Prism Healthcare smirthwaite Combi User manual

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User Manual
Combi

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CONTENTS
Contents
1.0 Safety Instructions and Warnings...........................................................................................4
1.1 Introduction .........................................................................................................................4
1.2 Service and Support ...........................................................................................................4
1.3 Symbols Used.....................................................................................................................5
1.4 Contraindications/Limitations ..............................................................................................5
1.5 Intended Use ......................................................................................................................6
1.5.1 Intended User...............................................................................................................6
1.6 Chair Operating Environment .............................................................................................6
1.6.1 Frequency of use:.........................................................................................................6
1.7 Vicinity to Other Equipment ................................................................................................7
1.8 Incident Reporting...............................................................................................................7
1.9 Additional Warnings and Safety Notices.............................................................................7
2.0 Components/Key Parts ..........................................................................................................8
2.1 Key Parts ............................................................................................................................8
2.2 Packaging ...........................................................................................................................9
2.3 Chair Assembly (When Supplied Flat Packed) ...................................................................9
3.0 Installation............................................................................................................................10
3.1 Adjustments ......................................................................................................................10
3.1.1 Seat Depth .................................................................................................................10
3.1.2 Seat Height ................................................................................................................10
3.1.3 Armrest Height ...........................................................................................................11
3.1.4 Pelvic Strap ................................................................................................................11
3.2 How to Use .......................................................................................................................12
3.2.1 Standard Chair (Figure A) ..........................................................................................12
3.2.2 Commode Chair (Figure B) ........................................................................................12
3.2.3 Potty Chair (Figure C) ................................................................................................12
4.0 Compatible Accessories.......................................................................................................13
4.1 Mobile Dolly Base .............................................................................................................14
4.2 Buckle and Strap Operation..............................................................................................14
4.2.1 Buckle Strap (Standard) .............................................................................................14
4.2.2Strap Length...............................................................................................................14
4.3 Adjustable Footrest...........................................................................................................15
4.4 Reversible Footboard........................................................................................................15
4.5 Cushions...........................................................................................................................15
4.6 Removable Ski..................................................................................................................16
5.0 Final Inspection ....................................................................................................................16
6.0 Technical Specification ........................................................................................................17

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CONTENTS
6.1 Chair Dimensions..............................................................................................................17
6.2 Environmental - Storage and Operating Conditions..........................................................17
6.2.1 Normal operating conditions.......................................................................................18
6.2.2 Shipping and storage conditions ................................................................................18
6.3 Standards Applied.............................................................................................................18
6.4 Disposal ............................................................................................................................18
7.0 General Inspection and Maintenance...................................................................................19
7.1 Daily Checks - To Be Completed by User.........................................................................19
7.2 Service Interval .................................................................................................................19
7.3 Nominal Service Life.........................................................................................................19
7.4 Extending Nominal Service Life ........................................................................................20
7.5 User Serviceable Parts .....................................................................................................20
7.6 Final Inspection.................................................................................................................20
8.0 Cleaning...............................................................................................................................21
8.1 General cleaning............................................................................................................... 21
9.0 Service Documentation ........................................................................................................21
9.1 Documentation/ Records ..................................................................................................21
9.2 Service Record History .....................................................................................................22
9.2.1 Product Information ....................................................................................................22
9.2.2 Service & inspection record form:...............................................................................22
10.0 Warranty ...........................................................................................................................23
11.0 Continuous improvement ..................................................................................................23

