Jay SPEX Instruction Manual

UserName:
UserManualforallFlexCushions(productcodebeginswith‘1106’)
Document#:107739CAN,Rev.A
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FlexCushion
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Installation & User Manual
IMPORTANT CONSUMER INFORMATION NOTICE:
This manual contains important instructions that must be passed on to
the user of this product. Please do not remove this user manual before
delivery to the end user.
SUPPLIER: This manual must be given to the user of this product.
USER/CAREGIVER: Before using this product, read entire manual and
save for future reference. Transit Safety section MUST be read before
cushion is used in a vehicle.
SerialNumber:
User Manual for all Spex by JAY Flex Cushions (product code begins with ‘1106-’)

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FLEXCUSHIONUSERMANUAL
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SPEX BY JAY FLEX CUSHION OWNER’S MANUAL

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FLEXCUSHIONUSERMANUAL 
FLEXCUSHIONUSERMANUAL 
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Contents:
Introduction 3
SafetyInstructions 4
WeightCapacity 4
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Environment 4
Compatibility 5
Warnings 5
FlexCushionContents 6
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ReissuingtoAnotherUser 6
Disposal&Recycling 6
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AdjustingtheFlexCushion 7
ConfiguringtheFlexCushion 9
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OtherConfiguringTips 10
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FittingtheCushion 11
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Maintenance&Cleaning 12
CushionStrategicBaseChart 13
TransitSafety–Assembly,Use,Maintenance&Limitations 14
TransitSafety–CorrectPositioningofBeltRestraints 15
Warnings 16
Warranty 19
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Introduction
The Flex Cushion is a contoured, modular and adjustable cushion for users with symmetrical or
asymmetrical
limitedhipflexionsandextensions.Itisdesignedforsupportingthepelvisandlegscorrectly
for users with pelvic obliquities, internal and external rotations, while offering skin protection. The
strategicpositioningsystemusedunderneathenableseasyandonthespotadjustment.
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Note: Check all parts are free from shipping damage. Contact Medifab or your supplier for further
instructions if needed. Medifab recommends that a clinician such as an Occupational Therapist or
Physiotherapist who is skilled in wheelchair seating and positioning be consulted to determine if the Flex
Cushionisappropriatefortheuser.
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FlexCushionisanexcellentchoiceforindividualswho:
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• Havesymmetricalorasymmetricallimitedhipflexion
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• Haveinternalhiprotationwithtighthamstringsononeside
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• Requirepelvicandthighpressuredistributionduetoasymmetricsittingposture
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• Havechangingposturalneedsovertime
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• Requireahighdegreeofpelvicstabilityandspecificcontouring
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SPEX BY JAY FLEX CUSHION OWNER’S MANUAL

FLEXCUSHIONUSERMANUAL 
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Safety Instructions
Toavoidinjury,read,understandandfollowallinstructionsandwarningsinthismanualbeforeinstalling
andusingtheFlexCushion.Therearehazardsassociatedwiththeuseofwheelchairsandadaptiveequip
ment.IfyoumisuseyourwheelchairoryourCushionyoucanbeseriouslyinjured.IfyourCushionceasesto
functionasintended,pleaseconsultyourauthorizedSpexseatingsupplierimmediatelybeforecontinuing
touse.

FlexCushionmeetstherequirementsofISO717616;wheelchairsresistancetoignitionofposturalsup
portdevices.ThecoverandfoammeettheflammabilityrequirementsofCaliforniaTechnicalBulletin117.
InrarecasestheLycrafabricmaycauseaskinirritationforpeoplewithsensitiveskin.Ifyouexperienceany
reddeningoritchingoftheskinconsultwithyourhealthcareprofessional.

Disclaimer:Medifabtakesnoresponsibilityastothetherapeuticeffectivenessofourproducts.Our
claimsrelatetotheabilityoftheproductstoprovidesafeandreliablepositioningandseatingonthe
equipmentontowhichtheyareinstalled.
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Weight Capacity
• 1215”(25.438cm)widthCushionmaximumuserweight:200lbs.(90kg)
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• 1620”(4151cm)widthCushionmaximumuserweight:350lbs.(160kg)
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WARNING
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Never exceed the weight capacity of your cushion or the wheelchair as specified by the wheelchair
manufacturer. Never perform exercise weight training that causes the user to exceed the weight
capacity of the wheelchair. Ensure that the cushion is effectively secured in place, before carrying out a
transfers. Only use foam wedges, inserts and covers provided by Medifab.
Environment
Moisture:KeepyourCushiondryatalltimes,ascontactwithwaterorexcessmoisturecouldcause
degradationtothefunctionalityofyourCushion,orpotentialfailure.IfyourCushionbecomesdampor
wet,thoroughlywipewithadryclothassoonaspossible.DonotuseyourCushioninashoweringorpool
facility.
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Temperature:YourCushionmaynotfunctionasintendedwhenusedatextremetemperatures.Keepthe
Cushionawayfromsourcesofextremeheatorextremecoldtoavoidchangeinfunctionalityofthefoam.
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Dirt:Smallparticlessuchasdust,dirtandsandmayrestrictoptimumfunctionality.Regularlywashyour
Cushioncovertoensurenobuildupoccurs.
SPEX BY JAY FLEX CUSHION OWNER’S MANUAL

