Repose Healthcare+ User manual

www.reposefurniture.com
Healthcare+
User Manual
Designed Especially for Hospitals

Thank you for purchasing a Repose chair selected from our Healthcare+Range
which has been designed to complement our specialist healthcare chairs that
support specific health conditions. Healthcare+chairs offer excellent comfort
to people who might be visiting the hospital / care home or day care facilities,
but can equally be used for home comfort – all with a range of hard wearing
and luxuriously comfortable healthcare fabrics aimed at durability and high
levels of cleanliness.
Available in electrically or manually operated models. There are different
electric mechanisms – please ensure you read the instructions applicable to
the handset that operates your mechanism choice.
To maximise the advantages of your chair please take the time to read these
instructions carefully, as they contain essential information on set-up and
operation of all key features, as well as upholstery care, important safety
advice, plus warranty and contact details. If for any reason you are unsure of
anything, please contact your supplier immediately for further information.
For any enquiries you will need to quote your unique batch number which can
be found on the back of this user manual. Please keep this manual safe for
future reference.
Thank you
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4 What our Expert Says
6Essential Safety Instructions
8Accupak Rechargeable Battery System
(Optional Accessory)
10 Transformer Instructions
11 Basic Technical Checks
11 Recommended Quality Checks
12 Chair Set-Up
12 Weight Limits
13 Feature Functionality
15 Handset Instructions
19 Manual Recliner Instructions
20 Optional Accessories
22 Fabrics
22 General Upholstery Care
23 Fabric Cleaning Instructions
25 Transport - Attach / Remove Back Frame
26 Montana Transport - Attach / Remove Back Frame
27 Warranty
Contents
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Page

What Our Expert Says
Kate Sheehan
Independent Occupational Therapist
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With years of outstanding success in the design and manufacture of bespoke specialist healthcare
seating for healthcare environments Repose have used this expertise and that of Kate and her
colleagues at the OT Service to design the Healthcare+Range for hospitals.
The range offers a selection of rise recline and recline only chairs in modern designs, featuring
comfort and functionality with specialist health fabrics to maintain clinical integrity, that can be
deployed across a hospital or other health environments for many purposes. Details of all Repose
chairs can be found on our website as can our Posture Guide.
Benefits of rise recliners and recliners:
One of the key decisions is to select the right
mechanism for the intended purpose whether this is
to support general usage, wellbeing and comfort or
something a little more specific such as, Bariatric.
Both reclining and tilt systems can provide pressure
relief, increase circulation, improve head, neck
and trunk control, improve functional posture and
positioning, support safe transfers by various means
and minimise variations / fluctuations in the client’s
muscular control.
Below we have considered some of the benefits of
the movement features that are available across our
range of mechanisms. Each mechanism has its
own features so please ensure you are looking
at the ones applicable to your chair.
• Tilt in Space
A Tilt in Space (TIS) movement allows the seat to
back angle to remain the same whilst the whole
seating system is tilted backwards. This ensures
that the angle of the hips, knees and ankles remain
unaffected and the weight on the Ischial Tuberosities
is reduced by redistributing the weight through
the back. It allows posture to be maintained and
pressure to be redistributed. This constant angle
also prevents shear and friction during movement.

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• Independent Recline
This allows the user to maintain flexibility over their body’s position, particularly the amount of hip
flexion, enabling them to maximise comfort.
• Independent Leg Rest
This offers the user additional flexibility over positioning, allowing them to use it in conjunction with
the recline feature to create the optimal posture for their body shape.
Leg elevation can support reduction in oedema and fluid retention. This reduced fluid in the lower
limbs allows a user to maintain their standing and walking abilities.
• Rise
This provides the user with more independence, supporting them as they rise to a standing position
from being seated. As the chair rises the seat tilts forward slightly, transferring the weight to the
knees whilst taking away the pressure from the hips thus allowing the user to walk away more easily
from the chair.
• Wallhugger
The key feature of this mechanism is the space saving movement. As the back reclines the chair
slides forward which means the chair can be placed closer to walls and used in smaller rooms where
space is limited. A clearance of only 6" is required behind this chair.
Seat Chaise
All the chairs, except the Nevada, benefit from a single seat chaise that, as they move, removes any
pinch points, thus reducing shear and friction.
Bariatric – The Montana
Plus-sized seating is designed with additional pressure management and posture support in mind.
The Montana comes with two weight limits and a wider choice of motors. For more guidance on
Plus-sized seating download our posture guides on our website.
Portering and Transfers – The Oregon
Only the Oregon, with large heavy-duty lockable castors and optional footplate, allows for a person
to be moved around whilst sitting in the chair. It also comes with swing open arms on either side of
the chair to aid easy client transfers to and from the chair. Client’s cannot be move around in
any of the other Healthcare+chair models.

