Jay Fusion User manual

S E C T I O N
FUSION
O w n e r ’s M a n u a l
IMPORTANT CONSUMER INFORMATION
NOTICE: This m nu l cont ins import nt instructions th t must be p ssed on to the user of this product.
Ple se do not remove this m nu l before delivery to the end user.
SUPPLIER: This m nu l must be given to the user of this product.
USER: Before using this product, re d this entire m nu l nd s ve for future reference.
JAY Fusion Cushion

2JAY®FUSION Cushion
SUNRISE MEDICAL LISTENSThank you for choosing a JAY Fusion 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. 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 war-ranty card, call or write and we will gladly send you a new one.FOR ANSWERS TO YOUR QUESTIONSYour Authorized Dealer knows your product best, and can answer most of your questions about safety, use and maintenance. For future reference, fill in the following:Supplier: _______________________________________________Address: _______________________________________________Telephone:______________________________________________Serial #: ___________________________ Date/Purchased:_______ADDITIONAL INFORMATION YOU SHOULD KNOWNo component of this product was made with Natural Rubber Latex.Maintenance & Cleaning.............................6Bottoming Out.............................................8Warranty.......................................................9DISPOSAL AND RECYCLING INFORMATIONWhen this product reaches the end of its life, please take it to anapproved collection or recycling point designated by your local orstate government. This product is manufactured using a variety ofmaterials, Your product should not be disposed of as ordinaryhousehold waste. You should dispose of your wheelchair properly,according to local laws and regulations. Most materials that areused in the construction of this product are fully recyclable. Theseperate collection and recycling of your product at the time ofdisposal will help conserve natural resources and ensure that it isdosposed in a manner that protects the environment.Ensure you are the legal owner of the product prior to arrangingfor the product disposal in accordance with the above recommen-dationsI.TABLE OF CONTENTSGeneral Warnings........................................3Cushion Adjustablility.................................5Introduction.............................................4121985 Rev ETable of ContentsPage #

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Y®FUSION Cushion II.GENERAL WARNINGSDO NOT install this equipment without first reading and understanding the manual. If you are unable to understandthe Warnings, Cautions, and Instructions, contact aqualified clinician or supplier - otherwise injury or damagemay occur.Hook and Loop Velcro should not come into prolonged contact with moisture as this may degrade the adhesive and lead to a failure of the Velcro.WARNINGPrior 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 redness. If your skin develops redness, discontinue the use of the cushion immediately and see your doctor or therapist.The JAY Fusion Cushion is designed to help reduce pressure. However, no cushion can completely eliminate sitting pressure or prevent pressure sores. The Fusion Cushion is not a substitute for good skin care including, but not limited to; proper diet, cleanliness and regular pressure reliefs.WARNINGWARNINGInstalling a cushion on a wheelchair may affect the center of gravity of the wheelchair and may cause the wheelchair to tip backwards, potentially resulting in injury. Always assess for the potential need for anti-tippers or amputee axle adapter brackets to be added to the wheelchair to help increase stability.PROPER Fluid Level: The amount of fluid contained inthe insert is determined by the clinician during aseating evaluation. This should not be adjustedwithout a clinician directive as it can alter the pressurerelieving properties and lead to injury or damage.OBSTRUCTIONS: DO NOT place any obstructionsbetween the user and the cushion as this will reduceproduct effectiveness.CUSHION AND COVER ORIENTATION: Product must be used with the fluid insert facing up. If the cover is not used correctly it may reduce or eliminate the cushion's benefits and could increase risk to the skin and soft tissue.Air Insert: refer to applicable warnings in the Air Insert Supplement.WARNINGWARNINGWARNINGWARNINGWARNING121985 Rev EGENERAL WARNINGSNOTE - Check all parts for shipping damage. In case of damage, DO NOT use. Contact Carrier/Sunrise for further instructions.Sunrise Medical recommends that a clinician such as a doctor or therapist experienced in seating and positioning be consulted to determine if a Fusion cushion is appropriate. Cushions should only be installed by an authorized Sunrise Medical Dealer.WWAARRNNININGGooooDO NOT leave the fluid cushion outside overnight attemperatures below 40 F (5 C) or above 108 F(42 C). Allow the cushion to warm or cool to roomtemperature before using. Sitting on extremely hot orcold surfaces can cause skin damage.CAUTION - AVOID SHARP OBJECTS OR EXPOSURETO EXCESSIVE HEAT OR OPEN FLAME.

