Ki Mobility AXIOM CS Installation and operation manual

DCN0333.4

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Thank you for purchasing an Axiom Custom Seating Product!
Please do not use this product without first reading this entire manual. BEFORE
riding, you should be trained in the safe use of your chair and all accessories by an
Assistive Technology Practitioner (ATP) or clinical professional.
If you have any questions or concerns about any aspect of this product, this
manual, or the service provided by us or your retail supplier, please do not hesitate
to contact us by telephone at:
715-254-0991
In writing at:
Ki Mobility
5201 Woodward Drive
Stevens Point, WI 54481
U.S.A
Or via email at:
[e-mail]
I. INTRODUCTION

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I. INTRODUCTION
II. TABLE OF CONTENTS
III. NOTICE - READ BEFORE USE
A. Your Safety and Stability..................................................................... 3
IV. WARNINGS
A. Signal Words....................................................................................... 3
B. General Warnings................................................................................ 4
C. Seating ................................................................................................ 5
D. Positioning Belts ................................................................................. 5
E. Transfers ............................................................................................. 6
F. Modifications....................................................................................... 6
V. GENERAL INFORMATION AND SAFETY
A. Selecting the Proper Seating Product ................................................ 7
B. Become Familiar with this Manual ...................................................... 7
C. Check Your Skin Daily......................................................................... 7
D. Protecting Your Axiom Custom Seating ............................................. 8
E. Postural Supports and Accessories - Including Removable, Adjustable
or Hinged Components: ..................................................................... 8
F. Transit Use .......................................................................................... 9
VI. HARDWARE AND INSTALLATION
A. Transit 2 Point Knob Hardware Package........................................... 11
B. Transit 4 Point Knob Hardware Package........................................... 12
C. Removal and Reinstallation of Seating From Frame.......................... 14
D. Lateral Trunk and Lateral Thigh Supports.......................................... 16
E. Medial Thigh Supports....................................................................... 16
F. User Validation and Assistance ......................................................... 17
VII. MAINTENANCE
A. Inspecting Your Axiom Custom Seating ............................................ 18
B. Cleaning Your Axiom Custom Seating............................................... 19
C. Storage............................................................................................... 19
KI MOBILITY LIMITED WARRANTY .................................................................. 20
II. TABLE OF CONTENTS
La Versión en Español comienza en la página 21

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III. NOTICE - READ BEFORE USE
A. Your Safety and Stability
Ki Mobility manufactures many different wheelchairs and custom seating products that might
meet your needs. You should consult an Assistive Technology Professional when selecting
which models would best meet your particular requirements and how the wheelchair should be
set up and adjusted. Final selection of the type of wheelchair, seating options and adjustments
rests solely with you and your medical professional. The options you choose and the set-up and
adjustment of the wheelchair have a direct impact on its stability. Factors to consider that affect
your safety and stability are:
a. Your personal abilities and capabilities including strength, balance and coordination.
b. The types of hazards and obstacles you might encounter during your day.
c. The specific dimensions, options and set up. In particular, the seat height, seat depth,
seat angle, back angle, size and position of the rear wheels and size and position of the
front casters. Any change to any of these items will change the stability of your
wheelchair. You should only make changes after consulting with a qualified professional.
IV. WARNINGS
A. Signal Words
Within this manual you will find what are referred to as “Signal” words. These words are used to
identify and convey the severity of varying hazards. Before using this product you, and each
person who may assist you, should read this entire manual. Please note the Signal word and
consider any warnings or cautions. Make sure to follow all instructions and use your chair safely.
The Signal word refers to a hazard or unsafe practice that may cause severe injury or death to
you or to other persons. The “Warnings” are in two main categories, as follows:
WARNING – Warning indicates a potentially hazardous situation which, if not avoided, could
result in serious injury or death.
CAUTION – Caution indicates a potentially hazardous situation which, if not avoided, could result
in injury or damage to your wheelchair.
These signal words will be placed throughout the manual, where appropriate, to highlight the
hazardous situation. Refer to the following list for hazardous situations that will apply to the
general use of this product.
WARNING: Failure to comply with all of the instructions in this manual or using the
seating in a manner not stated in this manual could result in serious injury or death.

