Otto Bock Avantgarde Teen2 T User manual

Avantgarde Teen2 T,
Avantgarde Teen2 VR
Instructions for use (qualified personnel) ................................................................. 3

2

Foreword1 5..............................................................................................................................................................
Intended use2 5........................................................................................................................................................
Indications for use2.1 5................................................................................................................................
Indications, contraindications2.2 5.................................................................................................................
Qualification2.3 5.........................................................................................................................................
Safety3 5....................................................................................................................................................................
Explanation of warning symbols3.1 5..............................................................................................................
General safety instructions3.2 6.....................................................................................................................
Safety Instructions for Assembly3.3 6.............................................................................................................
Further information3.4 6................................................................................................................................
Nameplate3.5 6...........................................................................................................................................
Delivery4 7.................................................................................................................................................................
Scope of delivery4.1 7..................................................................................................................................
Options4.2 7...............................................................................................................................................
Storage4.3 7...............................................................................................................................................
Preparing the product for use5 7...........................................................................................................................
Assembly5.1 7.............................................................................................................................................
Settings6 8................................................................................................................................................................
Prerequisites6.1 8........................................................................................................................................
Adjusting the drive wheels6.2 8.....................................................................................................................
Setting the drive wheels horizontally6.2.1 9........................................................................................................
Adjusting the drive wheels vertically6.2.2 9........................................................................................................
Adjusting the drive wheel camber6.2.3 10..........................................................................................................
Adjusting the quick-release axle6.2.4 11............................................................................................................
Adjusting the handrims6.2.5 12........................................................................................................................
Adjusting the caster wheels6.3 12..................................................................................................................
Adjusting the caster journal angle6.3.1 12..........................................................................................................
Changing the installation position of the caster wheels6.3.2 13............................................................................
Adjusting the wheel locks6.4 13.....................................................................................................................
Adjusting the knee lever wheel locks6.4.1 14.....................................................................................................
Adjusting the braking force of the drum brake6.4.2 14.........................................................................................
Adjusting the back support6.5 15...................................................................................................................
Adjusting the back support height6.5.1 15.........................................................................................................
Adjusting the back support angle6.5.2 15..........................................................................................................
Adjusting the back support upholstery / seat upholstery6.6 16...........................................................................
Adjusting the back support upholstery6.6.1 16...................................................................................................
Adjusting the seat upholstery6.6.2 16................................................................................................................
Adjusting the leg supports6.7 17....................................................................................................................
Adjusting the lower leg length6.7.1 17...............................................................................................................
Adjusting the support angle6.7.2 18..................................................................................................................
Adjusting the side panels6.8 18.....................................................................................................................
Adapting your wheelchair to the patient's growth6.9 19....................................................................................
Adjusting the anti-tipper6.10 20.......................................................................................................................
Adjusting the lap belt6.11 20...........................................................................................................................
Installing and adjusting the head support6.12 21...............................................................................................
Adjusting the tray6.13 21................................................................................................................................
Delivery7 21...............................................................................................................................................................
Final inspection7.1 21..................................................................................................................................
Transport to the customer7.2 22....................................................................................................................
Handing over the product7.3 22.....................................................................................................................
Maintenance and repair8 22...................................................................................................................................
Disposal9 22.............................................................................................................................................................
Disposal information9.1 22............................................................................................................................
Information on re-use9.2 22...........................................................................................................................
Table of contents
3
Table of contents

Legal information10 22..............................................................................................................................................
Liability10.1 23..............................................................................................................................................
Warranty10.2 23............................................................................................................................................
Service life10.3 23.........................................................................................................................................
Technical data11 23...................................................................................................................................................
Appendices12 27........................................................................................................................................................
Required tools12.1 27....................................................................................................................................
Torque values of the screw connections12.2 28.................................................................................................
4
Table of contents

