Otto Bock Start B2 User manual

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Instructions for use ............................................................................................... 3

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Foreword1 5..............................................................................................................................................................
Intended use2 5........................................................................................................................................................
Indications for use2.1 5................................................................................................................................
Indications2.2 5...........................................................................................................................................
Contraindications2.3 6.................................................................................................................................
Qualification2.4 6.........................................................................................................................................
Product description3 6............................................................................................................................................
Function3.1 6..............................................................................................................................................
Product overview3.2 7..................................................................................................................................
Safety4 7....................................................................................................................................................................
Explanation of warning symbols4.1 7..............................................................................................................
Safety instructions for use4.2 8......................................................................................................................
Side effects4.3 11........................................................................................................................................
Further information4.4 11..............................................................................................................................
Nameplate and warning labels4.5 11..............................................................................................................
Delivery5 11...............................................................................................................................................................
Scope of delivery5.1 11................................................................................................................................
Storage5.2 12..............................................................................................................................................
Storage during daily use5.2.1 12......................................................................................................................
Storage during extended disuse5.2.2 12............................................................................................................
Preparation for use6 12...........................................................................................................................................
Assembly6.1 12...........................................................................................................................................
Settings and assembly instructions7 13................................................................................................................
Prerequisites7.1 13......................................................................................................................................
Adjusting the drive wheels7.2 14....................................................................................................................
Adjusting the quick-release axle7.2.1 14............................................................................................................
Adjusting the caster wheels7.3 14..................................................................................................................
Adjusting the wheel locks7.4 14.....................................................................................................................
Installing the wheel lock lever extension7.5 15.................................................................................................
Adjusting the back support upholstery7.6 16...................................................................................................
Installing and adjusting the leg supports7.7 16................................................................................................
Segmented leg supports7.7.1 16......................................................................................................................
Elevating leg supports7.7.2 17.........................................................................................................................
Calf strap7.7.3 18...........................................................................................................................................
Installing and adjusting the side panels7.8 18..................................................................................................
Installing and adjusting frame options7.9 19....................................................................................................
Installing and adjusting the anti-tipper7.9.1 19....................................................................................................
Installing and adjusting transport wheels7.9.2 19................................................................................................
Installing the crutch holder7.9.3 19...................................................................................................................
Installing and adjusting the lap belt7.10 20.......................................................................................................
Use8 21......................................................................................................................................................................
Instructions for use8.1 21..............................................................................................................................
Getting in and transferring8.2 21...................................................................................................................
Legrests8.3 21............................................................................................................................................
Seat and back upholstery8.4 23.....................................................................................................................
Seat cushion8.5 24......................................................................................................................................
Side panels8.6 24........................................................................................................................................
Push handles8.7 26......................................................................................................................................
Drive wheels8.8 26.......................................................................................................................................
Caster wheels and caster forks8.9 27.............................................................................................................
Wheel locks8.10 28.......................................................................................................................................
Anti-tipper8.11 29..........................................................................................................................................
Table of contents
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Table of contents

Tip-assist8.12 30...........................................................................................................................................
Lap belt (seat belt)8.13 31..............................................................................................................................
Transport wheels8.14 31................................................................................................................................
Crutch holder with hook-and-loop fastening strap8.15 32...................................................................................
Disassembly and transport8.16 32...................................................................................................................
Use in vehicles for transporting persons with reduced mobility8.17 33..................................................................
Required accessories8.17.1 33..........................................................................................................................
Using the product in a vehicle8.17.2 34...............................................................................................................
Restrictions for use8.17.3 36.............................................................................................................................
Care8.18 36..................................................................................................................................................
Cleaning8.18.1 36............................................................................................................................................
Cleaning by hand8.18.1.1 36................................................................................................................................
Cleaning in a washing chamber/wheelchair washing system8.18.1.2 36....................................................................
Cleaning the seat cushion8.18.1.3 37....................................................................................................................
Cleaning belts/straps8.18.1.4 37..........................................................................................................................
Disinfection8.18.2 37........................................................................................................................................
Maintenance9 38......................................................................................................................................................
Maintenance intervals9.1 38..........................................................................................................................
Maintenance tasks9.2 38..............................................................................................................................
Disposal10 38.............................................................................................................................................................
Disposal information10.1 38............................................................................................................................
Information on re-use10.2 39...........................................................................................................................
Legal information11 39..............................................................................................................................................
Liability11.1 39..............................................................................................................................................
Warranty11.2 39............................................................................................................................................
Service life11.3 39.........................................................................................................................................
Technical data12 39...................................................................................................................................................
Appendices13 40........................................................................................................................................................
Threshold values for wheelchairs transportable by train13.1 40...........................................................................
Required tools13.2 41....................................................................................................................................
Torque values of the screw connections13.3 41.................................................................................................
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Table of contents

