Otto Bock Start M1 User manual

Start M1
Instructions for use (user) ...................................................................................... 3

2 Start M1

Foreword1 5..............................................................................................................................................................
Intended use2 5........................................................................................................................................................
Indications for use2.1 5................................................................................................................................
Indications2.2 6...........................................................................................................................................
Contraindications2.3 6.................................................................................................................................
Absolute Contraindications2.3.1 6....................................................................................................................
Relative Contraindications2.3.2 6.....................................................................................................................
Product description3 6............................................................................................................................................
Function3.1 6..............................................................................................................................................
Product overview3.2 7..................................................................................................................................
Safety4 8....................................................................................................................................................................
Explanation of warning symbols4.1 8..............................................................................................................
Safety instructions for use4.2 8......................................................................................................................
Side effects4.3 11........................................................................................................................................
Further information4.4 11..............................................................................................................................
Nameplate and warning labels4.5 11..............................................................................................................
Nameplate4.5.1 11..........................................................................................................................................
Warning labels4.5.2 12...................................................................................................................................
Delivery5 12...............................................................................................................................................................
Scope of delivery5.1 12................................................................................................................................
Storage5.2 12..............................................................................................................................................
Storage during daily use5.2.1 12......................................................................................................................
Storage during extended disuse5.2.2 12............................................................................................................
Preparation for use6 12...........................................................................................................................................
Assembly6.1 12...........................................................................................................................................
Use7 14......................................................................................................................................................................
Further instructions for use7.1 14...................................................................................................................
Getting in and transferring7.2 14...................................................................................................................
Legrests7.3 14............................................................................................................................................
Further settings7.3.1 16..................................................................................................................................
Seat and back upholstery7.4 16.....................................................................................................................
Seat cushion7.5 18......................................................................................................................................
Side panels7.6 18........................................................................................................................................
Push handles7.7 20......................................................................................................................................
Drive wheels7.8 20.......................................................................................................................................
Caster wheels and caster forks7.9 21.............................................................................................................
Wheel locks7.10 22.......................................................................................................................................
Knee lever wheel locks7.10.1 22........................................................................................................................
Drum brake7.10.2 23........................................................................................................................................
Wheel lock lever extension7.10.3 23...................................................................................................................
Anti-tipper/tip-assist7.11 24............................................................................................................................
Anti-tipper7.11.1 24..........................................................................................................................................
Tip-assist7.11.2 25...........................................................................................................................................
Lap belt (seat belt)7.12 25..............................................................................................................................
Transport wheels7.13 26................................................................................................................................
Transfer version7.14 27..................................................................................................................................
Crutch holder with hook-and-loop fastening strap7.15 27...................................................................................
Disassembly and transport7.16 27...................................................................................................................
Use in vehicles for transporting persons with reduced mobility7.17 28..................................................................
Required accessories7.17.1 28..........................................................................................................................
Using the product in a vehicle7.17.2 29...............................................................................................................
Restrictions for use7.17.3 31.............................................................................................................................
Table of contents
3Start M1
Table of contents

Care7.18 31..................................................................................................................................................
Cleaning7.18.1 31............................................................................................................................................
Cleaning by hand7.18.1.1 31................................................................................................................................
Cleaning in a washing chamber/wheelchair washing system7.18.1.2 31....................................................................
Cleaning the seat cushion7.18.1.3 32....................................................................................................................
Cleaning belts/straps7.18.1.4 32..........................................................................................................................
Disinfection7.18.2 32........................................................................................................................................
Maintenance8 33......................................................................................................................................................
Maintenance intervals8.1 33..........................................................................................................................
Maintenance tasks8.2 33..............................................................................................................................
Disposal9 33.............................................................................................................................................................
Disposal information9.1 33............................................................................................................................
Legal information10 34..............................................................................................................................................
Liability10.1 34..............................................................................................................................................
Warranty10.2 34............................................................................................................................................
Service life10.3 34.........................................................................................................................................
Technical data11 34...................................................................................................................................................
Appendices12 35........................................................................................................................................................
Threshold values for wheelchairs transportable by train12.1 35...........................................................................
4 Start M1
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.
►Have yourself instructed by qualified personnel 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.
This product is a medical device that is very versatile for everyday use at home and outdoors.
In order to exclude injuries of any type, familiarise yourself with the handling, functions and intended use of the
product before using it. These instructions for use provide the necessary information.
Please note the following in particular:
• 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.
• The product has been adapted to the needs of the user. Further changes may be made only by qualified per
sonnel. We recommend checking the product settings regularly in order to assure an optimum fit over the long
term. For growing children and youths in particular, fitting should be performed every six months.
• 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.
5Start M1
Foreword