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IV. WARNINGS
B. General Warnings
WARNING: Do not exceed weight limit of chair with Axiom Custom Seating.
Limits refer to combined weight in pounds of user and all items carried. Exceeding weight limit
may damage your chair or may increase your risk of falling or tipping over. A tip-over or fall could
result in serious injury or death.
• Do not use chair for weight training. The movement of the additional weight alters the
chair’s center of gravity increasing your risk of tipping over. A tip-over could result in
damage to your chair or in serious injury or death.
• Keep tires inflated to correct tire pressure. Using a chair without properly inflated tires may
affect its stability, increasing your risk of tipping over. A tip-over could result in damage to
your chair or in serious injury or death to you or others. Correct tire pressure is indicated
on the side wall of the tire. Your wheelchair provider can determine if your tires are
inflatable if you are unsure.
• Underinflated tires may cause your wheel locks to not function properly. Failure of the
wheel locks to hold your chair may result in a loss of control or fall. This can result in
serious injury or death.
• Avoid ramps or slopes inclined more than 9 degrees. Steep slopes increase your risk of
falling or tipping over. A tip-over or fall could result in damage to your chair or in serious
injury or death to you or others. Do not use chair on ramps or slopes tilted more than 9
degrees (about 2 inches rise/drop per linear-foot): neither up/down nor across.
• Avoid inclined surfaces slick or coated with ice, oil or water. Slippery inclines could result
in falling or tipping over. A tip-over or fall could result in damage to your chair or in serious
injury or death.
• Avoid leaning over the side or back of your wheelchair to extend your reach. Leaning over
chair could change its center of gravity and cause an unstable situation resulting in a fall
or tip-over. A tip-over or fall could result in damage to your chair or in serious injury or
death.
• Do not lift wheelchair by its removable parts while occupied. Lifting a wheelchair by
removable parts - e.g. armrests or footrests - while occupied could cause user to fall or
lose control. A fall or loss of control could result in damage to your chair or in serious
injury or death.
WARNING: Do not use or install this Axiom Custom Seating without first reading and
understanding this manual. Please contact your authorized Ki Mobility supplier or your
clinician if you are unable to understand the Warnings and Instructions. Failure to do so
could result in serious injury or death.
WARNING: The installation of an Axiom Custom Seating on a wheelchair could affect the
center of gravity of the wheelchair. Changes in your center of gravity may affect your
stability in your wheelchair, resulting in tipping over or falling from your wheelchair which
may result in serious injury. Always review the instructions for use of your wheelchair to
see if changes to the wheelchair may be needed to provide sufficient stability after adding
an Axiom Back.
WARNING: The integrity of your skin can be affected by many aspects of your daily life and
medical condition, including the use of this product. Be sure to follow any skin care
regimens established by your clinician. Consumers of this product should make sure their
skin is inspected routinely for changes as directed by their clinician. Failure to do so could
result in serious injury or death.

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IV. WARNINGS
C. Seating
WARNING: The installation of a cushion or backrest on a wheelchair could affect the
center of gravity of the wheelchair. Changes in your center of gravity may affect your
stability in your wheelchair, resulting in tipping over or falling from your wheelchair which
may result in serious injury. Always review the instructions for use of your wheelchair to
see if changes to the wheelchair may be needed to provide sufficient stability after adding
a cushion.
• The integrity of your skin can be affected by many aspects of your daily life and medical
condition, including the use of this product. Be sure to follow any skin care regimens
established by your clinician. Consumers of this product should make sure their skin is
inspected routinely for changes as directed by their clinician. Failure to do so could result
in serious injury or death.
Selecting the Proper Seating Product
Ki Mobility recommends that you consult with a licensed clinician (i.e. Physician or
therapist) trained in wheelchair seating and positioning before selecting any seating and
positioning product. This will help ensure you receive the right product for your specific
needs.
D. Positioning Belts
WARNING: Never leave a user who cannot maintain their own seated posture unattended
when using positioning belts or harnesses. The user may slide down and become
entangled in the belt or harness which may result in severe injury or death.
Positioning belts are designed to assist with proper positioning within the wheelchair. They are
not designed as seat belts. Use positioning belts ONLY to help support the user’s posture.
Misuse of positioning belts may result in severe injury or death.
• Ensure the user does not slide underneath the positioning belt in the wheelchair seat. If
this occurs, the user’s breathing may be hampered causing death or serious injury.
• The positioning belt should have a snug fit; tight enough to hold position, but not so tight
as to restrict breathing. You should be able to slide your hand between the positioning
belt and the user.
• NEVER Use Positioning Belts:
a. As a restraint. A restraint requires a doctor’s order.
b. On a user who is unconscious.
c. As an occupant restraint in a motor vehicle. A positioning belt is not designed to
replace a seat belt that is attached to the frame of a vehicle, which would be required of
an effective seat belt. During a sudden stop, with the force of the stop, the user would
be thrown forward. Wheelchair seat belts will not prevent this, and further injury may
result from the belts or straps.