1 Foreword
INFORMATION
Last update: 2019-10-28
►Please read this document carefully before using the product.
►Follow the safety instructions to avoid injuries and damage to the product.
►Instruct the user in the proper and safe use of the product.
►Please keep this document in a safe place.
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.
►Report all serious incidents that have occurred in connection with the product, both to the manufacturer (see
rear cover for contact information) and to the relevant authority in your country.
►For further questions about the instructions for use, please contact the qualified personnel who issued the
product to you.
• All users must be instructed in the use of the product by qualified personnel with the aid of these instructions
for use.
• Attendants (persons who operate and push the product) must also be instructed in the use of the product by
qualified personnel with the aid of these instructions for use.
• In case of questions or problems, please consult the qualified personnel that adapted the product or the manu
facturer's service (see inside back cover or back page for addresses).
• The product may be combined only with the options listed here. The manufacturer assumes no liability for com
binations with third-party medical devices and/or accessories not included in the modular system. Please also
observe the information in the section "Liability".
• Service and repairs to the product may only be carried out by qualified personnel. If you have any problems,
please contact your specialist dealer. This ensures that any necessary repairs will be made exclusively with
Ottobock spare parts.
• Your product may differ from the models shown. In particular, not all the options described in these instruc
tions for use will be installed on your product.
• The manufacturer reserves the right to make technical changes to the model described in these instructions for
use.
2 Intended use
2.1 Indications for use
The wheelchair is intended solely for everyday indoor and outdoor use by people who are unable to walk or have a
walking impediment and for operation by the patient or another person.
The product is suitable for users whose anatomy (suchas body dimensions and weight) permits the intended use
of the product.
The wheelchair may only be used with the options listed on the product order form.
Ottobock assumes no liability for combinations with medical devices and/or accessories from other manufacturers
not included in the modular system.
Combinations based on a combination agreement that have been evaluated for effectiveness and safety are an
exception to this.
The safe use of the wheelchair can only be ensured if it is used as intended in accordance with the information
contained in these instructions for use. The user is ultimately responsible for accident-free operation.
2.2 Indications
Minor to pronounced or complete restrictions of mobility and strength deficits of the lower and upper limbs, caused
forexample by:
Paralysis
• Paraplegia (tetraparesis, paraparesis, hemiparesis, hemiplegia)
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Foreword

• Cerebral palsy
• Multiple sclerosis
• Progressive muscular dystrophy or spinal muscular atrophy
• Traumatic brain injuries
• Stroke
Loss of limbs
• Amputation in combination with severe circulatory or balance disturbances
• Amputation with insufficient weight bearing on the sound leg
• Multiple amputation
Defects or deformation of the limbs
• Dysmelia, phocomelia
• Osteogenesis imperfecta
• Scoliosis
Joint contractures or joint damage (of a significant extent, cause cannot be treated)
• Polyarthrosis, polyarthritis
• Morbus Bechterew
• Arthrogryposis multiplex congenita
• Neurogenic functional disturbances
Other diseases
• Cardiac insufficiency, circulatory insufficiency
• Vestibular disorders
• Cachexia
2.3 Contraindications
There are no known contraindications given proper use.
2.4 Qualification
Installation and adjustment tasks as well as repairs and inspections may only be carried out by qualified personnel.
3 Product description
3.1 Function
The wheelchair is intended exclusively for transporting one person on the seat.
The wheelchair can be used on solid ground both indoors and outdoors.
6
Product description
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3.2 Product overview
1
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1 Back support, back support upholstery 7 Caster wheel
2 Side panel with forearm support 8 Release button for quick-release axle
3 Seat upholstery 9 Handrim
4 Wheel lock (here: knee lever wheel lock) 10 Frame
5 Leg support, segmented, removable 11 Drive wheel
6 Caster fork 12 Push handle
4 Safety
4.1 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.
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Safety

