Ormesa Grillo Front-drive gait trainer Manual

INGLESE - Cod.22850 - 04-07-2012
USE AND MAINTENANCE HANDBOOK
front-drive
gait trainer
posterior
gait trainer

Pag. 1 of 45
ORMESA thanks you for the confidence placed in choosing our GRILLO gait trainer.
GRILLO is a walking frame where the attention to its functionality is combined with the
respect of ergonomic and safety principles.
ORMESA then suggests you to read this handbook very carefully. It will help you in
becoming familiar with GRILLO soon and more efficaciously, and you will also find many
practical pieces of advice to use it safely and in the best possible way and to keep it
perfectly efficient.
In the end, should you still have something to ask for or to clear, don't hesitate to contact
your Dealer, who will be glad to give you all the necessary assistance, or directly call
ORMESA. Our phone number is [phone], our fax number is [phone]
and our E-mail is: info @ormesa.com.
Luigi Menichini
CEO

Page 2 of 45
TABLE OF CONTENTS
WARNINGS............................................................................................................................4
SOME EXAMPLES OF WHAT NOT TO DO WITH THE PRODUCT.....................................6
LABELS AND PLATES..........................................................................................................6
GUARANTEE.........................................................................................................................7
HOW TO STORE AND TRANSPORT THE MEDICAL DEVICE.............................................7
WHAT GRILLO IS AND WHAT IT IS FOR.............................................................................8
HOW GRILLO WORKS..........................................................................................................8
TECHNICAL SPECIFICATIONS - GRILLO GAIT TRAINER.................................................10
WARNINGS ON POSTERIOR GRILLO.................................................................................14
HOW TO USE GRILLO GAIT TRAINER................................................................................15
FRAME: HEIGHT ADJUSTMENT................................................................................................15
BRAKES......................................................................................................................................16
ADJUSTABLE BRAKE................................................................................................................17
ANTI-REVERSE DEVICE............................................................................................................18
PELVIC SUPPORT: HEIGHT ADJUSTMENT..............................................................................19
PELVIC AND THORACIC SUPPORTS: CIRCUMFERENCE ADJUSTMENT ..............................20
DIRECTIONAL LOCKS................................................................................................................21
CHANGE GRILLO from POSTERIOR to FRONT-DRIVE GAIT TRAINER and VICE VERSA ......22
ADJUSTMENTS FOR GRILLO FRONT-DRIVE GAIT TRAINER...........................................25
THORACIC SUPPORT: HEIGHT ADJUSTMENT........................................................................25
THORACIC SUPPORT: FORWARD-BACKWARD and TILT ADJUSTMENTS ............................26
PELVIC HARNESS: ASSEMBLY AND ADJUSTMENT................................................................27
HANDLEBAR: HEIGHT, TILT, FORWARD-BACKWARD ADJUSTMENTS..................................28

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ADJUSTMENTS for GRILLO POSTERIOR GAIT TRAINER.................................................30
HANDLES: ADJUSTMENTS in WIDTH........................................................................................30
PELVIC HARNESS: ASSEMBLY AND ADJUSTMENT................................................................31
ASSEMBLING AND ADJUSTING THE COMPONENTS.......................................................32
ARM SUPPORTS........................................................................................................................32
LEG DIVIDER WITH THIGH SUPPORTS....................................................................................36
FOLDING SEAT for GRILLO POSTERIOR GAIT TRAINER........................................................39
LUMBAR SUPPORT for GRILLO POSTERIOR GAIT TRAINER .................................................41
MAINTENANCE, CLEANING AND DISINFECTION OF GRILLO..........................................43
ASSISTANCE AND SPARE PARTS OF GRILLO .................................................................44
CONDITIONS FOR DURABILITY, REUSE AND REASSIGNMENT TO A NEW USER ........45