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IV. WARNINGS
E. Transfers
WARNING: Be trained and assured that you can transfer on your own or have a person
assist you. It is dangerous to transfer on your own. It requires good balance and agility. Be
aware there is a point during every transfer when the wheelchair seat is not below you.
Failure to perform a transfer properly can result in a fall that could result in severe injury or
death.
A transfer requires good balance and stability. You should receive training from your therapist
before attempting to do a transfer on your own.
NOTE: Before transferring out of your wheelchair every caution should be taken to reduce
the gap between the two surfaces.
• Engage the wheel locks to lock the rear wheels.
• Rotate the casters forward to increase the wheelbase of the wheelchair.
• Remove or swing away the footrests.
• Have someone assist you unless you are well experienced in transfers.
F. Modifications
CAUTION: Your custom seating product was engineered and manufactured under strict de-
sign controls. An integral part of this process is ensuring the various components work to-
gether correctly; they have been tested to various standards to ensure quality and are
approved to work together.
Contact Ki Mobility or an authorized Ki Mobility supplier before adding any accessories or
components not provided by Ki Mobility.

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V. GENERAL INFORMATION AND SAFETY
IMPORTANT CONSUMER INFORMATION
NOTE: This manual contains instructions for use with Axiom Custom Seating. This
information must be provided to the consumer of this product. Do not remove this manual
before delivery to the consumer of this product.
Supplier: This manual must be given to the consumer of this product.
Consumer: Read the entire owner’s manual prior to using this product and keep on-hand for
future reference.
NOTE: Check all parts for shipping damage. In case of damage, DO NOT use. Contact the
supplier or Ki Mobility for further instructions.
A. Selecting the Proper Seating Product
Ki Mobility recommends that you consult with a licensed clinician (i.e. Physician or therapist)
trained in wheelchair seating and positioning before selecting any seating and positioning
product. This will help ensure you receive the right product for your specific needs. Axiom
Seating and Positioning products should only be installed and adjusted by an authorized Ki
Mobility supplier.
B. Become Familiar with this Manual
Before use, you and each person who may assist you, should read this entire owner’s manual
and follow all instructions. Review the Warnings often, until they are second nature to you.
C. Check Your Skin Daily
Axiom Seating and Positioning products are designed to improve pressure distribution and
increase sitting tolerance. Whether the product provided will meet your individual needs cannot
be assured in advance. The integrity of your skin can be affected by many aspects of your daily
life and medical condition, including the use of this product. Be sure to follow any skin care
regimens established by your clinician.
Users of this product should make sure their skin is inspected daily for changes. If you see
changes, discontinue the use of this product immediately and consult with your clinician. A key
clinical indicator of tissue breakdown is skin redness. If your skin develops redness, discontinue
the use of this product immediately and consult your clinician.
WARNING: Failure to perform proper skin inspection or continuing to use a seating
product after skin changes are present can affect your skin integrity, resulting in serious
injury or death.