FLEXCUSHIONUSERMANUAL 
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Safety Instructions
Toavoidinjury,read,understandandfollowallinstructionsandwarningsinthismanualbeforeinstalling
andusingtheFlexCushion.Therearehazardsassociatedwiththeuseofwheelchairsandadaptiveequip
ment.IfyoumisuseyourwheelchairoryourCushionyoucanbeseriouslyinjured.IfyourCushionceasesto
functionasintended,pleaseconsultyourauthorizedSpexseatingsupplierimmediatelybeforecontinuing
touse.

FlexCushionmeetstherequirementsofISO717616;wheelchairsresistancetoignitionofposturalsup
portdevices.ThecoverandfoammeettheflammabilityrequirementsofCaliforniaTechnicalBulletin117.
InrarecasestheLycrafabricmaycauseaskinirritationforpeoplewithsensitiveskin.Ifyouexperienceany
reddeningoritchingoftheskinconsultwithyourhealthcareprofessional.

Disclaimer:Medifabtakesnoresponsibilityastothetherapeuticeffectivenessofourproducts.Our
claimsrelatetotheabilityoftheproductstoprovidesafeandreliablepositioningandseatingonthe
equipmentontowhichtheyareinstalled. 

Weight Capacity
• 1215”(25.438cm)widthCushionmaximumuserweight:200lbs.(90kg) 
• 1620”(4151cm)widthCushionmaximumuserweight:350lbs.(160kg) 

WARNING 
Never exceed the weight capacity of your cushion or the wheelchair as specified by the wheelchair
manufacturer. Never perform exercise weight training that causes the user to exceed the weight
capacity of the wheelchair. Ensure that the cushion is effectively secured in place, before carrying out a
transfers. Only use foam wedges, inserts and covers provided by Medifab.
Environment
Moisture:KeepyourCushiondryatalltimes,ascontactwithwaterorexcessmoisturecouldcause
degradationtothefunctionalityofyourCushion,orpotentialfailure.IfyourCushionbecomesdampor
wet,thoroughlywipewithadryclothassoonaspossible.DonotuseyourCushioninashoweringorpool
facility.

Temperature:YourCushionmaynotfunctionasintendedwhenusedatextremetemperatures.Keepthe
Cushionawayfromsourcesofextremeheatorextremecoldtoavoidchangeinfunctionalityofthefoam.

