintenance Manual
Owner's Operator And Maintenance Manual
A4 and A4 Titanium
(Adjustable Seat Angle)
™
™
DEALER: THIS MANUAL MUST BE GIVEN TO THE USER
OF THE WHEELCHAIR.
USER: BEFORE USING THIS WHEELCHAIR, READ THIS
MANUAL AND SAVE FOR FUTURE REFERENCE.
For more information regarding
Invacare products, parts, and services,
please visit: www.invacare.com

A4™AND A4™TITANIUM 2Part No. 1110545
WARNING
DO NOT use this product or any available optional equipment without first
completely reading and understanding these instructions and any additional
instructional material such as owner’s manuals, service manuals or instruc-
tion sheets supplied with this product or optional equipment. if you are
unable to understand the warnings, cautions or instructions, contact a
healthcare professional, dealer or technical personnel before attempting to
use this equipment - otherwise, injury or damage may occur.
ACCESSORIES WARNING
Invacare products are specifically designed and manufactured for use in
conjunction with Invacare accessories. Accessories designed by other
manufacturers have not been tested by Invacare and are not recommended
for use with Invacare products.
WARNING

Part No. 1110545 3A4™AND A4™TITANIUM
CONTENTS
CONTENTS
TABLE OF CONTENTS
SPECIAL NOTES................................................................................ 5
LABEL LOCATIONS ........................................................................... 6
SPECIFICATIONS .............................................................................. 7
SECTION 1 - GENERAL GUIDELINES .................................................. 8
STABILITY ...................................................................................................................................................... 8
OPERATING INFORMATION................................................................................................................. 9
TIRE PRESSURE ......................................................................................................................................... 10
WEIGHT TRAINING ............................................................................................................................... 10
WEIGHT LIMITATION ........................................................................................................................... 10
SAFETY/HANDLING OF WHEELCHAIRS ........................................................................................ 11
SECTION 2 - SAFETY INSPECTION .................................................. 17
SAFETY INSPECTION CHECKLIST .................................................................................................... 17
TROUBLESHOOTING ............................................................................................................................ 18
MAINTENANCE ....................................................................................................................................... 18
SECTION 3 - UPHOLSTERY .............................................................. 20
UNFOLDING/FOLDING THE BACK ................................................................................................. 20
REMOVING/INSTALLING STANDARD BACK UPHOLSTERY.................................................. 21
ADJUSTABLE TENSION BACK UPHOLSTERY............................................................................... 22
SEAT UPHOLSTERY REPLACEMENT ................................................................................................ 23
SECTION 4 - FRAME ....................................................................... 24
BACK ANGLE ADJUSTMENT .............................................................................................................. 24
BACK HEIGHT ADJUSTMENT ............................................................................................................ 26
REAR SEAT-TO-FLOOR HEIGHT ADJUSTMENT .......................................................................... 27
REPLACING SEAT FRAME..................................................................................................................... 28
OPENING/CLOSING CAMBER CLAMPS ......................................................................................... 30
DETERMINING TOE IN/TOE OUT .................................................................................................... 32
ADJUSTING TOE IN/TOE OUT .......................................................................................................... 33
ADJUSTING THE AXLE TUBE ............................................................................................................. 35
REPOSITIONING CAMBER INSERTS (ADJUSTING REAR WHEEL CAMBER) (FIGURE 9)37
ADJUSTING WHEELBASE LENGTH (ADJUSTING CENTER OF GRAVITY) (FIGURE 10) 39
ADJUSTING WHEELBASE WIDTH .................................................................................................... 41
REPLACING AXLE TUBE ....................................................................................................................... 42