4.2 Safety instructions for use
Hazards during preparation for use
WARNING
Independent modification of settings
Serious injuries to the user due to unallowable changes to the product
►Do not modify the settings established by the qualified personnel.
►In case of problems with the settings (unsatisfactory seating position, caster wheel wobble, etc.) please con
tact the qualified personnel who adjusted your product.
WARNING
Improper handling of packaging materials
Risk of suffocation due to neglect of the duty to supervise
►Packaging materials must be kept out of the reach of children.
Risk of hand injuries
CAUTION
Pinching on components
Pinching, crushing due to lack of caution in danger areas
►Do not reach between the drive wheel and wheel lock or drive wheel and side panel when driving the wheel
chair.
►Do not reach into the spokes of the rotating drive wheel.
►Pay attention not to pinch parts of your body at the wheel lock lever or between the side or frame parts.
CAUTION
Heat development when braking with handrims
Burns due to insufficient hand protection
►Wear wheelchair gloves when travelling at high speeds.
Hazards while driving
CAUTION
Lack of driving experience
Tipping over, falling due to errors in handling the product
►Practise on level, open ground first.
►Learn with the support of an assistant how the product reacts to changes in centre of gravity, e.g.downward
or upward slopes, inclines or when overcoming obstacles.
CAUTION
Leaning forward in the wheelchair
Tipping over, overturning due to incorrect centre of gravity
►Do not lean too far out of the wheelchair when trying to pick up objects.
►Lean well forward with your upper body when climbing gradients, overcoming obstacles on gradients or on
ramps. If users cannot lean their upper body forward, accompanying persons must support the wheelchair
from behind.
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Safety
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CAUTION
Risky operation
Falling, tipping over backwards due to approaching obstacles incorrectly
►Push slowly when crossing obstacles (e.g. steps, curbs) and negotiating uphill or downhill slopes and
inclines.
►Never cross obstacles at an angle. Always approach obstacles head on (at an angle of 90°).
►Raise the front wheels before crossing obstacles.
►Avoid collisions with obstacles and dropping off curbs/ledges.
►Avoid riding cross-country.
WARNING
Improper use of the wheel lock
Falling due to abrupt braking, rolling away of the wheelchair, damage to the wheel lock
►Do not use the wheel lock as a driving brake.
►Apply the wheel lock to prevent the wheelchair from moving on uneven ground or during transfers (e.g.into a
car).
CAUTION
Lack of tipping resistance on public transport
Tipping over, user falls, damage to the product due to incorrect positioning
►When using public transit, always observe the currently applicable legal requirements and the safety notices
of the public transit operator.
►Use the permanently installed seats in the vehicle. If you depend on using your wheelchair as a seat, please
use the designated wheelchair spaces and safety securing equipment provided. Always ensure that you are
held in place securely.
CAUTION
Incorrect handling at level crossings
User may fall or tip over due to driving error
►Only cross railway systems and railway tracks in the designated areas.
►Negotiate level crossings so the caster wheels of the product cannot get caught in the gap between the rail
and the road surface.
CAUTION
Driving in the dark
Risk of collisions with other traffic participants due to lack of lighting
►Wear bright clothing or clothing with reflectors.
►Install active lighting on your product.
►Ensure that the reflectors on the product are clearly visible.
Hazards when overcoming obstacles
WARNING
Overcoming steps and obstacles without assistance
Tipping over, falling of the user due to failure to observe transportation instructions
►Always have accompanying persons help you negotiate steps and other obstacles.
►Use available facilities (e.g. access ramps or lifts).
►If such facilities are not available, have 2 assistants carry you over the obstacle.
WARNING
Improper lifting by attendants
Tipping over, falling of the user due to lifting by removable components
►Only lift the product by firmly mounted components (e.g. main frame, push handles).
►Be sure that the clamping levers of the height-adjustable push handles are firmly tightened.
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Safety

