Ormesa DONDOLINO Series Manual

INGLESE - Cod. 22219 -15-03-13
USE AND MAINTENANCE HANDBOOK
DONDOLINO
STANDING FRAME
DONDOLINO
STANDING FRAME

Pagina 1 di 24
ORMESA thanks you for the confidence placed in choosing our DONDOLINO standing frame.
DONDOLINO is a standing frame where the attention to its functionality unites with the respect of
ergonomic and safety principles.
ORMESA then suggests you to read this handbook very careful to fully understand its con-
tents. It will help you in becoming familiar with DONDOLINO soon and more efficaciously, and
you will also find many practical advices to use it safely and in the best possible way and to keep
it perfectly efficient.
Following our advice we’ll help you in reaching the rehabilitation aim this aid has been designed
for.
If, after reading it, you still have questions, contact your retailer, who will be happy to help you, or
call ORMESA directly at [phone], send a fax to [phone] or send an e-mail to:
[email protected]
Luigi Menichini
Managing Director

Pag. 2 di 24
INDEX
WARNINGS........................................................................................................................................3
GUARANTEE.....................................................................................................................................5
HOW TO STORE AND TRANSPORT THE MEDICAL DEVICE .......................................................5
LABELS AND PLATES .....................................................................................................................6
SOME EXAMPLES OF WHAT SHOULDN’T BE DONE WHILE USING DONDOLINO...................6
TECHNICAL SPECIFICATIONS........................................................................................................7
WHAT DONDOLINO IS AND WHAT IT IS FOR................................................................................9
HOW DONDOLINO WORKS.............................................................................................................10
INITIAL PREPARATION....................................................................................................................11
INFORMATION ABOUT THE PACKING...........................................................................................11
HOW TO ASSEMBLE DONDOLINO.................................................................................................12
HOW TO ADJUST DONDOLINO ......................................................................................................14
ADJUSTMENT of the FRAME in TILT......................................................................................15
ADJUSTMENT of the FOOTREST in HEIGHT.........................................................................16
ADJUSTMENT of the HEELREST in WIDTH ...........................................................................16
ADJUSTMENT of the HEELRESTS in DEPTH ........................................................................17
ADJUSTMENT of the KNEE-PADS in WIDTH .........................................................................17
ADJUSTMENT of the KNEE-PADS in DEPTH.........................................................................18
ADJUSTMENT of the KNEE-PADS in HEIGHT........................................................................18
ADJUSTMENT of the KNEE-PADS in a ROTATORY WAY.....................................................19
ADJUSTMENT of the CHEST and PELVIC SUPPORT in its CIRCUMFERENCE ..................19
ADJUSTMENT of the CHEST and PELVIC SUPPORT in HEIGHT.........................................20
ADJUSTMENT of the TABLE in HEIGHT.................................................................................20
ADJUSTMENT of the TABLE in DEPTH ..................................................................................21
ADJUSTMENT of the TABLE in TILT .......................................................................................21
MAINTENANCE AND CLEANING OF DONDOLINO .......................................................................22
CUSTOMER SERVICE AND SPARE PARTS...................................................................................23
CONDITIONS FOR DURABILITY, REUSE AND REASSIGNMENT TO A NEW USER ..................24