1 Foreword
INFORMATION
Date of last update: 2020-03-19
►Please read this document carefully before using the product and observe the safety notices.
►Instruct the user in the safe use of the product.
►Please contact the manufacturer if you have questions about the product or in case of problems.
►Report each serious incident in connection with the product, in particular a worsening of the state of health, to
the manufacturer and to the relevant authority in your country.
►Please keep this document for your records.
INFORMATION
►New information regarding product safety and product recalls as well as the declaration of conformity can be
obtained at [email protected] or from the manufacturer’s service department (see inside or outside of rear
cover for addresses).
►You can request this document as a PDF file at [email protected] or from the manufacturer’s service depart
ment (see inside or outside of rear cover for addresses). The PDF file can also be displayed in a larger size.
Initial adjustments to the product were made according to the order form. Nevertheless, fine adjustments and set
tings may have to be made depending on the medical situation or the user’s requirements.
These instructions for use provide the information necessary for adjusting the settings. This work should be closely
coordinated with the user.
Please note the following:
• The instructions for use (qualified personnel) are intended only for qualified personnel and remain with them.
• The manufacturer recommends checking the product settings regularly in order to assure an optimum fit over
the long term. A review is required every six months for children and youths in particular.
• The manufacturer reserves the right to make technical changes to the model described in these instructions for
use.
2 Intended use
The operational safety of the product can only be ensured in case of intended use in accordance with the informa
tion contained in these instructions for use (qualified personnel) and in the instructions for use (user). The user is
ultimately responsible for accident-free operation.
2.1 Indications for use
For additional information about the indications for use, see the instructions for use (user).
2.2 Indications, contraindications
See the instructions for use (user) for more information about indications and contraindications.
2.3 Qualification
The tasks described below may only be carried out by qualified personnel. Compliance with all manufacturer spe
cifications and all applicable legal provisions is required. Please contact the manufacturer’s service department for
further information (see inside or outside of rear cover for addresses).
3 Safety
3.1 Explanation of warning symbols
WARNING Warning regarding possible serious risks of accident or injury.
CAUTION Warning regarding possible risks of accident or injury.
NOTICE Warning regarding possible technical damage.
5Avantgarde Teen2 T,
Avantgarde Teen2 VR
Foreword

3.2 General safety instructions
CAUTION
Use of unsuitable tools
Pinching, crushing or damaging the product due to use of unsuitable tools
►When completing the tasks, only use tools that are suitable for the conditions at the place of work and for
which safety and the protection of health are assured with proper use.
►Observe the specifications in the section "Required Tools".
NOTICE
Tipping or falling of the product
Damage to product due to lack of attachment
►When you work on the product, secure it so that it cannot tip over or fall over.
►Use a clamping fixture to secure the product whenever you work on it at a workbench.
3.3 Safety Instructions for Assembly
WARNING
Changed diameter/installation position of the wheels
Tipping, falling over of the user due to blocked wheels
►Modification of the size and position of the front wheels and of the drive wheel size can lead to wobbling of the
front wheels at higher speeds. If changes are required, verify the horizontal alignment of the wheelchair frame
(see the section "Adjusting the drive wheels", "Adjusting the caster wheels").
WARNING
Improper assembly of removable wheels
Tipping, falling over of the user due to wheels coming off
►After each assembly, verify the proper fit of the removable wheels. The quick-release axles must be firmly
locked in the wheel attachment.
3.4 Further information
INFORMATION
The serial number required for enquiries and orders can be found on the nameplate. For explanations of the
nameplate, see the section "Nameplate" (see Page6).
3.5 Nameplate
The nameplates are found on the frame.
Label Meaning
AManufacturer’s product name
BCE marking
CMaximum load (see section “Technical data”)
DManufacturer information/address
ESerial number1)
FManufacturing date2)
GSymbol for medical device
HWARNING! Read the instructions for use before using the
product. Observe important safety-related information
(e.g.warnings, precautions).
IManufacturer’s reference number for the product variant
JSerial number (PI)3),1)
KGlobal Trade Item Number (DI)4)
1)YYYY = year of manufacture; WW = week of manufacture; PP = production site; XXXX = sequential production
number
6
Safety
Avantgarde Teen2 T,
Avantgarde Teen2 VR

