Permobil ROHO nexus SPIRIT Cushion User manual

Supplier: This manual must be given to the user of this product.
Operator (Individual or Caregiver): Before using this product, read the instructions and save for future reference.
Supplier: this manual must be given to the user of this product.
Operator (individual or caregiver): before using this product, read the instructions and save for future reference.
shape fitting technology
®
ROHO®nexus SPIRIT®Cushion
Operation Manual

Intended Use 2
Warnings and Cautions 2-3
Parts Detail 3
Product Specifications 3
Cushion Adjustment 4
Cover Removal and Replacement 5
Troubleshooting, Disposal and Limited Warranty 5
Cleaning and Disinfecting 6
Español 7
Français 13
Deutsch 19
Italiano 25
Nederlands 31
Dansk 37
Svenska 43
Norsk 49
Suomi 55
Português 61
Manufactured by ROHO, Inc.
100 N. Florida Ave., Belleville, IL 62221-5429 U.S.A.
U.S.A.: 800-851-3449 • Fax: [phone] • Customer Care: [email protected]
Outside the U.S.A.: 618-277-9150 • Fax: [phone] • [email protected]
permobilus.com
ROHO products may be covered by one or more U.S. and foreign patents and trademarks, including ROHO®, DRY
FLOATATION®, shape fitting technology®and nexus SPIRIT®.
ROHO, Inc. has a policy of continual product improvement and reserves the right to amend this document.
A current version of this document is available at permobilus.com.
© 2001, 2018 ROHO, Inc.
Rev. 01/26/2018
Table of Contents

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ROHO nexus SPIRIT Cushion Operation Manual
Intended Use
The ROHO®nexus SPIRIT®Cushion (nexus SPIRIT) is a wheelchair support surface with
a contoured foam base combined with a ROHO DRY FLOATATION®air-filled, adjustable,
cellular-design insert, intended to conform to an individual’s seated shape in the pelvic
loading area to provide skin/soft tissue protection, positioning, and an environment to
facilitate wound healing. There is no weight limit, yet the cushion must be properly sized
to the individual. The nexus SPIRIT Cushion must be used with the supplied cover.
ROHO, Inc. recommends evaluation by a clinician who is experienced in seating,
positioning and mobility: 1) to determine whether the cushion is appropriate for the
individual; and 2) to determine whether a solid seat platform is recommended if using the
cushion on a sling-seat wheelchair.
ROHO medical products are intended to be part of an overall care regimen. ROHO, Inc.
recommends that a clinician make product recommendations based upon an evaluation
of the individual’s medical and therapeutic needs and overall condition.
Warnings
-Skin/soft tissue breakdown can occur due to a number of factors, which vary by individual.
Check skin frequently, at least once a day. Redness, bruising, or darker areas (when com-
pared to normal skin) may indicate the beginning of soft tissue breakdown and may need
to be addressed. If there is any discoloration to skin/soft tissue, STOP USE immediately. If
the discoloration does not disappear within 30 minutes after disuse, immediately consult a
healthcare professional.
-The cushion and the cover MUST be compatible sizes and MUST be used as directed in this
manual. IF THEY ARE NOT: 1) The benefits provided by the cushion may be reduced or elimi-
nated, increasing the risk to skin or to other soft tissue, and 2) the individual may become
unstable and vulnerable to falling.
-DO NOT use your cushion on top of, or in conjunction with, any other products or materials,
except as indicated in this manual. Doing so may cause the individual to become unstable
and vulnerable to falling.
-DO NOT use the components of this product separately.
-DO NOT use this cushion as a water flotation device (e.g. a Life Preserver). It will NOT support
you in water.
-If you are unable to perform any tasks described in this manual, seek assistance.
Cautions
-DO NOT use a pump, cover, or a repair kit other than those provided by ROHO, Inc. Doing so may
void your product’s warranty.
-DO NOT modify the cushion or any components. Doing so may result in damage to the product
and will void the warranty.
-DO NOT allow your cushion to come into contact with oil-based lotions or lanolin. They may
degrade the material.
-Changes in altitude may require adjustment to your cushion.