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SAFETY INSTRUCTIONS AND WARNINGS
1.0 SAFETY INSTRUCTIONS AND WARNINGS
1.1 Introduction
The information in this manual is important to your safety.
Please read and understand this manual in its entirety before using your Combi toileting
chair.
If you require larger print or videos – these are available on the Smirthwaite website:
www.smirthwaite.co.uk/product/Combi/
The information in this manual is important for the safety of anyone near the Combi toileting chair
and must be read and understood to help prevent injuries. It is also crucial to the proper operation
and maintenance of the Combi toileting chair.
Store this manual with the documents included with the chair. The Combi toileting chair is
designed to be used in conjunction with approved accessories. Please refer to any user guides
supplied with these components while reviewing this manual.
Contents of this manual are subject to change without prior notice.
Unauthorised modifications on any Smirthwaite product may affect its safety. The
manufacturer will not be held responsible for any accident, incident or deficiencies of
performance that occur as a result of any unauthorised modification to its products.
1.2 Service and Support
To ensure the safety and continued good function of your product, routine service must be
performed on your Combi toileting chair.
As well as inspections and simple checks completed by the user, an annual service must be
completed by Smirthwaite Ltd. authorised trained service staff.
Contact your local authorised Smirthwaite dealer if you:
•Need more information.
•Have any questions about the use or maintenance of your Combi toileting chair.
•Notice any change in the performance of your chair.
•Want to report an unexpected occurrence.
•Want to arrange a service.
Contact details of your local Smirthwaite dealer are shown on the last page of this manual.

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SAFETY INSTRUCTIONS AND WARNINGS
1.3 Symbols Used
Consult instructions before
use
Caution
Class II Equipment -
electrical equipment in
which protection against
electric shock does not rely
on basic insulation only
Safe Working Load
represents the maximum
load rated for safe operation
Manufacturer Date of manufacture
Packaging indicator – This
way up
Packaging indicator – Keep
dry
Serial number For internal use only
Please observe local laws
on recycling
Degree of protection
provided by enclosure.
N1: Ingress of particles
N2: Ingress of water
Temperature range Humidity range
Type ‘B’ applied part Type ‘BF’ applied part
Medical Device
Authorised representative in
the European Community
1.4 Contraindications/Limitations
There are no known “contraindications” associated with the usage of the Combi toileting chair and
its accessories, provided they are used as per manufacturer’s recommendations and guidelines.
Smirthwaite Ltd. does not recommend a required number of care givers for the use of our
products. This information and recommendation can only be provided after a thorough

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SAFETY INSTRUCTIONS AND WARNINGS
personalized, case specific assessment, as there are many factors that can influence these
decisions.
1.5 Intended Use
For internal use only.
Intended to provide postural support.
1.5.1 Intended User
The Combi design also features an interchangeable potty for younger children. This can easily be
removed to provide a commode seat for children who have progressed with their toilet training.
The chair's adaptability means that it will develop with your child removing the need for two
separate toileting seats.
Standard key features include:
•Fixed or height adjustable arm rests.
•Plastic children’s commode seat and pot.
•Moulded potty seat.
•Adjustable seat height and depth.
1.6 Chair Operating Environment
The Combi toileting chair is suitable for use within the professional health care facility environment
as well as the home health care environment.
The chair is not intended to be used in environments where there are rapid changes in the
environmental temperature and humidity during intended use.
Based on research conducted during the concept stage, the following statements apply. See
Usability Technical File.
The Combi is intended for indoor use only; the normal operating conditions are as follows:
A. Temperature: 41°F to 86°F (+5°C to 40°C)
B. Relative Humidity: 15 to 90%, non-condensing, but not requiring a water vapour pressure
greater than 50hPa.
C. Atmospheric Pressure: 700hPa to 1060hPa.
D. Ambient luminance 50 – 500 lux.
E. Viewing distance: 0 metre to 1.5 metre
1.6.1 Frequency of use:
The Combi can be used without any frequency restrictions.