The safe use of the wheelchair can only be ensured if it is used as intended in accordance with the information
contained in the instructions for use (user). 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)
• 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
2.3.1 Absolute Contraindications
There are no known contraindications given proper use.
2.3.2 Relative Contraindications
There are no known contraindications given proper use.
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
Start M1

3.2 Product overview
1
Start M1 – version with standard back support upholstery
1 Back support, back support upholstery 8 Release button for quick-release axle
2 Side panel with forearm support 9 Drive wheel adapter
3 Seat cushion 10 Frame
4 Wheel lock (here: knee lever wheel lock) 11 Handrim
5 Leg support, segmented, removable 12 Drive wheel
6 Caster fork 13 Push handle
7 Caster wheel
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Product description

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.
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. Only the settings described in the section
“Use” in these instructions for use may be adjusted independently.
►In case of problems with the settings, please contact the qualified personnel who fitted your product.
►Discuss all changes to the settings with the qualified personnel/therapist in advance in order to minimise
health hazards and avoid putting the therapy results at risk.
WARNING
Settings outside the safety limits
Tipping over, falling due to adjustment errors because of failure to observe the physical/psychological require
ments of the user
►In certain versions and with certain settings, the product tends to tip backwards due to its design. This is an
intentional feature designed to enable users with the corresponding physical prerequisites to manoeuvre
quickly and nimbly.
►Users with the necessary physical and psychological preconditions can be supplied with such versions/set
tings. If the physical/psychological preconditions change, the product may no longer be used with these set
tings. Inform the responsible qualified personnel immediately in this case.
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.
8
Safety
Start M1

Hazards while driving
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 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.
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.
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.
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Safety

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.
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.
10
Safety
Start M1

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.
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
4.5.1 Nameplate
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).
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Safety

Label Meaning
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
4.5.2 Warning labels
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:
• Wheelchair ready for use
• Instructions for use (user)
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.
12
Delivery
Start M1

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27.
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).
3) Attach the leg supports (see Page14).
4) If necessary: Pull the part of the flap that can be fastened forwards and fasten tightly to the seat upholstery
(see fig.4).
5) If necessary: Fit the seat cushion. The seat cushion is secured against sliding by being pressed on to the
hook-and-loop fastener ().
2 3
4
13Start M1
Preparation for use