A4™AND A4™TITANIUM 4Part No. 1110545
CONTENTS
CONTENTS
SECTION 5 - WHEELS ...................................................................... 44
REMOVING/INSTALLING REAR WHEELS ....................................................................................... 44
ADJUSTING QUICK-RELEASE AXLE................................................................................................ 45
INSTALLING QUAD-RELEASE AXLE ............................................................................................... 45
ADJUSTING THE QUAD-RELEASE HANDLE IN AND/OR OUT............................................. 46
REMOVING THE PLAY FROM THE REAR WHEELS ..................................................................... 46
REPAIRING/REPLACING REAR WHEEL TIRE/TUBE .................................................................... 47
HANDRIM REPLACEMENT .................................................................................................................. 47
WHEEL LOCK ADJUSTMENT/REPLACEMENT ............................................................................. 48
REPLACING/ADJUSTING CASTERS .................................................................................................. 49
REPLACING FORKS ................................................................................................................................ 50
ADJUSTING CASTER HEIGHT ............................................................................................................ 51
ADJUSTING FRONT SEAT-TO-FLOOR HEIGHT .......................................................................... 52
SECTION 6 - FOOTREST .................................................................. 59
FOOTREST REPLACEMENT/ADJUSTMENT .................................................................................... 59
SECTION 7 - ANTI-TIPPERS ............................................................ 61
ANTI-TIPPER ADJUSTMENT/REPLACEMENT ................................................................................ 61
SECTION 8 - ARMS ......................................................................... 63
INSTALLING THE T-ARM SOCKETS ................................................................................................. 63
INSTALLING/REMOVING T-ARMS .................................................................................................... 64
ADJUSTING THE T-ARMS..................................................................................................................... 65
ADJUSTING T-ARM TRANSFER ASSISTS AND/OR SIDE GUARDS ........................................ 68
REPLACING THE T-ARM LOCKING LEVER ................................................................................... 69
INSTALLING THE HALF ARM SOCKET ........................................................................................... 70
ADJUSTING HALF ARM HEIGHT .......................................................................................................70
SECTION 9 - SUSPENSION .............................................................. 71
ELASTOMERS AND SUSPENSION ..................................................................................................... 71
REPLACING REAR ELASTOMERS .......................................................................................................71
REPLACING FRONT ELASTOMERS................................................................................................... 73
LIMITED WARRANTY ..................................................................... 75

Part No. 1110545 5A4™AND A4™TITANIUM
Signal words are used in this manual and apply to hazards or unsafe practices which could result
in personal injury or property damage. See below for definitions of the signal words.
DANGER - Danger indicates an imminently hazardous situation which, if not avoided, will
result in death or serious injury.
WARNING - Warning indicates a potentially hazardous situation which, if not avoided,
could result in death or serious injury.
CAUTION - Caution indicates a potentially hazardous situation which, if not avoided, may
result in property damage or minor injury or both.
NOTICE
THE INFORMATION CONTAINED IN THIS DOCUMENT IS SUBJECT TO
CHANGE WITHOUT NOTICE.
As a manufacturer of wheelchairs, Invacare endeavors to supply a wide
variety of wheelchairs to meet many needs of the end user. However, final
selection of the type of wheelchair to be used by an individual rests solely
with the user and his/her healthcare professional capable of making such a
selection.
WHEELCHAIR TIE-DOWN RESTRAINTS AND SEAT POSITIONING
STRAPS
Invacare recommends that wheelchair users NOT be transported in
vehicles of any kind while in wheelchairs. As of this date, the Department of
Transportation has not approved any tie-down systems for transportation
of a user while in a wheelchair, in a moving vehicle of any type.
It is Invacare’s position that users of wheelchairs should be transferred into
appropriate seating in vehicles for transportation and use be made of the
restraints made available by the auto industry. Invacare cannot and does not
recommend any wheelchair transportation systems.
With regards to seat/chest positioning straps - it is the obligation of the
DME dealer, therapists and other healthcare professionals to determine if a
seat/chest positioning strap is required to ensure the safe operation of this
equipment by the user. Serious injury can occur in the event of a fall from a
wheelchair.
SPECIAL NOTES
SPECIAL NOTES
SPECIAL NOTES

A4™AND A4™TITANIUM 6Part No. 1110545
LABEL LOCATIONS
LABEL LOCATIONS
Refer to Owner's Manual
for proper anti-tipper
setting. 1085379
WARNING
WARNING
DO NOT OPERATE WITHOUT
THE ANTI-TIP TUBES
INSTALLED.
REV. 5/98 P/N 60106X144
WARNING
REV.10/98 1026960
Detent balls should extend beyond the diameter
of the axle bushing for a positive lock. Keep
detent balls clean.
LABEL LOCATIONS