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ROHO nexus SPIRIT Cushion Operation Manual
Cautions, Continued
-Prolonged exposure to ozone may degrade materials used in the cushion, affect the performance
of the cushion, and void the product warranty.
-Keep the cushion away from sharp objects.
-DO NOT expose the product to high heat, open flames, or hot ashes.
-If the cushion has been in temperatures lower than 32º F (0º C) and exhibits unusual stiffness,
allow the cushion to warm to room temperature.
-DO NOT use the inflation valve as a handle for carrying or pulling the cushion. Carry the cushion
by the cushion base or by the carrying handle on the cover.
To order replacement parts, contact your product provider or ROHO, Inc.
Product Specifications
Materials: Cushion Insert: neoprene rubber; made without latex; Inflation Valve: nickel-plated
brass; Contoured Foam Base: polyurethane; Cover: two-way stretch, fluid-resistant top and sides,
with a zipper located in the back of the cover; and a non-skid bottom with hook and loop fasteners
to help secure the cushion in the chair. Refer to the cover care label for material content.
Cushion Width (in.) Depth (in.) Width (cm) Depth (cm)
NS1414C 14 15 ½ 35.5 39.5
NS1416C 14 17 ½ 35.5 44.5
NS1515C 15 16 ½ 38 42
NS1616C 16 17 ½ 40.5 44.5
NS1618C 16 19 ½ 40.5 49.5
NS1717C 17 18 ½ 43 47
NS1816C 18 17 ½ 45.5 44.5
NS1818C 18 19 ½ 45.5 49.5
NS2018C 20 19 ½ 51 49.5
Weight: 3 lb. / 1.3 kg (based on NS1616C)
Height 3½ in. / 9 cm
Cushion expected lifetime: 5 years
Parts Detail
Repair KitProduct Registration Card Operation Manual
Package Contents: Cushion Insert: Air Cells
Contoured Foam Base
Zipper
Valve Flap
Valve
Carrying Handle
Cover
Front
Back
Hand Pump

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ROHO nexus SPIRIT Cushion Operation Manual
Cushion Adjustment
1. Place the cushion in the wheelchair
with the air cells facing up and the
non-skid surface of the cover facing
down.
2. Open the valve flap and slide the
rubber nozzle of the hand pump over
the inflation valve. Pinch the nozzle,
open the inflation valve, and inflate
the air cells.
3. When the air cells begin to arch
slightly, pinch the rubber nozzle of the
hand pump and close the inflation valve completely.
Remove the hand pump.
4. The individual should sit in the chair in their usual
position. Confirm that the boniest prominences are
supported by the air cells.
5. Slide your hand between the air cells and the
individual. Lift the leg slightly and feel for the
lowest bony prominence, and then lower the leg to a
sitting position.
6. Open the valve to remove air, keeping your hand
beneath the individual’s lowest bony prominence.
Release air until you are barely able to move your
fingertips. Close the valve. Note: For two-valve
cushions, repeat all steps for both valves.
Important Safety Information
-Check inflation frequently, at least once a day!
-DO NOT use an under-inflated cushion or an over-inflated cushion because the product
benefits will be reduced or eliminated, resulting in an increased risk to skin and other soft
tissue. If the cushion does not appear to be holding air, or if you are not able to inflate
or deflate the cushion, see TroubleshooTing. Immediately contact your clinical caregiver,
distributor, or ROHO, Inc. if the problem persists.
-When possible, use the hook or loop fasteners to further secure the cushion to the seating
surface.
-The cushion must be used with the provided cover.
The seated figure
shows product
orientation.
=½" - 1" (1.5 cm - 2.5 cm)
recommended distance between the
individual and the seating surface.
Open Close
Air Cells
Contoured Foam Base Valve Flap

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ROHO nexus SPIRIT Cushion Operation Manual
Cover Removal and Replacement
Cover Removal: Unzip the cover. Open the valve flap. Push the valve through the opening
so that it is inside the cover. Remove the cover from the cushion.
Cover Replacement: Unzip the cover. Insert the cushion into the cover, front edge first,
with the air cells facing up. Open the valve flap. Reach into the cover and push the
inflation valve through the opening beneath the valve flap. Close the valve flap and the
zipper. If hook fastener strips were removed prior to washing, replace the strips.
Troubleshooting
For additional assistance, contact your clinical caregiver, distributor, or ROHO, Inc.
Not Holding Air - Inspect for inflation valve and hose damage. Confirm that the inflation
valve(s) are completely closed. Look for holes in the cushion. If very small holes or no holes
are visible, follow the instructions in the Repair Kit provided with your product. For inflation
valve or hose damage, or for large holes or leaks in the cushion, see the Limited Warranty
supplement, or contact Customer Care.
Not Able To Inflate or Deflate Cushion - Confirm that the inflation valve(s) are open.
Inspect the inflation valve(s) and hose(s) for damage.
Uncomfortable or Unstable - Confirm that:
-the cushion insert is not over-inflated (See Cushion Adjustment.)
-the air cells and the top of the cover are facing up.
-the cushion is centered beneath the individual.
-the cushion is properly sized to the individual and the wheelchair.
Allow the individual at least one hour to adjust to the cushion.
The Cushion Slides on the Wheelchair - Make sure the non-skid bottom of the cushion
cover is facing down. Use directional labels on the cushion and on the cover to orient the
cushion. Use hook and loop fasteners to further secure the cushion to the wheelchair.
Disposal: The components of the products in this manual are associated with no
known environmental hazards when properly used and when disposed of in accordance
with all local/regional regulations. Incineration must be performed by a qualified, licensed
waste management facility.
Limited Warranty
Limited Warranty Term: 24 months from the date the product was originally purchased,
with the exception of the cover, which has a 6-month limited warranty. The warranty does
not apply to punctures, tears, burns, or misuse. See also the Limited Warranty supplement
provided with your product, or contact Customer Care.
Inspect the cover for damage and replace if necessary.