7 Use
7.1 Further instructions for use
• Attaching loads (e.g.backpacks) can adversely affect stability. Suspending additional loads on the wheelchair
is not permitted.
• The recommended overall width for manual wheelchairs in an operational state is 700mm. This specification
should ensure unhindered use of escape routes,for example. Please note that the product dimensions can
exceed the recommended value in versions with very large seat widths (for more information see see Page34
ff.).
• The wheelchairs in this series fully satisfy the minimum technical requirements for wheelchairs transportable by
train. However, please note that it is possible that not every individual wheelchair will fulfil the minimum require
ments due to the variation in designs (please see see Page35 for further details).
7.2 Getting in and transferring
CAUTION
Incorrect handling when getting in
Risk of falling, tipping or rolling away due to incorrect handling
►Activate the wheel lock each time before you get into or out of or transfer to or from the wheelchair.
►Always get into the wheelchair from the side, where possible.
►Never step on the foot plates when getting in and out.
►Do not support yourself on the wheel lock when getting in/out.
CAUTION
Incorrect caster wheel position when leaning forward in the wheelchair
Tipping over, falling due to incorrect caster wheel positioning
►Prior to activities that require you to bend forward in the wheelchair (e.g.tying your shoes), maximise the sta
bility of the wheelchair.
►In order to do so, push the wheelchair backwards until the caster wheels turn forward.
Users can choose the method for getting into and out of the wheelchair which is most suitable for them. The
respective procedure should be discussed and practised with a therapist.
As a rule, the frame tubes, seat bottom or side panels can be used as supports for getting into the wheelchair.
If getting in independently is not possible, transferring or getting in always has to be performed with the help of an
assistant. The manufacturer also offers transfer aids for getting in, such as transfer boards.
7.3 Legrests
The legrests support the user's legs.
The height of the legrest has been adjusted by qualified personnel to the length of the user's lower legs.
The angle of the footrest has been set by the qualified personnel so that it allows the ankles to rest in a comfortable
position.
The calf strap offers additional support to the user's legs. It can be removed for cleaning.
Removing the leg support – segmented leg support
1) Fold the foot plate up.
2) Pull back the leg support release lever (see fig.5, item1).
3) Fold the leg support out 90° (see fig.6, item1) and pull up to detach (see fig.6, item2).
Attaching the leg support – segmented leg support
1) Hold the leg support 90° out to the side and insert it into the leg support retainer (see fig.6, item1/2).
2) Swing the leg support into the direction of travel until it engages.
3) Fold the foot plate down.
14
Use
Start M1

5 6
Removing the leg support – elevating leg support/amputation leg support
1) Activate the release lever (see fig.7/see fig.8, item1).
2) Pull the leg support up and off (see fig.7/see fig.8, item2).
Attaching the leg support – elevating leg support/amputation leg support
1) Insert the leg support into the leg support retainer from above (see fig.7/see fig.8, item2).
2) Push the leg support down until it engages.
7 8
Adjusting the angle of the elevating leg support/amputation leg support
1) Hold the leg support and turn the release lever upwards to the stop (see fig.9/see fig.10, item1).
2) Set the angle (see fig.9/see fig.10, item2).
3) Let go of the release lever. The leg support will automatically snap into place in the next free position.
9 10
Fastening the calf strap
1) Open all hook-and-loop closures.
2) Thread the calf strap through the eyelet on the foot plate (see fig.11).
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Use

3) Guide the other end around the foot support holder (see fig.12, item1).
4) Adjust the length and fasten the hook-and-loop closure (see fig.13).
Removing the calf strap
1) Open all hook-and-loop closures.
2) Remove the calf strap from the frame tube.
11 12
13
7.3.1 Further settings
Further adjustments may be made only by qualified personnel.
7.4 Seat and back upholstery
WARNING
Seat cushions and back support pads may ignite
Burns due to user error
►The seat and back support upholstery as well as seat cushions, padding and covers fulfil the normative
requirements for flame resistance. However, they may still ignite if fire is handled improperly or negligently.
►Keep away from all ignition sources, especially lit cigarettes.
CAUTION
Wear of the seat and back upholstery
Loss of functionality due to prohibited continued use
►Have the seat and back upholstery replaced immediately in case of damage.
The product is equipped with seat and back upholstery. Hook-and-loop fasteners on the seat upholstery are used
to attach the seat cushion. The seat cushion ensures pressure relief during use of the wheelchair.
The seat upholstery and back support upholstery/back support pad can be removed from the wheelchair for clean
ing.
Removing the seat upholstery
1) Remove the Phillips head screws on each side (see fig.14, item1).
16
Use
Start M1