2)YYYY = year of manufacture; MM = month of manufacture; DD = day of manufacture
3)UDI-PI to GS1 standard; UDI = Unique Device Identifier, PI = Product Identifier
4)UDI-DI to GS1 standard; UDI = Unique Device Identifier, DI = Device Identifier
4 Delivery
4.1 Scope of delivery
The scope of delivery includes:
• Preassembled wheelchair
• Two drive wheels (installed or included)
• Options according to the order (installed or included)
• Instructions for use (qualified personnel), instructions for use (user)
• Instructions for use for accessories (depending on equipment)
The seat cushion is not included in the standard package.
4.2 Options
The functionality and operation of the options are described in more detail in the instructions for use (user).
All of the available options/accessories are listed on the order form.
4.3 Storage
Store the wheelchair in a dry, enclosed room, protected from external influences. Specific information about stor
age conditions: see Page23.
During extended storage, the knee lever wheel lock on wheelchairs with PU tyres must be released since tyre
deformation may otherwise result.
Maintain sufficient clearance from sources of heat. If the product is parked for an extended period of time or the
tyres overheat (e.g.in the vicinity of radiators or in case of exposure to strong sunlight behind glass), the tyres may
become permanently deformed.
5 Preparing the product for use
5.1 Assembly
CAUTION
Exposed pinch points
Crushing, pinching due to incorrect handling
►When folding the wheelchair out or together, only grip by the specified components.
CAUTION
Failure to verify readiness for use before putting into operation
Tipping, falling due to incorrect adjustment or installation
►Before you start using the wheelchair for the first time, check the chosen wheelchair settings with the support
of qualified personnel.
►After every assembly, check for proper mounting of the drive wheels. The quick-release axles must be
securely locked in the receiver bushings.
►Pay particular attention to the stability against tipping, free running of the drive wheels and correct function of
the wheel locks.
►Check the tyre pressure. The correct tyre pressure is printed on the sidewall. Ensure that the pressure is the
same in both tyres.
1) Attach the drive wheels to the quick-release axle mountings. The quick-release axles must not be removable
after releasing the push-button.
2) Loosen the safety strap by means of the push-button and unfold the wheelchair.
3) Avantgarde Teen VR only: If necessary: Insert the leg supports into the retainer. Fold down the foot plates.
4) Fit the seat cushion.
7Avantgarde Teen2 T,
Avantgarde Teen2 VR
Delivery

6 Settings
6.1 Prerequisites
WARNING
Making incorrect adjustments
Tipping over, falling or malposition of the user due to incorrect adjustments
►Adjustment and assembly work may be carried out only by qualified personnel.
►Only the adjustments described in these instructions for use may be carried out.
►Settings may only be changed within the allowable adjustment ranges; otherwise, the stability of the product
may be impaired (see this section and the “Technical data” section). If you have questions, contact the
manufacturer’s service department (see inside back cover for addresses).
►Only conduct tests in the presence of an assistant.
►Unless expressly described, you may not change any settings with a person sitting in the product.
►Secure the user against falling out during all tests.
►Before testing setting changes with the user seated, firmly tighten all screw connections.
►Check for safe function before delivering the product.
CAUTION
Unsecured screw connections
Pinching, crushing, tipping over, falling of user due to assembly errors
►Always firmly re-tighten the mounting screws and nuts after changing settings. Observe the specified torques
in doing so.
►Any time you loosen a screw connection with thread lock, replace it with a new screw connection with thread
lock or secure the old screw connection with medium strength thread locker (e.g.Loctite241).
►Always replace self-locking screws and nuts with new self-locking screws and nuts after disassembly.
Fine-tuning and adjustments should always be carried out in the presence of the user. The user should be sitting
upright in the wheelchair while making adjustments.
All parts of the product should be cleaned thoroughly before adjustments are made.
The tools required for adjustments and maintenance tasks as well as the torque values for screw connections are
listed in the section "Appendices" (see Page27).
6.2 Adjusting the drive wheels
WARNING
Lack of fine adjustment of the drive wheels
Tipping over, falling of the user due to incorrect adjustment
►Check the standard adjustments of the wheelchair for stability against tipping and function of the drive
wheels. Avoid any extreme settings.
WARNING
Incorrectly adjusted wheelbase
Tipping over, falling of the user due to unstable settings
►Please note that with the drive wheel in a more forward mounting position and with an unfavourable body pos
ition, the user may tip backwards even on level ground.
►Use an anti-tipper for inexperienced users and with extreme settings of the drive wheel.
►Be sure to position the drive wheels towards the rear for transfemoral amputees. This improves the stability of
the wheelchair.
INFORMATION
Changing the drive wheel position can also change the angle between the caster wheel journal and the ground.
However, this must always be approx. 90° and thus readjusted accordingly. The knee lever wheel lock also has
to be readjusted.
8
Settings
Avantgarde Teen2 T,
Avantgarde Teen2 VR