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V. GENERAL INFORMATION AND SAFETY
D. Protecting Your Axiom Custom Seating
Avoid prolonged exposure to adverse environmental conditions. This may include excessive
exposure to sunlight and temperatures, either hot or cold. This can result in the degradation of
the performance of your Axiom Custom Seating.
WARNING: Failure to protect your Axiom Back may lead to changes that can affect your
skin integrity, resulting in serious injury or death.
Although your Axiom Custom Seating has been manufactured in accordance with its labeled
flammability standards, you should avoid exposing your cushion to open flames or extreme heat
sources such as a burning cigarette. This may cause your cushion to ignite or emit harmful
gases.
WARNING: Failure to protect your Axiom Custom Seating from extreme heat may cacuse
your Axiom Custom Seating to ignite or emit harmful gases, resulting in serious injury or
death.
E. Postural Supports and Accessories - Including
Removable, Adjustable or Hinged Components:
• Check the function of all movable component accessories that may be added to this
seating product such as swing away laterals, abductors and head supports during each
use. Ensure they adjust and lock into positions to provide the necessary support to the
user.
• Hinged or adjustable components move and can result in the opportunity for a "pinch
point" to exist. Be aware of these points and ensure all body parts are kept clear during
these movements and adjustments.

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V. GENERAL INFORMATION AND SAFETY
F. Transit Use
To identify whether the hardware you have is approved for transit use, look for the WC-20 tag,
located on the L-Bracket, shown below. Only transit approved hardware options will have this
tag.
WARNING: Never use a wheelchair or wheelchair seating, including Axiom Custom
Seating, as a seat in a motor vehicle unless it has been equipped with the Transit Option.
It is always safest to transfer out of your wheelchair onto a seat in a motor vehicle with
appropriate seat and shoulder belts. Using this wheelchair as a seat in a motor vehicle, if
not equipped with the transit option, could result in serious injury or death.
The Axiom Custom Seating System equipped with the Transit Option that has been tested to
and passed the RESNA WC-4:2012, Section 20 or ISO 16840-4:2009 - Part 4.
This seating has replaced the original equipment seat and/or back support designed and tested
as part of the Transit Option for the wheelchair. A complete system of wheelchair frame, seating,
Wheelchair Tie-down and Occupant Restraint Systems and a properly equipped motor vehicle,
that have all complied with the standards mentioned in this section, should be in place before
using a wheelchair equipped with the Transit Option as a seat in a motor vehicle.
When using your wheelchair as a seat in a motor vehicle you should always observe the
following instructions:
• The rider must use a Wheelchair Tie-down and Occupant Restraint System that complies
with RESNA WC-4:2012, Section 18: Wheelchair tie-down and occupant restraint systems
for use in motor vehicles or ISO 10542-1:2012 Technical systems and aids for disabled or
handicapped persons -- Wheelchair tie-down and occupant-restraint systems -- Part 1:
Requirements and test methods for all systems.
• Attach occupant restraints in accordance with the occupant restraint manufacturer’s
instructions and RESNA WC-4:2012, Section 18 or ISO 10542-1:2012, Part 1.
• Attach tie-downs in accordance with the occupant restraint manufacturer’s instructions
and RESNA WC-4:2012, Section 18 or ISO 10542-1:2012, Part 1.
• Use of lap belts, chest straps, shoulder harnesses, any other positioning strap system or
positioning accessory should not be relied on as an occupant restraint, unless it is marked
as such by the manufacturer in accordance with RESNA WC-4:2012, Section 18 or ISO
10542-1:2012, Part 1.
• Use of headrests, lateral supports or other positioning accessories should not be used, or
relied on as an occupant restraint, unless it is marked as such by the manufacturer in
accordance with RESNA WC-4:2012, Section 18 or ISO 10542-1:2012, Part 1 or RESNA
WC-4:2012, Section 20: Wheelchair seating systems for use in motor vehicles or ISO
16840-4:2009 Wheelchair seating -- Part 4: Seating systems for use in motor vehicles.
WC20WC20
Pinned
L-Bracket

