Pneumex PneuVest Ultima User manual

Key Benefits
 Worry‐free unweighted activities
 Exercise in an upright, controlled and safe position
 Comfortable, normal rib and diaphragm interaction
 Doesn’t ride up
 Unisex design fits both male and female
Patent Pending
Actual product may vary
Instructions
Pneumex, Inc. 800.447.5792 [email protected]
Genuine Pneumex Equipment
PneuVest™ Ultima

2
Distributed by Pneumex, Inc.
Pneumex, PneuGait Foot Strap, PneuMAP, PneuBack
Chair, PneuWeight, PneuWalker and PneuVest are
trademarks of Pneumex, Inc.
Copyright 2003 Pneumex
All rights reserved
Visit our web site at
www.pneumex.com
Pneumex, Inc.
2605 North Boyer Ave.
Sandpoint, ID 83864
Phone 208‐265‐4105
Fax 208‐265‐9651
E‐mail [email protected]
Rev 1
Revised June 14, 2018

3
Index
Safety Requirements .......................................................4
Maintenance....................................................................4
Vest Problems .................................................................5
Ultima Vest......................................................................6
Ultima Vest Parts............................................................. 7
Sizing ..............................................................................8
Putting on Ultima Vest................................................ 8‐11
Warranty ....................................................................... 12

4
Safety Requirements
Read this entire manual before using the PneuVest™ .
Do not unweight until you are sure the vest is properly secured.
Before each use, inspect the vest for damage. Do not use if the
integrity is questionable.
Maintenance
Cleaning
When needed, machine‐wash the vest on gentle cycle using
regular detergent and cold water. Hang to dry.
Disinfection
Use procedures established for your facility. The vest can be
washed with a mixture of water and disinfectant such as Lysol or
equivalent. Do not use bleach on the vest or the color will fade.

5
Description
The Pneumex Ultima Vest is a totally new concept in
unweighting. It was designed in cooperation with a long‐term
care corporate to be comfortable, color coded, easy to use and
functional for even the most difficult to fit patients. This vest is
designed to place the primary lift point at the posterior rib cage
T12 to T10 and bring the primary anterior stabilization points
medial to brachial plexus. The net effect of the technology is a
more comfortable, more secure vest that significantly opens
up lung capacity.

6
Ultima Vest
Patented Ultima Vest
Thoracic Belt
Leg Cuffs
K
G
F
C
J
D D
B
A A
H
M
I
L
S
T
R
U
Actual product may vary
N
O
P Q N

7
Thoracic Belt
A. D‐RING Connector to unweighting unit
B. Anterior Shoulder Buckle
C. Posterior Shoulder Strap
D. Anterior Tensioning Strap (Runs through F Shoulder Pad)
F. Shoulder Pad
G. Upper Left Anterior Crossover Strap
H. Upper Left Anterior Crossover Buckle
I. Lower Left Anterior Crossover Strap
J. Lower Left Anterior Crossover Buckle
K. Lower Right Anterior Crossover Strap
L. Lower Right Anterior Crossover Buckle
M. Center Back Guide
N. 2 –Leg CuffConnector Buckles (Gray tabs)
O. Gait Strap connector Buckles
P. Sliding Center Leg CuffBuckle
Leg Cuff
Q. Sliding Center Leg CuffStrap
R. 2– Connector Straps (Gray)
S. Sliding Center Ring
T. Leg Cuff
U. Velcro Leg CuffStrap

8
Sizing
Determine correct vest sizing based on waist size.
Size Vest Color Waist Size
Small Red 28” to 34”
Medium Blue 34” to 44”
Large Yellow 44” to 55”
Available in custom sizing Pediatric to Bariatric on request
Putting on the Ultima Vest
The vest will be packaged with Thoracic and Leg Cuff
hooked together, gray Thoracic connector straps secured
into the gray tabbed Thoracic connector buckles. For ease
of use keep the vest buckled in this configuration. If they are
separated, re‐attach them by inserting the four gray straps
into the corresponding gray tabbed buckles.
(See diagram page 6‐7)
Due to the nature of the back elastic
support, it may be necessary to
stretch the vest before putting on the
patient . This returns the elastic to the
longer position .Lengthen all other
straps before putting the vest on your
patient.