Hazard in case of broken skin
CAUTION
Contact with broken skin
Reddening of the skin or pressure points due to contamination with germs or incorrectly adapted seat cushion
►Check before using the product that the skin is not broken in areas subject to prolonged pressure (e.g.but
tocks, back and rear of the thighs).
►In case of problems, please contact the qualified personnel who adjusted the product.
►No liability is assumed for injuries caused by the use of the product with broken skin.
Hazards due to fire, heat and cold
CAUTION
Extreme temperatures
Hypothermia or burns due to contact with components, failure of components
►Do not expose the product to any extreme temperatures (e.g.direct sunlight, sauna, extreme cold).
►Do not leave the product in the immediate vicinity of heaters.
Hazards due to improper use of the product
WARNING
Overloading
Severe injuries if the product tips over due to overloading, damage to the product
►Do not exceed the maximum load capacity (see the nameplate and section "Technical data").
►Please note that certain accessories and add-on components will reduce the remaining load capacity.
WARNING
Exceeding the service life
Serious injuries due to failure to observe the manufacturer’s requirements
►Using the product beyond the specified expected service life leads to increased residual risk.
►Observe the specified service life.
WARNING
Incorrect pushing or pulling of the wheelchair
Falling, tipping over due to user error
►Only the push handles may be used for pushing or overcoming obstacles.
►The attendant should make sure that he/she has a secure stance and firm grip (on both sides).
►In case of damage, have the push handles repaired promptly.
CAUTION
Use of the product during diagnostic examinations and therapeutic treatment
Impairment of the examination results or the effectiveness of treatment due to interactions of the product with
devices that are used
►Make sure that examinations and treatments are carried out exclusively under the prescribed conditions.
CAUTION
Uncontrolled driving behaviour, unexpected sounds or odours
Falling, tipping, collision with persons or nearby objects due to defects
►If any faults, defects or other hazards that can lead to personal injury are detected, the product must be taken
out of service immediately. This includes uncontrolled movements as well as sounds that are unexpected or
previously not noted or odours that deviate significantly from the state of the product at the time of delivery.
►Please contact your authorised dealer.
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Safety
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NOTICE
Use under incorrect environmental conditions
Damage to product due to corrosion or abrasion
►Do not use the product in salt water.
►Make sure that the wheel bearings are not damaged by sand or other particles.
4.3 Side effects
The following side effects may occur during use of the product:
• Neck, muscle and joint pain
• Circulatory disorders, risk of pressure sores
Contact a doctor or therapist in case of problems.
4.4 Further information
INFORMATION
Even in the event of compliance with all applicable guidelines and standards, alarm systems (e.g. in department
stores) may respond to your product. Should this happen, remove your product from the area where the alarm
was triggered.
4.5 Nameplate and warning labels
The nameplates are found on the crossbrace.
Label Meaning
AManufacturer’s product name
BCE marking
CMaximum load (see section “Technical data”)
DManufacturer information/address
ESerial number1)
FManufacturing date2)
GManufacturer’s article number for the product variant
H WARNING! Read the instructions for use before using the
product. Observe important safety-related information
(e.g.warnings, precautions).
ISymbol for medical device
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
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
Label Meaning
(For installation of anchor point on the wheelchair only)
Fixation point/anchor point to attach the wheelchair in vehicles
for transporting persons with reduced mobility
5 Delivery
5.1 Scope of delivery
The scope of delivery includes:
• Preassembled wheelchair
• Two drive wheels (installed or included)
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Delivery

