Invacare Alu Lite User manual

Invacare®AluLite
enLowactivewheelchair
UserManual
ThismanualMUSTbegiventotheuseroftheproduct.
BEFOREusingthisproduct,readthismanualandsaveforfuturereference.

©2018InvacareCorporation
Allrightsreserved.Republication,duplicationormodicationinwholeorinpartisprohibited
withoutpriorwrittenpermissionfromInvacareCorporation.Trademarksareidentiedby™and®.
AlltrademarksareownedbyorlicensedtoInvacareCorporationoritssubsidiariesunlessotherwise
noted.

Contents
1General.........................................4
1.1Introduction..................................4
1.2Symbolsinthismanual..........................4
1.3Warranty.....................................5
1.4Limitationofliability............................5
1.5StandardsandRegulations........................5
1.6Intendeduse..................................5
1.7Servicelife...................................6
2Safety..........................................7
2.1Safetyinformation..............................7
2.2Safetydevices.................................8
2.3Labelsandsymbolsontheproduct.................9
3Componentsandtheirfunctions......................10
3.1Overview....................................10
3.2Manualbrakesforassistantonly...................11
3.3Foldingbackrest...............................12
3.4Legrests.....................................12
3.4.1Swivelinglegrests...........................13
3.5Seatcushion..................................13
4Accessories......................................14
4.1Posturebelt..................................14
5Setup...........................................16
5.1Safetyinformation..............................16
6Usingthewheelchair...............................17
6.1Safetyinformation..............................17
6.2Moveto/fromthewheelchair.....................17
6.3Drivingandsteeringthewheelchair.................18
6.4Negotiatingstepsandkerbswithanassistantonly......19
6.5Goingupanddownstairs........................20
6.6Negotiatingrampsandslopeswithanassistantonly....21
6.7Stabilityandbalancewhenseated..................21
7Transport........................................23
7.1Safetyinformation..............................23
7.2Foldingandunfoldingthewheelchair...............23
7.3Liftingthewheelchair...........................24
8Maintenance.....................................25
8.1Safetyinformation..............................25
8.2MaintenanceSchedule..........................25
8.3Cleaning.....................................27
8.4Disinfection...................................27
9Troubleshooting...................................28
9.1Safetyinformation..............................28
9.2Identifyingandrepairingfaults....................29
10AfterUse.......................................30
10.1Storage.....................................30
10.2Re-use.....................................30
10.3Disposal....................................30
11TechnicalData...................................31
11.1Dimensionsandweight.........................31
11.2Materials....................................32
11.3Environmentalconditions........................32

Invacare®AluLite
1General
1.1Introduction
Thisusermanualcontainsimportantinformationaboutthe
handlingoftheproduct.Toensuresafetywhenusingthe
product,readtheusermanualcarefullyandfollowthe
safetyinstructions.
Notethattheremaybesectionsinthisdocument,whichare
notrelevanttoyourproduct,sincethisdocumentapplies
toallavailablemodels(onthedateofprinting).Ifnot
otherwisestated,eachsectioninthisdocumentreferstoall
modelsoftheproduct.
Themodelsandcongurationsavailableinyourcountrycan
befoundinthecountry-specicpricelists.
Invacarereservestherighttoalterproductspecications
withoutfurthernotice.
Beforereadingthisdocument,makesureyouhavethe
latestversion.YoundthelatestversionasaPDFonthe
Invacarewebsite.
Ifyoundthatthefontsizeintheprinteddocumentis
difculttoread,youcandownloadthePDFversionfromthe
website.ThePDFcanthenbescaledonscreentoafont
sizethatismorecomfortableforyou.
Formoreinformationabouttheproduct,forexample
productsafetynoticesandproductrecalls,contactyour
Invacarerepresentative.Seeaddressesattheendofthis
document.
1.2Symbolsinthismanual
InthisUserManualwarningsareindicatedbysymbols.
Thewarningsymbolsareaccompaniedbyaheadingthat
indicatestheseverityofthedanger.
WARNING!
Indicatesahazardoussituationthatcouldresult
inseriousinjuryordeathifitisnotavoided.
CAUTION!
Indicatesahazardoussituationthatcouldresult
inminororslightinjuryifitisnotavoided.
IMPORTANT!
Indicatesahazardoussituationthatcouldresult
indamagetopropertyifitisnotavoided.
Givesusefultips,recommendationsand
informationforefcient,trouble-freeuse.
ThisproductcomplieswithDirective93/42/EEC
concerningmedicaldevices.Thelaunchdate
ofthisproductisstatedintheCEdeclaration
ofconformity.
Manufacturer
41648362-A