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SAFETY INSTRUCTIONS AND WARNINGS
1.7 Vicinity to Other Equipment
Use of this equipment stacked with other equipment should be avoided, unless the equipment is
an approved accessory.
Contact your local authorised dealer if assistance is required – contact details on the last page of
this manual.
1.8 Incident Reporting
If, during the use of this device or as a result of its use a serious incident has occurred, please
report it to the manufacturer and the competent authority of the member state in which the user
and/or patient is established.
1.9 Additional Warnings and Safety Notices
•The user should NOT be left unattended whilst in the chair. Always ensure a responsible
therapist or carer is in attendance.
•The carer should be familiar with the methods of adjustment and have completed all
adjustments appropriately to meet the needs of the child before transferring the child onto
the chair.
•A telescopic back rail must always be fitted before use.
•Regular maintenance checks and cleaning are essential for the safe use of this equipment
(see care and maintenance section).
•Always fasten the pelvic strap and any other straps provided with the chair.
•Regularly check that straps and/or harnesses are not showing signs of tearing or fraying,
and that they fasten correctly.
•DO NOT use with bath oils or bath salts.
•If any part is loose, damaged or functioning incorrectly, DO NOT use until rectified.
•Always keep this product away from naked flames, cigarettes and sources of heat including
open fireplaces, radiators, heaters.
DO NOT fit parts or accessories of other manufacturers to this product unless authorised to
do so in writing by Smirthwaite Ltd. Failure to follow these instructions will not only
invalidate the guarantee but could make the chair dangerous to use. Smirthwaite Ltd will
not accept liability for any injury or damage incurred through such malpractices. Any repairs
required must be carried out by Smirthwaite Ltd authorised personnel.
LAP STRAPS & HARNESSES SAFETY NOTICE
Lap straps and harnesses must be appropriate and safe for the user and the users
clothing.
Lap straps and harnesses must be checked every time the chair is used to ensure
they are fitted as prescribed by the clinician, take account of the users clothing and
are tightened so that the user cannot sustain injury.
Checking the fit of lap straps and harnesses must be done with the user in the chair
and should be undertaken as soon as the users sits in the chair.

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COMPONENTS/ KEY PARTS
2.0 COMPONENTS/KEY PARTS
2.1 Key Parts
When delivered, the chair will be supplied fully assembled except for the attachment of any special
accessories ordered. Export orders may require the chair to be fully assembled, which takes
approximately 2 minutes If in any doubt, always seek advice. Always turn hand wheels, levers and
screws clockwise to tighten or anti-clockwise to loosen. Conveniently packaged in a single box the
following components are included with your new Combi toileting chair:
A.Chair back
B.Chair seat
C. Outrigger leg
D. Adjustable Arm Rest
E. Potty
F. Commode
A
B
C
D
E
F

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COMPONENTS/ KEY PARTS
2.2 Packaging
•When delivered, the chair will be supplied fully assembled. For export orders, chair
assembly may be required which takes approximately 2 minutes.
•Accessories ordered will, where possible, be fitted prior to delivery.
•Please take note of any instructions on the packaging/box when unpacking.
•Once the chair has been carefully unpacked, please check all parts.
•If any part is loose, damaged or functioning incorrectly – do not use until rectified.
2.3 Chair Assembly (When Supplied Flat Packed)
•Using the screws and tool provided, attach the seat plate to a seat side by inserting two
screws. Do not tighten the screws at this stage.
•Identify the back cushion.
•Attach the back cushion to the seat side using the screws provided. The back cushion
should be attached with the soft padded side facing forward, and the rounded top facing
upwards.
•The second seat side can now be attached.
•Place the seat on a flat surface, and when stable tighten all the screws.
•Check the screw tightness after the initial three weeks of use, and retighten the screws if
necessary.

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INSTALLATION
3.0 INSTALLATION
When delivered, the chair will be supplied fully assembled except for the attachment of any special
accessories ordered. Always turn hand wheels, levers and screws clockwise to tighten or anti-
clockwise to loosen.
3.1 Adjustments
3.1.1 Seat Depth
To move seat forwards or backwards
•The seat can be adjusted forwards and
backwards by loosening the two screws
(G) located on each side of the chair.
•Adjustment range is limited by the slot
length on each side of the chair
•Ensure each screw is tight after
adjustment and before placing the child
into the chair
3.1.2 Seat Height
•To adjust the seat height, reposition the
leg outriggers (H) using the tool provided
for this purpose.
•There are 2 screws per leg.
•
Ensure all leg outriggers are set to the
same height.
•Ensure the screws are re-
inserted and
tightened when the desired height is
achieved.
•Check the chair for sta
bility on a level
surface before use.
G
H