Pag. 3 di 24
WARNINGS
-CAREFULLY READ AND UNDERSTAND THE INSTRUCTIONS IN THIS MANUAL
BEFORE USING THE DEVICE BECAUSE THEY HAVE BEEN WRITTEN WITH THE
USER'S SAFETY IN MIND and they will help the carer use the product safely and
keep it in good working order. The Use and Maintenance Manual is an integral part of
the product and must be carefully preserved for future reference.
-THE MANUAL IS INTENDED FOR TECHNICALLY QUALIFIED RETAILERS AND
FOR USERS AND THEIR ASSISTANTS; it provides instructions for using the product
correctly and must be supplemented by adequate knowledge of the rehabilitation pro-
gram for which it has been prescribed.
- The manual reflects the technical state of the product at the time it was sold.
ORMESA RESERVES THE RIGHT TO MAKE ANY CHANGES TO THE PRODUCT
OR MANUAL suggested by experience, technical considerations or regulatory devel-
opments without any obligation to update its previous production and relevant manuals.
-DONDOLINO must be prescribed by a MEDICAL SPECIALIST who will also super-
vise its use.
-The effective use of DONDOLINO requires training by SPECIALIZED PERSON-
NEL such as ORTHOPAEDIC TECHNICIANS, THERAPISTS OR DOCTORS.
-ATTENTION!: ADJUST DONDOLINO to the CORRECT POSITION for its use (see.
§ «HOW TO ADJUST DONDOLINO» pag. 14)
-ATTENTION!: after making any type of adjustment MAKE SURE that ALL
ADJJUSTABLE PARTS ARE LOCKED, in order to avoid any possible danger to the User.
-DONDOLINO must only be used by persons whose bodily measurements and
weight conform to the specifications in the paragraph “TECHNICAL CHARACTERIS-
TICS” on page 8
-DONDOLINO must be used with the assistance and constant presence of quali-
fied personnel or a family member.
-Make sure that all adjustable parts have been locked before each use.
-To make adjustments while the product is in use, follow the instructions in section
“HOW TO ADJUST DONDOLONO” on pages 14 and following of the manual.
-ATTENTION!: THE PRODUCT IS NOT FIREPROOF, so keep DONDOLINO far from
flames, cigarettes or fires.
-Clean DONDOLINO following the instructions shown in the “MAINTENANCE” sec-
tion (see page 22).
-DONDOLINO IS ONLY DESIGNED FOR INDOOR USE

Pag. 4 di 24
DONDOLINO IS A MECHANICAL MEDICAL DEVICE:
Perform REGULAR MAINTENANCE and CLEAN-
ING following the instructions shown in the "Mainte-
nance" chapter on page 22-23 and HAVE THE DE-
VICE INSPECTED AT THE INTERVALS INDICAT-
ED to VERIFY that it is WORKING PROPERLY and in
GOOD CONDITION, otherwise warranty will fail and
marking will lapse
PRODUCT REPAIRS other than the regular mainte-
nance shown on page 22-23 of the manual must be
ONLY MADE by a SPECIALIZED SERVICE CEN-
TER in the maintenance of mechanical aids for disa-
bles, otherwise warranty and marking will be
voided
Any CHANGES in the product and the REPLACE-
MENT WITHOUT ORIGINAL PARTS OR COM-
PONENTS ARE NOT AUTHORIZED. REFER ONLY
TO ORMESA, otherwise warranty and marking will
be voided
In case of DOUBT about the SAFETY of the product
or DAMAGE to parts or components, you are urged
to IMMEDIATELY DISCONTINUE USE and CON-
TACT a SPECIALIZED SERVICE CENTER in the
maintenance of mechanical aids for disables, or di-
rectly ORMESA.

Pag. 5 di 24
GUARANTEE
ORMESA warrants the DONDOLINO stander for 2 years. In case of problems, con-
tact the retailer where you purchased it. . Always ask for original spare parts, otherwise
the guarantee will decline
ORMESA will not be liable for damage in the following cases:
- use by an unsuitable person;
- incorrect assembly of parts or accessories;
- unauthorized modifications or service;
- use of other than original replacement parts and parts subject to wear (upholstery, wheels, etc);
- improper use (such as, transporting objects or loads larger or heavier than those shown in the
instruction manual);
- damage caused by incorrect use and lack of regular maintenance, as shown in the instruction
manual;
- exceptional events;
- failure to follow the instructions in this manual.
THE GUARANTEE DOES NOT COVER WEAR PARTS, which are subject to wear
and tear, such as the upholsteries and the wheels.
HOW TO STORE AND TRANSPORT THE MEDICAL DEVICE
TORE AND TRANSPORT THE MEDICAL DEVICE
THE DEVICE MUST BE STORED AND PACKED using the Ormesa original packag-
ing materials, unless the guarantee will be voided
Once unpacked, THE TRANSPORT OF THE DEVICE must be done by ANCHORING
ADEQUATELY it to the vehicle
When travelling by plane, or in the car, DO NOT SUBJECT THE FOLDED FRAME TO
LOADS THAT, especially with road bumps, COULD DAMAGE ITS STRUCTURE
THE DEVICE MUST BE PARKED / STORED IN CLOSED AND DRY PLACES
The operating environment has no particular influence on the device unless it is
used incorrectly, such as by leaving it parked for a long time in direct sunlight or
exposed to bad weather such as rain, or in marine environments, where the salt air
could corrode the paint and sliding parts. In this case, we recommend carefully
cleaning and drying the frame following the instructions shown in the “Mainte-
nance, Cleaning and Disinfection” chapter on pages 22-23 AND THE WARNINGS
ON PAGE 23