9
Small
Medium
Large

10
Putting on the Ultima Vest
Before putting the vest on, make sure the patient is wearing
appropriate clothing. Layered, bulky, loose fitting and slick
clothing will tend to allow the vest to ride up.
For ease of use, attach the vest to the
unweighting system.
►If using a PneuWeight, pull cable
assembly out to approximately the
right position for the person being
unweighted.
►If using the PneuWalker, clip to the
desired patient ports on the Lift Arm.
Have the patient back into the vest.
Put their right arm through the right
side of the vest and the left arm through
the left side of the vest.
Actual product may vary

11
Position the elastic waist belt with it’s center equal to T12
The vest should be positioned
so that the Abdominal
Buckles on the Thoracic Belt
are centered side to side.
Pull the belt crossing the color side (right) over the Velcro
side (left) Pull to snug.
Secure the front of the vest by
buckling both blue Abdominal
Tensioning Straps across the front
to the opposite side buckle.
Pull the loops on the abdominal
Tensioning Straps to snug up
under rib cage.
Actual product may vary

12
Continue by buckling both red Abdominal Tensioning
Straps across the front to the opposite side buckle.
Pull the loops to snug up under rib cage.
Connect the red crossover
straps to the opposite side
buckles.
Before adjusting the Anterior
Tensioning Strap have the
patient adjust the bra front to
center the vest to a
comfortable position.
Adjust the Anterior Tensioning
Strap .

13
The Ultima vest can be used with or without the Leg Cuffs
If using, the Leg Cuffs buckle to the vest
matching grey leg strap to grey buckle
tabs in the front and grey center sliding
strap to center black tab buckle..
Wrap the Leg Cuffs around the thigh .
Velcro strap around d the thigh and
secure in the front .
Tighten the Grey straps to adjust
tension. The Leg Cuffs are designed
with a sliding motion to allow easy of
movement while holding the Ultima
vest down

14
Shoulder Straps
If patient is not fully upright, shoulder straps can be shortened
to bring lift arm or spreader bar closer to shoulders.
Adjust the Anterior Tension Straps to provide correct amount
of lift.
Unweight to desired level.
Actual product may vary

15
Putting Ultima Vest
on Wheelchair Patient
Attach PneuVest to the unweighting system with Leg
Cuffs connected to the Thoracic belt
Lengthen all straps
Wheel your patient under the unweighting system
Tuck vest back down as low as possible in the back with the
Leg Cuffs belt hanging below the Thoracic belt Fig 1
Lift the patient (or have them lift themselves) to increase the
distance between the hips and the ribcage Fig 2.
Fig 2Fig 1

16
 Bring vest around patient positioning the elastic Thoracic
belt with it’s center equal to T12. secure the Velcro front
and buckle both blue and red straps across the waist pull‐
ing on loops to tighten.
 Adjust Anterior Tension Straps equally and as close to
the shoulders as is allowed.
 Lift patient out of wheel chair just enough to slide the
Leg Cuffs under the gluteal fold. Thoracic pressure
tolerance will vary
from patient to
patient, practice this
with able bodied
person first.

17
 Secure the Leg cuffs around the thigh.. Lower your
patient back into the wheel chair and tighten up all
the straps if necessary. The tighter the grey straps,
the more pressure there will be on the Leg cuffs..
 Unweight patient until in standing position. Reduce
the unweighting as necessary to facilitate
mobilization.
 It is suggested that the patient exercise in short sets
of about 1 to 3 minutes duration to start with. Roll
chair behind patient and lower them for a brief rest
period. Raise again and continue.

18
Most common challenges:
Thoracic Belt too loose
Solution. Reposition and snug up blue Abdominal strap by pulling
on loops.
Leg Straps positioned incorrectly, so it impedes movement or
vest rides up.
Solution: Reposition around thighs and adjust slide straps.
Vest Problems
If you have questions not addressed here, please call Pneumex at
1‐800‐447‐5792.

19
Notes

20
Your Warranty
If a product purchased from Pneumex does not operate properly,
Pneumex will repair or replace it at no charge, for up to one year
from the date shipped. In the course of repair or replacement,
Pneumex may send you written recommendations on how to
prevent a problem from occurring again. Pneumex reserves the
right to withdraw this warranty if recommendations are not
followed. The customer is responsible for freight charges both to
and from Pneumex in all cases.
This warranty does not apply to compressors which are covered by
the compressor manufacturers.
This warranty is exclusive and is in lieu of all other warranties
whether written, oral or implied, including the warranty of fitness
for any particular purpose. Pneumex liability is in all cases limited
to the replacement price of its product. Pneumex shall not be
liable for any other damages, whether indirect, consequential, or
incidental arising from the sale or use of its products.
Pneumex sales personnel may modify this warranty, but only by
signing a specific written description of any modifications.
Pneumex
2605BoyerAve
Sandpoint,ID83864
[email protected]
www.pneumex.com
800‐447‐5792
Pneumex Equipment