Lifestand LSR User manual

USER MANUAL
EN
User manual
LSR
Wheelchair with stand-up function

Where to find LifeStand
Contact us if you have any questions regarding servicing or sales in the area
where you live.
LifeStand France SAS
5 Rue Clément Ader
69740 Genas
France
Tel. : (+33) (0)4 37 26 27 28
Fax : (+33) (0)4 37 26 27 29
Email : [email protected]

LSR
Wheelchair with stand-up function
Produced and published by Permobil AB, Sweden
Version: 6, 2015-10
Art. no.: 205259-UK-0

User Manual LSR
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Contents
5
Indications and Contraindications for the Use of Stand-up Wheelchairs ..................................... 6
Important information about the user manual................................................................................. 8
General information......................................................................................................................... 9
Technical support .................................................................................................................... 9
Spare parts & accessories....................................................................................................... 9
Scrapping................................................................................................................................. 9
Warranty.................................................................................................................................. 9
Incident reporting..................................................................................................................... 9
Product approval...................................................................................................................... 9
Safety rules and regulations.................................................................................................10-19
Design & function.......................................................................................................................... 20
General.................................................................................................................................. 20
Standing function................................................................................................................... 21
Relax function........................................................................................................................ 22
Control panel ........................................................................................................................ 23
Operation....................................................................................................................................... 24
General ................................................................................................................................. 24
Standing and relax function................................................................................................... 26
Driving Rules ........................................................................................................................ 29
Adjustment..................................................................................................................................... 33
Foot plate .............................................................................................................................. 33
Knee supports ..................................................................................................................... 34
Seat depth ........................................................................................................................... 35
Center of gravity .................................................................................................................. 36
The height of the armrest .................................................................................................... 37
Back rest angle .................................................................................................................... 38
Equalization system ............................................................................................................. 39
Anti-tip protection ................................................................................................................. 41
Brakes .................................................................................................................................. 42
Transport & Storage...................................................................................................................... 43
Use as a seat in a vehicle..................................................................................................... 43
Wheels................................................................................................................................... 44
Back rest................................................................................................................................ 45
Lifting points........................................................................................................................... 46
Maintenance and repairs............................................................................................................... 47
General.................................................................................................................................. 47
Batteries, storage................................................................................................................... 48
Charging batteries ................................................................................................................... 5
Cleaning................................................................................................................................. 49
Wheels................................................................................................................................... 51
Re-use ......................................................................................................................................... 52
Serial number labels ................................................................................................................... 53
Emergency operation of seat functions ....................................................................................... 54
Technical specifications ................................................................................................................ 55

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Indications and Contraindications for the Use of Stand-up Wheelchairs
Indications and Contraindications for the Use of Stand-up
Wheelchairs
Advice: These indications and contraindications are based on general observa-
tions. The conditions for regular standing training varies from person to person
and should be individually agreed with a doctor or therapist.
Only a doctor or therapist can decide which method and safe standing training
can be achieved with the Lifestand wheelchair.
Indications
Lifestand wheelchairs were specifically developed for people who have lost their
ability to stand (e.g. paraplegia, multiple sclerosis, cerebral palsy etc.). Standing
is used for therapy and prophylaxis of:
- Osteoporosis
Without regular standing / vertical stress of the bones, bone density can
steadily decrease.This leads to the risk of bone fractures and other compli-
cations.
- Decubitus prophylaxis
Whilst standing the pressure on the ischial tuberosity is reduced to a mini-
mum.
- Skeletal misalignments / back pain
Whilst seated the spinal column is naturally elongated (kyphosis/hunch-
back).Standing facilitates a natural spinal position and therefore better upper
body stability.This prevents the risk of a scoliosis.
- Muscular atrophy
Without regular leg movement, the risk of muscle shortening increases
(muscular atrophy) and consequently contractures may develop. Regular,
self-standing training help as movement therapy, thereby avoiding contrac-
tures and preventing possible associated pains and expensive operations.
- Tonus regulation of spasticity
Frequent standing helps to reduce spasticity and facilitates seat movement
and positioning in the wheelchair or bed.This supports a peaceful sleep.

