Rifton E420 User manual

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

2© 2016 Rifton Equipment
Contents
Important information 3
Safety messages 4
Recommended use and dimensions 5
Check your order 6
Basic components
Headboard 6
Footboard 7-8
Small Supine Stander mainboard (E420) 9-10
Large Supine Stander mainboard (E430) 11-12
Accessories
Tray 13
Hand Anchors 14
Arm Anchors 15
Abduction wedge and round abductor 16
Operation 17
Maintenance, cleaning and warranty 18
Materials and user modifications 19

3
IMPORTANT
Key for 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 care-givers who use Rifton products on a regular basis.
Maintenance Personnel For anyone who is responsible for service or
re-ordering of Rifton products and parts.
Please save this product manual for future reference. Additional copies are
available

4
• Thoroughly read and understand the information in this product manual before
attempting to use this product. If the procedures and instructions in this product manual
are not followed, serious injury or death could occur.
• A qualified professional must assess the appropriateness and safety of all equipment for
each user.
• This product is intended for use by clients of unreliable judgment. Adult supervision is
required at all times.
• To prevent falls and injuries:
○Do not use this product on rough and uneven terrain, around swimming pools, or
near stairways.
○Ensure the appropriate use of straps and supports at all times. Straps and supports
are provided for the safety of the user and must be carefully adjusted for comfort and
security.
○Tighten all adjustment knobs before use and immediately after making any
adjustments.
• Do not use this product for clients outside the height and weight limits specified in this
manual.
• To prevent structural failure, which may result in serious injury or death:
○Inspect this product and accessories regularly for loose or missing screws, metal
fatigue, cracks, broken welds, missing attachments, general instability or other signs
of excessive wear.
○Immediately remove this product from use when any condition develops that might
make operation unsafe.
○Do not use Rifton components or products for any purpose other than their intended
use.
WARNING

5
Recommended use
To prevent falls and injury, do not use the Supine Stander as a
transportation device.
The Rifton Supine Stander is a Class 1 medical device. It supports 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”– 72” (117
cm – 183 cm) tall and up to 250 lbs (114 kg).
The E420 small Supine Stander is recommended for children/adults between 30”– 50” (75
cm – 25 cm) tall and up to 100 lbs (45 kg).
User and item dimensions
WARNING
User dimensions – inches (cm) small large
Height 30–50 (76-127) 46–72 (117-183)
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 (cm) small large
Board length and width 53 x 16½ (135 x 42) 73 x 19 (185 x 48)
Distance between laterals 7–13 (18–33) 9 –16 (23–41)
Height when horizontal 28½ (72) 21–30 (53–76)
Height when vertical 54½ (138) 74 (188)
Base length and width 37½ x 27 (95 x 69) 46½ x 29½ (118 x 75)
Max. working load in lbs. (kg) 100 (45) 250 (114)

6
Check your order
This product comes in a single carton, containing:
1. Supine Stander (includes padding, footboard, adjustable armrests, hip strap, chest strap,
leg straps, one pair of laterals, one pair of head blocks and double-locking casters).
2. Accessories for the Supine Stander.
You may not have ordered all of the available accessories, but use the diagrams that follow
to confirm that your order is complete.
Headboard (see Figures 6a and 6b)
To prevent spinal
injury, ensure the
headboard is in place before tilting the
client to a horizontal position.
To prevent pinching or crushing, ensure
that all body parts are clear of the joint
between headboard and mainboard
during adjustment.
Attaching headboard:
Lift the headboard, slide the cleat (A)
into frame slot, and tighten the
cleat knob (B) (see Figure 7a).
Attaching head blocks:
1. Loosen two knobs (C) on the head block
adjusting clamp.
2. Remove the lateral with curved bracket
(D), turn 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 the
head block.
5. Repeat this procedure on the second
head block.
WARNING
Basic components
Figure 6a
Figure 6b. Headboard with headblocks attached.
C
C
D
D
A
A
B
B

7
Adjusting headboard: (see Figure 6a)
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 blocks:
Loosen the two knobs on the clamp, slide
the block to the desired position, and
tighten knobs securely.
Footboard
To prevent falls,
ensure the footboard
is in place before tilting the client to a
vertical position.
To prevent pinching or crushing, correctly
position the footboard at the appropriate
height before placing the client on the
footboard.
To prevent injury, lock all four casters at
all times, regardless of whether or not
the product is occupied, except when
moving the stander from one location to
another.
Attaching sandals: (see Figure 7a)
Either large or medium sandals can be
attached 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.
3. Place sandal onto base and lock into
place with latch (B).
WARNING
Figure 7a
B
B
A
A

8
A
A
B
B
C
C
Figure 8b
A
A
Figure 8a
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).
Attaching 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.