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INSTALLATION
3.1.3 Armrest Height
To adjust the height of the armrest
•Loosen handwheels (I)
•Slide armrest to desired position.
•Tighten handwheels (I) when the armrest
is set.
•Repeat for both armrests – ensure
armrests are set
to the same height on
both sides of the chair.
•
Armrests can be lowered to minimum
setting to facilitate side transfer of child
into the seat.
Note: Product codes 7556 – 7559 are
provided with fixed armrests, and therefore
cannot be adjusted.
3.1.4 Pelvic Strap
When positioning, concentrate on achieving
a good pelvic and lumbar position. Ensure
that the feet are flat to the floor, and readjust
the seat height if necessary to achieve this
•The strap is secured by pressing the two
Velcro sections together and is released
by pulling the sections apart
When Velcro straps are used, the Velcro
should overlap by at least 75mm (3 inches).
I

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INSTALLATION
3.2 How to Use
The Combi Toileting Chair is a versatile product and can provides three modes of use
Figure A Figure BFigure C
3.2.1 Standard Chair (Figure A)
•In standard mode the Combi is perfect as a starter chair for children who have slight to
mild disabilities.
3.2.2 Commode Chair (Figure B)
•
Removal of the seat cushion reveals a
commode seat.
•Under the lid of the
commode is a
toileting bucket with lid (see opposite).
The bucket has a handle to assist with
transport for emptying toilet waste.
3.2.3 Potty Chair (Figure C)
•
The potty seat can be placed on top of
the commode as shown opposite.
•A strap is provided on the
rear of the
commode to secure the potty seat
securely –
ensure the strap is used to
prevent the potty tipping as the user
attempts to stand up.

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COMPATIBLE ACCESSORIES
4.0 COMPATIBLE ACCESSORIES
The Combi toileting chair comes with a variety of compatible accessories. These accessories and
part codes are listed below;
Size 1
CODE
Size 2
CODE
Size 3
CODE
Size 4
CODE
Chair
Adjustable Arm Chair
7551
7552
7553
7554
Fixed Arm Chair
7556
7557
7558
7559
Lower Leg Accessories
Skis
SK051
SK052
SK053
SK054
Ski & Half Footrest
SK041
SK042
SK043
SK044
Ski & Full Footrest
SK037
SK038
SK039
SK040
Reversible Footboard
FB023
FB024
FB025
FB026
Adjustable Footrest
FR010
FR011
FR012
FR013
Independent Adjustable Footrest
4187
Mobile Dolly Base
DL012
DL013
DL014
DL015
Footrest & Straps
FP002
FP003
FP004
FP005
4 Glisdomes Complete With Screws
GD001
Handrail Accessories
Splash Guard
SG001
SG002
Toggle Handrail
HR014
HR015
HR016
HR017
Tray
TR006
TR073
TR074
TR005
Back Accessories
Higher Backrest In Lieu Of Standard
BK175
BK172
BK173
BK174
Adjustable Height Push Handle
PH028
PH012
PH013
PH014
Fixed Height Push Handle
PH029
PH006
PH007
PH008
Cushions*
25mm Pelvic Cushions (Pair)
CS005
CS006
CS007
CS008
38mm Pelvic Cushions (Pair)
CS014
CS015
CS016
CS017
50mm Pelvic Cushions (Pair)
CS023
CS024
CS025
CS026
62mm Pelvic Cushions (Pair)
CS032
CS033
CS034
CS035
75mm Pelvic Cushions (Pair)
CS041
CS042
CS043
CS044
25+25mm Pelvic Cushions (Pair)
CS050
CS051
CS052
CS053
38+25mm Pelvic Cushions (Pair)
CS231
CS232
CS233
CS234
50+25mm Pelvic Cushions (Pair)
CS077
CS078
CS079
CS080
62+25mm Pelvic Cushions (Pair)
CS086
CS087
CS088
CS089
75x50mm Wedge Cushions (Pair)
CS095
CS096
CS097
CS098
75x62mm Wedge Cushions (Pair)
CS104
CS105
CS106
CS107
75x75mm Wedge Cushions (Pair)
CS113
CS114
CS115
CS116
75x100mm Wedge Cushions (Pair)
CS122
CS123
CS124
CS125
Combi comes complete with potty, plastic commode seat, upholstered seat and velcro pelvic
strap. Available with fixed arm or height adjustable arm chair.
*Tray and Cushions are suitable for adjustable arm chairs only

