Rifton E420 User manual

Supine Stander
E420 & E430 Product Manual
E430 Large Supine stander
E420 Small Supine stander

2© 2010 by Community Products, LLC
Contents
Warnings and important information 4
Recommended use 5
User and item dimensions 5
Check your order 6
Basic Item components
Headboard 7
Footboard 8
Small Supine Stander mainboard (E420) 9
Large Supine Stander mainboard (E430) 11
Accessories
Tray 13
Hand anchors 14
Arm anchors 15
Abduction blocks 16
Operation 17
Maintenance 18
Cleaning 18
Materials 19
User modifications 19

3
Key for EU users
Use this key to determine which sections of this product manual
apply to you.
Technical Users For professionals who order and set up
Rifton products.
Home Users For caregivers who use Rifton products on a
regular basis.
Maintenance Personnel For anyone who is responsible for
service or reordering of Rifton products and parts.

4
WARNINGS
• Thoroughly read and understand the information in this product
manual before attempting to use this product. If the procedures and
instructions in this manual are not followed, serious injury could occur.
• A qualified professional must assess the appropriateness and safety of
all equipment for each user.
• Correct use of this product requires the prior approval and ongoing
guidance of a qualified therapist or physician.
• This product is intended for use by children of immature judgment.
Adult supervision is required at all times.
• Do not use this product on rough and uneven terrain, around
swimming pools, or near stairways.
• All mobility equipment may become unstable when used improperly.
• Straps and supports are provided for the safety of the user and must
be carefully adjusted for comfort and security. The use of straps and
supports must be supervised at all times.
• Restraints – Using straps, trays or supports to restrict a child’s
movement is considered behavioral restraint, which may raise ethical
and legal issues for your facility. Rifton Equipment is not intended for
this use.
IMPORTANT
• Please save this product manual. Additional copies are available
at www.rifton.com
• Please refer to the Rifton product catalog for our full warranty, or
visit www.rifton.com

5
Recommended use
The E430 and E420 Supine Standers support the user in the standing position. The
Supine Stander differs from a tilt table in that it allows much greater control of
the head, trunk, pelvis, knees, and feet while allowing variable weight-bearing. It
is especially suitable for users who lack sufficient anti-gravity control of the head
and shoulder girdle.
For users who have sufficient head and upper trunk control, the headboard folds
down to encourage independence.
The E430 large Supine Stander is recommended for children/adults between 46"
and 72" (117 cm – 183 cm) tall and up to 250 lbs.
The E420 small Supine Stander is recommended for children/adults between 30"
and 50" (75 cm – 25 cm) tall and up to 100 lbs.
User and item dimensions
The Supine Stander is not a transportation device.
User dimensions (inches) small large
Height 30–50 46 –72
Key user dimension: height
Select the appropriate Stander by the user’s overall height.
Choose the model that allows for growth.
Important: User’s weight must not exceed the maximum working load.
Item dimensions (inches) small large
Board length and width 51 x 16½ 71 x 19
Distance between lateral supports 7–13 9 –16
Height when horizontal 28½ 21–30
Height when vertical 54½ 74
Base length and width 37½ x 27 46½ x 29½
Max. working load (lbs.) 100 250

6
Check your order
This product comes in a single carton, containing:
1. Supine Stander (includes: head pad, pair of head support blocks, body pad,
chest strap, armrests, hip strap, pair of lateral support blocks, knee straps, and
a foot board).
2. Accessories for the Supine Stander.
3. This product guide.
You may not have ordered all of the available accessories, but use the diagrams
that follow to confirm that your order is complete.
If your shipment is incomplete or in any way damaged on
arrival, please call Customer Service, 800.571.8198.

7
Basic item components
Figure 7a
Headboard
Installing headboard
Lift the headboard, slide the cleat (A)
into frame slot, and tighten the
cleat knob (B) (see Figure 7a).
Installing head support blocks
1. Loosen two knobs on the head support
adjusting clamp (C).
2. Remove the support block with curved
bracket (D), turn it upright, and insert
bracket into clamp.
3. Slide curved bracket into clamp past
the safety dimples to desired spacing.
Brackets must overlap if spacing of less
than 8" is required.
4. Tighten both knobs (C) to secure head
support block.
5. Repeat this procedure on the second
head support block.
Adjusting headboard
Position headboard by raising it and sliding
cleat (A) into the frame slot. Tighten cleat
knob (B). If headboard is not needed,
slide cleat up, tighten knob, and fold the
headboard down.
Adjusting head support blocks
Loosen the two knobs on the clamp, slide
the block to the desired position, and
tighten knobs securely.
Figure 7b. Headboard with head support
blocks installed.
C
C
Note: If you are using the Supine
Stander for a child whose head does
not extend above the main board,
remove the head support blocks and
the two clamps. Remount the clamps
in the top slots of the main board.
Install the head support blocks as
described above.
WARNINGS
The headboard must be in place
before tilting user to a horizontal
position. When adjusting the
headboard, make sure that the
area where it contacts the main
board is clear.
D
D
A
A
B
B