2) Remove the seat upholstery.
Attaching the seat upholstery
1) Lay the seat upholstery onto the frame tubes.
2) Install and tighten the Phillips head screws on each side (see fig.14, item1).
Removing the back support upholstery, standard
1) Pull the flap of the back support upholstery off the seat upholstery (see fig.4).
2) Remove the Phillips head screws on both back support tubes (see fig.15, item1).
3) Open all hook-and-loop straps (see fig.15, item2).
4) Fold the wheelchair halfway and pull the back support upholstery up over the back support tubes and push
handles.
Attaching the back support upholstery, standard
1) Slide the back support upholstery down over the push handles and back support tubes.
2) Install and tighten the Phillips head screws on each side (see fig.15, item1).
3) Fasten the hook-and-loop straps (see fig.15, item2).
4) Attach the flap of the back support upholstery to the seat upholstery with the hook-and-loop fastener (see
fig.4).
14 15
Removing the back support pad (Economy Ergo back support upholstery)
1) Remove the seat cushion.
2) Pull the flap of the back support pad off the seat upholstery (see fig.4).
3) Fold up the back support pad and pull it off the hook-and-loop straps of the back support upholstery (see
fig.16).
Attaching the back support pad (Economy Ergo back support upholstery)
1) From the rear, apply the edge of the back support pad to the upper hook-and-loop strap (see fig.17, arrows).
2) Fold down the back support pad and secure it to the upholstery straps with the hook-and-loop fasteners (see
fig.16).
3) Pull the part of the flap that can be fastened forward and attach it to the seat upholstery with the hook-and-loop
fastener (see fig.4).
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Use

16 17
7.5 Seat cushion
If present: The seat cushion can be removed from the wheelchair for cleaning.
1) Lay the seat cushion onto the seat upholstery and secure it against sliding by pressing it onto the hook-and-
loop fastener (see fig.18).
2) To remove, detach the seat cushion from the hook-and-loop fastener on the upholstery.
18
7.6 Side panels
CAUTION
Pinching at the side panels
Pinching, crushing due to lack of caution in danger areas
►Pay attention not to pinch parts of your body between the side panel or frame parts.
The side panels protect the user and his/her clothing from getting dirty.
The installed armrests offer the user additional support for the forearms.
To make getting into the wheelchair easier and for transportation, the side panels can be folded down.
Plug-on side panels can also be removed from the wheelchair.
Depending on the equipment, the following side panels can be installed:
•Version 1: Side panel with height-adjustable forearm support (see fig.19)
•Version 2: Side panel with height-adjustable forearm support (see fig.20)
18
Use
Start M1

19 20
Elevating the side panels
1) Press the side panel locking mechanism (see fig.21, item1).
2) Fold back the side panel (see fig.21, item2).
Swinging back the side panels
1) Fold the side panel forwards.
2) The side panel locking mechanism has to audibly engage in the side panel adapter.
INFORMATION: Verify the firm fit of the side panels in the side panel adapter.
21
Removing the plug-on side panels
1) Fold back the side panel.
2) Press in the pushbutton (see fig.22).
3) Take the side panel out of the adapter.
Installing the plug-on side panels
1) Insert the side panel in the adapter.
2) Press in the pushbutton and allow the side panel to engage in the adapter (see fig.23).
3) Fold the side panel forward and lock it.
19Start M1
Use

22 23
Adjusting the forearm support height – side panel with height-adjustable forearm support
The height of the forearm support should only be adjusted by qualified personnel.
Adjusting the forearm support height – side panel with height-adjustable forearm support
1) Push the release button (see fig.24, item1).
2) Adjust the height of the forearm support (see fig.24, item2).
24
7.7 Push handles
The push handles make pushing the wheelchair easier for the attendant.
7.8 Drive 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.
CAUTION
Incorrect removal/attachment of the wheels
Tipping, falling due to incorrect installation
►The user is not permitted to sit in the wheelchair during wheel replacement.
►For changing wheels, set the wheelchair onto a solid surface.
►To change the wheels, secure the wheelchair against tipping over or rolling away.
►If the drive wheel does not lock securely or has too much sideways play, contact the qualified personnel
promptly.
20
Use
Start M1