Part No. 1110545 7A4™AND A4™TITANIUM
INVACARE A4
Frame Type: Tapered or "V"
Seat Width: 12 to 22-inches
Camber Width: Camber (in degrees) 036912
Add the inches listed in the
chart to the wheelchair width Rear Wheel Type:
to obtain the overall width Spoke 6-3/4 8 10 12-1/4 14-1/4
of the wheelchair at the Composite 7 8-1/4 10-1/4 12-1/2 14-1/2
widest point.
Seat Depth: 14 to 22-inches
Seat-to-Floor (approx.)*
Front: 17 to 21-inches - in 1-inch increments
Rear: Possible Rear Seat-to-Floor Rear Wheel Size
14-1/2 to 19-inches 22-inch
15-1/2 to 20-inches 24-inch
16-1/2 to 20-inches 26-inch
Back Style: Fold Down
Back Height: 8 to 20-inches - Adjustable
(8-11, 10-14, 12-16, 14-18 or 16-20-inch ranges)
Footrest: 5-inch Adjustable Height, Adjustable Angle or Tubular
Side Wheel Clearance: 1/2 to 2-1/2-inches (1-inch Standard)
Rear Axle: Quick-Release, Quad-Release
Rear Wheel Camber
Single: Custom - 0°, 3°, 6°, 9° and 12°
Dual: Custom - 0° and 3°, 0° and 6°, 0° and 9°, 3° and 6°, 3° and 9°,
3° and 12°, 6° and 9°, 6° and 12°, 9° and 12°
Rear Wheels: 22 or 24-inch Composite, Spoke or Spinergy
(24-inch Spoke Standard)
26-inch Spoke or Spinergy, 559mm Spoke or 700C Spoke
Handrims: Aluminum Welded Tab (Standard), Plastic Coated or Projections
Wheel Locks: Push to Lock, Pull to Lock, Hill Holder or Hideaway Undermount
Caster Size: 3-inch Rollerblade, 4 or 5-inch Soft Roll, 5-inch Urethane,
6-inch Urethane or 6-inch Semi-Pneumatic ("V" Front Only)
Seat Cushion: 2 or 3-inch
Back Upholstery: U240 Black (standard) or Adjustable Tension
Arms (Optional): Half (Swingaway Padded) or "T"
Weight**: 22 pounds - 16 x 16 frame, with anti-tippers, 24-inch spoke wheels,
and dual camber inserts.
Shipping Weight** (approx): 34 pounds - 15 x 15 seat frame with complete package
SPECIFICATIONS
SPECIFICATIONS
* NOTE: The seat-to-floor heights are based on pneumatic tires and pneumatic tires with flat free inserts. If
wheelchair is equipped with urethane tires, subtract 1/4-inch from the measurements listed above. All heights are
measured with properly inflated new tires. These heights can vary +1/4-inch due to tire wear. Add one (1) inch for
wheelchairs with the suspension option.
** NOTE: Subtract one (1) pound for Titanium models. Subtract one-half (1/2) pound for single camber inserts.
Add one (1) pound for wheelchairs with the suspension option.
SPECIFICATIONS

A4™AND A4™TITANIUM 8Part No. 1110545
SECTION 1 GENERAL GUIDELINES
GENERAL GUIDELINES
Section 1 - General Guidelines includes the following:
Stability
Operating Information
Weight Training
Weight Limitation
Safety/Handling of Wheelchairs
STABILITY
STABILITY WARNINGS
The position of the footrest, seat angle, back angle, seating system/
upholstery, caster size and position, rear wheel size and position, use of
anti-tippers, as well as the user condition directly relate to the stability of
the wheelchair. Any change to one or any combination of the ten may
cause the wheelchair to decrease in stability. EXTREME care MUST be
taken when changing the stability of the wheelchair.
To maintain maximum stability, the rear wheels should be left in the factory
setting. Moving the rear wheels forward causes the wheelchair to decrease
in stability.
ALWAYS ensure stability BEFORE moving the rear wheels forward. TEST
wheelchair BEFORE it is occupied by the end user to ensure safety.
Footrest Position Seat Angle Back Angle Seating System Caster Size Caster Position Rear Wheel Size Rear Wheel Position Anti-Tippers User Condition
NOTE: When changes to the left hand column occur, follow across the chart and refer to the
procedure that is checked (  ) to maintain the proper stability, safety and handling of the
wheelchair.
NOTE: Additional adjustments may be needed according to the wheelchair type. Refer to the
wheelchair owner's manual for these procedures.
Footrest Position •N/A N/A N/A N/A N/A N/A 
Seat Angle •N/A N/A N/A N/A N/A 
Back Angle N/A •N/A N/A N/A N/A N/A 
Seating System/Upholstery  •N/A N/A N/A N/A N/A 
Caster Size N/A N/A N/A •  N/A
Caster Position N/A N/A N/A N/A •N/A
Rear Wheel Size N/A N/A N/A  • N/A
Rear Wheel Position N/A N/A N/A   •N/A
Anti-Tippers N/A N/A N/A N/A   •
User Condition    •