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III.INTRODUCTIONJAY®
Sunrise Medical recommends that a clinician such as a doctor or therapist experienced in seating and positioning be consulted to determine if a JAY Fusion Cushion is appropriate. Cushions should only be installed by an Authorized Sunrise Medical Dealer.JAY FUSION CUSHIONThe Fusion cushion is designed to help reduce pressure. However, no cushion can completely eliminate sitting pressure or prevent pressure sores. The Fusion cushion is not a substitute for good skin care including: proper diet, cleanliness, and regular pressure reliefs.The JAY Fusion Cushion is designed for clinicians to use with clients who need superior pressure distribution and stability. The Fusion Cushion offers a complete solution to meet a large range of skin protection and positioning needs.The JAY Fluid with Cryo Technology Insert, the Air Insert, and the JAY Flow Fluid Insert are all interchangeable pelvic loading area (PLA) options for the Fusion Cushion.Maximum user weight:14" to 21" width = 300 lbs 22" to 24" width = 500 lbs121985 Rev EINTRODUCTION
JAY FUSION WITH POSITIONING
JAY FUSION COMPONENTS
Fluid Insert
Air Insert
Moisture-
Resistant
Inner Cover
Dual Layer
Foam Base
Outer Cover
Fluid Insert
(Air Insert
Outer Cover
Pelvic Thigh
Moisture-
Resistant
Inner Cover
Dual Layer
Foam Base
not shown) Support
Lateral Thigh
Support
Medial Thigh
Support
Obliquity Pads
Fluid Insert
Dual Layer
Foam Base
Outer Cover
A.CUSHION ADJUSTABILITYFluid and Air AdjustabilityThe Fusion Cushion offers volume adjustability to accommodate for user's needs through the determination of the correct amount of fluid made by your clinician during evaluation.The determination of Air Single or Air Dual models is also made by your clinician during evaluation. The inserts should only be changed at the direction of your clinician.JAY FUSION CORE

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IV.CUSHION ADJUSTABILITYJA
Y® JAY FLUID WITH CRYO TECHNOLOGY MAINTENANCEAdjusting through the Air InsertThe Air Insert version of the Fusion Cushion can be adjusted at any time through the use of the hand pump (provided) and release valve on the Air Insert.Obliquity PadsObliquity pads are soft foam supplement pads provided upon purchase of a Fusion Cushion featuring JAY Fluid with Cryo Technology or JAY Flow Fluid. To maximize user to cushion interaction, modifications to posture and seating may be accomplished in small, incremental changes using these supplement pads. These small changes may allow the user to physiologically adjust to the cushion and the clinician to manage progress sufficiently. Over time, as the user adapts, the pads may be removed or added to allow for maximum cushion to user contact. Inserts should only be changed at the direction of your clinician.WARNINGPlace the JAY Fluid with Cryo Technology, Air Insert, or JAY Flow Fluid insert on the inner cover, making sure that all Velcro strip locations are aligned. A misalignment or creation of an edge could cause an unwanted pressure point that may lead to injury.FITTING A PRESSURE DISTRIBUTING CUSHIONFitting the cushionSelect a cushion to match your hip width when in the seated position. The cushion length should extend to within 1"-2"(2.5 cm - 5 cm) from the back of the knees. Place the cushion to the back of the wheelchair with the material identification tags and pressure relieving pad toward the rear. When fit correctly, your hips should be to the back of the chair. Your ischials (seat bones) should be centered on the insert in the pelvic loading area of the cushion. Proper footrest adjustment may enhance sitting comfort and help lower peak sitting pressures. Adjust the footrests so your legs rest firmly but comfortably on the cushion.Avoid using the cushion on overly stretched seat upholstery. Stretched upholstery does not provide adequate support for the cushion and improper positioning may result. Replace stretched upholstery or purchase the JAY Adjustable Solid Seat.Reference the Air Insert Owner's Manual Supplement for proper fitting and set-up instructions.JAY Fluid with Cryo Technology is designed for users at high risk for skin breakdown by actively lowering the seated skin surface temperature for up to eight (8) hours. Peak performance for this technology occurs at room temperature and extreme high or low temperatures may affect the performance of the fluid.Recharging the JAY Fluid with Cryo Technology PadAfter eight (8) hours of continued use, the JAY Fluid withCyro Technology Insert requires a recharge period of 12hours at room temperature (75 F or 24 C) to reach peak performance.Recharge time is dependent on ambient temperature andmay be accelerated with a lower temperature. Sustained temperatures above 82 F (28 C) will not recharge the insert.If the fluid insert remains in use after eight (8) hours or the insert remains in a sustained ambient temperature above82 F (28 C) during recharge, the JAY Fluid with CyroTechnology provides the same pressure distributing andskin protection benefit of the standard JAY Flow Fluid without the active cooling benefit.121985 Rev Eoooooo

