Leckey Squiggles TT User manual

Squiggles TT
User Manual
Supporting
Children

p.2 Squiggles TT User Manual
The Squiggles TT is a targeted trainer that
has been designed to offer the support your
child needs in an upright, standing posture.
The stander is modular in design and has
been developed for use in school or at home.
This manual shows how to quickly, safely and
easily use your Targeted Trainer Standing
Frame functions. The instructions on the
safety and maintenance will ensure that you
will enjoy this product for a long time.

Squiggles TT User Manual p.3
Contents
1. Intended Use p.03
2. Declaration of Conformity p.03
3. Terms of Warranty p.04
4. Product History Record p.04
5. Product Training Record p.04
6. Safety Information p.05
7. Contra-indications p.06
8. How to unpack and assemble the standing system p.06
9. Fitting the cushions p.11
10. Clinical setup for postural management p.14
11. Frequent adjustments for daily use p.20
12. Cleaning & care information p.24
13. Daily product inspection p.25
14. Annual product inspection p.26
15. Reissuing Leckey products p.27
16. Product servicing p.27
17. Technical information p.28
1.0 Intended Use
The Squiggles TT is a standing frame that enables targeted
training which has been designed for children with disabilities
aged 1–5 for use at home or in the classroom. The maximum
user weight is 22kgs (48.4lbs). Suitable for children with
decits in head/trunk control and delays in achieving
functional abilities, especially independent upright sitting
with or without hand support.
2.0 Declaration of Conformity
Declaration of Conformity James Leckey Design Ltd.
as manufacturer with sole responsibility declares that the
Targeted Trainer Standing System conforms to the requirements
of the 93/42/EEC Guidelines Medical Device Regulations 2002
and EN12182 Technical aids for disabled persons.
General requirements and test methods.

p.4 Squiggles TT User Manual
4.0 Product History Record
Your Leckey product is classied as a Class 1 Medical device
and as such should only be prescribed, set up or reissued for
use by a technically competent person who has been trained
in the use of this product. Leckey recommend that a written
record is maintained to provide details of all set-ups,
reissue inspections and annual inspections of this product.
5.0 Product Training Records
(Parents, Teachers & Carers)
Your Leckey product is a prescribed Class 1 Medical Device
and as such Leckey recommend that parents, teachers and
carers using the equipment should be made aware of the
following sections of this user manual by a technically
competent person:
3.0 Terms of Warranty
The warranty applies only when the product is used according to
the specied conditions and for the intended purposes, following
all manufacturers’ recommendations (also see general terms of
sales, delivery and payment). A three year warranty is provided
on all Leckey manufactured products and components.
6.0 Safety Information
10.0 Clinical Setup
11.0 Frequent Adjustments for Daily use
12.0 Cleaning and Care
13.0 Daily Product Inspection
Leckey recommend that a written record is maintained of all
those who have been trained in the correct use of this product.

Squiggles TT User Manual p.5
6.0 Safety Information
6.1 Always read instructions
fully before use.
6.2 Users should not
be left unattended at
any time whilst using
Leckey equipment.
6.3 Only use Leckey
approved components with
your product. Never modify
the product in any way.
Failure to follow instructions
may put the user or carer at
risk and will invalidate the
warranty on the product.
6.4 If in any doubt to the
continued safe use of your
product or if any parts
should fail, please cease
using the product and
contact our Customer Care
Team or local dealer as
soon as possible.
6.5 Carry out all positional
adjustments and ensure
that they are securely
fastened before you put the
user into this product. Some
adjustments may require
the use of a tool which is
provided with each product.
Keep all tools out of reach
of children.
6.6 When putting the
user into the stander both
for positional and safety
reasons, always secure the
pelvic and chest support
harnesses rst.
6.7 When the product is
stationary ensure that all
castors are locked and
facing away from the base
as this will improve product
stability. This is especially
important when the
support frame is in a
reclined position.
6.8 When the product is in
use please ensure that the
angle adjustment foot pedal
is locked off and cannot
be adjusted accidentally,
especially if there are
children in the area.
6.9 When the Squiggles TT
is used on the Pivot chassis
we do not recommend
that users are moved over
uneven surfaces when in the
equipment. All due care and
attention should be taken if
transporting the user in
and out of the stander.
6.10 Never leave the
product on a sloping
surface, greater than 5
degrees. Always remember
to lock all the castors.
6.11 Although the Pivot
stander is tted with castors
this is not a mobility device.
Always place the user in
an upright position before
moving the stander. Hold
the push handle when
moving the stander.
6.12 The product contains
components which could
present a choking hazard to
small children. Always check
that locking knobs and bolts
within the child’s reach are
tightened and secure at
all times.
6.13 Leckey products
comply with re safety
regulations in accordance
with EN12182. However the
product contains plastic
components and therefore
should be kept away from
all direct sources of heat
including naked ames,
cigarettes, electric and
gas heaters.
6.14 Do not place hot
objects greater than
40ºC on the tray.
6.15 Clean the product
regularly. Do not use
abrasive cleaners.
Carry out maintenance
checks on a regular basis
to ensure your product is
in good working condition.
6.16 The product is
designed for indoor use and
when not in use should be
stored in a dry place that is
not subjected to extremes
of temperature. The safe
operating temperature
range of the product is
+5 to +40 deg Celsius.
6.17 Always check the
plastic hand knobs on the
push handle are tightened
securely before you move
the unit.