Please ensure that:
• YOU ALWAYS KEEP THESE INSTRUCTIONS SAFE as you will need them for
reference purposes.
• ALL CARERS AND ATTENDANTS are trained in the full use of the chair.
• YOU UNDERSTAND the features of the chair and how they might be used safely by users.
• YOU READ the basic technical checks. If you have purchased the Accupak rechargeable battery
system, please ensure you read the instructions on pages 8 and 9 carefully.
• YOU NEVER exceed the weight limit for the chair as this may damage the chair and will
invalidate your warranty.
• Users of a manually operated recliner chair ARE ABLE BODIED WITH ENOUGH
STRENGTH TO OPERATE THEM.We would NOT RECOMMEND them for frail or
very elderly people. Repose WILL NOT be responsible for any injuries caused from the normal
operation of this type of chair.
• The transformer is ALWAYS placed in a flat position (unless you have purchased the wall
mounted option) and it IS THE CORRECT WAY UP.For the transformer instructions see
page 10.
• YOU CHECK the chair and cables regularly to ensure that they are in a suitable working condition
and that there is no damage. DO NOT USE the chair if it is not working properly or damaged.
• All back frames MUST BE SECURED properly before use. Instructions for all of the chairs,
except the Montana, can be found on page 25. Specialist instructions for the Montana can be found
on page 26. NEVER USE the chair if the backrest is not securely in place.
• YOU ALWAYS move the chair around using the front of the arms or the push handle on
the Oregon, and that you are mindful of your own physical attributes as you carry out any such
movements. Be particularly careful moving the Montana Bariatric as this is a very heavy chair. DO
NOT use other parts of a chair to move it around as this may cause damage to the framework
and workings of the chair and will invalidate your warranty.
• YOU ALWAYS have the table down and secure before moving a chair around as this will
prevent any damage.
• Chairs ARE NOT occupied (unless it is the Oregon) or plugged in when they are being
moved around.
Essential Safety Instructions
The following instructions are for the user’s safety, the safety of others
and to ensure that the chairs are used correctly and in line with the
warranty conditions. Please ensure you read them before using your
chair/s, even if you have purchased a manual rise recliner.
The Healthcare+chairs are meant for general seating
purposes and not for specific medical conditions.
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• When moving the Oregon chair ALWAYS ENSURE the user is secure and in no danger of
falling out of the chair.
• YOU ALWAYS take the necessary precautions and advice when carrying out any movement or
handling operation. Important Note – Due to the weight of Montana Bariatric two people may
be required to carry out any chair locational movement / set up.
• NEVER push a chair up or down steps or stairs.
• When using the functionality of the chair whilst someone is seated ALWAYS ensure that any
movements are smooth and comfortable for the user to avoid any distress.
• YOU ALWAYS lock the castors when the chair is stationary, for making transfers
or when altering the chair set up. THIS WILL AVOID any movements that could cause
personal injury.
• ALWAYS ENSURE that the swing arms on the Oregon are locked into place after use.
• Children DO NOT play with the handset, or on, the chair as this may cause damage and could
result in personal injury.
• NO ONE stands or sits on the arms or the leg rest as this may damage the chair and/or cause it
to tip. To do so may cause personal injury.
• You are ALWAYS careful to keep hands, other body parts and clothes away from the moving
parts of the mechanism when checking or during usage to avoid them being trapped.
• YOU NEVER exit the chair whilst the leg rest is elevated.
• The chair is ONLY OPERATED at normal room temperatures AND IS NEVER used or
stored in a damp or wet area.
• YOU ALWAYS store your handset on the chair seat or on the magnetic connection if you have
chosen this optional extra and ensure that it is safe from damage.
• YOU ALWAYS disconnect the power supply before checking any part of the chair.
• NO cables are trapped under the chair and that YOU DO NOT run over the cables with any
equipment e.g. vacuum cleaner.
• If there is a spillage on the chair IMMEDIATELY DISCONNECT THE ELECTRICITY
FROM THE MAINS and check that no electrical components are wet. If in any doubt, please
consult with your supplier or an authorised chair engineer.
Maintenance and repairs
• YOU ONLY USE approved parts on your chair. These can be obtained through your supplier.
Failure to use approved parts will invalidate your warranty.
• YOU ALWAYS get your supplier or an authorised chair engineer to carry out any repairs or
fit new parts to the chair. DO NOT attempt to carry out your own repairs to the chair as this
may invalidate your warranty.
• YOU NEVER MAKE any material design, mechanical or other modifications to the chair as this
may affect the way in which the chair operates and the inherent safety features. It will also
invalidate your warranty.
• YOU PROVIDE your original purchase invoice and unique chair batch number when ordering
parts or when making a claim under your warranty.

