Jay GS CUSHION User manual

SECTION ENGLISH
Ow er’s Ma ual
JAY®GS™Cushio
IMPORTANT CONSUMER IN ORMATION
NOTICE: This manual contains important instructions that must be passed on to the user of this product.
Please do not remove this manual before delivery to the end user.
SUPPLIER: This manual must be given to the user of this product.
USER: Before using this product, read this entire manual and save for future reference.
GS CUSHION

MK-100074 Rev.B 2
ENGLISH
Introduction..................................................2
General Warnings.......................................3
Use and Maintenance .................................4
Warranty.......................................................6
NOTICE– READ BEFORE USE
A. CHOOSE THE RIGHT CUSHION
Sunrise Medical recommends that a clinician such as a doctor or
therapist experienced in seating and positioning be consulted to
determine if a JAY Cushion is appropriate for your specific needs.
Cushions should only be installed by an authorized Sunrise Medical
supplier.
B. CHECK SITTING PRESSURE O TEN
Your JAY cushion was designed for sitting comfort and postural
support. Users should inspect their skin daily for redness. The
clinical indicator of tissue breakdown is skin redness. If your skin
develops redness, discontinue the use of the cushion immediately
and see your doctor or therapist.
C. REVIEW THIS MANUAL O TEN
Before using this cushion, you and each person who may assist you,
should read this entire Manual and make sure to follow all instruc-
tions. Review the Warnings often, until they are second nature to
you.
D. WARNINGS
The word “WARNING” refers to a hazard or unsafe practice that
may cause severe injury or death to you or to other persons.
JAY CU SHIONS
INTRODUCTION / TABLE OF CONTENTS
SUNRISE MEDICAL LISTENS
Thank you for choosing a JAY Cushion. We want to hear your
questions or comments about this manual, the safety and reliability
of your product, and the service you receive from your
Authorized Sunrise dealer. Please feel free to write or call us at
the address and telephone number below:
Be sure to return your warranty card, and let us know if you
change your address. This will allow us to keep you up to date
with information about safety, new products and options to
increase your use and enjoyment of this wheelchair. If you lose
your warranty card, call or write and we will gladly send you a
new one.
NOTE - Check all parts for shipping damage. In case of damage
DO NOT use. Contact Carrier/Sunrise for further
instructions.
OR ANSWERS TO YOUR QUESTIONS
Your Authorized Dealer knows your product best, and can
answer most of your questions about safety, use and maintenance.
or future reference, fill in the following:
Supplier:________________________________________________
Address: _______________________________________________
Telephone: _____________________________________________
Serial #: ___________________________ Date/Purchased: ______
ADDITIONAL IN ORMATION YOU SHOULD KNOW
No component of this product was made with Natural Rubber
Latex.
DISPOSAL AND RECYCLING IN ORMATION
When this product reaches the end of its life, please take it to an
approved collection or recycling point designated by your local or
state government. This product is manufactured using a variety of
materials, Your product should not be disposed of as ordinary
household waste. You should dispose of your wheelchair proper-
ly, according to local laws and regulations. Most materials that are
used in the construction of this product are fully recyclable. The
seperate collection and recycling of your product at the time of
disposal will help conserve natural resources and ensure that it is
dosposed in a manner that protects the environment.
Ensure you are the legal owner of the product prior to arranging
for the product disposal in accordance with the above recommen-
dations

MK-100074Rev.B
3
JAY CU SHIONS
GENERAL WARNINGS
A. GENERAL WARNINGS
Sunrise Medical recommends that a clinician such as a doctor or
therapist experienced in seating and positioning be consulted to
determine if a JAY GS Cushion is appropriate. Cushions should
only be installed by an authorized Sunrise Medical supplier.
Caution: Persons at high risk of skin breakdown should be thor-
oughly evaluated by a therapist prior to purchasing the JAY GS
Cushion. The JAY GS Cushion is no substitute for good skin care,
including proper diet and cleanliness. The cushion should be tried
for a few hours while a therapist or doctor inspects the skin to
ensure that red pressure spots are not developing.
If skin develops redness, discontinue the use of the cushion and
consult with a doctor or therapist. In addition, avoid sharp objects
or exposure to excessive heat or open flame. If the cushion is left
outside overnight at temperatures below 40˚ (5˚ C), allow the
cushion to warm to room temperature before using. Sitting on
excessively hot or cold surfaces may cause skin damage.