p.6 Squiggles TT User Manual
7.0 Contra-indications
8.0 How to unpack & assemble
the standing frame
8.1 Folding and unfolding
the pivot chassis
The Pivot Chassis can be
easily folded for storage or
transportation. To unfold,
release the levers shown
by pressing them together,
rotate the rear tubes until
the levers engage in the
locked position. To fold the
chassis simply reverse
this procedure.
Always remove the standing
support frame before trying
to fold the chassis.
Always use caution to ensure
ngers do not become
trapped when folding and
unfolding the pivot chassis.
7.1 Contra-indications
Children experiencing
discomfort that cannot be
resolved by adjustment
of support/positioning.
Children with hip/knee
exion contracture beyond
the limits of the Squiggles
Targeted Training Stander
7.2 Caution to be taken with
Children with a history of
recent fractures, presenting
with episodes of low blood
pressure at risk of fainting
within equipment, poorly
controlled seizure activity
where they could be at risk
of injury to themselves within
the stander, severe dystonic
movement which presents
a manual handling
risk for child and carer,
compromised respiratory
function, signicant learning
disability or behavioural
issues which present risk of
injury or anxiety to the child
and/or carer & children with
a xed structural deformity
of the spine.

Squiggles TT User Manual p.7
The Targeted Trainer has
been designed to t with
a pivot chassis.
8.2 Attaching stander
to pivot chassis
To attach the stander to
the Pivot Chassis, pull the
locking pin out , slide
the central spine into the
receiving bracket until it is
fully engaged, release the
pin allowing it to snap
back into place.
Always make sure the locking
pin is fully engaged before
you place the child
in the stander.
8.3 Attaching the horizontal
support
To attach the Leckey
Horizontal Support rst open
the locking lever by pressing
the safety button and pulling
the handle . Then slide
the stem into the receiving
bracket on the central spine,
set to the desired position
and secure using the locking
handle.
The angle adjustment plate
allows the angle of the
stander to be changed and
set.
To adjust the plate loosen
the bolts with the Leckey
tool provided.
Slide the plate along the
slots until it contacts the
upright support at the
desired angle.
The position of the assembly
can be adjusted up the
spine. However this should
only be necessary if the
spine assembly is adjusted.
The plate position relative to
the chassis should always
be as shown.

p.8 Squiggles TT User Manual
8.4 Attaching the headrest
To attach the Leckey
headrest rst open the
locking lever by pressing
the safety button and
pulling the handle .
Then slide the stem into
the receiving bracket on
the central spine, set to
the desired position
and secure using the
locking handle .
The product contains
components which
could present a choking
hazard to small
children. Always check
that locking knobs and
bolts within the child’s
reach are tightened
and secure at
all times.
8.5 Inserting sandal
attachment bolt
Insert the required
attachment bolt along
with the retention plate .
Place a rubber lid on,
both, the top and bottom
of the sandal. Fasten using
the four screws provided.
To remove or replace the
attachment bolt, reverse
this process.