Accupak Rechargeable
Battery System (Optional Accessory)
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Please read these instructions if you have purchased an Accupak rechargeable battery system
for mains free usage.
Components received on delivery/Set up
•The Accupak battery will be fitted out of sight on the base of the chair and the charging
outlet built into the side of the chair for ease of access.
•The Transformer and power cables which enable the battery to be initially charged /
recharged will normally be connected to the chair when it is initially set up.
•The handset user instructions which can be found on page 15.
•Only use the equipment supplied with the Accupak.
Operation and charging
• When the chair is received the battery MUST BE FULLY CHARGED before usage. It is
recommended that the battery is CHARGED FOR AT LEAST 8 HOURS.
• The battery SHOULD BE OPERATED at normal room temperatures and never in damp
environments.
• The battery provides an average of up to 100 adjustment cycles.
• The plug-in CONNECTIONS ARE ACCESSIBLE so that the system can be switched off in
an emergency.
• The Transformer must ALWAYS lie flat on the floor.
• The Accupak has an audible acoustic warning signal which is activated when the handset controls
are used and the battery is low and requires recharging. The system still remains activated and
emergency adjustment is possible, but please charge immediately. The battery also has an overall
switch off threshold should you continue to operate the chair when the acoustic warning is
sounding. This prevents deep discharge of the battery and permanent damage to it.
• DO NOT let the battery completely discharge as this will stop it from being fully charged again.
If the battery is left to completely discharge it may have to be replaced and this is not
covered under the warranty.
• It is RECOMMENDED that the battery is charged regularly overnight to prevent complete
discharge.
• The chair may be used and operated whilst it is being charged, but DO NOT move the chair
about when it is plugged in.
• The electrical components are designed to be used for NO LONGER than 2 minutes continuous
movement in any period of 20 minutes. (See Usage time on page 18).
• Rechargeable batteries, by their nature, have limited lifespans and are characterised by gradual
power loss over time. This normal depreciation and continual power loss is not covered under
the warranty.
Accupak Rechargeable
Battery System (Optional Accessory)

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Problem Possible Cause Remedy
Handset or mechanism
movement not working
(mains power
disconnected from chair)
1) No supply voltage
2) Deep discharge protection
triggered (see above)
3) Handset or system defective
• Connect chair to the mains/
charge the battery
• If connecting to the mains
/charging the battery does
not work, contact supplier/
engineer
Handset or mechanism
movement not working
(mains power connected
to chair)
1) Thermoswitch has been
triggered in transformer (you
cannot see this), preventing the
chair from being powered and
the battery from charging
2) Handset or system defective
• Leave the chair in a state of
rest for 20 to 30 minutes
• If leaving the chair at rest
does not work, contact
supplier / engineer
Acoustic Warning Sound
can be heard
1) The battery charge is very low
(see above)
• Immediately recharge the
battery
Maintenance and disposal
• The rechargeable battery system is designed to be maintenance free.
• DO NOT open the Accupak. Check the cables and connections regularly for any signs of damage.
• DO NOT operate the system if there is any damage or if the unit gets too hot.
• MAKE SURE that the Accupak is kept clean and dry at all times.
• DO NOT submerge in water or expose to direct heat.
• NEVER run anything over the cables e.g. a hoover, as this may damage them.
•ALWAYS store the chair in a dry and safe place which will protect the chair and the Accupak
battery. If you are storing for periods of more than 6 months then the Accupak battery must be
fully charged before being stored. The battery should be re-charged every 12 months when in
storage.
•If your battery shows any signs of leakage DO NOT allow the fluid to come into contact with
your skin. If it does, clean the affected area and contact your doctor.
•ONLY clean the Accupak and battery transformer by wiping carefully with a slightly damp cloth.
Do not use solvents or chemical cleaning agents, to clean them. ALWAYS DISCONNECT
the power source when doing any cleaning.
•All batteries must be disposed of immediately if they are damaged. Batteries should always be
disposed of in line with environmental regulations.
Basic Fault and Error Detection
Below we have listed some basic checks you can carry out if the chair mechanism stops working.
If the chair is still not working after carrying out these steps we recommend that you contact your
supplier or an authorised chair engineer.

