Quest 88 Upi User manual

Quest 88 limited, Aston Street, SHIFNAL, Shropshire, TF11 8DW, tel:[phone]
Quest 88 limited
Aston Street, SHIFNAL, ShropshireTF11 8DW
tel: [phone]
fax: [phone]
USER INSTRUCTIONS
UPI Hip Stander
These are the user instructions for the UPI
hip Stander. Please read them carefully
before the UPI is used and store them in a
safe place. Always refer to these instructions
before adjusting the UPI or if you feel the
UPI is not performing properly. It is important
to familiarise yourself with the UPI. Please
follow the procedures described below before
setting up the UPI for a user.
These instructions also include a guide to
maintenance and general care. If followed
the UPI will provide trouble free service.
However, in the event of any deterioration
in performance, take the UPI out of service
immediately and contact Quest 88 limited.
UPI Hip Stander
The UPI is a simple to use hip stander. The
base supports the height adjustable vertical
frame, knee controller unit and foot positioners.
The vertical section has pelvic support height
adjustment. The pelvic support has adjustable
lateral supports and positioning straps.
The UPI comes in two sizes which have been
designed to suit user weight as well as height.
The weight and height limits on the size chart
must be adhered to at all times to ensure user
safety.
upihipnst.p65-iss1. GJ:10/02 1
The UPI is ideally suited for children with
balance impairment and/or low muscle tone,
who can achieve a standing position but who
are unable to maintain that position for any
length of time. It should be used as part of a
standing therapy routine to help with standing
co-ordination and related skills.
600
500
340-570
20 kg
9 kg
750
600
460-710
40 kg
12 kg
hip height (c)
max user weight
length (a)
width (b)
product weight
The UPI in Use
Lock the castor brakes before transferring to
the Upi. Once the axilla and pelvic heights and
knee and foot positioning have been set and
the lateral pads brought out to their maximum
widths, the UPI is ready to be used.
Ensure that the equipment the user is
transferring from and to are both secure and
that there are no obstructions around them to
hamper the transfer.
Using an appropriate transfer technique,
bring the user to standing and 'walk' them
into the thorax and pelvis supports. Lift arms
over the thoracic support so that they can be
supported either on the tray or an appropriate
work surface.
Push the lateral supports in to snuggly fit
the user and fasten the straps as described
earlier. Be careful not to over tighten these straps as this may restrict breathing and cause
discomfort.
Fasten the straps on the foot positioners and ensure that the user is firmly supported.
Identification
Each UPI is marked with a code number which should be used during all inquiries with Quest
88 limited. The number is located on the foil label on the base.
UPI Care and Maintenance
* Keep castors free of dirt, hair and other loose fibres.
* Do not attempt to move the UPI without releasing the brakes on all four castors.
* Clean upholstery promptly after soiling. Avoid heavy brushing of upholstery with stiff bristles. Clean
upholstery with a damp cloth and mild detergent.
* Do not clean any part of the UPI with bleach or solvent cleaners.
* Clean metal work with a slightly damp cloth.
* Clean woodwork with standard domestic furniture polish.
* Always store the UPI away from excessive moisture as this may lead to rust and corrosion.
* Caution must be taken through use, transport and storage not to drop or knock the UPI. Do not store
other equipment on top of the UPI or its accessories as this may cause damage.
* Do not store the UPI where it may block access to doors, walkways or fire exits.
* The tray is intended to support books, toys. meals etc. Do not place heavy objects on the tray.
MAXIMUM TRAY LOAD: 5kg
Intended Use
The UPI is intended to be used as part of a standing therapy programme. A level of supervision
appropriate to the user’s abilities should be applied at all times.
DO NOT EXCEED HEIGHT AND WEIGHT LIMITS SET OUT ON THE FRONT OF THESE
INSTRUCTIONS.
The UPI is not intended to position a user at any angle other than vertical and should not be positioned at any
reclined angle. Do not use the UPI on any inclined surface. The UPI is not intended to be used as a lifting,
transfer or mobility aid. The UPI has been manufactured by Quest 88 Limited engineers. Any adjustments or
alterations which are not listed in these instructions should not be made without the authorisation of a Quest 88
Limited representative. Any such adjustments will affect the UPI’s warranty. Quest 88 Limited do not take any
responsibility for any UPI which has been adapted or affected by actions not described in these instructions by
any individual not authorised by Quest 88 Limited.
upihipnst.pm65-iss1. GJ:10/02 4
Before the UPI is Used
The UPI can be dismantled for transport
and storage. Before use it must be correctly
assembled. There are twomain components
to the UPI; the mobile base, and the hip
support section. It is essential that time and
consideration is taken whilst setting up the
UPI to ensure safe and easy use.
Assembling the UPI
The hip support section slides into the vertical
tubes on the base. There is an array of holes
on each of the vertical tubes on the base.