Dirt:Smallparticlessuchasdust,dirtandsandmayrestrictoptimumfunctionality.Regularlywashyour
Cushioncovertoensurenobuildupoccurs.
FLEXCUSHIONUSERMANUAL 
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Compatibility
• TheFlexCushionhasbeendesignedtobecompatiblewithmostwheelchairs.
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• TheFlexCushionmusthaveasolidbasetoinstallto,suchasasolidseatbasepanorcushionrigidiz
er,whichprovidesmorestabilitytotheuser.Solidseatbasemusthavehookvelcroattachedtoitto
ensurethecushionisheldinplaceduringuse.
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WARNING
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RISKOFACCIDENT,INJURY,PAINORDEATHIFWARNINGSARENOTHEEDED
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Seekassistanceifyouareuncertainaboutanyofthefollowingpoints
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1. InstallingaCushiononawheelchairmaydisturbthewheelchair’scentreofgravityandcause
thewheelchairtotipbackwardspotentiallyresultingininjuryordeath.Checkifantitippersor
otheradaptationsneedtobeaddedtothewheelchairtohelpincreasestability.
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2. InstallationandadjustmentofyourFlexCushionmustonlybeperformedby
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a) AnauthorizedSpexdistributorortechnician
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b) Aqualifiedhealthcareprofessionalwhohasundergoneappropriatebiomechanicaltraining
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3. TheFlexCushionmusthaveasolidbasetoinstallto.Asolidseatbasepanwillprovidemore
stabilitytotheuser(theCushionwon’tsag).
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4. ThisCushionmustbetrialledfirsttodetermineitseffectivenessinmeetingtheneedsoftheuser.
Theclinicianmustinspecttheuser’sskintoensurethatredpressurespotsarenotdeveloping.
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5. Theuserand/orcaregiversshouldregularlycheckforskinrednessortissuebreakdown.If
rednessdevelops,discontinuetheuseoftheCushionimmediatelyandconsultyourdoctoror
therapist.TheCushioncanbereconfiguredforbetterpositioning.
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6. Withpropersetupandcontinuedmaintenance,theFlexCushionisanexcellentcandidatefor
peoplewhoareatriskofskinbreakdown,howevernoCushioncancompletelyeliminatesitting
pressureorpreventpressureinjuries.
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7. KeeptheCushiondry.Moistureisacontributingfactorincausingpressureinjuries.
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8. We recommend the user to have a good diet and have regular pressure relieving exercises/
therapytohelppreventpressureinjuries.
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9. DonotleavetheFlexCushionoutsideovernightorattemperaturesbelow5°C/41°F.TheFlex
Cushionshouldberoomtemperaturebeforesittingonit.
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10. Avoidsharpobjectsorexposuretoexcessiveheatoropenflame.
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11. TheFlexCushionhasbeenspecificallydesignedasaCushionforusersinmobilitywheelchairs.
DonotusetheCushioninanywaynotdescribedandnevermodifytheCushion.
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12. NeverusetheCushionwithoutitscover.Careshouldbeexercisednearopenflameorburning
cigarettes.Using theCushionwithoutitscoverincreasestheriskof flammabilityand skin
damage.
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13. NeverusetheCushionwithouttheincontinencecover.Failuretodosowillreducethelifeof
theCushion.
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SPEX BY JAY FLEX CUSHION OWNER’S MANUAL

FLEXCUSHIONUSERMANUAL 
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Cushion Contents
YourCushioncontainsthefollowing:


Description 
Quantity
A 
Outercover
1 
B

Incontinencecover

1

C

FoamUnit

1

D

FrontFacingWedges
 1L&1R
E
PelvicObliquityPads 
Cushionsupto15”depth 
5L&5R
Cushions16”depthandlarger 
6L&6R
F

ThighWedges
 3L&3R
G

AbductionWedges

2

H

AbductionWedgeCover

1
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Re-issuing to Another User
OncetheuserhasfinishedusingtheFlexCushion,itmust berefurbished andthoroughlycleanedifitis
issuedtoanotheruser.BelowarethestrictguidelinesforrefurbishingtheFlexCushion.Medifabtakesno
responsibilityforcontamination,crossinfection,ordamage.MedifabrecommendsusingAHP(Accelerated
Hydrogen Peroxide) disinfectant wipes. The disinfection product must be used as per the manufacturer
instructions.Medifabtakesnoresponsibilityfortheeffectivenessofthedisinfectingprocess.
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Part 
Procedure 
Safetycheck

Allcomponentstobecheckedforsignsofstressor
cracking.

Upholstery
covers
Boththeincontinencecoverandoutercovermustbe
replacedregardlessofcondition.

Strategic
positioning
Wedges&Pads

Ensurecorrectnumberofwedgesandpadsaresupplied
andallVelcro’sareingoodcondition.

Foam

Foamshouldbecheckedfordegradationand
cleanliness.


Disposal & Recycling
YourSpexSeatingSystemismanufacturedusingavarietyofmaterials,ofwhichmostcanberecycled.
Onceitreachestheendofitslife,ifyouarethelegalowner,donotdisposeofasordinaryhousehold
wastebuttakeyourFlexcushiontoanapprovedrecyclingorcollectionpoint,todisposeofaccordingto
locallawsandregulations.
SeparatecollectionandrecyclingoftheSpexSystemwhendisposingensuresprotectionoftheenviron
mentandassistswithnaturalresourceconservation.
A 
B 
C 
E
D 
G&H
F 
SPEX BY JAY FLEX CUSHION OWNER’S MANUAL

FLEXCUSHIONUSERMANUAL 
6
WWW.SPEXSEATING.COM


Cushion Contents
YourCushioncontainsthefollowing: 

Description 
Quantity
A 
Outercover
1 
B 
Incontinencecover 
1 
C 
FoamUnit 
1 
D 
FrontFacingWedges 
1L&1R
E
PelvicObliquityPads 
Cushionsupto15”depth 
5L&5R
Cushions16”depthandlarger 
6L&6R
F 
ThighWedges 
3L&3R
G 
AbductionWedges 
2 
H 
AbductionWedgeCover 
1 
Re-issuing to Another User
OncetheuserhasfinishedusingtheFlexCushion,itmust berefurbished andthoroughlycleanedifitis
issuedtoanotheruser.BelowarethestrictguidelinesforrefurbishingtheFlexCushion.Medifabtakesno
responsibilityforcontamination,crossinfection,ordamage.MedifabrecommendsusingAHP(Accelerated
Hydrogen Peroxide) disinfectant wipes. The disinfection product must be used as per the manufacturer
instructions.Medifabtakesnoresponsibilityfortheeffectivenessofthedisinfectingprocess.