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Transformer Instructions
Diagram 1
Diagram 2
Your chair will have been delivered with a transformer
as seen in diagram 1. This transformer is connected to
the power supply and powers the chair.
It should always be kept flat on the floor and the
right way up unless you have purchased the wall
mounted version. It has a green LED light which if
illuminated means that it is plugged in and working.
A = Transformer
B = Removable battery case cover
C = 9v battery
D = Battery clip
If your transformer has 9 volt (9v) batteries they are there to enable you to move the chair back
into a seated position if there is a power cut. These batteries:
• Can only be used once.
• Will go flat over time even if not used.
• Cannot be relied upon to reset the chair to a seated position if you are in the chair.
NEVER RELY ON THE BATTERIES TO GET YOU OUT OF THE CHAIR. You must
always be physically capable of exiting the chair without the use of the batteries. Once out of the
chair reset or add new batteries to do so.
If you are in an area with frequent or long power cuts and would struggle to get out of the chair in
such circumstances, then we would recommend you consider an Accupak battery system.
To change the 9v batteries:
1) Remove the battery case cover (B)
on the Transformer (A).
2) Remove the battery clips (D) from the
batteries (C).
3) Replace batteries and refit clips and
cover - it should be ready for use.

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Basic Technical Checks
Recommended Quality Checks
If the chair stops working and you have purchased an Accupak battery system, please refer to
pages 8 and 9.
If you haven’t then some simple checks, you might carry out are as follows:
• CHECK the green light on the transformer is on when it is plugged into the mains. If it isn’t
then the transformer is not working properly.
If it is on and the chair is not working, then:
• CHECK the handset is not damaged.
If both these are okay then check the following, but ALWAYS DISCONNECT your
chair from the power source when doing the following checks.
• CHECK the wall socket is in working order by trying another appliance.
• CHECK to see if any cable connections have become disconnected.
• CHECK to see if any of the cables are damaged or trapped. Damaged cables should be changed.
• DO NOT open or attempt to open any electrical components. To do so may invalidate your
warranty.
If the chair is still not working then contact an authorised chair engineer or your supplier and ask
them to check the chair thoroughly.
The chair should always be checked regularly for signs of damage or excessive wear and tear to
ensure safe and reliable usage is maintained. The number of checks will be determined by your
internal risk assessment procedures.
Regular checks should include, but are not limited to:
•Damage to the cables.
•Any loose or detached parts.
•Damage to the handset.
•Damage to the transformer.
•Castors for damage or any build up of fluff, dirt or dust particles.
• Damage to the fabric of the chair.