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ROHO nexus SPIRIT Cushion Operation Manual
Cleaning and Disinfecting
Cleaning and disinfecting are separate processes. Cleaning must precede disinfection. Before
use by a different individual: clean, disinfect, and check product for proper functioning.
Cover Care: Before cleaning and disinfecting, remove the cover from the cushion. Remove the hook fastener
pieces from bottom of the cover.
To Clean the Cover: Machine wash in cold water (30°C) with mild detergent,
gentle cycle, or wipe clean with neutral detergent and cold water. Tumble dry low.
To Disinfect the Cover: Hand wash in cold water (30°C) using 1 part household
liquid bleach per 9 parts water, then rinse thoroughly. Or machine wash in
hot water (60°C). Tumble dry low.
Follow the safety guidelines on the bleach container.
Cushion Care Cautions: Valve(s) must be closed. • DO NOT allow water or cleaning solution to enter
the cushion insert. • DO NOT machine wash or machine dry the cushion insert or the contoured foam base. •
Use of the following may cause damage to the cushion: abrasives (steel wool, scouring pads); caustic,
automatic dishwasher detergents; cleaning products that contain petroleum or organic solvents, including
acetone, toluene, Methyl Ethyl Ketone (MEK), naphtha, dry cleaning fluid, adhesive remover; oil-based lotions,
lanolin, or phenolic-based disinfectants; ozone gas; ultraviolet light cleaning methods.
To Clean the Cushion Insert: Carefully remove the cushion insert from the contoured foam base. Close the
inflation valve. Hand wash, using mild liquid hand soap, hand dishwashing liquid, laundry detergent, or a
multipurpose detergent (Follow product label instructions.) Gently scrub all cushion surfaces, using a soft
plastic bristle brush, a sponge or a cloth. Rinse with clean water. Air dry. DO NOT expose to direct sunlight.
To Disinfect the Cushion Insert: Repeat cleaning instructions, using 1 part household liquid bleach per 9
parts water. Follow safety guidelines on bleach product label. Keep the product wet with the bleach solution
for 10 minutes. Rinse thoroughly with clean water. Air dry.
To Clean the Contoured Foam Base: Remove the cover. Wipe gently with a cloth dampened with
water and a household detergent. Rinse cloth and re-wipe.
Allow foam to air dry thoroughly before putting the cover on.
This symbol means, “Wipe with a damp cloth.”
Disinfectants are not effective on porous surfaces such as foam. If the foam portion of the
product becomes soiled or contaminated, DO NOT use with multiple individuals.
Note: Most germicidal disinfectants are safe if used following the disinfectant manufacturer’s dilution direc-
tions.
Note About Sterilization: High temperatures accelerate aging and will damage the product assembly.
ROHO products are not packaged in a sterile condition, nor are they intended or required to be sterilized prior
to use. If institution protocol demands sterilization: First, follow the cleaning and disinfecting instructions;
then, open the inflation valve and use the lowest possible sterilizing temperature, but not to exceed 70°C
(158°F), for the shortest time possible. DO NOT autoclave.
30C
30C
30C
1:9
+

T20215 Rev.: 01/26/2018
Print Date: Qty:
Mailing/Shipping Address:
1501 South 74th Street, Belleville, IL 62223-5900 USA
Administrative Offices:
100 N. Florida Avenue, Belleville, IL 62221-5429 USA
U.S.: 800-851-3449 • Fax [phone]
Outside the U.S.: 618-277-9150 • Fax [phone]
permobilus.com