General
1.3Warranty
Invacareguaranteesthattheirwheelchairsarefreefrom
defectsandarefullyfunctional.Thewarrantycoversall
faultsanddefectswhichareveriablyattributabletofaulty
construction,substandardmaterialsorpoorworkmanship.
Warrantyclaimsagainstthemanufacturermayonlybemade
bythedistributorandnotbytheuseroftheproduct.
Thewarrantydoesnotcovernormalwearandtear,the
consequencesofimproperhandlingordamage,poor
maintenanceandincorrectassemblyorcommissioning
bythepurchaserorathirdpersonorfaultswhichare
attributabletocircumstancesbeyondourcontrol.Wearing
partsarenotcoveredbytheguarantee.Thewarrantyis
voidedifmodicationsaremadetotheproductwhichwere
notauthorizedandnotperformedbythespecialistdealer
orifinappropriateaccessoriesorsparepartsareused.
Thewarrantydoesnotcoverconsequentialcostsarising
fromtherecticationofdefectssuchasfreightandtravel
expenses,laborcosts,feesetc.
Thetermofthewarrantyis24months.
Furthermore,thetermsandconditionsarepartofthe
generaltermsandconditionsparticulartotheindividual
countriesinwhichtheproductissold.
1.4Limitationofliability
Invacareacceptsnoliabilityfordamagearisingfrom:
•Non-compliancewiththeUserManual
•Incorrectuse
•Naturalwearandtear
•Incorrectassemblyorset-upbythepurchaserora
thirdparty
•Technicalmodications
•Theusageofunapproved3rdpartyaccessoriesinstead
ofatestedandapprovedInvacareaccessories
•Unauthorizedmodicationsand/oruseofunsuitable
spareparts
AwrittenauthorisationofInvacaremustbeobtainedbefore
installingadditionaladaptationsonanInvacarewheelchair.
Otherwisenoliabilityclaimscanbemade.
1.5StandardsandRegulations
Qualityisfundamentaltothecompany’soperation,working
withinthedisciplinesofISO13485.
ThewheelchairhasbeentestedinaccordancewithEN
12183.Itincludesatestforammability(EN1021-2or
ISO8191-2).
Invacareiscontinuouslyworkingtowardsensuringthatthe
company’simpactontheenvironment,locallyandglobally,
isreducedtoaminimum.WeuseonlyREACHcompliant
materialsandcomponents.
1.6Intendeduse
Thelowactivewheelchairispropelledmanuallyandshould
onlybeusedforassistedtransportofadisabledperson
withmobilitydifculties.Thismanualwheelchairisintended
toprovidemobilitytopersonsages15andup(adolescents
andadults)withamaximumweightcapacityof100kg.The
deviceisindicatedtoprovidemobilitytopersonslimitedto
sittingposition.Thewheelchairshouldonlybeusedonlevel
groundandaccessibleterrain,aswellasindoors.
1648362-A5

Invacare®AluLite
Thislowactivewheelchairneedstobesubscribed
andttoyourspecichealthcondition.
WARNING!
Anyotherorincorrectusecouldleadto
hazardoussituations.
Therearenocontraindicationsknown,whenusingthe
wheelchairasintended.
CAUTION!
–Insomecongurations,theoveralldimensions
ofthewheelchairwhenitisreadyforuse
exceedtheauthorizedlimits,theaccessto
emergencyescaperoutesisnotpossible.
–Insomecongurations,thewheelchairexceed
thesizerecommendedfortravellingbytrain
intheEU.
Theftandmetaldetectionsystems:inseldomcases
thematerialsusedinthewheelchairmayactivate
theftandmetaldetectionsystems.
1.7Servicelife
Theexpectedservicelifeisveyears,presumingthat
theproductisuseddailyandinaccordancewithsafety
instructions,maintenanceinstructionsandintendeduse,
statedinthismanual.
61648362-A