Part 
Procedure 
Safetycheck 
Allcomponentstobecheckedforsignsofstressor
cracking. 
Upholstery
covers
Boththeincontinencecoverandoutercovermustbe
replacedregardlessofcondition.

Strategic
positioning
Wedges&Pads

Ensurecorrectnumberofwedgesandpadsaresupplied
andallVelcro’sareingoodcondition.

Foam 
Foamshouldbecheckedfordegradationand
cleanliness. 

Disposal & Recycling
YourSpexSeatingSystemismanufacturedusingavarietyofmaterials,ofwhichmostcanberecycled.
Onceitreachestheendofitslife,ifyouarethelegalowner,donotdisposeofasordinaryhousehold
wastebuttakeyourFlexcushiontoanapprovedrecyclingorcollectionpoint,todisposeofaccordingto
locallawsandregulations.
SeparatecollectionandrecyclingoftheSpexSystemwhendisposingensuresprotectionoftheenviron
mentandassistswithnaturalresourceconservation.
A 
B 
C 
E
D 
G&H
F 
FLEXCUSHIONUSERMANUAL 
7
WWW.SPEXSEATING.COM


Adjusting the Flex Cushion
TheFlexCushioncanbeconfiguredtosuitmanydifferentpostures
ofpersonswithdisabilitiesorsittingissues.Byadjustingthestrategic
positioningbasewithwedgesandpads,theCushionsurfacecanbe
contouredtoimproveoverallposture,pelvicalignment,sittingability,
comfortandpressurereduction.Duetotheadjustablenatureofthe
FlexCushionwerecommend,initialassessment/configurationofthe
Cushioniscarriedoutwithoutthecovers.Havingaclearviewandaccess
topositioningbase, wedgesandpadswill assistwiththeoptimum
setupoftheCushion.Oncetheoptimalconfigurationisachievedboth
theouterandinnercoversMUSTbeputbackontheCushion.TheFlex
Cushionmustnotbeusedwithoutcovers.

ThighWedge:

Theangleofthethighsectioncanbechangedbyaddingorremoving
thewedgesundereachthigh.Eachwedgerepresentsapproximately
7°ofadjustment.EnsuretheVelcroonthewedgessecurelyinterlock
beforeuse.








FrontFacingWedge


ItisimperativethattheFrontfacingwedgeshownabovemustneverberemovedfromtheCushion.







WARNING

• Adjustmentstobedonebyacertifiedandexperiencedcliniciansuchasadoctor,therapistorrehab
engineerwhoisskilledinseatingandpositioning.Adjustmentsmustbedonefollowingaproper
assessmentoftheuser’sneeds.


• FlexCushionmustnotbeusedwithoutcovers.

SPEX BY JAY FLEX CUSHION OWNER’S MANUAL

FLEXCUSHIONUSERMANUAL 
8
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

Adjusting the Flex Cushion
AbductionWedge:

AbductionwedgescanbeusedtoabducttheFlexCushion.Thewedgesare10°,butabductionangle
ofthethighsectioncanbechangedbyaddingorremovingtheabductionwedgesorbytrimmingthe
abductionwedgestorequiredangle.Oncetherequiredangleisachievedensuretheabductioncoveris
placedoverthewedgesandtheabductionwedgeissecurelyattachedtotheCushioncovers.










WindsweepingandAsymmetricalAbduction/InternalandExternalRotations:

Pelvicrotationorabduction,internalandexternalrotationofonelegcanalsobeallowedforbysetting
thepositionofoneleg,usingthevelcrounderneath,andtheninsertingtherequiredabductionwedges.
 

PelvicObliquityAdjustment:


TherearsectionoftheFlexCushioncanbeconfiguredbyaddingorremovingtheVelcropadsorside
wedgestocorrectoraccommodateobliquity.

SPEX BY JAY FLEX CUSHION OWNER’S MANUAL

FLEXCUSHIONUSERMANUAL 
9
WWW.SPEXSEATING.COM


Configuring the Flex Cushion
Imagesareforillustrativepurposesonly 
Disclaimer:Theclinicalevaluationassessmentwill
determinewhichCushionoptionsarechosentomeet
eachclient’sneeds.

Thighpositioningandcontrol

Thethighsectioncanbeconfiguredonbothsidesor
eithersideindependentlyforflexionorextensionorcan
remainflatifrequired.