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V.MAINTENANCE & CLEANINGJA
Y®
MAINTENANCE & CLEANINGMonthly cleaning and regular maintenance may help extend the life of your cushion. During cleaning, component inspection is recommended.Check the cover for tears and excessive wear and replace if ripped, torn, or otherwise not fully functional. Inspect the fluid pad for punctures or any other abnormalities.Check the foam base to ensure foam consistency. While checking the fluid pad, if you ever feel the fluid is firmer in one area, simply knead the fluid back to its original consistency and/or call your local authorized supplier.To clean cover1.Remove the cover from the foam base andturn inside out.2.Machine wash in warm water 60 C (140 F)and drip or tumble dry on low heat.No ironing required.CAUTION - DO NOT DRY CLEAN COVERS OR USE INDUSTRIAL WASHERS AND DRYERS TO CLEAN COVER. DO NOT STEAM AUTOCLAVE. DO NOT BLEACH.To refit cover after washing, reinstall the cover on the foam base. Ensure the back of the cover matches up to the back of the foam base.NOTE: If utilized in an industrial setting, write the resident's name with a permanent marker on the content label of the covers. This will help to ensure the return of the covers after washing.Use only JAY designed cover on JAY cushions. The covers is an important part of allowing the immersion into the fluid insert which redistributes the pressure. Changing the cover will alter this design and its efficacy.To clean the fluid insertRemove the cover from the foam base. Remove fluid insert from the inner cover and wipe with warm water and soap. Rinse with a clean, damp cloth then wipe dry with a clean cloth.CAUTION - NEVER SUBMERGE THE FLUID INSERT IN ANY LIQUID.CAUTION - AVOID HARSH CLEANING OR ROUGH HANDLING AS THIS MAY LEAD TO A DEGRADATION OF THE FLUID INSERT.If at any time, the outer cover, inner cover, foam base, fluid insert, or any other component appears to be wearing or you notice a degradation in the texture, contact your supplier/Sunrise Medical for evaluation and further instructions.To clean the Air Insert (if applicable)Reference the Air Insert Owner's Manual Supplement for proper cleaning instructions.If at any time, the outer cover, inner cover, foam base, or any other component appears to be wearing or you notice a degradation in the texture, contact your supplier/Sunrise Medical for evaluation and further instructions.To clean foam baseRemove the cover, fluid or air insert, and inner cover from the foam base. Wipe lightly with a damp cloth. Do not use soap. Do not submerge in water. Wipe off with clean cloth. Let completely air dry before reassembly. Reinstall the cover over the foam base. Ensure the back of the cover matches up to the foam base.CAUTION - NEVER SUBMERGE THE FOAM BASE IN ANY LIQUID.oooo121985 Rev E(Cushion Cover) Laundry Care SymbolsMachine was in warmwater (60 C)Only non-chlorinebleach, when neededDrip dryDo not ironDo not dry cleano