WARNING
Do not install this equipment without first reading and under-
standing this manual. If you are unable to understand the
Warnings, Cautions, and/or Instructions, contact a qualified clini-
cian or supplier - otherwise injury or damage may occur.
WARNING
Hook and loop Velcro should not come into prolonged contact
with moisture as this may degrade the adhesive and lead to a fail-
ure of the Velcro® to hold the cushion in place.
WARNING
Installing a cushion on a wheelchair may effect the center of gravity
of the wheelchair. Installed incorrectly, it may cause the wheelchair
to tip backwards, potentially resulting in injury. Always assess if the
addition of anti-tips, and/or an amputee axle adapter brackets may
be needed to help increase stability after adding a cushion.
WARNING
Prior to prolonged sitting, any cushion should be tried for a few
hours at a time while a clinician inspects your skin to ensure that red
pressure spots are not developing. You should regularly check for
skin redness. The clinical indicator for tissue breakdown is skin red-
ness. If your skin develops redness, discontinue the use of the cush-
ion immediately and see your doctor or therapist.
WARNING
Your JAY cushion is designed to help reduce pressure. However,
no cushion can completely eliminate sitting pressure or prevent
pressure sores. The JAY cushion is not a substitute for good skin
care including, proper diet, cleanliness, and regular pressure relief.
Be sure that the Velcro is engaged and able to hold the cushion in
place.
B. PROTECTING YOUR CUSHION
WARNING
Always avoid exposing your cushion to sharp obects, excessive
heat or open flame, and prolonged exposure to environmental
conditions like freezing temperatures and/or direct sunlight.
C. OBSTRUCTIONS
WARNING
Make sure that there are never any obstructions between you and
your cushion. Any obstruction will reduce product effectiveness
and/or produce unnecessary pressure points for the user.
D. COVER ORIENTATION
WARNING
Product must be used with the cushion cover facing up. If the
cover is not used correctly it may reduce or eliminate the cush-
ion’s benefits and could increase the risk of skin and soft tissue
injuries.

MK-100074 Rev. B 4
JAY CU SHIONS
USE AND MAINTENANCE
THE JAY®GS CUSHION
The JAY GS Growth and Positioning Cushion is designed to pro-
vide a high degree of comfortable postural support and to meet
the changing needs of growing individuals.
To ensure proper use of the cushion, please read these instruc-
tions and save them for future reference. It is recommended that
the fitting of the JAY GS Cushion take place under the supervision
of a doctor or therapist.
Maximum user weight:
10" to 18" width = 350 lbs.
A. ITTING THE JAY GS CUSHION
Place the Cushion on the seat of the wheelchair.
(A solid base of support, like the JAY Adjustable Solid Seat or
Solid Seat Insert is recommended.) If using an adjustable depth
back on the wheelchair, position the back of the Cushion even
with the front of the upright back posts. If using a fixed depth
back, notch the rear corners of the base to establish seat depth to
within 1" (2.5 cm) from the back of the knees (see score lines on
base). This will allow the back of the Cushion to go between the
posts. Place the individual on the Cushion allowing the user to sit
in the rear, carved-out portion and the legs to rest comfortably on
the raised front portion.
Additionally, the footrests should be adjusted low enough to allow
the legs to rest firmly on the front of the Cushion. The Cushion
should come within 0 - 1" (0-2.5 cm) of the back of the knee.
Assess the client. Are the hips level? Are the legs in good posi-
tion? Is the client comfortable? If the answer to any of these ques-
tions is “no,” see the Accessories section in this booklet.
B. HOW THE JAY GS CUSHION GROWS
The JAY GS Cushion grows by maintaining the positional relation-
ship between the user and the cushion. As the client grows, the
area under the buttocks remains roughly the same, while the area
under the legs grows backward. Using the Pre-ischial Shelf
Extender (see diagram on next page) will increase leg support and
position the anti-thrust shelf where needed.
C. GROWING THE CUSHION WITH A -DEPTH
ADJUSTABLE BACK
Begin by seating the client forward on the Cushion (with the Back
adjusted forward of the upright posts.) As the client grows, adjust
the Back Support backwards toward the posts. This allows the user
to be seated further back in the well and maintain proper seat depth.
Pre-Ischial Shelf Extenders can be added to position the anti-thrust
shelf where needed and optimize leg support. (The ischial tuberosi-
ties, or seat bones, should be located approximately 1" to 2" (2.5 to
5 cm) behind the anti-thrust shelf.) One Shelf Extender is included
with the cushion. (Others can be ordered as needed.) The Cushion
“grows” by 1" (2.5 cm) every time a Shelf Extender is added.* When
the Back has been adjusted as far back as possible, the Cushion can
be moved forward for additional growth.