Part No. 1110545 9A4™AND A4™TITANIUM
SECTION 1GENERAL GUIDELINES
GENERAL GUIDELINES
OPERATING INFORMATION
WARNING
SECTION 1 - GENERAL GUIDELINES contains important information for
the safe operation and use of this product.
To determine and establish your particular safety limits, practice bending,
reaching and transferring activities in several combinations in the presence
of a qualified health professional BEFORE attempting active use of the
wheelchair.
All service and adjustments should be performed while the wheelchair is
unoccupied.
DO NOT attempt to reach objects if you have to move forward in the seat.
DO NOT attempt to reach objects if you have to pick them up from the
floor by reaching down between your knees.
DO NOT lean over the top of the back upholstery. This will change your
center of gravity and may cause you to tip over.
DO NOT shift your weight or sitting position toward the direction you are
reaching as the wheelchair may tip over.
DO NOT tip the wheelchair without assistance.
DO NOT use an escalator to move a wheelchair between floors. Serious
bodily injury may occur.
NEVER position the camber inserts in the axle tube with more than 3-
inches (3-inches is 12 indexing marks showing) of the camber insert outside
of the axle tube. The camber inserts will not be securely tightened in the
axle tube resulting in possible injury to the user or damage to the
wheelchair.
WHEEL LOCKS ARE NOT BRAKES. DO NOT attempt to stop a moving
wheelchair with the wheel locks.
Before attempting to transfer in or out of the wheelchair, every precaution
should be taken to reduce the gap distance. Align both casters parallel with
the object you are transferring onto. When transferring to and from the
wheelchair, ALWAYS ENGAGE BOTH WHEEL LOCKS.
DO NOT operate on roads, streets or highways.
DO NOT climb, go up or down ramps or traverse slopes greater than 9°.
DO NOT attempt to move up or down an incline with a water, ice or oil
film.
DO NOT attempt to ride over curbs or obstacles. Doing so may cause
your wheelchair to turn over and cause bodily harm or damage to the
wheelchair.
DO NOT use parts, accessories, or adapters other than those authorized
by Invacare.

A4™AND A4™TITANIUM 10 Part No. 1110545
WARNING (CONTINUED)
DO NOT attempt to lift the wheelchair by any removable (detachable)
parts. Lifting by means of any removable (detachable) parts of a wheelchair
may result in injury to the user or damage to the wheelchair.
DO NOT stand on the frame of the wheelchair.
Anti-tippers MUST BE attached at all times. Inasmuch as the ANTI-
TIPPERS are an option on this wheelchair (You may order with or without
the anti-tippers), Invacare strongly recommends ordering the anti-tippers
as an additional safeguard for the wheelchair user.
DO NOT use the footplate as a platform when getting in or out of the
wheelchair.
ALWAYS wear your seat positioning strap. Inasmuch as the SEAT
POSITIONING STRAP is an option on this wheelchair (You may order
with or without the seat positioning strap), Invacare strongly recommends
ordering the seat positioning strap as an additional safeguard for the
wheelchair user.
ALWAYS use the handrims for self-propulsion. Inasmuch as the
HANDRIMS are an option on this wheelchair (you may order with or
without the handrims), Invacare strongly recommends ordering the
handrims as an additional safeguard for the wheelchair user.
TIRE PRESSURE
WARNING
DO NOT use your wheelchair unless it has the proper tire pressure (p.s.i.).
DO NOT overinflate the tires. Failure to follow these suggestions may
cause the tire to explode and cause bodily harm.
Replacement of a pneumatic tire or tube MUST be performed by a
qualified technician.
WEIGHT TRAINING
WARNING
Invacare DOES NOT recommend the use of its wheelchairs as a weight
training apparatus. Invacare wheelchairs have NOT been designed or
tested as a seat for any kind of weight training. If occupant uses said
wheelchair as a weight training apparatus, Invacare shall NOT be liable for
bodily injury and the warranty will be voided immediately.
WEIGHT LIMITATION
WARNING
The Invacare A4 wheelchair has a weight limitation of 300 lbs. (136 kg.).
SECTION 1 GENERAL GUIDELINES
GENERAL GUIDELINES