Pag. 6 di 24
LABELS AND PLATES
THE MARKING CERTIFIES THAT DYNAMICO WALKING AID IS IN CONFORMITY WITH THE
SAFETY STANDARDS FIXED BY THE EUROPEAN COMMUNITY, AND PARTICULARLY WITH
THE 93/42/EEC AND SUBSEQUENT MODIFICATION AND SUPPLEMENTS.
SOME EXAMPLES OF WHAT SHOULDN’T BE DONE WHILE
USING DONDOLINO
-DONDOLINO has to be used by those children whose bodily size and weight are
just like the ones we specify: it has to be prescribed by a specialized doctor ac-
cording to the laws, standards and rules in force
-Never put the aid on a slope
-Never lift the standing frame in order to move it while the User is using it
-Don’t put anything too hot on the tray because the wood or covering could be
hardly
-damaged
-In order to adjust the parts while the user is using it scrupulously follow the par-
agraph § “HOW TO ADJUST DONDOLINO” on page 14 of the Use and Mainte-
nance Handbook
-DONDOLINO has not been designed for the outdoor use unless it is on flat paved
ground, well sheltered from bad weather
-Never use the product if there are damaged or missing parts
-Always ask for original spare parts, on the contrary the guarantee decays and
ORMESA will be no more responsible for the product
Series number Article number
Max load
Date of
production
Warning! Read the
useand maintenance
handbook before use
Conformity with the
European safety
standards
LOT code
®
s.r.l.
Via A. Da Sangallo, 1 06034 Foligno (PG) ITALY Tel. [phone] Fax [phone]
MODEL. PART N°
S N
LOT MAX. KG
!
Name of the model

Pag. 7 di 24
TECHNICAL SPECIFICATIONS
DONDOLINO is available in three sizes (see page 8)
FRAME varnished with non-toxic epoxy-powder paint and with chromium-plated and
adjustable parts. It is adjustable in tilt
TABLE in multilayer wood. It is adjustable in height, tilt and depth. It can be removed
KNEE-PADS adjustable in height, width, depth and in a rotatory movement
HEELRESTS adjustable in depth and width
MULTILAYER WOOD BASE adjustable in height
PELVIC SUPPORT adjustable in its circumference thanks to Velcro straps, in height,
back and forward
CHEST SUPPORT (just for size 2 and 3) adjustable in its circumference thanks to Vel-
cro straps and in height
Unpierceable WHEELS, diam. 75 mm, with brakes. Thanks to the wheels the aid can
be moved from one room to another with the User

Pag. 8 di 24
The numbers divided by the dash specify a minimum and a maximum adjustment
Measures in cm
DONDOLINO 1 Weight of the aid Kg. 16,7 Max. Load Kg. 35
DONDOLINO 2 Weight of the aid Kg. 22,8 Max. Load Kg. 45
DONDOLINO 3 Weight of the aid Kg. 25 Max. Load Kg. 55