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Indications and Contraindications for the Use of Stand-up Wheelchairs
- Deeper respiration
Straightening the upper body through standing decreases the pressure of
the abdominal cavity on the lungs. This improves and deepens respiration,
facilitates breathing and can also help reduce the risk of pneumonia.
- Gastrointestinal complications
As with breathing, standing also reduces the pressure on the digestive
system. This facilitates digestion (intestinal peristalsis) and helps with the
improvement of bowl and bladder functions.
Contraindications
A Lifestand wheelchair can only be used upon prescription by a doctor. Here
are the most common contraindications for the use of a Lifestand wheelchair.
m WARNING!
- Reduced bone density
Should the bones already be very weak it is not recommended to stand.This
could lead to fractures. In this case consult your doctor for a bone density
measurement.
- Poor circulation
For heart or circulatory diseases standing should only occur under medical
supervision (cardio training). Please consult a doctor in this case.
- Severe mobility limitations or severe contractures

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Important information
Important information about the user manual
Congratulations on choosing a LifeStand stand-up wheelchair. Our aim is your
continued satisfaction with your choice of supplier and wheelchair.
Before you start using your wheelchair, it is important to read and understand
this user manual and in particular the section on Safety.
The user manual is primarily intended to inform you about the functions and
capabilities of your wheelchair and to advise you on the best way of using it.
It also contains important safety and maintenance information and describes
some of the problems which might arise when you drive the wheelchair.
Always keep the user manual on or near your wheelchair, as you may need to
consult it for essential information on use, safety and maintenance.
You can also find information on our products on our website.You will find us at
www.permobil.com.
All information and all photographs, illustrations and specifications are based on
the product information that was available at the time this user manual was print-
ed. Pictures and illustrations that appear in the user manual are typical examples
and are not intended to be exact depictions of different parts of the wheelchair.
We reserve the right to make changes to the product without prior notification.
If you are visually impaired, this document can be viewed in PDF format at
www.permobil.com or alternatively ordered in large text.
Benefits of a Daily Standing Regimen
The use of any stand-up device should be done only under the prescription and
supervision of a medical professional. At the outset, it is recommended that
your introduction to regular standing be closely monitored by your Physical or
Occupational Therapist.
It has been documented that the regular and cyclical activity of going
from the seated to the standing position may offer many benefits to those
that are no longer able to stand on their own. The benefits are two fold:
1) there is the ability to once again function in daily activities that necessitate
standing (reaching file cabinets and equipment in the workplace, accessing cup-
boards/stoves/shelving at home, as well as the ability to interact eye to eye);and,
2) the potential of physical benefits that result from repeated standing (these
benefits may include improved; range of motion, bone density, circulation, bowel
and bladder function, etc.).

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Technical support, warranty, etc.
Technical support
In the event of technical problems, you should contact Permobil LifeStand.
Always state the wheelchairs serial number when contacting Permobil to ensure
that the correct information is provided.
Spare part & accessories
Spare parts and accessories must be ordered through Permobil. The expected
service life of this product is 5 years.
Scrapping
Contact Permobil LifeStand for information about scrapping agreements in force.
Warranty
All wheelchairs are supplied with a two-year product guarantee. Batteries and char-
ger are supplied with one year warranty.
Incident reporting
If an incident occurs please contact your nearest Permobil LifeStand representa-
tive. Normally the same person you contacted at purchase day. To prepare this
contact there is a link on our homepage, on the internet, at www.permobil.com.
Open up your country page and the contact page. Here is the needed contact
information and a guidance document in what information we need to investigate
the incident. Complete the information as much as possible. This is of great help
for us.
To increase the product quality and to ensure that our product is safe through
the whole life cycle we need you to send in Incident Reports. It is also stated in
MEDDEV 2.12-1 and Annex 9 that the manufacturer shall “Encourage users or
those given specific responsi-bility for reporting incidents that have occurred with
medical devices and that meet the criteria within these guidelines to report the
incidents to the Manufacturer and or to the Competent Authority in accordance
with national guidance”.
To meet the requirements and to ensure that our products shall remain safe in
your hands we need your assistance. We hope you never need to use the infor-
mation on this page but if there is an incident please contact us.
Product approval
This product fulfill the requirements according to EN 12183:2009, ISO 7176-
16:1997 and ISO 7176-19:2001.