Tighthamstrings/limitedhipflexion/posteriorpelvictilt

Thefrontwedgescanbeaddedorremovedto
accommodateflexionorextension. 
Abduction

Add,removeortrimtheabductionwedgesto
accommodatethighabduction. 
WindsweepingandAsymmetricalAbduction/Internal
andExternalRotations:

‘SecuretherearsectionwiththeVelcrosectionandflex
thefrontlegsectionslaterallytoaccommodaterotations.

Toaccommodateasymmetricabduction,setoneleg
(usingthevelcro)andthenaddorremoveabduction
wedges.’

Pelvicobliquity

Addorremoverearpadsorsidewedgestoconfigurerear
sectionoftheFlexCushion.

SPEX BY JAY FLEX CUSHION OWNER’S MANUAL

FLEXCUSHIONUSERMANUAL 
10
WWW.SPEXSEATING.COM

Other Configuring Tips
Configurationsmustdependonbiomechanicalevaluationandassessment.

1.
Anteriorpelvictilt:LeaveCushionflatorslightlyraisefrontofCushion
for neutral alignment of the pelvis and/or promote weight bearing
onischialtuberosities.

2.
Extensor thrust: Increase hip and knee flexion by building more
supportunderfrontofthighs.

3.
Pelvic obliquity: Buildup under low side to correct, under high side
toaccommodate.
NOTE:Inalltheabovesituations,adjustthebacksupportandfoot
platestofit.
Covering the Cushion
TheFlexcushionisprovidedwithtwocoverswhichmustbothbeused;incontinenceandouter.The
abductionwedgesarealsoprovidedwithacoverwhichmustbeusedifabductionisrequiredfrom
thecushion.

Oncetheadjustmentsaremadetothecushionwedges,afterassessingtheuser,theincontinence
covermustbeputon(ensurethevelcrosideisonthebottom).Inserteachlegofthecushionand
zipthecoverup.Thecovershavetwoflapsatthefrontofthecushion,thesearetobepulledtight,if
wedgeshavebeenremovedyoumayhavetofoldsomeofthecoverunderthecushion.

WARNING

Ensurethattherearenowrinkles,foldsandcreasesontoporfrontofthecushion
Repeattheprocessfortheoutercover.
SPEX BY JAY FLEX CUSHION OWNER’S MANUAL

FLEXCUSHIONUSERMANUAL 
10
WWW.SPEXSEATING.COM

Other Configuring Tips
Configurationsmustdependonbiomechanicalevaluationandassessment. 
1.
Anteriorpelvictilt:LeaveCushionflatorslightlyraisefrontofCushion
for neutral alignment of the pelvis and/or promote weight bearing
onischialtuberosities.

2.
Extensor thrust: Increase hip and knee flexion by building more
supportunderfrontofthighs.

3.
Pelvic obliquity: Buildup under low side to correct, under high side
toaccommodate.
NOTE:Inalltheabovesituations,adjustthebacksupportandfoot
platestofit.
Covering the Cushion
TheFlexcushionisprovidedwithtwocoverswhichmustbothbeused;incontinenceandouter.The
abductionwedgesarealsoprovidedwithacoverwhichmustbeusedifabductionisrequiredfrom
thecushion. 
Oncetheadjustmentsaremadetothecushionwedges,afterassessingtheuser,theincontinence
covermustbeputon(ensurethevelcrosideisonthebottom).Inserteachlegofthecushionand
zipthecoverup.Thecovershavetwoflapsatthefrontofthecushion,thesearetobepulledtight,if
wedgeshavebeenremovedyoumayhavetofoldsomeofthecoverunderthecushion. 
WARNING 
Ensurethattherearenowrinkles,foldsandcreasesontoporfrontofthecushion
Repeattheprocessfortheoutercover.
FLEXCUSHIONUSERMANUAL 
11
WWW.SPEXSEATING.COM




Fitting the Cushion
1.
PositiontheCushionabout12mm(0.47”)forwardofthefrontedge
oftheseatbasepantoprotecttheuser’slegs.

2.
LabelsontheCushionandcoversshowtheBACK.TheBACKlabelon
theCushionmustfacerearwardsatalltimes.

3.
CheckthesizeoftheCushion.TheCushionmustfullysupport
thebaseoftheuser.IfaCushionistoolongitmayforcetheuser
tositwithaposteriorlytiltedpelvis.Ifhipflexionorextensionis
required,alongcushionmayforcetheclienttositontheedge
wherethepivotpointislocated,whichisnotidealfromapressure
managementandcomfortperspective.
TheCushionmustnotoverlapbymorethan25mm(0.98”)withthe
backrestcushion.