8
Footboard
Installing sandals
Either large or medium sandals can be
mounted to the footboard.
1. Insert carriage bolts with bushings
through the bottom of the footboard.
2. Insert sandal base onto bolts and
adjust sandal before tightening
knobs (A) securely (see Figure 8a).
3. Place sandal onto base and lock into
place with latch (B).
Adjusting sandals
To adjust sandals, loosen knobs (A), move
sandals to the desired position, and tighten
knobs. Sandal height can be built up or a
toe/heel angle achieved by using one or
more wedges.
(see Figures 8a and 8b)
Installing sandal wedges
To add a wedge, unlatch and remove
sandal from the base, place wedge over the
base and latch it into place; any number of
wedges can be added. Place and latch the
sandal on top of the wedges.
Adjusting footboard
The footboard can be adjusted to
accommodate users of varying heights.
Loosen the clamp knobs (C), move board
to the desired height, and tighten knobs
securely. For the user’s security, footboard
is best left as close as possible to the floor
(see Figure 8b).
Adjusting the casters
Swivel casters allow the Supine Stander
to be moved easily. The foot-operated
brake, locks both the wheel and the
swivel simultaneously.
WARNINGS
• The footboard must be in
place before tilting the user to a
vertical position.
• The footboard has a potential
crush point. It must be correctly
positioned, the height adjusted,
and the knobs tightened securely
before placing a user on the board.
CAUTION
For safety, all four casters should be
locked at all times, whether the item
is occupied or unoccupied. Unlock the
casters only when moving the Supine
Stander from one location to another.
To lock caster, depress the bottom
part of brake. To unlock, push the top
part of brake forward.
A
A
B
B
Figure 8a
C
C
Figure 8b
A
A

9
Adjusting the mainboard
The hand crank (A) controls the transfer
height adjustment and the tilt angle of
the mainboard. By turning the crank, the
board will begin to tilt. Continue to turn
the crank until the desired angle is reached
(see Figure 9a).
Installing lateral support blocks
Lateral support blocks (B) ship
unassembled. Follow instructions below to
install the lateral support blocks.
1. Remove knob and plastic washer,
leaving rubber washer on support block.
2. Slide bolt of support block through slot
in board.
3. Replace knob (C) and plastic washer on
bolt on back of board, and tighten knob
(C) securely (see Figure 9b).
Adjusting support blocks
and straps
Any support block or strap can be adjusted
in and out or up and down. Loosen the
appropriate knobs, slide the block or strap
to the desired position, and tighten the
knobs securely.
To completely remove a support block or
strap, loosen the clamp knobs enough
to slide the bracket out past the safety
dimples, or loosen knobs completely
and remove the block or strap.
The block or strap can then be moved to
a different set of clamps and the knobs
tightened securely.
Figure 9a
NOTE: Tilt angle is indicated on the
board angle label. This can be used
to record the correct angle setting for
each user.
Figure 9b
B
B
C
C
Small Supine Stander mainboard
(E420)
Board
angle label
A
A

10
Adjusting hip strap
It is possible to place the hip strap (A) in
line with the lateral support block. Simply
loosen the clamp knobs enough to allow
the hip strap bracket to lie on top of the
lateral support block. Then tighten clamp
knobs securely.
Adjusting knee straps
To adjust height of knee strap, pull
back of strap away from hook-and-loop
fabric at back of the mainboard, slide
strap to the desired height, and resecure
hook-and-loop fabric.
Adjusting arm rests
To adjust height of armrest, loosen both
knobs (B), slide armrest to desired position,
and tighten knobs securely. To adjust angle
of armrest, loosen the bottom knob only,
lift or lower front of armrest to desired
position, and tighten knob securely
(see Figure 10a). WARNINGS
• The strap safety closures (C) must
be secured when in use.
• The armrest has a potential crush
point. Care should be taken when
adjusting armrest while a user is in
the stander. After adjustment, be
sure knobs are tightened securely.
B
B
A
A
C
C
Figure 10a