• Options according to the order
• Instructions for use
The seat cushion is not included in the standard package.
5.2 Storage
5.2.1 Storage during daily use
The wheelchair must be stored in a dry place.
5.2.2 Storage during extended disuse
The wheelchair must be stored in a dry place. During longer storage periods, an ambient temperature between
-10°C and +40°C must be maintained.
It is not necessary to disassemble or fold up the wheelchair.
During extended storage, the knee lever wheel lock on wheelchairs with PU tyres (=tubeless tyres) must be
released since tyre deformation may otherwise result.
Tyres contain chemical substances that can react with other chemical substances (such as cleaning agents, acids,
etc.).
6 Preparation for use
6.1 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 brakes/wheel locks.
INFORMATION
On the topic of disassembly/transport: see Page32.
It only takes a few simple steps to prepare the wheelchair for use:
1) Attach the drive wheels to the receiver bushings (see fig.2):
→Press the button on the quick-release axle.
→Attach the drive wheel to the receiver bushing and release the button on the quick-release axle.
→The quick-release axles must not be removable after releasing the push-button.
2) Unfold the wheelchair (see fig.3; see fig.5).
3) Attach the leg supports (see Page21).
4) If necessary: Attach the flap of the back support upholstery to the seat with the hook-and-loop fastener (see
fig.4).
5) If necessary: Fit the seat cushion (see Page24).
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Preparation for use
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2 3
4 5
7 Settings and assembly instructions
7.1 Prerequisites
WARNING
Incorrect settings
Tipping over, falling or malposition of the user due to incorrect settings
►Adjustment and installation work may not be completed by the product user but only by instructed, qualified
personnel.
►Only the settings 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 chapter and the chapter "Appendices"). If you have questions, contact the manu
facturer's service (see 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.
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Settings and assembly instructions

Adjustments to match the concrete physical and mental condition of the user should always be made in the user's
presence.
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40).
7.2 Adjusting the drive wheels
The rear wheel position cannot be adjusted with this wheelchair type.
7.2.1 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.
2) Adjust the play by turning the nut on the end of the quick-release axle (see fig.6, item1) in or out.
6
7.3 Adjusting the caster wheels
With this wheelchair type, the caster wheel position and caster wheel journal angle cannot be adjusted.
7.4 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 for fine adjustment of the wheel lock.
Version 1
1) Loosen the Allen head screws on the clamp bracket (see fig.7, item1).
2) The knee lever wheel lock is continuously moveable and adjustable (see fig.7, item2).
When the wheel lock is disengaged, the gap between the tyre and wheel lock bolt must not exceed 5mm (see
fig.8).
Ensure that the wheel lock bolt covers at least half the tyre width during braking.
3) Tighten the Allen head screws to 16Nm.
→After adjustment, the left and right knee lever wheel locks must both have the same braking force.
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Settings and assembly instructions
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7 8
Version 2
1) Slightly loosen the hexagon nut on the inside of the frame (see fig.9; see fig.10, item1).
2) The knee lever wheel lock is continuously moveable/adjustable (see fig.10, item2).
When the wheel lock is disengaged, the gap between the tyre and wheel lock bolt must not exceed 5mm.
Ensure that the wheel lock bolt covers at least half the tyre width during braking.
3) Tighten the hexagon nut to 7Nm.
→After adjustment, the left and right knee lever wheel locks must both have the same braking force.
9 10
7.5 Installing the wheel lock lever extension
1) Pull the wheel lock handle off the knee lever wheel lock. Cut open if necessary.
2) Slide the wheel lock lever extension onto the wheel lock lever and secure it with the pin (see fig.11, item1).
3) Check the folding function.
11
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Settings and assembly instructions

7.6 Adjusting the back support upholstery
Back support upholstery, standard
The back support upholstery tension can be easily adjusted:
1) Open the four hook-and-loop closures at the rear (see fig.12, item1).
2) Refasten the hook-and-loop straps in the new length position.
The back support upholstery can be adjusted in height by one increment (25mm):
1) Remove the Phillips head screw on each side (see fig.13, item1).
2) Move the back support upholstery to the desired height (see fig.13, item2).
3) Insert the Phillips head screw on each side and tighten to max. 2Nm (not illustrated).
12 13
7.7 Installing and adjusting the leg supports
The required legrest height depends on the lower leg length of the user and the thickness of the seat cushion.
7.7.1 Segmented leg supports
Installing the leg support
For removing and attaching the leg supports: see Page21 .
Adjusting the lower leg length
1) Remove the cotter pin from the leg support (see fig.14, item1).
2) Adjust the leg support height (see fig.14, item2).
3) Install the cotter pin in the leg support.
14
Adjusting the foot plate angle
1) Loosen the countersunk head screw on the foot plate (see fig.15).
2) Turn the foot plate to the desired angle (see fig.16).
3) Tighten the countersunk head screw to at least 6Nm (see fig.15).
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Settings and assembly instructions
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15 16
7.7.2 Elevating leg supports
Installing the leg support
1) Remove the installed leg support (see Page21).
2) Replace the lock piece (see fig.17, item1 = lock piece for segmented leg support; item2 = lock piece for elev
ating leg support). Install the new lock piece with the correct alignment (edge faces up) and firmly tighten the
mounting screw.
3) Put on the new leg supports (see Page21).
17
Adjusting the lower leg length
1) Remove the cotter pin from the leg support (see fig.18, item1).
2) Adjust the leg support height (see fig.18, item2) and reinstall the cotter pin in the tube of the leg support.
Adjusting the foot plate angle
See the section “Segmented leg supports”.
Adjusting the posterior lower leg pad
1) Loosen the Allen head screws on the tube of the leg support (see fig.19, item1).
2) Slide the posterior lower leg pad to the desired height and firmly re-tighten the Allen head screws.
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Settings and assembly instructions