4.
Properfootrestandbacksupportadjustmentmayenhancesitting
comfort.Adjustthefootplatessotheuser’slegsrestfirmlybut
comfortablyontheCushion.Adjustbacksupporttoensurethepelvis
isposteriorlysupported.
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SPEX BY JAY FLEX CUSHION OWNER’S MANUAL

FLEXCUSHIONUSERMANUAL 
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Maintenance & Cleaning
MonthlycleaningandregularmaintenancewillhelpextendthelifeoftheCushion.Theexpectedlifetime
oftheCushionis5years;howevertheCushionneedstobecheckedregularlyforperformance.
MedifabrecommendsusingAHP(AcceleratedHydrogenPeroxide)disinfectantwipes.Thedisinfection
productmustbeusedasperthemanufacturerinstructions.Medifabtakesnoresponsibilityforthe
effectivenessofthedisinfectingprocess.
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WARNING
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• Replacingthecoverafterwashingmustbedonecorrectly.Ensurethebackofthecovermatchesupto
thebackofthefoambase.
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•
Ifusedinaninstitutional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.
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UseonlyFlexCoversonFlexCushions.ChangingtheCover,orusingdifferentmaterials,willalterthe
designandmaycauseharmorpressure/shearconcernstotheuser.
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Foam
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Keepdry.
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Checkthefoambaseregularlytoensuregoodfoamconsistency.
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Ifitaccidentallybecomeswet,drythoroughlybeforereplacingthecovers.
• EnsurethealltheVelcrostripsonthecushion,wedgesandpadarecleanandnotpeelingaway.
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• Donotsteamautoclave.
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IncontinenceCover
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Handwashonly.
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Donotusebleachorotherstrongcleaners.
• Donottumbledry.
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Failuretousethiscovermayreducethelifeofthecushion.
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OuterCover
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•
Removethecoverfromthefoambaseandturninsideout.
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Machinewashinwarmwater(40°C/104⁰F)
• Driportumbledryonlowheat.
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• Donotiron.Donotdryclean.Donotbleach.
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• Ifchemicalcleanersareused,coversmustberinsedthoroughlywithwater
toremoveallchemicalresidueandlefttodrycompletelybeforereuse.
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•
Checkthecoverfortearsandexcessivewearandreplaceifripped,tornor
otherwisenotfullyfunctional.
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Ifyouhaveanyadditionalquestionsregardingcleaningprocedures,pleasecontactyour
authorizedSpexSeatingdealer.
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SPEX BY JAY FLEX CUSHION OWNER’S MANUAL