6.2.1 Setting the drive wheels horizontally
The horizontal position of the drive wheels can be changed by horizontally moving the drive wheel adapter in the
frame.
Changing the drive wheel position has the following effects:
Position of drive wheel Effects
Move backwards (passive setting) • Larger wheelbase
• Larger turning circle
• Greater stability of the wheelchair
• Wheelchair is harder to tip backwards when crossing obstacles
• Position recommended for inexperienced users
Move forwards (active setting) • Smaller wheelbase
• Less load on caster wheels = greater manoeuvrability
• Less stability of the wheelchair
• Wheelchair is easier to tip backwards when crossing obstacles
INFORMATION: An anti-tipper should be installed if necessary.
• Setting recommended only for experienced users
The drive wheel can be installed at 3 depth positions in the drive wheel adapter (see fig.32, itemA –C).
1) Remove the wheels.
2) Loosen the Allen head screws on the drive wheel adapter (see fig.1, item 1/2).
3) Move the drive wheel adapter. In order to do so, engage the lugs of the locking clamps (see fig.1, item 3) in
the respective bore holes in the frame.
4) Check the depth setting. Both sides must be positioned exactly the same. Readjust if required.
5) Tighten the Allen head screws on the drive wheel adapter to 10Nm (see fig.1, item1/2).
6) If necessary: Readjust the height and alignment of the caster attachment device as well as the wheel locks
(see information at the start of the section).
1
6.2.2 Adjusting the drive wheels vertically
The vertical position of the drive wheels can be changed by vertically moving the quick-release axle receiver bush
ing in the drive wheel adapter.
Changing the drive wheel position has the following effects:
Drive wheel position Effects
Move upwards • The higher the drive wheel position, the more the seat surface is tilted to
the rear
• Wheelchair is easier to tip backwards when crossing obstacles
• The change in the centre of gravity results in a lower, more stable seat
position in the wheelchair
• The seat height can be further adjusted in combination with a height
adjustment of the caster wheels.
Move downwards • The lower the drive wheel position, the less the seat surface is tilted to the
rear
• Wheelchair is harder to tip backwards when crossing obstacles
9Avantgarde Teen2 T,
Avantgarde Teen2 VR
Settings

Drive wheel position Effects
• The seat height can be further adjusted in combination with a height
adjustment of the caster wheels.
The drive wheel can be installed at 13 height positions in the drive wheel adapter (see fig.2; see fig.32,
item1–13).
1) Remove the wheels.
2) Loosen the hexagon nut (see fig.3, item1) on the quick-release axle receiver bushing (see fig.3, item2) on the
inside of the drive wheel adapter so that the camber washers can be pushed apart slightly.
3) Move the quick-release axle receiver bushing together with the hexagon nuts and camber washers into the
desired position.
4) Engage the lugs of the camber washers at the desired new position.
5) Firmly retighten the hexagon nut (see fig.3, item1). Make sure that the position of the camber washers for the
wheel camber is not changed.
6) If needed: The distance between the drive wheel and the side panel can be adjusted continuously by turning
the counter nut (see fig.3, item3).
7) Tighten the hexagon nut and counter nut on both sides of the quick-release axle receiver bushing to 50Nm
(see fig.3, item1/3).
INFORMATION: Once changed, the left and right quick-release axle receiver bushings must both have
the same vertical position in the frame.
8) If necessary: Readjust the height and alignment of the caster attachment device as well as the wheel locks
(see information at the start of the section).
2 3
6.2.3 Adjusting the drive wheel camber
The modular system of the product offers camber washers for different sloped settings of the rear wheels.
The rear wheel camber is adjusted by exchanging the camber washers or adding camber washers on the quick-
release axle mounting. This has the following effects:
Position of drive wheel Effects
0° position • Narrow track, excellent straight-line stability
• Low rolling resistance
Wheel camber • Wheelchair becomes more manoeuvrable, turns faster and tips less easily
to the side
• The wheel position protects the hands when turning the handrim
• Overall width increases
• Increased rolling resistance
The drive wheel camber can be set to 0°, 2°, 4°, 6° or 8°.
The settings can be configured with a corresponding number and alignment of the 2° camber washers:
drive wheel camber (see fig.4)Position on the drive
wheel adapter (see
fig.4)
0° 2° 4° 6° 8°
Exterior 1x camber
washer
Alignment A1)
1x camber
washer
Alignment A1)
1x camber
washer
Alignment B2)
2x camber
washer
Alignment B2)
3x camber
washer
Alignment B2)
10
Settings
Avantgarde Teen2 T,
Avantgarde Teen2 VR