The front edge of the GS Cushion can extend up to
2" (5 cm) unsupported beyond the front of the seat base without
affecting performance. The use of a JAY Adjustable Solid Seat with
Lip Option is recommended when “growing” the GS Cushion in
this way. You can easily relocate the cushion in its desired posi-
tion if you remove it from the wheelchair.
D. GROWING THE CUSHION WITH A - IXED BACK
Notch the rear corners of the base enough to allow the Cushion
to slide between the upright posts of the wheelchair and to estab-
lish proper seat depth (approximately one to two finger widths
between the back of knee and front of cushion).
As the client grows, adjust the Cushion forward (always allowing
the buttocks to sit in the carved-out portion of the cushion).
Remember to maintain the desired distance between the back of
the knee and the front of the Cushion. When the Cushion is
adjusted forward by 1" (2.5 cm) or more*, add a Pre-ischial Shelf
Extender to the cushion (included). This will maintain the anti-
thrust properties of the GS Cushion.
The front edge of the GS Cushion can extend up to 2" unsupport-
ed beyond the front of the seat base without affecting perform-
ance. The use of a JAY Adjustable Solid Seat with lip option is
highly recommended when “growing” the GS Cushion in this way.
It allows you to easily relocate the cushion in its desired position
if you remove it from the wheelchair.
Adjusting the width of the Cushion is made easy through the use
of accessories. Lateral Pelvic Supports (hip guides) can be adjusted
inward 1" (2.5 cm) on either side and then moved out later for
growth at the rear of the Cushion. Lateral Thigh Supports (abduc-
tors) can be adjusted inward 1" on either side and then moved
out later for growth at the front of the Cushion.
NOTE - The JAY GS Cushion may be used with different backs
depending on the level of disability. Growth in the seating sys-
tem is possible with all of the above products when combined
with the GS Cushion.
JAY GS Cushion
Pre-ischial
Shelf Extender
JAY Adjustable Solid Seat with Lip Option

MK-100074 Rev. B
5
JAY CU SHIONS
E. ACCESSORIES
The JAY GS Cushion interfaces with a wide variety of JAY compo-
nents including:
• Lateral Pelvic Supports (hip guides) for additional positioning
or growth in the width of the Cushion.
•Lateral Thigh Supports (abductors) to prevent excessive
abduction or spreading of the legs or to provide width
adjustment for the Cushion.
• Mini luid Supplement Pads to compensate for a non-fixed
lean or for added pressure relief and comfort.
• A variety of Medial Thigh Supports (abductors) for increased
leg separation.
• A 1/2" (1 cm) Well Build-up (not shown) to decrease hip
flexion for individuals with limited range of motion.
The JAY GS Cushion with a standard fluid pad or Pressure Relief
Pad will accommodate most accessories. An upsized cover is rec-
ommended when larger accessories are used. itting of acces-
sories should take place under the supervision of a doctor or a
therapist.
. EVALUATE OR BOTTOMING OUT
Place the client on the cushion without the cover for 2 minutes.
Lift the client off the cushion, trying not to disturb the fluid.
Examine the points where the ischials (seatbones) and coccyx
(tailbone) were positioned. If there is 1/2" (1 cm) or less of fluid
between the bottom of the depression and the base, extra fluid is
needed. luid supplement pads for this purpose are available
through your local supplier. or 10" (25 cm), 12" (30 cm), and 14"
(35 cm) JAY GS Cushions, utilize Mini luid Supplement Pads. or
16" (40 cm) and
18" (45 cm) JAY GS Cushions, utilize Standard luid Supplement
Pads. To use
luid Supplement Pads, place them along the side of the well,
under the Pressure Relief Pad. Replace fluid pad over them and re-
evaluate.
WARNING
The clinical indicator for tissue breakdown is skin redness.
Periodically check the skin for redness. If skin redness occurs, dis-
continue the use of the Cushion and consult your doctor or ther-
apist immediately.
G EASY CLEANING AND ASSEMBLY
A wheelchair cushion is a very important part of the life of the
user. Keeping the cushion in good condition may ensure years of
use. Proper cleanliness will also help extend the life of the Cushion.
Monthly cleaning and inspection is recommended. Check the
cover for tears or excessive wear. Check the base to ensure any
accessories are still in the right position. Inspect the fluid pad for
punctures and fluid consistency. If the fluid ever feels firmer in one
area, simply knead the fluid back to its original consistency and/or
call Sunrise Medical.