Part No. 1110545 11 A4™AND A4™TITANIUM
SECTION 1GENERAL GUIDELINES
GENERAL GUIDELINES
SAFETY/HANDLING OF WHEELCHAIRS
“Safety and Handling” of the wheelchair requires the close attention of the wheelchair
user as well as the assistant. This manual points out the most common procedures and
techniques involved in the safe operation and maintenance of the wheelchair. It is
important to practice and master these safe techniques until you are comfortable in
maneuvering around the frequently encountered architectural barriers.
Use this information only as a “basic” guide. The techniques that are discussed on the
following pages have been used successfully by many users.
Individual wheelchair users often develop skills to deal with daily living activities that
may differ from those described in this manual. Invacare recognizes and encourages each
individual to try what works best for him/her in overcoming architectural barriers that
they may encounter, however ALL WARNINGS and CAUTIONS given in this manual
MUST be followed. Techniques in this manual are a starting point for the new
wheelchair user and assistant with “safety” as the most important consideration for all.
STABILITY AND BALANCE
WARNING
ALWAYS wear your seat positioning strap. Inasmuch as the SEAT
POSITIONING STRAP is an option on this wheelchair (You may order
with or without the seat positioning strap), Invacare strongly recommends
ordering the seat positioning strap as an additional safeguard for the
wheelchair user.
Anti-tippers MUST BE attached at all times. Inasmuch as the ANTI-
TIPPERS are an option on this wheelchair (You may order with or without
the anti-tippers), Invacare strongly recommends ordering the anti-tippers
as an additional safeguard for the wheelchair user.
To assure safe stability and operation of the wheelchair, proper balance and positioning
must be maintained by the user. Your wheelchair has been designed to remain upright
and stable during normal daily activities provided you do not move beyond the center of
gravity. Depending on your individual circumstances, proper positioning may require the
use of a seat positioning strap.
DO NOT lean forward out of the wheelchair any further than the length of the
armrests. Make sure the casters are pointing in the forward position whenever you lean
forward. This can be achieved by advancing the wheelchair and then reversing it in a
straight line.
COPING WITH EVERYDAY OBSTACLES
Coping with the problems of everyday obstacles can be improved somewhat by learning
how to manage your wheelchair. Keep in mind your center of gravity to maintain
stability and balance.

A4™AND A4™TITANIUM 12 Part No. 1110545
SECTION 1 GENERAL GUIDELINES
GENERAL GUIDELINES
A NOTE TO WHEELCHAIR ASSISTANTS
When assistance to the wheelchair user is required, remember to use good body
mechanics. Keep your back straight and bend your knees whenever tilting the
wheelchair or traversing curbs, or other impediments.
WARNING
DO NOT attempt to lift a wheelchair by lifting on any removable
(detachable) parts. Lifting by means of any removable (detachable) parts of
a wheelchair may result in injury to the user or damage to the wheelchair.
Also, be aware of any removable (detachable) parts, such as armrests of legrests. These
must NEVER be used to move the wheelchair or as lifting supports, as they may be
inadvertently released, resulting in possible injury to the user and/or assistant(s).
When learning a new assistance technique, have an experienced assistant help you
before attempting it alone.
PERCENTAGE OF WEIGHT DISTRIBUTION
WARNING
DO NOT attempt to reach objects if you have to move forward in the seat
or pick them up from the floor by reaching down between your knees.
Many activities require the wheelchair user to reach, bend and transfer in
and out of the wheelchair. These movements will cause a change to the
normal balance, the center of gravity, and the weight distribution of the
wheelchair. To determine and establish your particular safety limits,
practice bending, reaching and transferring activities in several
combinations in the presence of a qualified healthcare professional
BEFORE attempting active use of the wheelchair.
Proper positioning is essential for your safety. When reaching, leaning, or
bending forward, it is important to use the front casters as a tool to
maintain stability and balance.
The position of the footrest, seat angle, back angle, seating system/
upholstery, caster size and position, rear wheel size and position, use of
anti-tippers, as well as the user condition directly relate to the stability of
the wheelchair. Any change to one (1) or any combination of the ten (10)
may cause the wheelchair to decrease in stability. EXTREME care MUST
be taken when changing the stability of the wheelchair.
LENGTHENING THE WHEELBASE will increase the stability and maintain
standard maneuverability of the wheelchair.
SHORTENING THE WHEELBASE will increase the maneuverability, distribute
additional weight onto the rear wheels and make the wheelchair less stable.