FLEXCUSHIONUSERMANUAL 
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Cushion Strategic Base Chart
OnceyourFlexCushionissetupinanoptimalposition,usethechart
belowtorecordthenumberofpositioningpadsandwedgesinone
ofthe4compartments.Markunused/unavailablecellsbelowwith
an‘X’.
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AssessmentDate
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ClinicianName
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ClientName
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Notes
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FrontofCushionUnderneathview
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BottomofCushionUnderneath
view
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ViewofCushionunderneath
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FLEXCUSHIONUSERMANUAL 
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Transit Safety
TheSpexSeatingSystemhasbeensuccessfullycrashtestedandcomplieswithRESNAWC4:2012,Section
20(WC20).TheSpexSeatingSystemmeetstherequirementsofISO168404:2009andissuitableforuse
asamotorvehicleseatwhenusedwithanappropriatewheelchairbase.Pleasefollowallinstallation,use
andmaintenanceinstructionswithinthismanualaswellasthefollowingtransitinstructions.Iffeasible,
thewheelchairusershouldtransfertothevehicleseatandusethevehicleinstalledoccupantrestraint
systems.
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Spex Seating System has been designed to accommodate the proper use of vehicleanchored belt
restraints. Spex achieved a rating of Excellent (16 out of 16), for ease of properly positioning a belt
restraint,andthedegreetowhichproperbeltrestraintcanbeachieved,basedonthemethodsofAnnex
D.The followingitems ofthe SpexSeating Systemhavebeentestedandaresuitableforuseinamotor
vehicle:
• FullHeightBackSupportModels
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GridBaseSeatPan
• CushionModels
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• ArmandThighSupports
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• TrunkLateralSupports
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• HeadSupports
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Note:Backsupportsthatarelowerthantheuser’sshoulderheightarenotcertifiedandnotrecommended
fortransportinavehicle.Eg.VigourLoandVigourMidbacksupports.
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Assembly, Use, Maintenance & Limitations
• Adjustments to the setup of the wheelchair must only be carried out by a qualified therapist,
professional, or seating technician. Custom contoured/bespoke systems may require a qualified
professionaltoconfigureandinstalltheseatingsystem.
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Aftercarryingoutanyadjustmentsensureallbolts,screwsandnutsaresecurelyfastenedagainto
ensuresafetywhentravellinginavehicle.
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Ensure the top and bottom mounts of the backrest and the front and rear mounts of the seat pan
are installed as far apart from each other as possible to give a stronger 4point attachment to the
wheelchairframe.Ensurethequickreleaselatchesareengaged.
• DonotusetheSpexSeatingSystemasavehicleseatifseatingcomponentswhichhavenotbeen
successfullycrashtestedareusedanywhereontheseatingsystem.Spexseatingisdesignedand
certifiedusingonlySpexcomponents.Medifabisnotliableintheeventwhereothermanufactured
seatingsystemsareusedinconjunctionwithSpexseating.
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• AtregularintervalscheckthatallthefasteningsontheSpexSeatingSystemhavenotbecomeloose
duringdaytodayuseandretightenifnecessary.
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• Ensuretheswingawaylateralsareintheirlockedpositionbeforeusingtheseatasavehicleseatina
motorvehicle.
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Transit Safety
Correct Positioning of Belt Restraints
WhenusingtheSpexSeatingSystemasavehicleseat,bothapelvic
beltrestraintandshoulderbeltrestraintmustalwaysbeused.To
correctlypositionthebeltrestraintsonthewheelchairoccupant,the
followingmustbeensured:
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• Thepelvicbeltrestraintshouldbewornlowacrossthefrontof
thepelvisnearthejunctionsofthepelvisandthighs.
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• Theangleofthepelvicbeltrestraintshouldbebetween30°to
75°relativetothehorizontaland,ideally,between45°to75°to
thehorizontal(asshowninFigure2).
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• The beltrestraint buckle of threepoint belt restraints should
beplacedincontactwiththeoccupant’sbodyandawayfrom
wheelchaircomponents.
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• Thejunctionoftheshoulderbeltandpelvicbeltofthreepoint
belt restraints should be located near the hip opposite the
shoulderoverwhichthediagonalbeltcrossesandnotnearthe
midlineoftheoccupant.
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• Beltrestraintsshouldnotberoutedoutsideofthewheelchair
wheelsoroverthewheelchairarmrests,andshouldnotbeheld
awayfromthebodybywheelchaircomponentsorparts.
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Uppertorsobeltrestraintsshouldfitdirectlyover,andincontact
with,themiddleoftheshoulder.
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Belt restraints should be adjusted to fit as snugly as possible,
consistentwithusercomfort.
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Belt restraints should not be worn twisted in a manner that
reduces the area of contact of the belt webbing with the
occupant.
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Figure1
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Figure2
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Figure3aImproperpositioningofpel
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vicbeltrestraintsoverwheelchairsupports.
Figure3bProperroutingandpositioningof
beltrestraintsonthewheelchairoccupant.
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WARNING
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1. The distance between the top of the user’s shoulder and the top of the
back should not exceed 6.5” (16.5 cm).
2. The Spex Seating System must only be used with wheelchair bases that are
tested as part of a wheelchair system that conforms to performance
requirements of ISO 7176-19 and RESNA WC-4:2012, Section 19.
3. The Spex Seating System should only be used on wheelchair frames
that provide four securement points and pelvic-belt anchor points that
conform to the requirements of RESNA WC-4: 2012, Section 19.
4. The wheelchair must be labelled as appropriate for use as a seat in a
motor vehicle, dynamically tested to the performance requirements of
ISO 7176-19 and installed, used and maintained according to the
manufacturer’s instructions.
5. The Spex Seating System must only be used as indicated in this user
manual.
6. Both pelvic and shoulder-belt restraints as a part of a complete
Wheelchair Tie down and Occupant Restraint System (WTORS) which
meets ISO 10542-1 shall be used to achieve effective occupant restraint
and optimum protection in a vehicle impact; the belt restraints should
be compatible with the specific wheelchair, and fitted to the user in
accordance with WTORS manufacturer’s instructions.
7. Back supports with adjustable recline angles should not be tilted back
more than 30° beyond the vertical during travel in vehicles unless
necessary for the medical and postural needs of the occupant.
8. If the back support must be adjusted to an angle that is greater than 30°
beyond the vertical during travel, the upper shoulder- belt anchor point
should be adjusted rearward to maintain belt contact with the
wheelchair occupant’s shoulder and chest.
9. The Spex Seating System must only be used for forward-facing seating
in motor vehicles.
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WARNING
a. Removed and secured separately in the vehicle or
b. Secured to the wheelchair so they will not break free in a crash and
i. Be positioned with a gap of at least 3” (75 mm) between the back
edge of the tray and the wheelchair occupant’s abdomen and/or
chest so as not to interfere with theproper belt-restraint use, and
ii. Have energy absorbing padding placed between the back edge
of the tray and the wheelchair occupant.
11. Alterations or substitutions must not be made to the seating system
structure, parts or components, without rst consulting Medifab.
12. The use of a postural pelvic belt attached to the wheelchair base or seat
frame is encouraged during travel, but these belts should be positioned
so that they don’t interfere with the proper positioning of crashworthy
belt restraints, and they should not be relied on for occupant protection
in crash situations unless the postural belt has been designed to comply
with, and perform to the requirements of WC19.
13. Postural support devices that are not labelled as conforming to ISO
16840-4 may be used when in a vehicle, but should not be relied on for
occupant restraint.
10. In order to reduce the potential of injury to vehicle occupants,
wheelchair-mounted rigid trays not spec cally intended for use during
travel in motor vehicles must be:
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WARNING
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14. Both pelvic-belt and shoulder-belt restraints that comply with WC18
and/or WC19 should be used to limit occupant movement in a crash and
reduce the likelihood of occupant ejection from the vehicle and/or
injurious contact of the occupant with the vehicle interior.
15. Belt restraints should be positioned on the wheelchair occupant in
accordance with WTORS manufacturer’s instructions.
16. Backrest mounting hardware must be installed correctly. Refer to the
appropriate section for correct backrest hardware mounting
instructions.
17. If the wheelchair is being transported while occupied, the wheelchair
must still be secured to the WTORS.
18. Children whose mass is less than 48.5 lbs. (22 kg) should be transferred
from their seating system into appropriate child restraint systems
intended for use in motor vehicles.
19. Sufficient forward and rearward clear space should be provided around
the wheelchair occupant. Forward clear-space zone (FCZ) needs to be
larger when a shoulder-belt restraint is not used.
FAILURE TO HEED THESE WARNINGS COULD CAUSE SEVERE INJURY
TO THE WHEELCHAIR USER OR OTHERS.
NOTES:Therearclearzoneismeasured
fromtherearmostpointonanoccupant’s
head.Thefrontclearzoneismeasured
fromthefrontmostpointonanoccupant’s
head.
Seatedheadheight(HHT)rangesfrom
about47”(1200mm)forasmalladult
femaletoabout61”(1550mm)foratall
adultmale.
SPEX BY JAY FLEX CUSHION OWNER’S MANUAL