Pag. 9 di 24
WHAT DONDOLINO IS AND WHAT IT IS FOR
DONDOLINO IS A STANDING FRAME DESIGNED AND MANUFACTURED TO HELP
CHILDREN FROM 1 TO 10 YEARS OLD TO ACHIEVE AND MAINTAIN AN UPRIGHT
POSITION.
DONDOLINO HAS BEEN DESIGNED AND MANUFACTURED :
- for training and achieving an independent upright position
- to maintain a vertical position with a two-foot load, as an alternative to an independent position that
would otherwise be impossible
It is important to remember that:
- the upright position is the ideal antigravity posture for human beings. It represents the conquest of a
two-legged bearing that thus frees the upper limbs and hands from acting as support and protection
- what we mean by posture is the body’s constant relation with its environment, achieved by maintain-
ing a balance between the elastic forces of the protagonist and antagonist muscles, and between
the body’s inner forces and the forces exerted on it by the outside environment
- posture is maintained by integrating visual, vestibular and somatic-sensory proprioceptor information
DONDOLINO is an aid that allows this information to be integrated and facilitates this process
MORE SPECIFICALLY AN APPROPRIATE USE OF DONDOLINO CAN FACILITATE:
- gaining experience with a posture that can act as an alternative to the one that has been “forced” or
“partially forced” on the child by his pathology, as well as enabling proper placement of the joints so
that controlled and modulated variations can be introduced. The aim of all this is to prevent from
deformity
- Training the antigravity musculature
- controlling and straightening the head. Conditions that are facilitated by the reduced antigravity
involvement of the trunk: this is achieved thanks to the table which is considered as an adjustable
chest support (the table can be removed once adeguate control of the trunk has been attained)
- Experiencing visually guided manual activity. Thanks to this it is possible to integrate the visual
information drawn from the objects with the information coming from the child’s own body when it is
in the correct posture
- Therefore this involves the possibility of grasping, catching and exploring, initially on an
- overall level and then selectively, and handling through simple or complex constructive activities,
- using objects.
- This is also facilitated by the fact that the upper limbs have been relieved of their protective and
support functions
IN ADDITION, THE UPRIGHT POSTURE ALSO ENABLES THE FOLLOWING:
A – IMPROVED RESPIRATORY CAPACITY through increased ventilation and a decrease in
obstructive phenomena
B – IMPROVED PERISTALSIS
C – IMPROVED CIRCULATION
Above all it is important to emphasize that DONDOLINO Is an AID THAT CAN ENHANCE THE
CHILD’S CAPACITY TO ADAPT TO HIS SURROUNDINGS, or in other words, to interact positively
with the world around him.
This will ultimately lead to MORE PERSONAL AUTONOMY, so that the child can establish good
relations with himself, with the others and with his physical environment: his skill at “getting in
touch with”.

Pag. 10 di 24
HOW DONDOLINO WORKS
It works very simply and safely.
DONDOLINO is a standing frame composed of a lateral frame that is graduated so that its
height can be easily adjusted.
When the child is standing he is supported by wide straps across the pelvis and trunk that
can be adjusted from the front to the back (to follow knee-hip flexion) as well as in its circumfer-
ence.
Two front knee pads and two heel rests fix the position of the lower limbs. The physiatrist
and/or therapist must continuously monitor the child’s position on the DONDOLINO.
In fact DONDOLINO is used by handicapped children during their developmental period. Since
they grow up quickly and they can also change in terms of their pathological picture, this entails
constant assessment and adjustment.
ATTENTION: Before starting to position the child, brake the wheels of DONDOLINO!
When starting it is advisable to have an adult stand behind the child and hold his sides firmly if
the child has an adequate control of the trunk. Otherwise, the child should be supported by his
armpits.
The therapist should temporarily position the lower limbs first, followed by the pelvis and the
chest. At this point, always attempting to get the child cooperate as actively as possible and ex-
plaining him what is being done and why, the position of the feet in the heel rests and knee pads
must be controlled,
following any flexion that may be present. Subsequently, the pelvis must be controlled through
the pelvic support and then, the trunk must be controlled using the chest support.
It is important to pay special attention to “dosing” the right amount of chest and pelvic
support. There must be an adeguate support to assure a minimum amount of stability.
Avoid any excessive support since it could give the child a heavy feeling of “confinement”.
At the same time, however, the support must not be too “light” since this could cause a reac-
tion of “ fear of falling” or instability.
If the child is able to communicate, it is important to listen to his feelings and impressions so that
the amount of restraint can be “modulated” as correctly as possible.
Always bear in mind that DONDOLINO is a standing frame that must allow the child to carry out
several activities and that it was not designed to keep him still and immobilized. This is the main
objective that must be taken as a guideline in using this aid, which should work as a tool “ to do
things in a correct and favourable position”.
Naturally the correct posture will be different from one child to another according to their age,
motor picture and overall picture.