Part No. 1110545 13 A4™AND A4™TITANIUM
SECTION 1GENERAL GUIDELINES
GENERAL GUIDELINES
CENTER OF
G R AVITY
UNOCCUPIED OCCUPIED
Rear of Wheelchair
LENGTHENING
THE
WHEELBASE
SHORTENING
THE
WHEELBASE
Reaching, Leaning and Bending - Forward.
Position the front casters so that they are
extended as far forward as possible and
engage wheel locks.
WARNING
DO NOT attempt to reach objects
if you have to move forward in the
seat or pick them up from the floor
by reaching down between your
knees.
Reaching, Leaning - Backwards.
WARNING
DO NOT lean over the top of the back
upholstery. This will change your
center of gravity and may cause you to
tip over.
Position wheelchair as close as possible to the
desired object. Point front casters forward to
create the longest possible wheelbase. Reach
back only as far as your arm will extend
without changing your sitting position.

A4™AND A4™TITANIUM 14 Part No. 1110545
SECTION 1 GENERAL GUIDELINES
GENERAL GUIDELINES
TIPPING
WARNING
DO NOT tip the wheelchair without assistance.
When tipping the wheelchair, an assistant should grasp the back of the wheelchair on a non-
removable (non-detachable) part. Inform the wheelchair occupant before tipping the
wheelchair and remind him/her to lean back. Be sure the occupant’s feet and hands are clear of
all wheels and/or pinch points.
Tipping - Curbs.
After mastering the techniques of tipping the
wheelchair, use the following method to
tackle curbs, short stairs, etc.
Turn the anti-tippers so the wheels are facing
UP. Unless the first assistant has exceptional
upper body strength, it is recommended that
two assistants perform this operation. The
second assistant should be positioned at the
front of the wheelchair lifting upward on a
non-removable (non-detachable) part of the wheelchair frame when lifting the wheelchair and
stabilizing the wheelchair when the wheelchair is being lowered to the ground.
The first assistant should stand on the sidewalk and turn the wheelchair so that the rear wheels
are against the curb. The wheelchair should be tipped back to the balance point and, in one
continuous upward movement, the rear wheels should be pulled up and over the curb. DO
NOT return the front casters to the ground until the wheelchair has been pulled backward far
enough for the front casters to clear the edge of the curb.
WARNING
When lowering the front casters of the wheelchair, DO NOT let the wheelchair
drop the last few inches to the ground. This could result in injury to the occupant
and/or damage to the wheelchair.
Roll the wheelchair backward and SLOWLY lower the wheelchair in one continuous
movement. DO NOT let the wheelchair drop the last few inches to the ground. This could
result in injury to the occupant. Turn the anti-tippers so the wheels are facing DOWN.

Part No. 1110545 15 A4™AND A4™TITANIUM
SECTION 1GENERAL GUIDELINES
GENERAL GUIDELINES
STAIRWAYS
WARNING
ALWAYS wear your seat positioning strap. Inasmuch as the SEAT
POSITIONING STRAP is an option on this wheelchair (You may order
with or without the seat positioning strap), Invacare strongly recommends
ordering the seat positioning strap as an additional safeguard for the
wheelchair user.
DO NOT attempt to lift a wheelchair by lifting on any removable
(detachable) parts. Lifting by means of any removable (detachable) parts of
a wheelchair may result in injury to the user or damage to the wheelchair.
EXTREME CAUTION is advised when it is necessary to move an occupied
wheelchair up or down the stairs. Invacare recommends that, if possible, the
user be removed from the wheelchair prior to moving. Invacare recommends
using two (2) assistants and making thorough preparations. Make sure to use
ONLY secure, non-detachable parts for hand-held supports.
Follow this procedure for moving the wheelchair between floors when an
elevator is NOT available:
1. Turn the anti-tippers so the wheels are facing UP.
2. After the wheelchair has been tipped back to the balance point, one assistant (in the
rear) backs the wheelchair up against the first step, while securely grasping a non-
removable (non-detachable) part of the wheelchair for leverage.
3. The second assistant, with a firm hold on a non-detachable part of the framework,
lifts the wheelchair up and over the stair and steadies the wheelchair as the first
assistant places one foot on the next stair and repeats STEP 1.
4. The wheelchair should not be lowered until the last stair has been negotiated and
the wheelchair has been rolled away from the stairway.
5. Turn the anti-tippers so the wheels are facing DOWN.
WARNING - ESCALATORS? SORRY!
DO NOT use an escalator to move a wheelchair between floors. Serious
bodily injury may occur.