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V. GENERAL INFORMATION AND SAFETY
F. Transit Use (Continued)
WARNING: Remove and secure any items temporarily attached to the chair while in a
motor vehicle. Leaving items attached to the vent tray, battery tray or oxygen tank holder
and not securing them properly and separately in a motor vehicle could result in these
items becoming dangerous projectiles in the event of an accident. Additionally, oxygen
tanks contain a highly pressurized gas that vigorously accelerates combustion.
NOTE: To obtain copies of RESNA or ISO standards please contact the standards
organizations below:
RESNA
1700 N Moore St Ste 1540
Arlington, VA 22209
Phone: [phone]
Fax: [phone]
Email: technicalstand[email protected]
ANSI/RESNA Standards:
RESNA WC-4:2012, Section 18:
Wheelchair tie-down and occupant restraint systems for use in motor vehicles.
RESNA WC-4:2012, Section 19:
Wheelchairs used as seats in motor vehicles.
RESNA WC-4:2012, Section 20:
Wheelchair seating systems for use in motor vehicles.
International Organization for Standardization (ISO)
ISO Central Secretariat
1, ch. de la Voie-Creuse
CP 56
CH-1211 Geneva 20 Switzerland
Phone: [phone]
Fax: [phone]
Email: [e-mail]
ISO Standards:
ISO 10542-1:2012 Technical systems and aids for disabled or handicapped persons --
Wheelchair tie-down and occupant-restraint systems -- Part 1:
Requirements and test methods for all systems.
ISO 16840-4:2009 Wheelchair seating – Part 4:
Seating systems for use in motor vehicles.
ISO 7176-19:2008 Wheelchairs – Part 19:
Wheeled mobility devices for use as seats in motor vehicles.

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VI. HARDWARE AND INSTALLATION
A. Transit 2 Point Knob Hardware Package
• Left and right corresponding seat and back mount brackets with hardware for quick
removal of the seating system from the chair.
• An optional tethered transit pin for added securement.
• Adjustable cane clamps that are to be installed to the chair frame permanently.
• Seat to Back Hinge keeps the back and seat connected.
• Seat Tabs give proper support while the rear of the seat rests on the canes.
NOTE: Standard cane size is 1".
NOTE: Seat to Back Bracket and Seat Tabs are only available in 2 Point Hardware.
Assembly
NOTE: Use 3/16 and 5/32 T-Handles to install hardware. Do not overtighten screws.
A. 1/4-20 x 3/4 Button Head Screws & 1/4-20 Flat
Washers
B. 1/4-20 x 1 1/4 Socket Head Screws
C. Seat Tab D. 1/4-20 x 1/2 Socket Head Screws & 1/4-20 Nylon
Nuts
Pinned
L-Bracket (2)
Hinged Seat
to Back
Bracket
Seat Tab
Knob Cane
Mount (2)
Fig. 1
A
B
C
AD
Fig. 2

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VI. HARDWARE AND INSTALLATION
B. Transit 4 Point Knob Hardware Package
• Left and right corresponding seat and back mount brackets with hardware for quick
removal of the seating system from the chair.
• An optional tethered transit pin for added securement.
• Adjustable cane clamps that are to be installed to the chair frame permanently.
NOTE: Standard cane size is 1".
Assembly
NOTE: Use 3/16 and 5/32 T-Handles to install hardware. Do not overtighten screws.
A. 1/4-20 x 3/4 Button Head Screws & 1/4-20 Flat
Washers
B. 1/4-20 x 1 1/4 Socket Head Screws
C. 1/4-20 x 1/2 Socket Head Screws & 1/4-20 Nylon
Nuts
Pinned
L-Bracket (2)
Knob Cane
Mount (2)
Fig. 3
A
B
C
Fig. 4

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VI. HARDWARE AND INSTALLATION
Mounting Instructions
1. To mount the hardware to the canes, loosen the socket head screws (Fig. 2 & 4:B).
2. Position the hardware at the desired location and tighten mount into position.
3. If angle adjustment is needed, loosen socket head screws (Fig. 2:D & Fig. 4:C). Set to the
desired angle and retighten.
4. In order for the L-Bracket to be flush with the back, poke/burn holes through the fabric and
mount the button head screws (Fig. 2 & 4:A) to the back.
NOTE: To mount the hardware to a seat base, follow the same mounting instructions
mentioned above.
2 Point Knob Hardware 4 Point Knob Hardware
Fig. 5

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VI. HARDWARE AND INSTALLATION
C. Removal and Reinstallation of Seating From Frame
When seat and back are installed as separate components.
1. Loosen all knobs on back. See Fig. 6 for the visual steps.
2. Remove optional tethered transit pin if applicable.
3. Lift back in an upward motion to clear all attaching hooks from hardware.
4. Remove seating.
5. Repeat steps for seat.
NOTE: To reinstall, go through the removal installation instructions in reverse.
Backrest Installed Loosen Knobs
Remove Pin (if present) Lift Backrest Hooks Up
Fig. 6