18 19
7.7.3 Calf strap
For removing and fastening the calf strap: see Page21.
7.8 Installing and adjusting the side panels
Replacing the side panels with tripod spring
1) Fold back the side panel.
2) Press in the pushbutton (see fig.43) and take the side panel out of the holder.
3) Insert the side panel in the adapter.
4) Press in the pushbutton and allow the side panel to engage in the adapter (see fig.44).
Adjusting the forearm support height – side panel with height-adjustable forearm support
The armrest height can be adjusted by changing the positions of the spacers (see fig.20).
1) Remove both Allen head screws (see fig.21).
2) Remove the armrest and position the spacers as required (see fig.22; see fig.23).
3) Lay the armrest onto the spacers.
4) Insert and tighten the two Allen head screws (see fig.22; see fig.23).
20 21
22 23
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Settings and assembly instructions
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Adjusting the forearm support height – side panel with height-adjustable forearm support
The user can perform the adjustment (see the section "Use" in the instructions for use (user)).
7.9 Installing and adjusting frame options
7.9.1 Installing and adjusting the anti-tipper
CAUTION
Incorrect installation of the anti-tipper
Tipping over, falling of the user due to incorrect adjustment
►Verify that the anti-tipper has been installed and adjusted properly. Find the appropriate position with the
assistance of a helper.
Installing the anti-tipper
1) Pull the end cap off the frame tube (see fig.55).
2) Insert the anti-tipper in the frame tube and install the cotter pin (see fig.53).
Adjusting the anti-tipper
The anti-tipper is not adjustable.
7.9.2 Installing and adjusting transport wheels
Installing the transport wheels
1) Pull the end cap off the frame tube (see fig.55).
2) Slide the transport wheels into the frame tube and install the cotter pin (see fig.25, item1).
Adjusting the transport wheels
1) Loosen the Allen head screws (see fig.25, item2).
2) Adjust the transport wheels to the same height. In doing so, adjust the height so the transport wheels do not
contact the floor when the drive wheels are mounted.
3) Tighten the Allen head screws to XNm.
24 25
7.9.3 Installing the crutch holder
1) Set the crutch holder onto the rear frame tube and screw it on with the clamp bracket (installation example: see
fig.26, item1).
2) Loosen the Phillips head screw on the back support upholstery (see fig.27, item1). Set on the hook-and-loop
strap and mount it on the back support tube with the Phillips head screw.
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Settings and assembly instructions

26 27
7.10 Installing and adjusting the lap belt
CAUTION
Incorrect approach to the adjustment process
Injuries, malpositions, illness of the user due to adjustment errors
►The belt system may only be installed by qualified personnel.
►The qualified personnel is responsible for individual positioning and fitting of the belt system.
►Excessively tight adjustment of the belt system may lead to unnecessary pain or illness of the user.
►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).
►For proper installation and adjustment, follow the instructions for use included with the product.
CAUTION
Lack of instruction
Injuries, malpositions, illness of the user due to information errors
►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/nursing staff knows how to quickly loosen and open the
product to avoid delays in case of emergency.
The lap belt (seat belt) is screwed to the respective back support tube.
1) Screw the lap belt in place on the respective indicated part of the back support tube (see fig.28, item1/2).
2) Tighten the mounting screws to 7Nm.
3) Adjust the lap belt. Information on the settings can be found in the manufacturer’s instructions for use accom
panying each product.
28
20
Settings and assembly instructions
Start B2