9
Small Supine Stander mainboard
(E420)
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).
Tilt angle is indicated on the board angle
label. This can be used to record the correct
angle setting for each user.
Attaching laterals:
Laterals (B) ship unassembled. Follow
instructions below to attach them.
1. Remove knob and plastic washer,
leaving rubber washer on the lateral.
2. Slide the bolt of the lateral through the
slot in the board.
3. Replace knob (C) and plastic washer on
bolt on back of board, and tighten knob
(C) securely (see Figure 9b).
Adjusting laterals and straps:
Any lateral or strap can be adjusted in and
out or up and down. To adjust in or out,
loosen the appropriate knobs, slide the
lateral or strap to the desired position, and
tighten the knobs securely.
To adjust up and down or to completely
remove a lateral or strap, loosen the
knob(s) completely and remove the lateral
or strap. The lateral or strap can then be
moved to a different set of slots, and the
knobs tightened securely.
Figure 9a
Figure 9b
B
B
C
C
Board
angle label
A
A

10
Adjusting hip and leg straps:
To prevent falls and
injury, secure the strap
safety closures (A) when in use.
To adjust height of hip and leg straps, pull
back of strap away from hook-and-loop
fabric at back of the mainboard, slide
strap to the desired height, and secure
hook-and-loop fabric (see Figure 10a).
Adjusting armrests:
To prevent pinching or
crushing, ensure body
parts are clear of potential crush points
while adjusting armrest.
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).
A
A
Figure 10a
B
B
WARNING
WARNING

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
in its horizontal position will move vertically
from 21" to 30"(53cm to 76cm) and then
begin to tilt. Continue to turn the hand
crank until desired angle is reached (see
Figure 11a).
Tilt angle is indicated on the board angle
label (B). This can be used to record the
correct angle setting for each user.
Attaching laterals:
Laterals (B) ship in reverse position.
To reposition laterals:
• Loosen knobs (C) and slide laterals out
from under the clamp.
• Rotate laterals into correct position and
replace them under the clamp.
• Tighten knobs (see Figure 11c).
Use knobs (C) to adjust the laterals laterally
and vertically.
Adjusting laterals and straps:
Any lateral or strap can be adjusted in
and out, or up and down. Loosen the two
knobs on the appropriate clamp, slide
lateral or strap to the desired position, and
tighten knobs securely.
To completely remove a lateral or strap,
loosen clamp knobs enough to slide
bracket out past the safety dimples (D).
The lateral or strap can then be moved to
a different set of clamps and the knobs
tightened securely (see Figure 11c).
Figure 11a
Figure 11b
C
C
B
B
A
A
D
D
Figure 11c
B
B

12
Figure 12a
B
B
A
A
C
C
Adjusting hip strap:
To prevent falls and
injury, secure the
strap safety closures (C) when in use
(see Figure 12a).
It is possible to place the hip strap (A) in
line with the laterals. Loosen the clamp
knobs enough to allow the hip strap’s
metal bracket to lie on top of the lateral.
Tighten clamp knobs securely.
Adjusting leg straps:
To adjust height of leg strap, pull
back of strap away from hook-and-loop
fabric at back of the mainboard, slide
strap to the desired height, and secure
hook-and-loop fabric.
Adjusting armrests:
To prevent pinching or
crushing, ensure body
parts are clear of potential crush points
while adjusting armrest.
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 12a).
WARNING
WARNING
Adjusting laterals and straps cont.
If you are using the large Supine Stander
for a client whose head does not extend
above the mainboard, remove the head
blocks and the two clamps. Remount the
clamps in the top slots of the mainboard.
Attach the head blocks as described on
page 6.