A4™AND A4™TITANIUM 16 Part No. 1110545
SECTION 1 GENERAL GUIDELINES
GENERAL GUIDELINES
TRANSFERRING TO AND FROM OTHER SEATS
WARNING
BEFORE attempting to transfer in or out of the wheelchair, every
precaution should be taken to reduce the gap distance. Align both casters
parallel with the object you are transferring onto. Also be certain the wheel
locks are engaged to help prevent the wheels from moving.
CAUTION
When transferring, position yourself as far back as possible in the seat. This
will prevent damaged upholstery and the possibility of the wheelchair
tipping forward.
NOTE: This activity may be performed independently provided you have adequate mobility and
upper body strength.
Position the wheelchair as close as possible along side the seat to which you are transferring,
with the front casters pointing parallel to it. Remove, lower or rotate the armrest so it is out
of the way. Engage wheel locks. Shift body weight into seat with transfer.
During independent transfer, little or no seat platform will be beneath you. Use a
transfer board if at all possible.

Part No. 1110545 17 A4™AND A4™TITANIUM
SECTION 2SAFETY INSPECTION
SAFETY INSPECTION
SAFETY INSPECTION CHECKLIST
NOTE: Every six months or as necessary, take your wheelchair to a qualified technician for a thorough
inspection and servicing. Regular cleaning will reveal loose or worn parts and enhance the smooth
operation of your wheelchair. To operate properly and safely, your wheelchair must be cared for just like
any other vehicle. Routine maintenance will extend the life and efficiency of your wheelchair.
Section 2 - Safety Inspection includes the following:
Safety Inspection Checklist Troubleshooting Maintenance
Initial adjustments should be made to suit your personal body structure needs and
preference. Thereafter follow these maintenance procedures:
ITEM Initially Weekly Monthly Periodically
GENERAL
• Wheelchair rolls straight (no excessive drag or pull to one side). X X
• Inspect for loose/missing/broken hardware in all locations. X X
WHEEL LOCKS
• Do not interfere with tires when rolling. X X
• Pivot points free of wear and looseness. X X
• Wheel locks easy to engage. X X
• Wheel locks prevent wheelchair from moving when engaged. X X
SEAT AND BACK
• Inspect upholstery for rips or sagging. X X
• Inspect for loose or broken hardware. X X
• Inspect fastening flaps to ensure they securely latch. X X
REAR WHEELS
• Quick/Quad-release axles lock properly.
Lubricate if necessary (with Teflon® lubricant ONLY). X X
• No excessive side movement or binding when lifted and spun. X X
• Inspect for cracked, worn, bent or broken spokes. X X
• Ensure all spokes are uniformly tight. X X
• Inspect wheels for cracks and wear (hubs and rims). X X
HANDRIMS
• Inspect for signs of rough edges or peeling. X X
FRONT CASTERS/FORKS
• Inspect wheel/fork assembly for proper tension by
spinning caster; caster should come to a gradual stop. X X
• Adjust bearing system if wheel wobbles noticeably or binds to
a stop. Ensure wheel bearings are clean and free of moisture. X X
• Check headtube locknuts for tightness. X X
• Inspect casters for cracks and wear (hubs and rims). X X
• Inspect for cracked, worn or broken spokes. X X
CAUTION: As with any vehicle, the wheels and
tires should be checked periodically for cracks and
wear, and should be replaced if damaged.
TIRES
• Inspect for flat spots, cracks and wear. X X
• If pneumatic tires check for proper inflation. X X
CAUTION: As with any vehicle, the wheels and
tires should be checked periodically for cracks and
wear, and should be replaced if damaged.
CAMBER/AXLE TUBE
• Axle tube is securely tightened. X X
• Camber inserts are not extended more than 3-inches. X X
CLEANING
• Clean upholstery and armrests. X X
• Clean optional quick release levers. X X