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Safety rules and regulations
10
Safety rules and regulations
A stand-up wheelchair is a complicated product. Therefore, you need to be
very careful when you use and handle it. It is important to read and follow the
instructions and safety rules given in this user manual before starting to use
your wheelchair, as incorrect use could lead to injury to the user or damage to
the wheelchair.
Warning labels
The user manual contains the following "warning labels" which are intended
to draw attention to situations which could lead to problems, near-accidents,
personal injury or damage to the wheelchair, etc.
Permobil accepts no liability for personal injury or damage to property
which may arise from the failure of the user or other persons to follow the
recommendations, warnings and instructions given in this user manual.
Take care here.
m CAUTION!
Take extra care here.
Risk of personal injury or damage to the wheelchair and its surroundings.
m WARNING!

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Safety rules and regulations
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Safety rules and regulations
Your wheelchair may have been adjusted precisely to your needs on delivery, so
you should always ask the advice of the person who provided the seat for you
before making changes or adjustments to the wheelchair. Certain adjustments
may impair the wheelchair's safety/functions or its suitability for your needs.
It is also extremely important to take the necessary time to familiarize yourself
with the raising function of the wheelchair before you start using it.
Do not make your first attempt to stand up on your own. Make sure you have
assistance close by if you should need help.
To ensure that the seat has not been damaged during transport to you, please
check the following before initial use:
• Check that all products ordered are included in the delivery. If you suspect
that something is missing, contact your mobility aids center or Permobil as
soon as possible for further information.
• Check that no transport damage or other damage has occurred to the seat
or its accessories. If you discover any damage or notice any other problem,
contact your mobility aids center or Permobil as soon as possible for further
information before continuing your inspection.
Also check that the air pressure in the wheelchair tires is correct before you start
using the wheelchair.
If, in any situation, you find that the wheelchair does not behave as expected or
you suspect that something is wrong, contact your service contact or Permobil
for information.

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Safety rules and regulations
12
Safety rules and regulations
Operation
Do not allow children to drive the wheelchair unsupervised. Do not use the
wheelchair on public streets and roads.Follow local regulations for pedestrians
and remember that vehicle drivers may find it difficult to see you.
Do not drive the wheelchair if you are under the influence of alcohol. Alcohol
may affect your ability to use the wheelchair safely.
Some physical limitations or the ingestion of medicines, either prescription or
over the counter medicines, may limit your ability to use the wheelchair safely.
Always consult your physician about your limitations and medicines.
m CAUTION!
Maintenance and service
Carry out only the servicing and maintenance activities indicated in this user
manual. All other servicing, changes and interventions in the wheelchair
should be carried out by a qualified service engineer or a person with adequate
knowledge to undertake this in an expert manner. In case of doubt, always
contact a qualified service engineer or Permobil LifeStand.
Weight limits
The maximum user weight for your wheelchair is specified in the specifications
section of this user manual. If the wheelchair is used by anyone who weighs
more than the maximum permitted user weight, the result may be personal
injury or damage to property, including damage to the wheelchair. This may
also invalidate the wheelchair's warranty.
Do not carry passengers on the wheelchair. This can lead to personal injury
and damage to the wheelchair.
m WARNING!