Both the fluid pad and the foam base should be washed with warm
water and soap. An incontinence-resistant cover will help reduce
the need for cleaning. Do not steam autoclave. The removable
cover can also be washed. Machine wash and dry on moderate
heat. Do not dry clean.
H REASSEMBLE A TER CLEANING
1. Replace any accessories on foam base (if used). Attach fluid
pad to foam base along one side, on Velcro® attachment
strip. Secure pad at center along Velcro® strip. Then attach
the second side, same as first.
2. The split in the front of the fluid pad should be attached
evenly to the center Velcro strip. If using the 3" (7.5 cm)
Medial Thigh Support (leg abductor), the fluid pad should be
attached to the sides of the accessory.
3. Check for bottoming out as described previously.
4. Pull the front of the cover over the Cushion first, then
stretch the back corners down around the base. Examine
the top of the cover to ensure proper fit. Cover should not
hammock between accessories.
Use JAY covers only
The use of an improper cover can adversely affect the perform-
ance of the JAY GS Cushion. Use only Jay-designed covers in con-
junction with the JAY GS Cushion. (Do not use additional covers
over the JAY GS Cover.)
Note: Even a snug fitting cover will leave extra “tucks” of fabric
under the client. This extra material will ensure total fit of the
cover without tension against the skin.
I BASE MODI ICATIONS
The JAY GS Base can be easily modified at the factory or by your
authorized supplier to accommodate specialized seating needs.
These include: special sizes, leg length discrepancies, rail cutouts
for dropped or angled seats, back corner cutouts to recess
between the upright posts of the wheelchair, or specialized needs
as requested.
USE AND MAINTENANCE

SUNRISE LIMITED WARRANTY
MK-100074 Rev. B 6
JAY CU SHIONS
JAY GS CUSHION WARRANTY
Every JAY GS cushion base is guaranteed to be free from defects in
materials and workmanship for a period of 24 months from the
date of purchase, provided normal use. Should a defect in materials
or workmanship occur within 24 months from the original date of
purchase, Sunrise Medical will, at its option, repair or replace it
without charge.This warranty does not apply to punctures, tears or
burns, nor to the cushion’s removable cover.
The removable outer cover is guaranteed to be free from defects
in materials and workmanship for a period of six (6) months from
the date of purchase, provided normal use. Should a defect in
materials or workmanship occur within six (6) months from the
original date of purchase, Sunrise Medical will, at its option, repair
or replace it without charge.
JAY low luid Pad
Consult your healthcare professional for proper fitting and use,
and read the following statements carefully:
luid Pad Policy
If a Clinician, Certified Rehab Professional or Authorized Sunrise
Medical Supplier has determined that the fluid volume is inappro-
priate or the original purchaser, Sunrise Medical, during the war-
ranty life of the product, will replace the fluid pad free of charge.
Requests must be submitted by an authorized Sunrise Medical sup-
plier.
• The fluid in this cushion may lose volume over time.
• Volume loss in this cushion may result in bottoming out the
cushion.
• Monthly, during routine cleaning and inspection, check this cush-
ion for bottoming out (see instructions under “checking for bot-
toming out” in the warranty use and care guide) and any fluid
inconsistencies, If the fluid is firmer in one area simply knead it
back to its original consistency.
• If bottoming out occurs discontinue use of this cushion and contact
your healthcare professional. If further assistance is necessary
Contact Sunrise Medical Customer Service at 1-800-333-4000
Claims and repairs should be processed through the nearest
authorized supplier. Except for express warranties made herein, all
other warranties, including implied warranties of merchantability
and warranties of fitness for a particular purpose are excluded.
There are not warranties which extend beyond the description on
the face hereof. Remedies for breach of express warranties herein
are limited to repair or replacement of the goods. In no event
shall damages for breach of any warranty include any consequential
damages or exceed the cost of non-conforming goods sold.
or goods provided by Sunrise Medical Pty Ltd in Australia, our
goods come with a guarantee by Sunrise that cannot be excluded
under the Australian Consumer Law. You are entitled to replace-
ment or refund for a major failure & for compensation for any other
resonable foreseeable loss or damage. You are also entitled to have
the goods repaired or replaced if the goods fail to be of acceptable
quality & the failure does not amount to a major failure. The bene-
fits to you given by this warranty are in addition to your other
rights & remedies under a law in relation to the goods to which
the warranty relates.
Record your serial number here for future reference:
____________________________________________