drive wheel camber (see fig.4)Position on the drive
wheel adapter (see
fig.4)
0° 2° 4° 6° 8°
Exterior 1x camber
washer
Alignment A1)
1x camber
washer
Alignment B2)
1x camber
washer
Alignment B2)
2x camber
washer
Alignment B2)
3x camber
washer
Alignment B2)
Inside 1x camber
washer
Alignment B2)
--- 1x camber
washer
Alignment A1)
2x camber
washer
Alignment A1)
3x camber
washer
Alignment A1)
1) Alignment A: The thicker/heavier side of the camber washer is on top.
2) Alignment B: The thinner side of the camber washer is on top.
0° 2° 4° 6° 8°
4
INFORMATION
►Please be aware that with a larger negative camber the overall width of the wheelchair increases and the drive
wheels are subjected to higher stress.
►With large negative camber a seat inclination of 0° is recommended.
►Camber washers have to be added as needed for a wheel camber of 6°/8°. These settings are generally
made at the factory. Deviations may occurdepending on the wheel size and tyre diameter, as well as when
using height-adjustable armrests.
►The manufacturer offers a conversion kit for a wheel camber of 8°.
Adjusting the drive wheel camber
1) Remove the wheels.
2) Remove the hexagon nut (see fig.3, item1) from the quick-release axle receiver bushing (see fig.3, item2)
and take off the fitting to the inside.
3) Slide the camber washers onto the quick-release axle receiver bushing according to the table and illustration
(see fig.4). The 2° label has to face out respectively.
4) Align the camber washers according to the table and illustration (see fig.4). The outsides of the camber wash
ers must be parallel.
5) Slide the fitting back on and slightly tighten the hexagon nut (see fig.3, item1). Make sure that the position of
the camber washers for the wheel camber is not changed.
6) If needed: The distance between the drive wheel and the side panel can be adjusted continuously by turning
the counter nut (see fig.3, item3).
7) Tighten the hexagon nut and counter nut on both sides of the quick-release axle receiver bushing to 50Nm
(see fig.3, item1/3).
INFORMATION: After adjustment, the camber of the left and right drive wheels must have the same
angle.
8) If necessary: Readjust the height and alignment of the caster attachment device as well as the wheel locks
(see information at the start of the section).
6.2.4 Adjusting the quick-release axle
The quick-release axle should be set so the wheel is correctly engaged, with no play on the axle.
1) Hold the quick-release axle by the head (wrench size: 19mm) and by the tip (wrench size: 11mm) with a ring
and open-ended wrench respectively.
11Avantgarde Teen2 T,
Avantgarde Teen2 VR
Settings

2) Adjust the play by turning the nut on the end of the quick-release axle (see fig.5, item1) in or out.
5
6.2.5 Adjusting the handrims
INFORMATION
This section does not apply to standard wheels.
All handrims are designed for a spacing from the drive wheel of 15mm (standard setting) and 25mm.
1) Loosen/remove the handrim screw connection from the rim (see fig.7).
2) Tightly screw the handrims onto the rim in narrow or wide installation position.
6 7
6.3 Adjusting the caster wheels
6.3.1 Adjusting the caster journal angle
When the drive wheels have been adjusted for the user, the caster journal angle must be adjusted at the caster
wheel adapter.
The threaded axle in the caster wheel adapter should be perpendicular to the ground to ensure optimum rolling
behaviour of the wheelchair. The caster wheel adapter permits a continuous adjustment of this angle.
1) Remove the caps from the caster wheel adapters (see fig.8, item1).
2) Slightly loosen the Allen head screws on the inside of the frame (see fig.8, item2).
3) Slightly loosen the Allen head screw on the eccentric (see fig.8, item3).
4) Position the assembly aid (spirit level) (see fig.9, item1).
5) Adjust the positive/negative caster to 90° on the eccentric disc using a large flat screwdriver. The assembly aid
(spirit level) must be in the centre position (see fig.9, item2).
6) Tighten the Allen head screw on the eccentric to 8Nm (see fig.8, item3).
7) Tighten the Allen head screws on the inside of the frame to 23Nm (see fig.8, item2).
→The threaded axle on each of the two caster wheel adapters must be positioned vertically.
12
Settings
Avantgarde Teen2 T,
Avantgarde Teen2 VR