11
Large Supine Stander mainboard
(E430)
Adjusting the mainboard
The hand crank (A) controls transfer
height adjustment and the tilt angle of the
mainboard. By turning the crank, the
board will move horizontally from 21" to
30" and then begin to tilt. Continue to
turn hand crank until desired angle is
reached (see FIgure 11a).
Installing lateral support blocks
1. Loosen the two knobs on the hip
support adjustment clamps (B).
2. Remove lateral support block with
corner bracket (C), turn it upright, and
insert bracket into clamp.
3. Slide corner bracket into clamp, past
safety dimples (D), to desired spacing.
4. Tighten both knobs to secure lateral
support block.
5. Repeat this procedure on the second
lateral support block.
Adjusting support blocks
and straps
Any support block or strap can be adjusted
in and out or up and down. Loosen the two
knobs on the appropriate clamp, slide block
or strap to the desired position, and tighten
knobs securely.
To completely remove a support block or
strap, loosen clamp knobs enough to slide
bracket out past the safety dimples (D).
The block or strap can then be moved to
a different set of clamps and the knobs
tightened securely (see Figure 11c).
Figure 11a
NOTE: Tilt angle is indicated on the
board angle label. This can be used
to record the correct angle setting for
each user.
Figure 11b
B
B
C
C
Board angle label
A
A
D
D
Figure 11c

12
Adjusting the hip strap
It is possible to place the hip strap (A) in
line with the lateral support block. Simply
loosen the clamp knobs enough to allow
the hip strap bracket to lie on top of the
lateral support block. Then tighten the
clamp knobs securely.
Adjusting knee straps
To adjust height of knee strap, pull
back of strap away from hook-and-loop
fabric at back of mainboard, slide strap to
the desired height, and resecure
hook-and-loop fabric.
Adjusting arm rests
To adjust height of armrest, loosen both
knobs (B), slide armrest to desired position,
and tighten knobs securely. To adjust angle
of armrest, loosen the bottom knob only,
lift or lower front of armrest to desired
position, and tighten knob securely. WARNINGS
• The strap safety closures (C) must
be secured when in use.
• The armrest has a potential crush
point. Care should be taken when
adjusting armrest while a user is in
the stander. After adjustment, be
sure knobs are tightened securely.
B
B
A
A
C
C
Figure 12a

13
Accessories
Tray
Installing the tray
A clear or opaque tray may be fitted to
the armrests. Position both armrests at
the same height and angle. Attach tray by
inserting the tray latches into appropriate
armrest holes.
Adjusting the tray
The tray can be adjusted in and out by
opening the tray latches and moving them
to a different set of holes in the armrests.
Tray latch
Figure 13a
Figure 13b

14
Hand anchors
Recommended use
Hand anchors can be used on any of our
available trays. They help give the child an
anchor to control excessive movement of
the arms and encourage stabilization of the
shoulder girdle. The child may hold on with
both hands for stabilization training or with
just one hand to keep the other hand free.
Operation
On a clean smooth Rifton table or tray,
press down on suction cup and turn
handhold clockwise until secure. To
remove, turn handhold counterclockwise.
WARNINGS
• Correct use of this product requires
the prior approval
and ongoing guidance of a
qualified therapist or physician.
Adult supervision is required at all
times.
• This accessory is intended
for use on Rifton trays only
and is not to be used as a primary
support or as a standing support.
CAUTIONS
• Suction cup may release.
• Do not use on thin glass.
NOTE: Surface must be very smooth
and completely clean to get a strong
seal. If suction cup does not hold
well, wipe with a damp cloth or
apply a thin layer of petroleum jelly
around the rim of the rubber pad to
enhance the vacuum.

15
Arm anchors
Recommended use
The arm anchor is intended to stabilize one
arm on a table or tray. A pair can be used
to stabilize both arms. Providing increased
stability to the forearm, the arm anchor
may be beneficial for head and trunk
control while sitting and to allow functional
use of the unanchored arm.
Adjustment
Arm and wrist straps can be adjusted
and secured with hook-and-loop fabric
fasteners. Move handhold backward and
forward or rotate by loosening the knob.
Operation
On a clean smooth Rifton table or tray,
press down on suction cup, and lower
lever. Place arm on arm anchor pad and
secure it with arm and wrist straps. If
suction cup does not hold well, wipe
with a damp cloth or apply a thin layer
of petroleum jelly around the rim of the
rubber pad to enhance the vacuum.
WARNINGS
• Correct use of this product
requires the approval and ongoing
guidance of a qualified therapist
or physician. Adult supervision is
required at all times.
• Not a Primary Support.
• Straps and supports are provided
for the safety of the user and must
be used with supervision. They
must be carefully adjusted for the
comfort and security of the user.
• Not to be used as a standing
support.
CAUTIONS
• Suction cup may release.
• Do not use on thin glass.
Arm strap
Wrist strap
Knob