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Safety rules and regulations
13
Safety rules and regulations
Driving on sloping surfaces
When you drive up a slope, ensure that you drive the wheelchair straight up the
slope (vertically). If you drive at an angle, there is an increased risk of tipping
over or falling. Be extremely careful when you drive up a slope.
Always avoid driving on slopes covered with snow, ice, gravel, clay, sand, wet
leaves or similar, or where the surface is uneven.
m WARNING!
Operation - turning/cornering
The risk of the wheelchair tipping over increases at high turning speed, in tight
curves, on uneven surfaces, with fast changes of direction and if you drive from
a place with low friction (for example a lawn) to a place with high friction (for
example a gravel road).
To avoid tipping over, with the risk of personal injury or damage to property that
entails, you should always drive slowly when turning/cornering and changing
direction.
Driving on steps and stairs
Wherever you come across obstacles, you should always approach them
slowly, preferably in the company of another person watching or helping you.
The front wheels can be raised from the ground by your carer by treading on
the anti-tip protection on the rear of the chair and pulling back and down on the
carer handle at the same time. Although it is not recommended for the chair
to be tipped back any further (the anti-tip protection will touch the floor), it is
possible. This is done by turning the anti-tip protection to the upper position
(see page 41).
Make sure to put the anti-tip protection into operational mode again once the
procedure is complete.
Driving on inclines
When moving uphill, always lean forwards and avoid changing direction
suddenly. When moving downhill, always lean backwards. It is also important
to keep speed and direction under control.
Make sure that the wheelchair is facing up or down the hill. Never try to drive
diagonally or swing down a slope.
m WARNING!

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Safety rules and regulations
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Safety rules and regulations
Passengers
The wheelchair is not designed to transport passengers, whatever their age.
Nor is it designed for taking heavy items other than the user's personal belong-
ings. The maximum user weight specified in the user manual for the seat in
question must not be exceeded. Ignoring this could impair the wheelchair's
maneuverability and stability.
Operation in different climates
Avoid exposing the wheelchair to very low temperatures, prolonged moisture,
heavy rain/snowfall and similar situations.
Do not use the wheelchair when it is icy or slippery outdoors.These conditions
may impair the performance and safety of the wheelchair, which could result
in accident, personal injury and damage to property, including damage to the
wheelchair.
Keep in mind that certain areas of the wheelchair, when exposed to external
sources of heat (e.g. sunlight) can increase in temperature.
m WARNING!

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Safety rules and regulations
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Safety rules and regulations
Seat belt
The seat belt is only designed to hold the user in place and not as protection
in the case of collision/accident. Check the condition of the belts regularly in
case any damage or worn places have developed. If damage has occured,
contact your equipment provider for replacement.
Getting in and out of the chair
Make sure the wheelchair brakes are activated before getting into or out of
the wheelchair.
When getting into or out of the wheelchair, you should take all precautions to
reduce the distance between the wheelchair and the point to which the user is
moving. If this distance is increased, it could result in the user losing balance
or falling over.
We recommend that users get in and out with another person present to keep
an eye on the operation or to help.
Be careful when bending down or reaching out to get something.
Do not use the foot plates or arm rests as supports when getting into or out
of the wheelchair. The foot plates and arm rests are not intended to support
heavy loads. Unnecessarily high load could cause them to give way, which
could result in personal injury or damage to property, including damage to the
wheelchair.
m WARNING!