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It is essential that you locate the chair correctly to ensure that all of the features work properly:
• Always ensure that there is enough space to recline fully and freely. There should be no objects
behind the chair that obstruct its movement and the back should never touch the wall.
• The leg rest should be able to move fully and freely with no objects to restrict this movement.
• Position the chair free from any trailing wires.
• Ensure the chair is within easy reach of a power point to charge or recharge the battery system.
Important notes –
• Obstructions may cause damage to the chair and its mechanism and will invalidate your
warranty.
• The wallhugger mechanism is designed for rooms with limited space and has a space saving
movement enabling the recline to operate with a clearance of only 6" between the back of the
chair and the wall.
The transformer (see page 10 for detailed instructions) should be connected to the chair on set up.
If not, connect it and then plug it into the power source to enable the chair to work. If you have
purchased an Accupak battery system, please read the operational instructions before use.
Important note – The chair is safe when the power source is left on.
All Repose chairs have an overall and leg rest weight limits which should never be exceeded as this
may damage the chair and will invalidate your warranty. The table below shows the weight limits.
On some chairs there is the option to upgrade to a 25 stone model.
Chair Set Up
Weight Limits
Chair Model Weight Limit
Overall Leg Rest
Berkeley 127 kg (20 stone) 57 kg (9 stone)
Berkeley Wing 127 kg (20 stone) 57 kg (9 stone)
Delaware 127 kg (20 stone) 57 kg (9 stone)
Georgia 127 kg (20 stone) 57 kg (9 stone)
Montana 127 kg (20 stone) 57 kg (9 stone)
Montana Bariatric 35 stone (Single motors only) 222 kg (35 stone) 57 kg (9 stone)
Montana Bariatric 40 stone (Dual motor only) 254 kg (40 stone) 160 kg (25 stone)
Nevada 127 kg (20 stone) 57 kg (9 stone)
Oregon 127 kg (20 stone) 57 kg (9 stone)
Stamford 127 kg (20 stone) 57 kg (9 stone)
Texas 127 kg (20 stone) 57 kg (9 stone)

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Feature Functionality
Below we have detailed the key features that can be found on some of the chairs in the Healthcare+
range. These will enable their correct usage allowing you to provide additional comfort for
the user.
Glides
The Nevada comes as standard with glides. These glides offer additional stability for the rocking
motion, but does mean the chair is a little harder to move around than those chairs with castors.
Heavy Duty Lockable Castors
Your chair will usually be supplied with 4 heavy-duty lockable castors. If you have purchased the
Oregon it will come with Large heavy-duty lockable castors. They are designed to glide easily over
low profile carpets, wooden and vinyl flooring. ALWAYS LOCK THE CASTORS when the
chair is stationary, for making transfers or for making changes to the chair set-up. THIS WILL
AVOID any movements that could cause personal injury.
Large Heavy DutyHeavy Duty
Drop Downside Table
On some chairs there will be an easy to use side table.
Simply lift the table and it will automatically lock into
position. To release the table, press the two buttons on
the underside of the table and then lower into the
drop-down position.

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Oregon Only Features
Swing Open Arms
This chair comes with swing arms on either side to aid ease of transfer. On each wing there is a
pull-up lever which when engaged will allow the arm to open automatically. Once released the lever
will spring back to its original position. To close the arm simply push the arm back into position and
it will lock into place. Always ensure it is locked before use. NEVER sit on the arms at anytime
or put weight on the arms when they are open.
Important note – Please ensure that the castors are locked whilst carrying out any transfers.
Push Handle / Additional back angle operation
This chair comes with a push handle to enable users to be moved around a building very easily. On
the push bar there is a lever on the RHS which operates the piston to enable the back angle to be
opened up and to also engage the Trendelenburg position.
Optional Sliding Footplate
This enables the user to place their feet safely on the
footplate whilst being portered, but because it can be
hidden away it allows uninterrupted access. Simply pull
or push to open or close.
Pull up
to open

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Repose has a choice of mechanisms and these have
different simple to use handset controls. Please ensure
you follow the instructions for your mechanism. If you
have chosen, the emergency ON/OFF button they will
be slightly different (see page 18).
Simply depress or release the buttons to carry out or stop
the movements, as illustrated.
Single Tilt in Space
Tilt in Space
Back up / leg rest in
Rise to Stand Position
Chair rises
Tilt in Space
Back down / leg rest out
Return to Seating
from Rise Position
Chair lowers
Tilt in Space
Back up / leg rest in
Tilt in Space
Back down / leg rest out
Single Tilt in Space Recline Only
Handset Instructions

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Standard Dual Motor
Single Tilt in Space Recline Only
(including Trendelenburg)
Trendelenburg Position
This is engaged by using the lever
on the push handle (see page 19).
Independent Back Recline
Back down
Independent Leg Rest
Leg rest out
Return to Seating
from Rise Position
Chair lowers
Independent Back Recline
Back up
Independent Leg Rest
Leg rest in
Rise to Stand Position
Chair rises
Tilt in Space
Back up / leg rest in
Tilt in Space
Back down / leg rest out