13
Accessories
Tray
Attaching the tray:
A tray can 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 (see
Figure 13a and 13b).
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
(see Figure 13b).
Tray latch
Figure 13a
Figure 13b

14
Hand Anchors
To prevent falls and
resulting injury, do not
use Rifton Anchors as a primary support
or as a standing support. Suction cups
may release.
To prevent falls and cuts, do not use
Rifton Anchors on thin glass.
Recommended use
Hand Anchors can be used on any of our
available trays. They give the client an
anchor to control excessive movement of
the arms and encourage stabilization of the
shoulder girdle. The client may hold on with
both hands for stabilization training or with
one hand, keeping the other hand free.
Operation
On a clean smooth table or tray, press
down on suction cup and turn handhold
clockwise until secure. To remove, turn
handhold counterclockwise.
Figure 14a
WARNING
Tip: 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
To prevent falls and
resulting injury, do not
use Rifton Anchors as a primary support
or as a standing support. Suction cups
may release.
To prevent falls and cuts, do not use
Rifton Anchors on thin glass.
Recommended use
The arm Anchor is intended to stabilize
one arm on a table or tray, or as a pair to
stabilize both arms. Providing increased
stability to the forearm, arm Anchors may
be beneficial for head and trunk control to
allow functional use of the free arm.
Adjustment
Arm and wrist straps can be adjusted and
secured with hook-and-loop fasteners.
Move handhold backward and forward or
rotate by loosening the knob.
Operation
On a clean smooth 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.
WARNING
Arm strap
Wrist strap
Knob
Figure 15a

16
(see Figure 16a)
Attaching
Remove the knobs (A) and one washer off
each threaded stud.
1. Place abduction wedge in appropriate
slot with one plastic washer on each
threaded stud between wedge and
stander.
2. Put the second 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 (B). Turn screw out to
increase abduction. Raise the second wing,
and adjust it in the same way.
Round abductor
(see Figure 16b)
Attaching
To attach the round abductor, remove
the knob and place where appropriate.
Re-tighten knobs securely.
Collar
(see Figure 16c)
Attaching
To attach the collar, wrap it around the
round abductor, and fasten snaps.
B
B
Figure 16a
Figure 16b
Figure 16c
Adjustable abduction wedge
A
A

17
Operation
1. To prevent falls and injury, lock all four casters.
2. Crank the Supine Stander to desired horizontal height for ease of transfer.
3. Slide the armrest and the lateral away from the transfer area. Open the chest, hip and
leg straps.
4. Make sure that both the headboard and footboard are in place before transferring
the user.
5. Transfer the user onto the Supine Stander in a horizontal position, and make final
adjustments to all straps, ensuring that the safety closures on the straps are secure.
6. Adjust the head block and laterals.
7. Secure the user’s feet in the sandals and adjust positioning.
8. Adjust the armrests to the user’s elbow height, and set to the appropriate angle.
9. Make any final adjustments, ensuring that everything is in place, and that all knobs are
tight and secure.
10. Crank the Supine Stander to the desired angle as indicated on the board angle label.
11. Attach tray on armrests if desired.

18
Maintenance
This product is designed and tested for an expected life of 5 years when used and
maintained in accordance with this manual. At all times, users must ensure that the
product remains in a safe and useable condition, including regular maintenance and
inspections as specified in the manual.
To prevent structural failure, which may result in serious injury or death:
• Inspect this product and accessories regularly for loose or missing screws, metal
fatigue, cracks, broken welds, missing attachments, general instability or other signs of
excessive wear.
• Immediately remove this product from use when any condition develops that might
make operation unsafe.
• Do not use Rifton components or products for any purpose other than their intended
use.
• Replace or repair components or products that are damaged or appear to be unstable.
• Use only Rifton authorized replacement parts. Order information for replacement parts
is provided on the back of this product manual.
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.
Cleaning
Clean with disinfectant wipes or a solution of up to 10% bleach. Do not use excessive
water on pads and wooden surfaces.
Clean tray 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
disinfectant wipes or a solution of up to 10% bleach.
Warranty Statement
If a Rifton product breaks or fails in service during the first year, we will replace it
free of charge.

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
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.
• 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.
• Plastic components are typically injection molded from a variety of
industrial resins.
All materials are latex, lead and phthalates free.
User modifications
To prevent serious injury or death, do not modify or alter Rifton
products or components, or use Rifton products or components
in conjunction with products from other manufacturers. Rifton does not accept
responsibility for any modifications or alterations made to our components or products
after they leave our premises. Customers modifying or altering our components or
products, or using them in conjunction with products from other manufacturers, do so
at their own risk.
WARNING

20
To order replacement parts
1. Locate the ID 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.
We are glad to supply replacement parts. Although Rifton makes every effort to
supply correct parts and instructions for repairing or refurbishing your equipment,
you are responsible to make sure that the repairs or modifications are correctly and
safely completed.
KW26 ECO N/A Revision 00