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 
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
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