Squiggles TT User Manual p.9
8.6 Attaching the sandals
Place the sandal so that
the attachment bolt goes
through the slot in the
footplate. To secure, on the
underside of the footplate
place the rubber washer
, followed by the metal
washer and then the knob
onto the attachment
bolt. To position the sandals
simply loosen the knob
under the footplate, select
the position you require
and re-fasten the knob.
8.7 Assemble the tray
To attach the arms to
the tray brackets, loosen the
knob, place the moulding to
the inside of the tray plate
so the plastic teeth mesh .
Replace the knob on the
outside and secure. Repeat
on other side. Ensure both
horizontal tubes are aligned
so they locate in the tray
bracket receivers .
Please be aware of a
gap on the underside of
the tray where a child
could insert their nger
between the metal
bracket and the base of
the plastic tray.

p.10 Squiggles TT User Manual
8.8 Attaching the tray in
supine
The tray is attached to the
stander by inserting the
tubes into the receiving
brackets. Once the tray is
located in position the knobs
should be tightened. The
cut out of the tray should
always be facing the child.
To attach the tray ensure
that the tray receiving
tubes are at their
maximum height.
Always use caution
to ensure the child’s
hands or arms do not
become trapped when
inserting the tray.

Squiggles TT User Manual p.11
9.1 Knee support pads
Unscrew the washer and
bolt from the knee cup using
the Leckey tool . Ensure
the buckles are facing away
from the frame. Holding the
knee cup in position against
the plate, place the washer
and screw into position on
the other side and secure
together .When secured
in place, adjust as
needed . Once knee is in
correct position, secure
cam-lock for further
repeatability .
9.2 Padded Spine Cap
Place the padded spine
cap over the spine of the
standing support and place
the plastic loops around
the adjustment knobs.
9.3 Headrest cushion
To attach the headrest cushion,
place the cushion onto the
head support plate, then Velcro
and bring the lower ap under
the plate and Velcro the two
fasteners in place.
9.0 Fitting the Cushions

p.12 Squiggles TT User Manual
9.4 Attaching the lateral
covers
Slide the cover over the front
of the lateral.
Pull the tabs around the
back and secure the Velcro
in place.
9.5 Horizontal support
cushion
Slide the cushion over the
horizontal support plate.
Feed the Velcro aps
through the groove at the
back and secure in place.
Without Cover
With Cover
Front View Back View Cushion

Squiggles TT User Manual p.13
9.6 Pelvic and Trunk wrap
Fit the cushion over the
plastic support .
Slide the tab up from below
and attach the velcro to the
tab over the top .
Screw the wrap to the plate
through the holes on the
wrap. Tighten until secure,
ensuring not to over tighten
.
Cover the screws with the
padded Velcro tab .
Trunk Wrap
Pelvic Wrap
Cushion

p.14 Squiggles TT User Manual
10.0 Clinical setup
10.1 Before you start
It is recommended before
setting up the Squiggles TT
that a mat assessment is
done. To do this, place the
child in supine (lying on their
back) on the mat. You will
need to measure from the
bottom of the child’s foot in a
neutral position to the child’s
ASIS . This will be the height
between the centre of the
PELVIC SUPPORT and the top
of the sandal. It can be set by
adjusting the leg supports .
Measure the distance from the
child’s ASIS to the point where
they start to lose trunk control
(see ‘SATCo’ assessment).
This will be for the placement
of the TRUNK SUPPORT .
Measure from the bottom of
the child’s foot to the centre
of the knee. This will be for
placement of knee supports.
It’s recommended to adjust
the height whilst the frame is
in an upright position.
10.2 Adjusting the
overall height
The overall height of the
standing support can be
adjusted by loosening the
bolt on the back of the
main frame with the
multi-tool . Sliding the
inner stem to the desired
height and re-tightening
the Allen bolt. A calibration
strip is tted on the side
of the inner frame to help
you record the selected
positions of the supports.
There is also a safety stop
at the maximum height.