8 9
6.3.2 Changing the installation position of the caster wheels
The seat height/angle can be retroactively adjusted through repositioning of the casters in the caster forks or use of
different wheel sizes.
Please refer to the installation matrix in the section "Technical data" for permitted positions and combinations of
rear and caster wheels.
1) Unscrew the screw connection of the threaded axle (see fig.10).
2) Remove the threaded axle/spacers.
3) Remove the caster wheel.
4) Insert the threaded axle with the first spacer bushing offset in one of the four bore holes.
5) Install the caster wheel.
6) Push on the 2nd spacer bushing (see fig.11, item1).
7) Tighten the threaded axle to 8Nm.
→Once changed, the left and right caster wheels must have the same vertical position in the caster fork.
10 11
6.4 Adjusting the wheel locks
WARNING
Failure to verify brake functionality
Accident, falling of the user due to incorrect adjustment
►Check the correct spacing between the wheel lock bolt and tyre (see the following section for details).
►Check the correct position of the wheel lock bolt relative to the tyre. During braking, the wheel lock bolt has to
cover at least half the tyre width.
►Always carry out adjustments to the wheel lock on both sides.
►Ensure that the user can operate the wheel lock without great effort. The force required to do so must not
exceed 60N.
►Only use original drive wheels with a verified maximum radial out-of-round of 1mm.
This adjustment must be made after the drive wheel has been repositioned or during fine adjustment.
13Avantgarde Teen2 T,
Avantgarde Teen2 VR
Settings

6.4.1 Adjusting the knee lever wheel locks
1) Loosen the Allen head screws on the wheel lock (see fig.12, item1).
2) The knee lever wheel lock is continuously moveable and adjustable (see fig.12, item2).
3) When the wheel lock is disengaged, the gap between the tyre and wheel lock bolt must not exceed 5mm (see
fig.13).
→The distance between the wheel lock bolt and the drive wheel must be1–5mmin the unbraked condition.
→It must be possible to operate the wheel lock evenly and easily on both sides.
→The wheel lock bolt must lock the drive wheel securely when stationary.
4) Tighten the Allen head screws to 10Nm.
→After adjustment, the left and right knee lever wheel locks must both have the same braking force.
12
max. 5 mm
13
6.4.2 Adjusting the braking force of the drum brake
INFORMATION
After making adjustments, check that activating the manual brake lever creates a sufficient braking effect.
Note that the drum brake must still be able to produce sufficient braking force even when the manual brake lever
is locked into a ratchet position.
To achieve an optimum braking effect, the braking force is adjusted using the adjustment screw (see fig.14, item
2).
•Increase the braking force: Back off the adjusting screw.
•Reduce the braking force: Screw in the adjustment screw.
1) Loosen the counter nut (see fig.14, item1) and back off the adjustment screw until a scraping noise can be
heard when the rear wheel is rotated.
2) Screw in the adjustment screw (see fig.14, item2) until the scraping noise at the rear wheel disappears and
the wheel runs freely.
3) Tighten the counter nut (see fig.14, item1) until the adjustment screw is fixed.
→The braking force of both rear wheels must be adjusted equally.
14
14
Settings
Avantgarde Teen2 T,
Avantgarde Teen2 VR