Page 4 of 45
WARNINGS
-Before using the aid carefully read the instructions in this handbook because
it was written for your safety and to guide you in the necessary learning process of
the right use and Maintenance of this product. It is integrant part of the product and
it must be kept with care for future references.
-This handbook is for Dealers, Retailers Assistants and Users; it gives
instructions about the correct use of the product and it has to be integrated by an
adequate knowledge of the aid by the prescribing specialist.
-The handbook reflects the state of technique at the moment of taking the aid into
the market. ORMESA srl reserves the right to carry out any modification to the
aid and to its handbook which can be suggested by the experience, by
technical considerations or by the change of standards. These modifications
will be made without being obliged to update the previous production and its
handbooks.
-The use of the gait trainer and its additional parts must be checked by
qualified personnel , according to the laws, rules and regulations in force.
-GRILLO can be only used by people who have well read the instructions
specified in this handbook.
-Training for the use of GRILLO must be carried out in rehabilitation centres
with the help of qualified personnel.
-The walking frame has to be used by people whose body size and weight are
just like the ones specified in the paragraph “TECHNICAL SPECIFICATIONS”,
on pages 10,11,12,13.
-Before each use check that all adjustable parts are well locked.
-Always lock brakes when you stop, even on flat ground.
-Always lock brakes before adjusting any part.
-Before use always check the brake efficiency, the tyre wear and make sure
that the accessories and all those parts which can be loosened are firmly
locked.
-Always make sure that there are no obstacles which could cause GRILLO to tip
up, such as mats, steps and different objects on the floor.
-Beware of dangerous points and obstacles in the area of use.
-Remove any knick-knacks or objects which could be knocked down while using
GRILLO.
-Avoid areas near unprotected artificial or natural water basin and water courses.
-Clean the device and the upholsteries according to the instructions in the chapter.
"Maintenance", on pages 43,44.
-Always ask for original spare parts: if not the guarantee is not valid.

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GRILLO IS A MECHANICAL MEDICAL DEVICE:
Perform REGULAR MAINTENANCE and CLEANING
following the instructions shown in the "Maintenance"
chapter on page 43-44 and HAVE THE DEVICE
INSPECTED AT THE INTERVALS INDICATED 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
maintenance shown on page 43-44 of the manual must
be ONLY MADE by a SPECIALIZED SERVICE CENTER
in the maintenance of mechanical aids for disables,
otherwise warranty and marking will be voided
Any
CHANGES
in the product and the
REPLACEMENT
WITHOUT ORIGINAL PARTS OR COMPONENTS 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 CONTACT a
SPECIALIZED SERVICE CENTER in the maintenance of
mechanical aids for disables, or directly ORMESA.

Page 6 of 45
-
SOME EXAMPLE
S
OF WHAT NOT TO DO WITH
THE PRODUCT
-GRILLO MUSTN'T BE USED UNLESS A MEMBER OF THE USER’S FAMILY OR
QUALIFIED PERSON IS PRESENT AT ALL TIME
-DO NOT CARRY OUT ANY OPERATION OR MANOEUVRE UNLESS YOU ARE
SURE OF THE RESULT: IF IN DOUBT, CONTACT YOUR NEAREST
TECHNICAL SERVICE OR CONTACT THE MANUFACTURER DIRECTLY
-GRILLO MUST BE USED BY PEOPLE WHOSE HEIGHT AND WEIGHT ARE
SUFFICIENT TO CONTROL ITS MOVEMENTS
-NEVER INSERT COMPONENTS OR ACCESSORIES ON THE DEVICE
WITHOUT FOLLOWING THE INSTRUCTIONS GIVEN IN THE HANDBOOK
-DO NOT ADJUST THE FRAME AND THE COMPONENTS IN EXTREME
POSITIONS IN ORDER NOT TO PREJUDICE THE STABILITY AND SAFETY OF
THE DEVICE
-NEVER USE GRILLO ON UNEVEN GROUND, STEEP SLOPES OR STAIRS
-NEVER ALLOW UNKNOWN PEOPLE TO USE GRILLO
-NEVER LEAVE THE USER UNATTENDED WHILE USING GRILLO
-NEVER LEAVE GRILLO ON A SLOPE
-NEVER LIFT THE AID TO MOVE IT WHILE THE USER IS ON IT
-AVOID EXCESSIVE SPEED OF MOVEMENT TO GUARANTEE STABILITY AND
SAFETY OF THE DEVICE
-NEVER USE GRILLO IF THERE ARE DAMAGED OR MISSING PARTS
LABELS AND PLATES
THE MARKING CERTIFIES THAT THE GRILLO GAIT TRAINER CONFORMS TO THE
SAFETY REQUIREMENTS OF THE EUROPEAN UNION AND, IN PARTICULAR, DIRECTIVE
47/2007/EC ON “MEDICAL DEVICES”
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. PA RT N °
S N
LOT MAX. KG
!
Name of the model

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GUARANTEE
ORMESA warrants the product for 2 years; in case of problems, contact the retailer where
you purchased it. Always ask for original parts and accessories.
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
THE DEVICE MUST BE STORED AND PACKED using the Ormesa original packaging
materials. THE AID MUST BE ALWAYS ACCOMPANIED BY THE PRESENT
HANDBOOK unless the guarantee will be voided.
- Once unpacked, THE TRANSPORT OF THE DEVICE must be done by ANCHORING
IT ADEQUATELY to the vehicle.
- When travelling by plane, or by 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 the sliding parts. In this case, we recommend to
clean and dry the frame carefully following the instructions shown in the
“Maintenance and Cleaning” chapter on pages 43,44.