Safety
2Safety
2.1Safetyinformation
Thissectioncontainsimportantsafetyinformationforthe
protectionofthewheelchairuserandassistantandforsafe,
trouble-freeuseofthewheelchair.
WARNING!
Riskofaccidentsandseriousinjury
Accidentswithresultingseriousinjurycanoccur
ifthewheelchairiswronglyadjusted.
–Adjustmentsatthewheelchairalwaysmustbe
carriedoutbyanauthorizeddealer.
WARNING!
Riskduetodrivingstylebeingunsuitablefor
theconditions
Thereisariskofskiddingonwetground,gravel
oruneventerrain.
–Alwaysadjustyourspeedanddrivingstyleto
theconditions(weather,surface,individual
ability,etc.).
WARNING!
Riskofinjury
Inacollisionyoucouldsustaininjurytopartsof
yourbodythatextendbeyondthewheelchair
(e.g.feetorhands).
–Avoidanunbrakedcollision.
–Neverdriveintoanobjecthead-on.
–Drivecarefullythroughnarrowpassages.
WARNING!
Riskduetowheelchairbeingoutofcontrol
Athighspeedyoucouldlosecontrolofyour
wheelchairandoverturn.
–Neverexceedaspeedof7km/h.
–Avoidcollisionsingeneral.
WARNING!
Riskoftilting
Thepositionoftherearwheelaxleandtheangle
ofyourwheelchair’sbackrestaretwoofthekey
adjustmentsthatcanaffectyourstabilitywhilst
sittinginthewheelchair .
–Thesechanges,anyfrontwheelsposition
and/orangleforkadjustmentstotheset-upof
yourwheelchairmustonlybeperformedatthe
directionofacompetentpersonwhohasfully
riskassessedtheimplicationofanychanges
tothewheelchairconguration.Therefore,
consultwithyourdistributor .
CAUTION!
Riskofburning
Thewheelchaircomponentscanheatupwhen
exposedtoexternalsourcesofheat.
–Donotexposethewheelchairtostrongsunlight
beforeuse.
–Beforeusage,checkallcomponentsthat
comeintocontactwithyourskinfortheir
temperature.
1648362-A7

Invacare®AluLite
WARNING!
Riskofinjuryduringtransport
Thewheelchairisnotapprovedtobetransported
invehicles,usingtheordinaryattachmentpoints.
–Donottransferthewheelchaireitheroccupied
orunoccupiedinvehiclesusingtheordinary
attachmentpoints.
–Transportthewheelchairasluggage,for
exampleinthetrunkofavehicle.
WARNING!
WheelchairTieDownRestraints
–WheelchairusersshouldNOTbetransportedin
vehiclesofanykindwhileinwheelchairs.As
ofthisdate,theDepartmentofTransportation
hasnotapprovedanytie-downsystemsfor
transportationofauserwhileinawheelchair,
inamovingvehicleofanytype.
–ItisInvacare’spositionthatusersofwheelchairs
shouldbetransferredintoappropriateseating
invehiclesfortransportationandusebe
madeoftherestraintsmadeavailablebythe
autoindustry.Invacarecannotanddoesnot
recommendanywheelchairtransportation
systems.
CAUTION!
Riskofgettingngerscaught
Thereisalwaysariskofgetting,e.g.ngers
orarms,caughtinthemovingpartsofthe
wheelchair.
–Makesurewhenactivatingmovingparts,such
astheswivelinglegrests,brakeleversor
foldingbackrest,thatnothingbecomescaught.
CAUTION!
Riskoftipping
Thehangingofadditionalload(backpackor
similaritems)ontoyourchairbackpostscanaffect
therearwardstabilityofyourchair,especially
whenusedincombinationwithfoldingbackrests.
–Invacarestronglyrecommendtoremove
additionalloadwhenmovingyourbackposts
upwardsordownwards.
2.2Safetydevices
WARNING!
Riskofaccidents
Safetydevicesthatareincorrectlysetorno
longerworkingcancauseaccidents.
–Alwayscheckthatthesafetydevicesare
workingbeforeyouusethewheelchairand
havethemcheckedregularlybytheauthorized
dealer.
Thefunctionsofthesafetydevicesaredescribedinchapter
3Componentsandtheirfunctions,page10.
81648362-A