6.5 Adjusting the back support
6.5.1 Adjusting the back support height
With the “Back, height-adjustable/adaptable” option, the height of the back tube can be adjusted. Adjustment can
be made within the hole matrix at intervals of 25mm over a range of 100mm.
The adjustment range is determined by the selected back size (175–275mm, 250–350mm, 300–400mm).
1) Preparation:
→Remove the rear wheels and secure the wheelchair by jacking it up.
→Remove add-on components attached to the back tubes that are in the way (forinstance anti-tipper or desk
side panel mounts).
2) Loosen and remove the upper and lower screws on the rear back tube (see fig.15, item1/2).
3) Loosen and remove the screw on the clamp bracket of the side panel of each side (see fig.15, item3).
4) Slide both two back tubes to the desired height (see fig.16). Both back tubes must be set to the same height.
Please note: Adjustments may only be made within the range provided for the back tubes (175–275mm,
250–350mm, 300–400mm).
5) Install and firmly tighten the upper and lower screws on the rear frame tube (see fig.15, item1/2). The back
tube always has to be attached with 2 screws per side.
15 16
6.5.2 Adjusting the back support angle
WARNING
Incorrect use of back support angle adjustment
Falling, tipping over due to shift in centre of gravity
►Note that adjusting the back support angle shifts the centre of gravity. If necessary, install an anti-tipper in
addition.
Angle-adjustable back support
The inclination of the back support to the seat bottom can be adjusted from -9° to +9° in 6° increments:
1) Slightly loosen the Allen head screw on the locking joint on both sides (see fig.17, item1).
2) Position the back support unit at the desired angle.
3) Tighten the Allen head screw on the locking joint to 10Nm on both sides.
15Avantgarde Teen2 T,
Avantgarde Teen2 VR
Settings

17
6.6 Adjusting the back support upholstery / seat upholstery
6.6.1 Adjusting the back support upholstery
INFORMATION
A well adjusted backrest provides lasting comfort and reduces the risk of secondary damage and pressure zones.
Do not create too much pressure.
INFORMATION
Ensure that the user’s pelvis is positioned as far back in the wheelchair as possible, i.e.between the back tubes.
The backrest cover can be adjusted segment by segment, to meet the needs of the user.
1) Remove the seat cushion.
2) Pull the back padding up and off the hook-and-loop connection on the back upholstery.
3) Loosen the backrest straps and then fasten together with the desired tension (see fig.18).
4) Put on the backrest padding and attach it to the hook-and-loop fastener on the back upholstery.
5) Put on the seat cushion and secure it with the hook-and-loop fastener.
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6.6.2 Adjusting the seat upholstery
The seat upholstery usually does not need to be adjusted during the initial fitting. However, the tension can be
changed.
INFORMATION
You can slightly correct the centre of gravity by making small changes to the dip of the seat upholstery. However,
larger corrections to the centre of gravity must be made by making changes to the settings on the frame, the axle
unit and the caster wheels.
1) Remove the seat cushion and slightly fold the crossbrace.
2) Loosen the hook-and-loop fastener on the underside of the seat upholstery.
3) Adjust the seat upholstery tension.
4) Close the hook-and-loop fastener.
16
Settings
Avantgarde Teen2 T,
Avantgarde Teen2 VR

5) Unfold the wheelchair. In doing so, the crossbrace must seat fully in the support guides.
19
6.7 Adjusting the leg supports
6.7.1 Adjusting the lower leg length
The required leg support height depends on the lower leg length of the user and the thickness of the seat cushion.
Adjusting the leg support height on the Avantgarde Teen 2 T
1) Loosen the Allen head screw on the front frame (see fig.20).
2) Adjust the lower leg length.
INFORMATION: There are two threaded holes in the foot plate bar. Depending on the desired setting,
the Allen head screw may have to be completely removed and inserted into the second hole.
3) Tighten the Allen head screw to 10Nm.
Adjusting the leg support height on the Avantgarde Teen 2 VR
1) Loosen the set screws on the locking mechanism (see fig.21, item1).
2) Adjust the lower leg length (continuously adjustable). Ensure that the foot plate bar (see fig.21, item2) is inser
ted into the swivel segment (see fig.21, item3) by at least 40mm.
INFORMATION: A mark on the foot plate bar indicates the minimum distance the foot plate bar must
be inserted during installation.
3) Tighten the set screws on the locking mechanism to 8Nm.
20 21
Adjusting the height of the leg support for short lower leg lengths
1) Loosen the clamping screws (see fig.22, item1).
2) Bring the foot plate to the desired position (see fig.22, item2).
3) Tighten the clamping screw to 9Nm.
17Avantgarde Teen2 T,
Avantgarde Teen2 VR
Settings