Pag. 11 di 24
INITIAL PREPARATION
INFORMATION ABOUT THE PACKING
STANDING FRAME A
cm
B
cm
C
cm
V
OLUME
m3WEIGHT kg
DONDOLINO 1 78 65 50 0.253 21
DONDOLINO 2 87 73 48 0.304 28
DONDOLINO 3 91 79 63 0.452 31
HOW TO TAKE DONDOLINO OUT OF THE CARTON
ATTENTION!
CUT WITHOUT PRESSING TOO HARD
WITH THE BLADE SO AS NOT TO
DAMAGE THE CONTENTS OF
THE BOX

Pag. 12 di 24
HOW TO ASSEMBLE DONDOLINO

Pag. 13 di 24

Pag. 14 di 24
HOW TO ADJUST DONDOLINO
WHILE ADJUSTING THE STANDING FRAME IT IS IMPORTANT TO FOLLOW THREE
PHASES AND IT MUST BE ADJUSTED UNDER THE DIRECT CONTROL OF THE
DOCTOR WHO
PRESCRIBES IT
1ST. PHASE: YOU HAVE TO CONSIDER:
1.the height of the child from under his chest to the ground is needed to fix the
chest support;
2.the height from the knee-cap to the ground is needed to fix the knee-pads of
the standing frame;
You can measure while the child is standing or while he is laying.
2ND. PHASE: INITIAL ADJUSTMENT WITHOUT THE CHILD AND CONSIDERING THE
MEASURES THAT YOU MUST MEASURE BEFORE
3RD. PHASE: SUBSEQUENT ADJUSTMENT WITH THE CHILD
Check:
1.that the back strap, once it is closed, is in the middle of the bottom. The
height of the arm supports depends on the position of the back support of the
pelvis;
2.the position of the knee-pads;
3.the position of the heel rests in width and depth;
4.the position of the table. It must be fixed controlling the height of the User from
under his elbow to the ground (minimum height). Shouldn’t it be possible to make
this control, you can measure the distance from the bended elbow to his feet while
the User is laying.
5.the vertical alignment of the chest and pelvis
6.the flexion of the limbs: the vertical position is determined by the front and
back
adjustment of the pelvis support, of the knee-pads and of the heel rests.
WARNINGS : ALL THE ADJUSTABLE PARTS MUST HAVE BEEN WELL LOCKED!!!
Always check that all the adjustments have been correctly fixed in order to avoid any
possible danger to the User.
WARNINGS:
THE ADJUSTMENTS MUST BE ALWAYS CONTROLLED BY THE DOCTOR WHO PRE-
SCRIBES THE AID AND BY THE THERAPIST WHENEVER THEY THINK IT IS NEEDED.
THIS IS IMPORTANT TO OPTIMIZE THE VERTICAL POSITION BECAUSE THE RIGHT
USE OF THE STANDING FRAME CONDITIONS THE FLEXION OF THE USER AND IT
REDUCES HIS RIGIDITY

Pag. 15 di 24
ADJUSTMENT of the FRAME in TILT
YES
NO

Pag. 16 di 24
ADJUSTMENT of the FOOTREST in HEIGHT
ADJUSTMENT of the HEELREST in WIDTH

Pag. 17 di 24
ADJUSTMENT of the HEELRESTS in DEPTH
ADJUSTMENT of the KNEE-PADS in WIDTH
SECTION
FROM ABOVE

Pag. 18 di 24
ADJUSTMENT of the KNEE-PADS in DEPTH
VIEW FROM ABOVE
ADJUSTMENT of the KNEE-PADS in HEIGHT