Page 8 of 45
WHAT GRILLO IS AND WHAT IT IS FOR
GRILLO is a walking aid, that’s to say a product that was designed to help and make the
independent moving of a User easier. It is for spasthic/distonic users, for users who have
little brawn or for users who start to walk.
It was designed and made for the user to:
- walk without help when independent walking is impossible;
- train and start the walking process so that it may be continued without the aid at a
future stage. It can be used to practice the actions of walking or simply as a
permanent mean of moving around.
We remind that the process of walking is simply the movement of a body in an upright
position from one point in space to another and it is possible by:
- the step pattern (alternate bending and stretching of each leg);
- maintaining the balance of the trunk and pelvis, first on both feet and then on one only
during the moving;
- awareness of space and distance.
GRILLO is used :
a) to generate and help the step pattern;
b) to train in maintaining balance of the trunk and pelvis;
c) to organize a wider structured vision of space, distance and the User's
surroundings in the upright position;
d) to enable the user to plan "projects" and "actions" , for example having the
possibility to see an object, think of its use, work the movement out to reach
the object and use it ;
e) to develop physical self-sufficiency and psychological independence by
experimenting the possibility of acting alone.
HOW GRILLO WORKS
Grillo compensates the user’s lack of balance thanks to its ergonomic support and wide base, it
allows the user to concentrate his/her residual abilities on walking.
The wide range of components and supports offer maximum versatility.
All accessories are interchangeable quickly and without the use of tools to suit different clinical
pictures.
Adequate training to use it must be given at a rehabilitation centre.
The following information will ensure the best way to use this aid.
Adjustment of the aid
Insert wheel stop
As soon as the User is into the aid, the supports must be closed and the straps must be
fastened. The following heights must be adjusted :
- the frame height
- the thoracic support height
- the pelvic support height
- the harness height
These adjustments must be made before positioning the user according to the anatomical
measures taken.
Once the User has been positioned, you can proceed with a micro adjustment until the optimal
setting is reached.

Page 9 of 45
There is no predetermined position!
Each position must be decided according to the User and it must be modified according to his
physical development, to the change in his motory situation and rehabilitation programme.
The pelvic support should be adjusted around the higher part of the pelvis.
The support of the pelvis and the weight on his feet can be increased or decreased by
adjusting the harness height
The height of the thoracic support is usually adjusted according to the child's ability to control
his trunk.. If the User has a sufficient trunk control, the chest support may be removed.
THE NEXT STEP IS TO ADJUST THE CORRECT LINE-UP OF THE TWO SUPPORTS. THIS
IS AN IMPORTANT AND DELICATE OPERATION BECAUSE THE CORRECT POSITIONING
OF THE TRUNK ON THE PELVIS DEPENDS ON IT.
Use the locking levers to position the thoracic support and move the support backwards or
forwards.
THE IDEAL POSITION TO LOOK FOR IS THE ONE WHICH LINES SHOULDERS, TRUNK
AND HIPS UP.
By pushing the thoracic support further forward as regards to the pelvic support and by
putting the hands on the handlebar, the trunk is moved forwards, thus stimulating
walking. This position must not be forced, otherwise it might have the opposite effect.
The handlebar must be adjusted depending on how much the User has to bend or straighten
his arms in order to push and guide GRILLO.
WHEN THESE OPERATIONS ARE COMPLETED, GRILLO CAN BE USED AS DESCRIBED
BELOW.
First of all it is important to know the aid and how to use it.
Children are not usually afraid to use the aid. On the contrary they are often extremely pleased
and happy and they want to move in all directions. These "rash" children must not be prevented
from doing so. In fact they should be encouraged. In the first days it is a good idea to let the
child use GRILLO freely so that he can try the different ways of using it.
For "fearful" children who are afraid to use GRILLO (probably due to problems of perception
which make awareness of space and distance difficult) it is better to start its use in a different
way.
In his first steps the User mustn't be left alone, but he must be accompanied by qualified
personnel either therapist or parent who will stand either in front or to one side and will move
GRILLO slowly and gently.
This gives the User a feeling of safeness particularly if the therapist or parent speaks to him at
the same time and explains what they are doing (for instance, "now we are going towards the
table, we are reaching the TV, we are going to get the ball on the table, we are going back ...")
The first steps are always made forwards, then backwards and finally sideways.
At first walking will be at a constant speed, then a change in step will be asked for so that speed
will be faster or slower.
We suggest to follow well defined paths specifically designed to help orientate both "rash" and
"fearful" Users.
For those children who cannot easily walk, it is better to position the thoracic support forwards
respect to the pelvic support in order to get the flexion of the trunk. In this way it will be easier to
start moving the lower limbs.