These provide the height adjustment of the
hip pad by fitting a circle pin clip through the
same height hole on each tube and into the
locator holes on the ends of the hip support
section. To position the vertical frame, pull the
circle clip pins out of the vertical tubes and
position the hip support section so that the
'U ' shapes of the pelvic supports are open
to the back of the UPI. (The front is marked
by the prop locator bolt). Slide the support
section into the vertical tubes and push the
circle clip pins into place (see section Setting
Hip Height)
Declaration of Conformity
Quest 88 Limited as manufacturer declares
that the Upi Standing Frame and associated
accessories conforms to the requirements
of the 93/42/EEC Guidelines as a Class 1
medical device.

using the circle pins
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Setting Hip Height
Take the user’s measurement from
foot to the top of the iliac crest (the
bony prominence at the top of the
pelvis). The pelvic support is held
in position with two circle clip pins.
Remove the circle clip pins and adjust
the hip support so that the height to the
top of the support is the same as the
measurement just taken.
Fit the circle clip pins through the nearest set of
holes, ensuring the pins fit securely through the
tubes and hold the hip support in position.
Lateral Pad Adjustment
The adjustment of lateral pads is best achieved
once the user is on the UPI. In order to make
positioning easier it is suggested that the lateral
pads are brought out to their maximum width
settings. To do this, undo the knobs on each set
of lateral pads and gently pull them apart. Once
the user is in place, push the pads into position
so that they fit snugly against the user’s pelvis
and tighten the knobs.
setting lateral pads
Using Hip Strapping
Once the lateral pads have been adjusted, the
strapping on the hip supports can be positioned
to firmly control posture. Wrap the padding around
the user, folding the flap with the fluffy Velcro over
the flap with the rough Velcro 'hook'. The safety
straps can then be fitted through the 'D' rings
attached to the lateral supports and folded back
on themselves to be fixed in position. On the hip
support, the safety strap should fit across the
lower half of the buttocks.
using the hip and thoracic strapping
Knee Cup Positioning
The position of the knee cups is essential to keep legs straight and correctly abducted. It is also
essential that knee cups support the whole knee to avoid excessive loading or stress in a single part
of the joint. Aim to support the tibial tuberosity (bony ridge below the knee) and the whole patella
(knee cap). Abduction refers to the angle between the thighs which governs the position of the knees
and the stability of the pelvis while standing. Adducted knees (held together) can be straightened, to
provide a more stable and comfortable standing position, by abducting them with the knee cups.
Knee Cup Height
Knee cup height should be set so that the top edge of the knee cup is at the same height as the top
of the patella (knee cap). Measure the height from foot to top of patella for the user. Release the
small knob on the height adjustment tube of the knee control unit. The chromed T-piece will be free
to move up and down and should be set as described above. Lower leg length discrepancy can be
accommodated by sliding the appropriate knee cup off the T-piece and turning it upside down so that
when it is replaced it sits higher or lower on the T-piece than the other knee cup. Ensure all knobs
are fastened tightly before use.
setting knee cup height
Knee Cup Abduction
Depending on user condition the knee cup position can
be neutral, so that hip, knee and ankle joint are in line
vertically, or abducted. To set the amount of abduction,
release the knobs on the knee cup sliders and move
the knee cups to the desired angle. Ensure the knobs
are tightened firmly before use. Also ensure that foot
positioner location corresponds so that hip, knee and
ankle joints are always in line.
Knee Cup Depth
The legs need to be as straight as
possible when standing. With feet and
pelvis accurately located the knees
need to be pushed back to extend the
joints and to bring them in line with
the hips and ankles. To adjust knee
cup depth, release the knob on the
depth adjustment tube and slide the
knee control assembly forwards and
backwards in the tube to the desired
position. Ensure the knob is tightened
firmly before the UPI is used.
setting knee cup abduction
setting knee cup depth
Foot Positioner Positioning
The position of the foot positioners establishes the
stability of the rest of the body while standing. A correct
standing posture stacks the weight of the body in a
column and distributes it through a neutrally positioned
ankle into the foot. If the foot is flat on a surface and
the ankle is extended or flexed, then pressure points
may develop in other areas of support e.g. at the knees,
sacrum or axillas.
Adjust the foot positioners so that the hip,
knee and ankle joints are in line and
neutral. To adjust the foot positioners,
undo the two knobs on the underside
of the wooden footplate and move
the foot positioners into the desired
position. Ensure the knobs are
tightened firmly before the UPI is
used. The foot positioners have two
points of adjustment, the strap over
the foot and the heel strap. Tension
the strap over the foot by loosening the velcro strap,
pulling it to the desired length through the D ring and
folding it back on itself to hold the position. The heel straps
are adjusted once the user's feet are in the positioners.
Before transferring the user onto the standing frame,
open up the heel straps. Slide the user's feet into the
positioners and fasten the heel strap around their heel,
ensuring that the foot is firmly heel in place.
positioning the foot