Safety
2.3Labelsandsymbolsontheproduct
Identicationlabel
Theidenticationlabelisattachedtotheframeofyour
wheelchairandgivesthefollowinginformation:
AManufacturer’saddress
BProductdescription
CDateofmanufacture
DCEmark
EMaximumuserweight
FPartnumber
GSerialnumberbarcode
HSerialnumber
Readusermanual
Indicatesahazardoussituationthatcould
resultinseriousinjuryordeathifitisnot
avoided.
Snaphooksymbols
WARNINGSymbol
Thiswheelchairisnotconguredfor
passengertransportinamotorvehicle.This
symbolisattachedtotheframeclosetothe
identicationlabel.
1648362-A9

Invacare®AluLite
3Componentsandtheirfunctions
3.1Overview
APushhandle
BBack
CRearwheel
DParkingbrake
EFrontwheelforkwithfrontwheel
FLegrests,swiveling
GFootrest
HFrame
ISeat
JArmrest
Shortdescription
Thisisalowactivewheelchairwithcrossbarfolding
mechanismandswivelinglegrests.
Theequipmentofyourwheelchairmaydifferfrom
thediagramaseachwheelchairismanufactured
individuallytothespecicationsintheorder .
101648362-A

Componentsandtheirfunctions
3.2Manualbrakesforassistantonly
Themanualbrakesareusedtoslowdownandtoimmobilize
thewheelchairwhenitisstationarytopreventitfrom
rollingaway.
WARNING!
Riskoffallingoutofthewheelchair
Ifthewheelchairisrapidlydeceleratedbythe
assistantpullingatthepushhandles,theuser
mayfalloutofthewheelchair.
–Alwaysapplytheposturebeltifpresent.
–Makesureyourassistanthasbeentrained
individuallyintransferringoccupied
wheelchairs.
–Operatethetwobrakessimultaneouslyanddo
nottakeslopesexceeding7°toensureperfect
controlofthewheelchairsteering.
–Alwaysusethemanualbrakestosecurethe
wheelchairduringshortorlongstops.
WARNING!
Riskofoverturningiftheassistantbrakesharply
Iftheassistantapplythemanualbrakeswhilehe
ismovingyou,thedirectionofmovementcan
becomeuncontrollableandthewheelchairmay
stopsuddenly,whichcanleadtoacollisionor
toyoufallingout.
–Assistanthaven’ttoapplythebrakesinthe
parkingpositionwhileheismovingyou.
WARNING!
Riskduetowheelchairbeingoutofcontrol
–Themanualbrakesmustbeoperated
simultaneouslytoslowdownthewheelchair .
–Donotapplythemanualbrakestotheparking
positionwhilethewheelchairismoving.
CAUTION!
Riskofpinchingorcrushing
Theremaybeaverysmallgapbetweenthepush
handleandtheupperpartofthebrakelever
withtheriskthatyoucouldtrapyourngers.
–Keepyourngersawayfrommovableparts
whenreleasethebrake,alwayskeepyour
ngersintothebrakeleverarea.
Thedistancebetweenthebrakeshoeandthetire
canbeadjusted.Theadjustmentmustbecarried
outbyanauthorizeddealer.
Assistantbrake
1648362-A11

Invacare®AluLite
1.Toslowdownthewheelchair,graduallypushthebrake
leverdownwards.
Toapplythebrakeinparkingposition,pushthebrake
leverdownwardsasfaraspossibleuntilanaudibleclick
isheard.
2.Toreleasethebrake,rmlypullthebrakeleverupwards
withallyourngers.
3.3Foldingbackrest
Tosavespacefortransportingthewheelchair,thebackrest
canbefolded.Foldingbackrestdonotrequireadjustment.
CAUTION!
Riskoftipping
Thehangingofadditionalload(backpackor
similaritems)ontoyourchairbackpostscanaffect
therearwardstabilityofyourchair,especially
whenusedincombinationwithfoldingbackrests.
–Invacarestronglyrecommendtoremove
additionalloadwhenmovingyourbackposts
upwardsordownwards.
Foldingandunfoldingthebackrest
1.OperateleverAbypullingitandfoldthetopofthe
backrest.
2.Toreturntotheinitialposition,bringthetopinthe
verticalposition;itlocksautomatically.
3.4Legrests
WARNING!
Riskofinjury
–Neverliftthewheelchairbythefootrest
supportsorlegrests.
CAUTION!
Riskofpinching
–Keepyourngersawayfrommovableparts
duringfolding,disassemblingoradjustment.
IMPORTANT!
Riskofdamagetothelegrestmechanism
–Donotplaceanythingheavy,orletchildren
sitonthelegrest.
121648362-A