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COMPATIBLE ACCESSORIES
4.1 Mobile Dolly Base
•Position the back legs of the chair to the
rear blocks on the dolly.
•Secure all four legs using the screws
provided with the dolly accessory pack (J).
•Precise positioning is achieved within the
limits of the slots.
•Ensure there is sufficient room for your
client’s feet at the front of the dolly.
4.2 Buckle and Strap Operation
4.2.1 Buckle Strap (Standard)
•The buckle is secured by pushing (K)
into (L).
•To release the buckle, press both sides
of (K).
4.2.2 Strap Length
•The length of the straps can be altered
by adjusting the amount of the strap that
is fed through the cam-locks and tri-
glides (if applicable). See diagrams
across and below.
J
L
K
J

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COMPATIBLE ACCESSORIES
4.3 Adjustable Footrest
•The footrest is attached to the chair by
sliding the chair front legs between the two
battens on the footrest sides and then fixing
with the screws provided.
•The height and angle can be adjusted by
loosening the handwheels (M) on each
side, and then positioning the footrest to
desired setting.
•Tighten (M) before use.
4.4 Reversible Footboard
•The footboard and skis are attached to the
chair by four screws provided.
•The screws fit into the chair outriggers on
each side of the chair (N).
•The footboard can be reversed by
removing four screws (N), rotating the
complete board and ski assembly and
reattaching.
•Ensure all screws are tight before use.
4.5 Cushions
•Side support cushions are available for
chairs with adjustable arms
•The cushions are wedged in place under
the armrest tops
M
N
N

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COMPATIBLE ACCESSORIES
4.6 Removable Ski
•The removable skis are attached to the
chair by four screws provided.
•The screws fit into the chair outriggers on
each side of the chair (O).
•The depth of the ski can be adjusted by
loosening the four screws (O), position the
ski in the desired position and tighten all
four screws (O).
•Ensure all screws are tight before use.
Always lock the castors when attaching items or making adjustments. To lock,
apply foot to point (A), to unlock apply foot to point (B).
5.0 FINAL INSPECTION
When the service is complete:
•Remove any waste created as part of the service from the site.
•Confirm with the operator if the chair is safe to use and that it has been left in a working
state. Isolate the chair if it is not safe to operate.
•Complete all documentation – see Combi User Manual for more details
Incorrect use may result in personal injury or damage to objects.
O

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TECHNICAL SPECIFICATION
6.0 TECHNICAL SPECIFICATION
6.1 Chair Dimensions
SIZE 1
SIZE 2
SIZE 3
SIZE 4
Adjustable Arm
7551
7552
7553
7554
Fixed Arm 7556 7557 7558 7559
Seat Height (mm) 215-290 275-375 300-400 340-450
Back Height (mm)
325
370
400
500
Seat Width (mm)
290
325
365
435
Seat Depth (mm)
205-290
245-355
310-385
350-440
User Weight (kg)
35
45
55
65
Shipping Weight (kg) 11 13 14 15
6.2 Environmental - Storage and Operating Conditions
The chair is intended for internal use within normal environmental conditions. It is not intended to
be used in environments where there are rapid changes in the environmental temperature and
humidity during intended use.
The Combi toileting chair suffers little from any effects of lint, dust and light.
•Lint – Due to there being no mechanical or electrical mechanisms on the
Combi toileting chair, lint would not affect the chair working.
•Dust – Due to there being no mechanical or electrical mechanisms on the
Combi toileting chair, dust would not affect the chair working.
•Light –The Specification of the chair dictates that normal use would occur
during ambient luminance 50 – 500 lux. Additionally, as the chair is designed
for indoor use only, if required the user may wish to switch on room lighting.