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Safety rules and regulations
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Safety rules and regulations
EMC Requirements
The electronics of an power wheelchair can be affected by external electro-
magnetic fields (for example from mobile telephones). Similarly, the electronics
of the wheelchair itself can also emit electromagnetic fields that can affect the
immediate surroundings (for example certain alarm systems in businesses).
The limit values for Electromagnetic Compatibility (EMC) with respect to power
wheelchairs is set in the harmonized standards for the EU in the Medical
Devices Directive, No. 93/42/EEC.
Permobil LifeStand’s electronic wheelchair’s comply with these limit values.
m CAUTION!
Transport
The wheelchair must only be transported in vehicles approved for this purpo-
se. Always ask for confirmation of the transporter that the vehicle is suitably
designed, insured and equipped to transport a person in a wheelchair. A
wheelchair is not designed as a car seat and cannot offer the same degree
of safety that is offered by standard car seats, no matter how securely it has
been fastened in the vehicle concerned. Carefully check that the wheelchair
is properly fixed and that the wheel locks are engaged. The wheelchair
must only be locked into position with loading straps from the tie-down point
at the front and the rear, marked with stickers. The wheelchair must not
be secured onto any other part of the wheelchair including the seat. If the
wheelchair needs to be transported with the user seated in it, be sure to use
an approved attachment system suitable for the total weight of the wheelchair
to secure the wheelchair. LifeStand recommends that the wheelchair be
equipped with a headrest and that this is used during transportation. During
transportation it is essential that you are secured with a three-point safety
belt that is attached to the floor and a side of the vehicle. Positioning belt are
designed to position the user only and not to protect you in the event of a motor
vehicle accident.The positioning belts do not replace use of a vehicle mounted
restraint.
m WARNING!

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Safety rules and regulations
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Safety rules and regulations
Flame resistance
The material components have been tested against flammability. Seat cush-
ions, back cushions and casing have been tested according to European flam-
mability testing. (EN 1021-1:2006 and EN 1021-2:2006) Plastic parts fulfil the
requirements according to UL94.
Maintenance and service
Carry out only the servicing and maintenance activities indicated in this user
manual. All other service, alterations and changes to the wheelchair and the
vital systems of its accessories must be carried out by a competent service
engineer or a person suitably qualified to do so in an expert manner. In case of
doubt, always contact a qualified service engineer or Permobil.
Use only spare parts or accessories approved or recommended by Permobil.
All other use could lead to changes which might impair the functions and safety
of the wheelchair. It could also lead to the warranty for your wheelchair becom-
ing invalid.
m WARNING!

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Damage to/breakdowns in the wheelchair and its accessories
If at any point you notice that the wheelchair and its various functions are not
behaving as expected or if you suspect something is wrong, stop using your
wheelchair as soon as possible, turn off the wheelchair and contact your mobility
aids center or Permobil LifeStand for information.
It is extremely important that Permobil LifeStand is informed if the wheelchair
or its accessories have been damaged during transport, during driving or for
any other reason as soon as possible after the damage has occurred. There
could be a risk that the wheelchair and its accessories can no longer be oper-
ated safely and without danger.
Disposal
Used wheelchairs and batteries, or defect batteries must be disposed of
according to applicable local waste disposal regulations and in an environmen-
tally friendly manner.
m WARNING!
Safety rules and regulations

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Clamping points
In the following positions of the wheelchair there is an increased risk of entrap-
ment. Please exercise particular caution here. Pay attention to the marked
areas on the gap between moving and stationary parts.Danger that lose items
of clothing or hands could become clamped.
WARNING!
Safety rules and regulations

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Design & function
20
Design & function
General
LSR is a manual wheelchair for outdoor and indoor use.It is intended for people
with physical disabilities. Its raising function allows the user greater freedom of
movement. We recommend gradual training in standing up under the guidance of
a physiotherapist before you use "LSR" every day.You will gain the greatest benefit
in standing up if you regularly switch between a sitting and a standing position.This
alternation is simple with the LSR wheelchair.
The wheelchair consists of a seat frame and a seat.The wheelchair is equipped
with armrests, footplates, anti-tip protection and any accessories/options such
as side guards and positioning belts.
Overview
1. Arm rest
2. Knee supports
3. Leg rest
4. Foot plate
5. Push handle
6. Back rest
7. Rear wheels
8. Front wheels
1 6
2
3
48
7
5