22
6.7.2 Adjusting the support angle
The leg support angle setting should be chosen so that the ankle is in a relaxed, comfortable position.
1) Loosen the Allen head screws on the rear foot plate suspension by several turns (see fig.23).
2) Turn the foot plate to the desired angle.
3) Tighten the Allen head screws to 10Nm (see fig.23).
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6.8 Adjusting the side panels
Side panel with height-adjustable forearm support
1) Forearm support height adjustment: Push the release button on the inside of the side panel and adjust the
height (see fig.24, item1).
2) Forearm support depth adjustment: Loosen the mounting screws under the forearm support, move the fore
arm support and firmly retighten the mounting screws (not illustrated).
Padded arm support (see fig.25)
1) Loosen the mounting screw on the locking point (not illustrated).
2) Slide the arm support to the desired position.
3) Tighten the mounting screw.
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Settings
Avantgarde Teen2 T,
Avantgarde Teen2 VR

24 25
6.9 Adapting your wheelchair to the patient's growth
With this wheelchair type, the frame can be extended in a few assembly steps. This provides the user with more
depth adjustments during the period of use.
1) Remove the rear wheels.
2) Loosen the lower screws on the rear frame components (the screw head being located underneath the frame)
see fig.26, item1).
3) Loosen the upper screws on the front frame components (see fig.26, item2). Each screw to be loosened also
serves as the attachment screw for the side panel.
4) Pull back the rear frame as far as desired until you find another hole in the frame.
5) Screw the rear screws into the frame bores (see fig.26, item1).
6) Screw the front screws into the frame together with the side panel and the half shell.
7) Attach the plastic clips supplied at the points that are freed up between the frame components. For an exten
sion of 20mm, 2 plastic clips have to be installed on each side, for an extension of 40mm, 4 plastic clips on
each side.
8) As needed: Install the seat tube extensions on the rear of the seat tubes. If required, slightly fold the seat, slide
the desired extension onto the seat tubes and refit the seat upholstery.
9) Firmly retighten the screws on the frame components.
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19Avantgarde Teen2 T,
Avantgarde Teen2 VR
Settings

6.10 Adjusting the anti-tipper
WARNING
Incorrect installation of the anti-tipper/missing anti-tipper
Tipping over, falling of the user due to failure to observe the installation instructions and because of incorrect
adjustment
►Depending upon the settings of the chassis, the centre of gravity, the back angle and the experience of the
user, the use of an anti-tipper may be necessary.
►For a small wheelbase and a backrest that is tilted far back, an anti-tipper may need to be installed on both
sides, depending upon the user's experience.
►Verify that the anti-tipper has been installed and adjusted properly. Find the appropriate position with the
assistance of a helper.
Adjusting the length of the pivot arm
1) Remove the Allen head screw on the pivot arm (see fig.27, item1).
2) Adjust the length of the pivot arm.
3) Bolt down the pivot arm. The outer edge of the anti-tipper roller has to project beyond the largest diameter of
the tyre (see fig.28).
Adjusting the angle of the pivot arm
1) Remove the Allen head screw between the anti-tipper tube and the angle adjuster (see fig.27, item2).
2) Loosen the second Allen head screw on the angle adjuster (see fig.27, item3).
3) Set the angle of the pivot arm.
4) Bolt down the pivot arm. The max. distance between the anti-tipper rollers and floor is 50mm (see fig.28).
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max. 50 mm
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6.11 Adjusting the lap belt
CAUTION
Incorrect approach to the adjustment process
Injuries, malpositions, user discomfort due to adjustment errors
►The qualified personnel is responsible for the individual positioning and fitting of the belt system.
►Adjusting the belt system too tightly may lead to unnecessary pain or user discomfort.
►Adjusting the belt system too loosely can cause the user to slide into a dangerous position. In addition, the
fastening snaps could open unintentionally if they slide against hard parts of clothing (e.g.buttons).
CAUTION
Lack of instruction
Injuries, malpositions, illness of the user due to incorrect information
►The qualified personnel is responsible for making sure that the user and/or attendant/nursing staff has under
stood the proper adjustment, use, maintenance and care of the belt system.
►In particular, ensure that the user and/or attendant/care staff knows how to quickly loosen and open the
product to avoid delays in case of emergency.
Information on the settings can be found in the manufacturer’s instructions for use accompanying each product.
20
Settings
Avantgarde Teen2 T,
Avantgarde Teen2 VR