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VI. HARDWARE AND INSTALLATION
C. Removal and Reinstallation of Seating From Frame
When seat to back bracket is installed on seating system.
1. Loosen all knobs on seat and back. See Fig. 7 for the visual steps.
2. Remove optional tethered transit pin if applicable.
3. Lift the seat and back in an upward motion to clear attaching hooks from hardware. Hold the
back, at the top, and the seat, at the front edge, while lifting.
4. Remove seating.
NOTE: To reinstall, go through the removal installation instructions in reverse.
Seat and Backrest Installed Loosen Knobs
Remove Pin (if present) Lift Back and Seat Up
Fig. 7

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VI. HARDWARE AND INSTALLATION
D. Lateral Trunk and Lateral Thigh Supports
Depending on the hardware selected, thoracic laterals offer height and width adjustment along
with angle and depth adjustment. See Fig. 8.
NOTE: T-Nut adjustments - Locate the T-Nuts under the upholstery ensuring they are in the
correct adjustment location and will line up with the hardware parts. Puncture the
upholstery to allow the fastener to thread into the T-Nuts. Ensure that when attaching
fasteners to the seat or back, the threaded fastener inside the seat (T-Nut) is not
dislodged.
E. Medial Thigh Supports
The T-Nut patterns under the seat, located in the front of the seat, have attaching points for the
hardware to the base. See Fig. 9. When all adjustments are completed, retighten all hardware
and fasteners. Ensure that all movable parts function correctly and lock into place.
Fig. 8
Fig. 9

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VI. HARDWARE AND INSTALLATION
F. User Validation and Assistance
Dealer Assistance
During first time use by the client, it is advised that the Ki Mobility authorized supplier or ATP
assists and explains the configuration to the customer (the user and/or the attendant). If needed,
the dealer can make final adjustments.
User Testing
It is important that the customer is fully aware of the installation and how the headrest can be
adjusted in order to gain the best positioning possible. As a dealer, proceed as follows:
• Explain and show the customer how you have executed the installation and explain the
function.
Have the user test the position of the knob hardware:
• Is the hardware in the proper position for the client?
• Can the user safely operate the chair?
• Is the placement of the hardware in an optimal position for the user?
If needed, adjust the hardware to the proper position.
Explain to the customer any possible issues and how to address them.

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VII. MAINTENANCE
A. Inspecting Your Axiom Custom Seating
Regular and routine maintenance will extend the life of your seating while improving its
performance. Seating repairs and the replacement of parts should be done by a qualified
technician or an authorized Ki Mobility supplier.
1. General Inspections
a. Clean your seating at least once per month. You may need to clean your chair more
frequently if you operate it in dirty environments, such as a worksite.
b. Check your upholstery for tears or sagging.
2. Monthly Inspections
a. Fasteners:
• Loose fasteners should be retightened according to the installation instructions. All
fasteners should be tightened to any torque specifications that may be stated in the
hardware installation instructions. Contact your authorized Ki Mobility supplier
immediately to replace any broken or malfunctioning components.
b. Inspect seating for any deformities, defects, cracks or bends. These could be signs of
fatigue in the seating which could result in a failure of the seating. Discontinue use of the
seating immediately and contact your authorized Ki Mobility dealer.
c. Removable, Adjustable or Hinged Components
• Check the function of all moveable components such as swing away laterals,
abductors and head supports during each use. Ensure they adjust and lock into
position and supply the necessary support to the user.
d. Belts, Webbing, Straps and Upholstered Positioning Equipment:
• Check all components regularly and replace at the first signs of any tears, rips or
fraying. Keep foreign objects from entering the receiver parts of locking buckles and
ensure they positively latch at each use.
3. Annual Inspections
a. Have seating checked and adjusted by a qualified technician.
WARNING: Do not continue to use wheelchair and seating with broken or worn
components. Continuing use with broken or worn components could result in a fall or loss
of control and cause severe injury or death.
WARNING: After adjustments and before using this seating, ensure all fasteners are tight
and secure. Use of seating with loose hardware or components could result in damage to
the chair and/or seating system and could result in a fall or loss of control which could
cause severe injury or death.
CAUTION: Do not overtighten fasteners as this could damage the frame and/or seating
system.