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JA
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REASSEMBLING THE JAY FUSION CUSHIONFollow cleaning and maintenance instructions as described in"Easy maintenance and cleaning" then reassemble as follows.Insert the foam base/inner cover assembly into the outer cover. Ensure that the zipper is at the rear of the foam base where the pelvic loading area is located.121985 Rev EV.MAINTENANCE & CLEANINGFluid insertAir insertFoam base

8JAY®FUSION Cushion
VI.BOTTOMING OUT
A.WHAT IS BOTTOMING OUT?Bottoming out may occur on a Fusion Cushion if you displace the fluid or air underneath your pelvic bones or buttocks, which would leave you sitting on the foam base. It sometimes occurs on very thin individuals, users with recliner wheelchairs, users who have lost weight or have other changes in body size or shape, or users who slouch when sitting.If the cushion is properly positioned, the footrests are properlyadjusted, and there is not at least the minimum 1/2" (1.3 cm) offluid, the cushion is bottoming out and should not be used. Ifyou are bottoming out, discontinue use of the cushion and seeyour clinician. Usually bottoming out is easily solved byordering additional fluid in the form of an Overfill. Call yourlocal authorized supplier to see if this is appropriate for you.Air InsertReference the Air Insert Owner's Manual Supplement for instructions on preventing and checking for bottoming out.C.WHEN TO CHECKWith JAY Flow Fluid or JAY Fluid with Cryo Technology insert, check every month when you clean the cushion.With Air Insert, check daily.WARNINGWhen bottoming out occurs, increased pressure is placed onto the ischials and coccyx increasing the risk for skin breakdown. Immediately discontinue use of the pad. See your healthcare professional.B.HOW TO CHECK FOR BOTTOMING OUTJAY Flow Fluid Pad or JAY Fluid with Cryo Technology InsertTo check for bottoming out, sit on the cushion with the cover on and the zipper opened for 7-10 minutes. Transfer up and off the cushion (or have someone help you transfer), trying not to disturb the fluid underneath you. Fold the back portion of the cover forward over the front, exposing the fluid insert. Push down in the depressions on the pad where your ischials (seat bones) and coccyx (tailbone) were. You should have to push through at least 1/2" (1.3 cm) of fluid before you feel the firm cushion base below.121985 Rev E

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VII.WARRANTY
JA
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JAY FUSION CUSHION WARRANTYEach JAY Fusion Cushion is carefully inspected and tested to provide peak performance. Every JAY Fusion Cushion 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 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 adefect in materials or workmanship occur within six (6) months from the original date of purchase, Sunrise Medical will, at its options, repair or replace it without charge.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 no 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.JAY Flow Fluid and JAY Fluid with Cryo Technology InsertConsult your healthcare professional for proper fitting and use, and read the following statements carefully.JAY Flow Fluid and JAY Fluid with Cryo Technology Insert PolicyIf a clinician, Certified Rehab professional, or Authorized Sunrise Medical Supplier has determined that the fluid volume is inappropriate for the original purchaser, Sunrise Medical, during the warranty life of the product, will replace the fluid pad free of charge. Requests must be submitted by an authorized Sunrise Medical Supplier.The fluid in this cushion may lose volume over time.Volume loss in this cushion may result in bottoming out of the cushion.Monthly, during routine cleaning and inspection, checkthis cushion for bottoming out (see instructions under"Checking for Bottoming Out" in the owner's manual)and any fluid inconsistencies. If the fluid is firmer inone 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 assistanceis necessary, contact Sunrise Medical Customer Service Air InsertReference the Air Insert Owner's Manual Supplement for additional use and care guidelines.....121985 Rev E

©2019 SunriseMedical(US)LLC
12.19 121985 Rev. ESunrise Medical Inc. • 2842 Business Park Ave. • Fresno, CA 93727 • USAIn Canada [phone]FUSION Cushion
JAY®