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Single Motor Recline Only
Wallhugger
(with rocking motion)
Return to Normal
Seated Position
Back up / leg rest in
Backrest Recline
Back down / leg rest out
40 Stone Dual Motor
Independent Leg Rest
Leg rest out
Return to Seating
from Rise Position
Chair lowers
Independent Back Recline
Back down
Independent Back Recline
Back up
Independent Leg Rest
Leg rest in
Rise to Stand Position
Chair rises
Rocking Motion
The rocking motion only operates
when the chair is occupied and in a
seated position. It is activated when
the user gently moves (see page 19).
It stops when the chair is reclined.

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Electric motor - Usage time
The electrical motor is designed to be used for no more than 2 minutes continuous movement
in any period of 20 minutes. If they are used for 2 minutes continuously then they should not be
used for another 18 minutes. 2 minutes will allow for a considerable number of movements in line
with normal operation. This ensures that you get the best performance from the chair and helps to
protect the motor from failure.
Single Tilt in Space ON/OFF
Tilt in Space
Back up / leg rest in
Rise to Stand Position
Chair rises
Tilt in Space
Back down / leg rest out
Return to Seating
from Rise Position
Chair lowers
On / Off button
Emergency ON/OFF button
If you have purchased a handset with the emergency ON/OFF button then you will need to use the
handset instructions applicable to your mechanism, as detailed below.

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A) All Manual mechanisms except the Nevada
Whilst sitting in the chair you can recline the backrest and at the same time elevate the leg rest by
pushing back on the backrest until your desired position is reached.
To return to the seated position take your back pressure off the backrest allowing it to come back
up. At the same time apply downward pressure with your legs which will cause the leg rest to go
down. Please note that suitable force needs to be applied to the leg rest to ensure its safe closure.
Once in position the leg rest will retain its position.
B) The Oregon with Piston lever
To operate the backrest recline and leg rest elevation see A) above.
In addition, there is a piston operated recline function which requires assisted operation. There is
a lever on the right-hand side of the push handle which will enable the backrest to recline further.
It can be used at any time to open-up the hip angle and to also engage the Trendelenburg position.
Simply pull the lever in and then recline to the desired position using the push handle to apply the
downward pressure. Releasing the lever will lock the backrest in the desired position.
To return to the original position, engage the lever and pull the back-up, using the push handle. It
will lock into place once the lever is released.
C) The Nevada Wallhugger with rocking motion
Once the user is seated, they can activate the rocking motion by gently moving their body.
It only operates whilst in a seated position and will stop when the chair reclines.
The backrest recline and leg rest elevation are operated at the same time by releasing the catch
which is inset into the arm of the chair. The user can then stop at the required position. To return
to the seated position apply downward pressure to the leg rest whilst taking any back pressure off
the backrest. Please ensure that you apply enough pressure for the leg rest to lock into position.
This will prevent it coming back up.
Across the Healthcare+range there is a selection of three manually operated recline only
mechanisms:
• Tilt in Space
• Tilt in Space with Trendelenburg (The Oregon)
• Wallhugger recline only with rocking motion (The Nevada)
The following instructions cover the operation of these mechanisms. Both the Oregon
and Nevada chairs have additional features as described below.
Important Note: All of these chairs work on body weight and pressure and it is the reason why
we recommend that they are not suitable for frail or very elderly people.
Manual Recliner Instructions

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Accupak rechargeable battery system
Accupak rechargeable battery system for mains free usage.
Drop down table
Magnetic handset
There are a number of accessories which have to be fitted at the point of manufacturing the chair.
They cannot be fitted afterwards.
USB charger
A USB charging point can be fitted to
the chair to charge or operate items
such as a mobile phone, tablet or ipad.
Inset handset
Liquiform Seat Cushion
The high-density foam offers a supportive and firm seat base whilst the fluid liquid gel topping helps
to dissipate heat and constantly adapts to the user’s movement. Delivers exceptional comfort when
sitting for long periods of time.
Optional Accessories
(Fitted At Manufacture)