Componentsandtheirfunctions
3.4.1Swivelinglegrests
Swiveling
1.ActivatethereleaseleverAandswivelthelegrests
totheoutside.
Swivelingforwards
1.Swivelthelegrestforwardsuntilitengages.
Unhinging
1.ActivatethereleaseleverA.
2.Pullthelegrestupwards.
Hinging
1.Hingethelegrestonthefrontoftheframeandswivel
itforwardsuntilitengages.
Footplateheightadjustment
1.LooseningthexingboltBwith13mmspanner.
2.Adjustandtightenthexingbolt(10Nm)Bintothe
desiredposition.
Invacarerecommendsthatfootplateadjustmentiscarried
outbyanauthorizeddealer.
Toensureagoodpositionofthefeettheheelstrap
isattachedtothelegrestsupportandadjustable
byVelcro®fasteners.
3.5Seatcushion
Asuitablecushionisrecommendedtoprovideaneven
pressuredistributionontheseat.
CAUTION!
Addingacushiontotheseatwillraiseyour
heightabovethegroundandcanaffectyour
stabilityinalldirections.Ifacushionischanged
itmayalsochangetheuser’sstability.Ifthe
thicknessofthecushionischanged,acomplete
setupofthewheelchairneedtobedonebyan
authorizeddealer.
–WerecommendtouseanInvacareorMatrx
cushionwithanti-slipbasecoverinorderto
preventsliding.
1648362-A13

Invacare®AluLite
4Accessories
4.1Posturebelt
Thewheelchaircanbeequippedwithaposturebeltwith
plasticbuckle.Itpreventstheuserfromslidingdownward
inthewheelchairorfromfallingoutofthewheelchair .The
posturebeltisnotapositioningdevice.
WARNING!
Riskofseriousinjury/strangulation
Aloosebeltcanallowtheusertoslipdownand
createariskofstrangulation.
–Theposturebeltshouldbemountedby
aqualiedtechnicianandttedbythe
responsibleprescriber.
–Alwaysmakesurethattheposturebeltis
tightlyttedacrossthelowerpelvis.
–Eachtimetheposturebeltisused,checkifit
tsproperly.Changingtheseatand/orbackrest
angle,thecushionandevenyourclothes
inuencethetofthebelt.
Closingandopeningtheposturebelt
Ensurethatyouaresittingfullybackintheseatandthat
thepelvisisasuprightandsymmetricalaspossible.
1.Toclose,pushthecatchAintothebuckleclaspB.
2.Toopen,presshookonbothsidesandpullthecatchA
outofthebuckleclaspB.
Adjustingthelength
Theposturebelthasthegoodlength,whenthere’s
justsufcientspaceforaathandbetweenbody
andbelt.
141648362-A

Accessories
1.ShortenorextendtheloopDasrequired.
2.ThreadloopDthroughcatchAandplasticbuckleE
untiltheloopisat.
Ifthisadjustmentisnotsufcient,itmightberequiredto
re-ttheposturebeltatthexations.
Fittingtheposturebeltatthexations
CAUTION!
–Threadthebeltloopthroughbothplastic
bucklestoavoidthebeltfromloosening.
–Dotheadjustmentsonbothsidesequally,
sothatthebuckleclaspremainsinacentral
position.
–Makesurethatthebeltsdonotgetcaughtin
thespokesofarearwheel.
1.ThreadtheloopFthroughthexationonthechairG
andthenthroughBOTHplasticbucklesH.
1648362-A15

Invacare®AluLite
5Setup
5.1Safetyinformation
CAUTION!
Riskofinjury
–Beforeusingthewheelchair,checkits
generalconditionanditsmainfunctions,8.2
MaintenanceSchedule,page25.
Yourauthorizeddealerwillsupplyyourwheelchairreadyfor
use.Yourdealerwillexplainthemainfunctionsandensure
thatthewheelchairmeetsyourneedsandrequirements.
Adjustmentsoftheaxlepositionandthefrontwheel
supportersmustbecarriedoutbyanauthorizeddealer.
Ifyoureceiveyourwheelchairfolded,pleasereadsection
7.2Foldingandunfoldingthewheelchair,page23.
161648362-A