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TECHNICAL SPECIFICATION
6.2.1 Normal operating conditions
+5°C to +40°C (41°F to 104°F) at a relative humidity between 15% to 90% RH, non-condensing
but not requiring a water vapour pressure greater than 50hPa and atmospheric pressure between
700hPa to 1060hPa
6.2.2 Shipping and storage conditions
-25°C to +5°C (-13ºF to 41ºF) with any humidity level
+5°C to +35°C (41°F to 95°F) at a relative humidity up to 90%,
+35°C to 70°C non-condensing at a water vapour pressure up to 50hPa
During all transportation it is recommended that the chair remains in its original packaging.
It is recommended that the chair is stored in a cool, dry place out of direct sunlight. If cleaning is
required after storage, please see section 7.6 ‘Cleaning’ of the user manual for instructions.
Shipping and storage conditions are also contained on Combi Box Label:
6.3 Standards Applied
The standards that have been applied to the device are as follows:
•BS EN ISO 12182:2012 (Assistive products for persons with disability. General
requirements and test methods).
•IEC 62366:2015 (Application of usability engineering to medical devices).
•BS EN ISO 15233-1 :2016 (Medical devices — Symbols to be used with medical device).
6.4 Disposal
Please observe the local laws on recycling and respect the current laws for disposal within the
community the device is being used within. If there is any uncertainty of the below guidelines,
contact your local authorities to determine the proper method of disposal of potentially bio-
hazardous parts and accessories.

19
GENERAL INSPECTION AND MAINTENANCE
7.0 GENERAL INSPECTION AND MAINTENANCE
No maintenance is to be carried out on the chair while in use to reduce the risk of injury.
The user will not require any tools when completing their inspections.
When completing services, the authorised service engineer will provide their own tools, including:
1 x set of metric Allen keys.
7.1 Daily Checks - To Be Completed by User
Prior to each use the Combi toileting chair must be inspected visually.
Should any of these items fail the inspection, DO NOT use the chair.
Contact your local authorized dealer for service – contact details are on the last page of
this manual.
Visually check for the following:
•Check the tray (if supplied) to ensure no parts are loose or damaged.
•Check all upholstery for signs of wear and tear.
•Check that the hand wheels tighten correctly, and are not cross-threaded or damaged.
•Check that the leg screws are present and are tightened correctly.
•Check all straps for fraying, and that buckles are not missing/damaged.
•Check the strap is securely fastened to the poppers on the underside of the chair.
7.2 Service Interval
The Combi toileting chair should be serviced every 3 years. Servicing must only be undertaken by
a Smirthwaite Ltd. service engineer, or by a Smirthwaite Ltd. trained representative.
7.3 Nominal Service Life
Your product has a nominal service life of 12 years, during which full post-sales support will be
available with regard to spares and servicing.
Product service life has been determined based upon the design complexity of product, and the
anticipated exposure to normal use.
Good practice dictates all Smirthwaite Ltd. products have been designed and manufactured to high
levels of safety and quality, and will meet requirements of normal use when maintained in line with
our servicing recommendations.

20
GENERAL INSPECTION AND MAINTENANCE
If the product has been out of use for an extended period of time (6 months or more) it
should always be serviced prior to being reissued. If the product has been subjected to
‘heavy’ or ‘constant’ use, the service should be reduced to half the recommended period.
Constant and/or heavy use is considered to be:
•Daily use above 7 hours’ duration.
•Weekly use above 5 days’ duration.
•Monthly use above 10 months per year.
•Use by a client who is at 90% to 100% of the maximum weight limit of the product. The
maximum weight limit must NEVER be exceeded.
•Use by a client who is extremely active, either voluntarily or involuntarily.
7.4 Extending Nominal Service Life
At Smirthwaite Ltd. we are proud to produce products that have a reputation for quality and
durability.
We believe our products have the potential to provide benefits to our clients beyond the nominal
service life documented above.
We will continue to provide full support beyond the nominal service life provided the following
conditions are met:
1. A full service schedule has been maintained.
2. A full service and inspection is undertaken at the end of the nominal service life period.
3. The product is subsequently serviced annually (or biannually if under ‘heavy/constant’ use
conditions).
4. Smirthwaite Ltd. reserve the right to limit support where parts/components are no longer
available.
7.5 User Serviceable Parts
Please contact Smirthwaite Ltd. or your local dealer for information to assist service requirements
on the Combi – e.g. to ascertain the necessary information for replacement parts and components.
Contact details are shown on the last page of this manual
7.6 Final Inspection
When the service is complete:
•Remove any waste created as part of the service from the site.
•Confirm with the operator if the chair is safe to use and that it has been left in a working
state. Isolate the chair if it is not safe to operate.
•Complete all documentation – see section ‘9.0 Service Documentation.’
Incorrect use may result in personal injury or damage to objects