Page 10 of 45
-
T
ECHNICAL SPECIFICATIONS
-
GRILLO
GAIT TRAINER
• Available in 2 SIZES (Onetwo and Threefour) and 2 MODELS (GRILLO Front drive
and Posterior gait trainer).
• ALUMINIUM FRAME, foldable for easy transportation and with PATENTED HEIGHT-
ADJUSTMENT SYSTEM. 4 sizes in 2 frames.
• PELVIC SUPPORT and THORACIC SUPPORT, padded, independently adjustable in
height, width and circumference; allow an easy access thanks to the back opening.
They hold the user just like two hands and this gives him/her a sense of security
and stability allowing the user to concentrate only on walking without any fear.
• GRADUATED BARS as a reference on height adjustments.
• PELVIC HARNESS, ergonomic, comfortable, adjustable and easily removable for
washing. It supports the users in case of necessity without generating painful
pressures.
• HANDLEBAR removable and adjustable in height , it is used as a reference and as an
armrest.
• Adjustable HANDLES.
• ARM SUPPORTS, adjustable in height, tilting, rotation and depth.
• LUMBAR SUPPORT.
• Manually FOLDABLE SEAT.
• Exclusive ORMESA DESIGN WHEELS, light and puncture-proof: 2 front swiveling,
Ø15 (size “Onetwo”) and cm 17,5 (size “Threefour”) and 2 rear fixed, Ø cm 20 (size
“Onetwo”) and Ø cm 25 (size “Threefour”).
• DIRECTIONAL LOCKS on front wheels.
• ADJUSTABLE BRAKES.
• ANTIREVERSE DEVICE.
• WHEEL STOP.
• UPHOLSTERIES breathable and removable for washing.
• SEMI-ELASTIC BUFFERS on front wheels to protect against bumps.
• LEG DIVIDER avoids adduction and helps to follow the right gait pattern.

Page 11 of 45
pelvic support
ANTERIOR FRAME
thoracic support
handlebar
anterior wheels with
directional locks
anterior wheels with
directional locks
posterior wheels with
- brake
- adjustable brake
- anti-reverse wheel stops
arm supports
handrests
pelvic support
pelvic harness
pelvic harness
POSTERIOR FRAME
posterior wheels with
- brake
- adjustable brake
- anti-reverse wheel stops
tnemtsujdathgieh srabderebmun
tnemtsujdathgieh srabderebmun

Page 12 of 45
DIMENSIONS in cm
Inner circumference of the adjustable
pelvic and thoracic supports, from 55 cm to 80 cm
GRILLO FRONT-DRIVE gait trainer sizeOneTwo 54gkDAOL.XAMgk2,61THGIEW
Inner circumference of the adjustable
pelvic and thoracic supports, from 67 cm to 103 cm
GRILLO FRONT-DRIVE gait trainer size ThreeFour 09gkDAOL.XAMgk5,91THGIEW
HYPHEN-SEPARATED NUMBERS INDICATE THE MINIMUM AND MAXIMUM RANGE OF ADJUSTMENT

Page 13 of 45
Inner circumference of the adjustable
pelvic support, from 67 cm to 103 cm
Inner circumference of the adjustable
pelvic support, from 55 cm to 80 cm
GRILLO POSTERIOR
gait trainer size OneTwo WEIGHT 15,7 kg MAX LOAD. kg 45
GRILLO POSTERIOR
gait trainer size ThreeFour WEIGHT 17,7kg MAX LOAD. kg 90
HYPHEN-SEPARATED NUMBERS INDICATE THE MINIMUM AND MAXIMUM RANGE OF ADJUSTMENT

Page 14 of 45
WARNINGS
WARNINGS ON POSTERIOR GRILLO
SHOULD THE USER WEIGHT EXCEED 80 Kg, THE USE OF THE
PELVIC HARNESS IS REQUIRED.

Page 15 of 45
HOW TO USE GRILLO
GAIT TRAINER
FRAME: HEIGHT ADJUSTMENT
height adjustment
graduated bars
graduated bars
height adjustment
1- OPERATE THE ADJUSTMENT KNOBS WITH BOTH HANDS
2- ADJUST THE HEIGHT OF GRILLO RELEASING THE ADJUSTMENT
adjustment knobs
KNOBS

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BRAKES
brake lever FREE WHEEL LOCKED WHEEL

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ADJUSTABLE BRAKE
LOCKED WHEEL
FREE WHEEL
4 POSITIONS OF THE
ADJUSTABLE BRAKES
ADJUSTABLE BRAKE LEVER

Page 18 of 45
ANTI-REVERSE DEVICE
DISACTIVATED
ANTI-REVERSE
ACTIVATED
ANTI-REVERSE
DEVICE
DEVICE
WARNINGS!
The anti-reverse device reduces the maneuverability of the gait trainer