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FCZ =25.5”(650mm)withuppertorso
restraint
=37”(950mm)withonlypelvic
restraint
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NOTE: Itisstronglyrecommendedthatboth
pelvicanduppertorsobeltsbeused. 
Recommendedforwardandrear
wardclearzonesforwheelchair
seatedoccupants.(Note:theFCZ
maynotbeachievableforwheel
chairseateddrivers). 
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Warranty
EachFlexCushioniscarefullyinspectedtoprovidepeakperformanceand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, Medifabwill,atitsoption,repairorreplaceitwithoutcharge.Thiswarrantyappliestothe
cushion components including the outer cover, incontinence cover, foam unit and strategic positioning
base.ThisWarrantydoes not applytothegeneralwear and use,includingpunctures,tears or burnsor
customerabuseofanyofthecushioncomponents.
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ClaimsandrepairsshouldbeprocessedthroughthenearestauthorizedSpex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.

TheserialnumberofyourCushioncanbelocatedattherearoftheCushioncover.

FLEXCUSHIONUSERMANUAL 
WARNING 
SPEX BY JAY FLEX CUSHION OWNER’S MANUAL

MANUEL DE L'UTILISATEUR DU COUSSIN FLEX
20
Nom de l’utilisateur :
Manuel pour tousles coussins Spex (code de produit commençant par 1106).
Révision : Coussin 20190429_Canada
Coussin Flex
Manuel de l’utilisateur et installation du coussin
Numéro de série :
PAR
RENSEIGNEMENTS IMPORTANTS POUR L’UTILISATEUR
Le présent manuel contient des instructions importantes qui doivent
être transmises à l’utilisateur de ce produit. Ne pas retirer ce manuel
de l’utilisateur avant la livraison du produit à l’utilisateur final.
FOURNISSEUR : Ce manuel doit être remis à l’utilisateur de ce produit.
UTILISATEUR /DISPENSATEUR DE SOINS : Avant d’utiliser ce produit, veuillez lire
le manuel au complet et le conserver pour référence ultérieure. Il FAUT lire la section
Transport sécuritaire avant d’utiliser le coussin dans un véhicule.