Squiggles TT User Manual p.15
10.3 Adjusting the
push handle
The push handle height can
be adjusted by loosening
the Allen bolt at the
attachment point to the
stander, adjusting to the
desired height then
re-tightening the Allen
bolt. The angle of the push
handles can be adjusted
by loosening lever at
the attachment point to
the stander. Rotate the
push handle to the desired
position, then secure the
lever to original orientation.
10.4 Adjusting the trunk
and pelvic supports
To adjust the trunk support
rotate both knobs in an
anticlockwise direction as
shown. Set to the required
position and then re-tighten
both knobs in a clockwise
direction as shown .
To adjust the pelvic support
loosen the 4 locking bolts
(2 either side) . Rotate
both knobs in an
anticlockwise direction as
shown. Set to the required
position and re-tighten
both knobs in a clockwise
direction as shown .
Finally re-tighten the 4
locking bolts.
To prevent nger nipping always hold the
push handle with one hand whilst making
the adjustment with your other hand.
Always use caution to ensure
ngers do not become
trapped when adjusting the
trunk and pelvic supports.

p.16 Squiggles TT User Manual
10.5 Lateral supports
Loosen the hand knob
to adjust the width of
the lateral supports and
re-tighten when you have
achieved the desired
position. If the lateral
supports are attached
with bolts instead of hand
knobs they can be adjusted
with the multi tool.
Always use caution to
ensure ngers do not
become trapped when
adjusting the lateral
supports.
10.6 Adjusting the height,
depth and angle of the
knee cups
Each knee cup can be
positioned independently.
To adjust the height, depth
and angle of the knee cups,
loosen screw , select the
height, angle and depth
required and re-tighten
the screw securely. To adjust
the width of the knee cup
loosen screw , set to
the desired width then
re-tighten.

Squiggles TT User Manual p.17
10.7 Headrest adjustment
The headrest should only be
used for horizontal transfer
and when the child has poor
head control and needs
training in this segment.
To adjust the height, depth
and angle of the contoured
headrest, loosen the hand
knobs and when set to
the desired position
re-tighten the knobs.
10.8 Flat headrest
lateral adjustment
To adjust the width of the
laterals loosen plastic knob
to desired position and
tighten securely.
Always use caution to
ensure ngers do not
become trapped when
height adjusting the
headrest.

p.18 Squiggles TT User Manual
10.9 Sandals positioning
To position the sandals
simply loosen the knob
under the footplate, select
the position you require
and re-fasten the knob.
To position the user’s feet
in the sandals secure the
Velcro straps provided so
the foot is held in place.
The straps should be
placed over the bridge of
the foot and over the toes.
The front strap can be fed
through one of two slots on
either side of the sandals,
depending on the size of
the user’s feet.
10.10 Footplate angle
adjustment
To set the angle
to accommodate
plantarexion and
dorsiexion, simply loosen
or tighten the knob
to set the desired angle.
If the child is wearing
sandals or light footwear
check the straps to make
sure the webbing does
not irritate the skin.

Squiggles TT User Manual p.19
10.11 Adjusting the
height of the tray
The height adjustment
knobs for the tray are
located on either side of
the central spine. Loosen
the 2 knobs , select
the required height
and re-tighten.
10.12 Adjusting the depth
and angle of the tray
Loosen the adjustment knob
on either side, slide the
tubes along the receiving
brackets to achieve the
desired depth and re-tighten
the knobs. To adjust the
angle of the tray loosen the
knobs on either side of
the tray, set the tray to the
required angle and
re-tighten.

p.20 Squiggles TT User Manual
11.0 Adjustment for daily use
(therapists/carers/parents)
11.1 Before transferring in
to the Targeted Trainer
Ensure the dynamic base is
in a stored position (grey
marker on the dynamic
base) before transferring
the child in to it. Carry out
the daily product inspection
as outlined in section 12 of
this user manual. Lock all
the castors , ensuring that
they are facing outwards to
maximise product stability.
Unlock the break release
point . While pressing
down on the break, pull
the handles down so that
the Squiggles TT is almost
horizontal (5 degrees off
horizontal). Make sure the
straps on the trunk and
pelvic supports are released
and out of the way to
facilitate transfer. Transfer
child in to the Squiggles TT.
Parents and carers should be shown how to make
adjustments and made aware of the safety checks in
section 6 by a technically and clinically competent
person who has been trained in the use
of the product. Leckey recommend that a written
record is maintained of all parent and carers who
have been trained in the use of this product.