Usingthewheelchair
6Usingthewheelchair
6.1Safetyinformation
WARNING!
Riskoffallingoutofthewheelchair
Whenusingtoosmallfrontwheelsthewheelchair
couldgetstuckatcurbsorinoorgrooves.
–Makesurethatthefrontwheelsaresuitable
forthesurfaceyou’redrivingon.
CAUTION!
Riskofpinchingorcrushing
Theremaybeaverysmallgapbetweenthepush
handleandtheupperpartofthebrakelever
withtheriskthatyoucouldtrapyourngers.
–Keepyourngersawayfrommovableparts
whenreleasethebrake,alwayskeepyour
ngersintothebrakeleverarea.
6.2Moveto/fromthewheelchair
WARNING!
Riskofoverturning
Thereisahighriskofoverturningduringthe
transfer .
–Onlygetinandoutwithoutassistanceifyou
arephysicallyabletodoso.
–Whentransferring,positionyourselfasfar
backaspossibleintheseat.Thiswillprevent
damagedupholsteryandthepossibilityofthe
wheelchairtippingforward.
–Makesurethatbothcastorsarefacingstraight
tothefront.
WARNING!
Riskofoverturning
Thewheelchaircouldtipforwardsifyoustand
onthefootrest.
–Neverstandonthefootrestwhengettingin
andout.
IMPORTANT!
Themudguardsandarmrestscouldbecome
damaged.
–Neversitonthemudguardsorarmrestswhen
gettinginandout.
1648362-A17

Invacare®AluLite
1.Propelthewheelchairasnearaspossibletotheseat
thatyouwanttomoveto.
2.Applytheparkingbrakes.
3.Detachthelegrestsorswingthemoutwards.
4.Placeyourfeetontheground.
5.Holdthewheelchairand,ifnecessary,alsoholdaxed
objectinthevicinity.
6.Moveslowlytochair.
6.3Drivingandsteeringthewheelchair
Theassistantdriveandsteerthewheelchairusingthepush
handles.
WARNING!
Riskoftipping
Thewheelchaircantipforwardsorbackwards.
–Whensettingupyourwheelchair,testits
behaviorintermsoftippingforwardor
backwardandadjustyourdrivingstyle
accordingly.
CAUTION!
Aheavyloadhangingonthebackrestcanaffect
thewheelchair’scentreofgravity.
–Changeyourdrivingstyleaccordingly.
181648362-A

Usingthewheelchair
6.4Negotiatingstepsandkerbswithan
assistantonly
WARNING!
Riskofoverturning
Whennegotiatingstepsyoucouldloseyour
balanceandtipthewheelchairover.
–Alwaysapproachstepsandkerbsslowlyand
carefully.
–Donotgoupordownstepsthatarehigher
than25cm.
Goingdownastepwithanassistant
1.Movethewheelchairrightuptothekerbandholdthe
handrims.
2.Theassistantshouldholdbothpushhandles,place
onefootonthetipperaid(ifinstalled)andtiltthe
wheelchairbackwardssothatthefrontwheelsliftoff
theground.
3.Theassistantshouldthenholdthewheelchairinthis
position,pushitcarefullydownthestepandthentiltit
forwardsuntilthefrontwheelsarebackontheground.
1648362-A19

Invacare®AluLite
Goingupastepwithanassistant
WARNING!
Riskofseriousinjuries
Goingupstepsandkerbsfrequentlycanresult
inearlierthanexpectedfatiguebreakofthe
wheelchairbackrest.Theusermightfalloutof
thewheelchair.
1.Movethewheelchairbackwardsuntiltherearwheels
touchthekerb.
2.Theassistantshouldtiltthewheelchairusingbothpush
handlessothatthefrontwheelsliftofftheground,
thenpulltherearwheelsoverthekerbuntilthefront
wheelscanbeplacedbackontheground.
6.5Goingupanddownstairs
WARNING!
Riskofoverturning
Whennegotiatingstairsyoucouldloseyour
balanceandoverturnyourwheelchair.
–Alwaysusetwoassistantswhennegotiating
stairswithmorethanonestep.
1.Youcangoupanddownstairsbytakingthemonestep
atatime,asdescribedabove.Therstassistantshould
standbehindthewheelchairholdingthepushhandles.
Thesecondassistantshouldholdasolidpartofthe
frontframetosteadythewheelchairfromthefront.
201648362-A