16
Installing
Remove the knobs and one washer off
each threaded stud.
1. Place abduction wedge in appropriate
slot with one washer on each threaded
stud between wedge and the Stander.
2. Put one washer on each of the threaded
studs between knobs and Stander.
3. Thread and tighten knobs securely.
Adjusting
To adjust the amount of abduction, raise
one wing of the wedge to expose the
adjustment screw (A). Turn screw out to
increase abduction. Raise the second wing,
and adjust it in the same way.
Round abduction block
Installing
To install the round abduction block,
remove the knob and place where
appropriate. Re-tighten knobs securely.
Collar
Installing
To attach the collar to the abduction
block, wrap it around the block, and
fasten snaps.
A
A
Figure 16a. Adjustable abduction wedge
Figure 16b. Round abduction block
Figure 16a. Collar
Adjustable abduction wedge

17
Operation
1. Lock all four Casters.
2. Crank the Supine Stander to desired horizontal height for ease of transfer.
3. Slide the armrest and the lateral support block away from the transfer area.
Open the chest, hip and knee straps.
4. Transfer the user onto the Supine Stander in a horizontal position, make final
adjustments to all straps and close.
5. Adjust the head block and lateral support blocks.
6. Secure the user’s feet in the sandals and adjust positioning.
7. Adjust the armrests to the user’s elbow height, and set to the
appropriate angle.
8. Crank the Supine Stander to the desired angle as indicated on the
board angle label.
9. A tray may now be mounted to the armrests.
Make sure that both the headboard and footboard are in place before
transferring the user.
Make sure the safety closures on the straps are secure.
Make any final adjustments, and make sure that everything is in place
and that all knobs are tight and secure.

18
Maintenance
Twice a year lubricate all four casters. Apply a drop of light oil to the ball
bearings and to the axle on each side of the caster wheel.
Once a year, check the lubrication of the threaded rod. If it seems dry, apply a
general purpose grease to the length of the rod.
Periodically inspect the entire Supine Stander and all accessories for cracks,
breaks, loose or missing parts, and/or malfunctions. Remove the Supine Stander
from service when any condition develops that might make operation unsafe.
Please contact the Rifton Customer Service Department for advice.
Cleaning
Clean the Supine Stander, pads, and straps with mild detergent and water. Do not
use excessive water on padded blocks. Do not use excessive water on wooden
surfaces; they are not waterproof.
Clean trays with mild soap or detergent. Avoid abrasive cleaners and aromatic
spirits. Disinfectants can be used, but no solvents. Never scrape with razor blades
or other sharp instruments. Do not clean in hot sun or at elevated temperatures.
Do not send through a dishwasher.
The components of the arm anchor can be removed for cleaning. Wipe clean with
a damp cloth using soap and water or a mild disinfectant solution. Rinse with a
damp cloth and water. Do not use excessive water. You may also use a commercial
cleaning agent suitable for imitation leather.

19
Materials
• Steel hardware items (nuts, bolts, screws, etc) are typically zinc or nickel plated,
or stainless steel.
• Upholstery items (pads, support blocks, padded prompts, etc) are typically
fire-retardant polyurethane foam with a fire-retardant cover made from
expanded vinyl.
• Frames are typically steel or aluminum tubing, welded together, and
coated with a baked-on paint finish. Some frame components may also be
stainless steel.
• Tires are tubeless, filled with polyurethane foam, and do not require inflation.
• Straps are typically made of polypropylene or nylon webbing.
• Wooden components are typically birch plywood, solid maple, or laminated
hardwood veneers, finished with a clear polyurethane lacquer.
• Tabletops are typically high-pressure laminate (Formica).
• Plastic components are typically injection molded from a variety of
industrial resins.
All materials are latex, lead and phthalates free.
User modifications
We recognize that some clients may benefit from modifications made in the field.
However, we cannot be responsible for customer modifications to our products
without our supervision, testing, and evaluation.

KW26 ECO N/A Revision L
Rifton Contact Info
Mail
Rifton Equipment
PO Box 260
Rifton NY 12471– 0260
Fax
800.865.4674
Phone
800.571.8198
9–5 EST
Online
www.Rifton.com
[email protected]
To order replacement parts
1. Locate the serial number of the product on the small white label.
2. Have this number available when you call 800.571.8198 for your
customer service representative.
Use only replacement parts supplied by Rifton Equipment.