A4™AND A4™TITANIUM 18 Part No. 1110545
SECTION 2 SAFETY INSPECTION
SAFETY INSPECTION
TROUBLESHOOTING
MAINTENANCE
MAINTENANCE SAFETY PRECAUTIONSMAINTENANCE SAFETY PRECAUTIONS
MAINTENANCE SAFETY PRECAUTIONSMAINTENANCE SAFETY PRECAUTIONS
MAINTENANCE SAFETY PRECAUTIONS
WARNING
After ANY adjustments, repair or service and BEFORE use, make sure all
attachment hardware is tightened securely - otherwise, injury or damage may
result.
CAUTION
DO NOT overtighten hardware attaching to the frame. This could cause
damage to the frame tubing.
SUGGESTED MAINTENANCE PROCEDURES
1. Before using your A4 wheelchair, make sure all nuts and bolts are tight. Check all parts
for damage or wear and replace. Check all parts for proper adjustment.
2. Keep quick-release axles free of dirt and lint to ensure positive locking and proper
operation. Refer to ADJUSTING THE QUICK-RELEASE AXLE in SECTION 6 of this
manual.
WARNING
DO NOT use WD-40®, 3-in-1 oil®, or other penetrating lubricants on quick-
release axles. Otherwise, binding and/or damage to the wheelchair may occur.
3. Clean/oil quick-release axles once a week with a Teflon lubricant.
4. Keep optional quick release levers on axle tubes free of dirt and lint to ensure
positive locking and proper operation.
Chair Chair Sluggish Squeaks
Veers 3 Turn or Caster and Looseness
Right/Left Wheels Performance Flutter Rattles in Chair SOLUTIONS
X X X X If pneumatic, check tires for
correct and equal pressure.
X X X X Check for loose stem nuts and
bolts.
X X Check spokes/nipples.
X X X Check washers/spacers above and
below bearings in headtube.
X X X X Check that rear wheels are equally
spaced away from seat frame.

Part No. 1110545 19 A4™AND A4™TITANIUM
SECTION 2SAFETY INSPECTION
GENERAL GUIDELINES
WARNING
DO NOT use the wheelchair unless it has the proper tire pressure (p.s.i.).
DO NOT overinflate the tires. Failure to follow these suggestions may
cause the tire to explode and cause bodily harm.
5. If tires are pneumatic, recommended tire pressure is listed on the sidewall of the
tire.
CAUTION
As with any vehicle, the rear wheels, casters and tires should be checked
periodically for cracks and wear, and should be replaced if damaged.
6. The rear wheels, casters and tires should be checked periodically for cracks and
wear, and should be replaced by a qualified technician if damaged.
7. Regularly check for loose, worn or cracked spokes in the rear wheels and casters. If
loose, have them adjusted by a qualified technician. If damaged, replace wheel or
caster.
8. Periodically check handrims to ensure they are secured to the rear wheels. If loose,
have them tightened by a qualified technician.
9. Periodically adjust wheel locks as tires wear. Refer to WHEEL LOCK ADJUST-
MENT in SECTION 8 of this manual.
10. Periodically check caster and rear wheel bearings to make sure they are clean and
free from moisture. Use a Teflon lubricant if necessary.
11. Check upholstery for sagging, rips and tears.

A4™AND A4™TITANIUM 20 Part No. 1110545
SECTION 3 UPHOLSTERY
UPHOLSTERY
UNFOLDING/FOLDING THE BACK (FIGURE 1)
WARNING
Back MUST be locked securely in place before using the wheelchair.
1. To unfold the back, lift up on the back canes and pull back towards the rear of the
wheelchair until it locks into place.
2. To fold the back, pull up on the cord and push the back canes forward towards the
front of the wheelchair.
FIGURE 1 - UNFOLDING/FOLDING THE BACK
FRONT OF
WHEELCHAIR
REAR OF
WHEELCHAIR
Back Cane
NOTE: Back upholstery removed for clarity.
Section 3 - Upholstery includes the following:
Unfolding/Folding the Back
Removing/Installing Standard Back Upholstery
Adjustable Tension Back Upholstery
Seat Upholstery Replacement
WARNING
After ANY adjustments, repair or service and BEFORE use, make sure all
attachment hardware is tightened securely - otherwise, injury or damage may
result.
Back Release Cord
(Not Shown)