Schuchmann till User manual

Instructions for use.
till.
till. The adjustable supine standing frame.

Many thanks.
Dear Customer
At this point we would like to thank you for placing your trust in our company and
for purchasing our product. We ask you to read through the Instructions for use carefully
prior to initial commissioning of the product, and to observe them. Please note that gui-
delines and representations in these Instructions for use may deviate from your product
due to diering equipment. We reserve the right to make technical modifications.
Important information!
Ensure that these Instructions for use remain with the product.
Your schuchmann Team

03 Contents.
1. Preparation. ................................................................................ 06
1.1 Delivery............................................................................................................................06
1.2 Safety measures prior to use ..............................................................................06
1.3 Safe disposal...............................................................................................................06
1.3.1 Packaging...........................................................................................................06
1.3.2 Product................................................................................................................06
1.4 Where to store the Instructions for use..........................................................07
2. Product description. .................................................................... 07
2.1 Material information ................................................................................................07
2.2 Handling and transport ........................................................................................07
2.3 Application areas, use according to the intended purpose .............08
2.3.1 Indications .........................................................................................................08
2.3.2 Contraindications .........................................................................................09
2.4 Use not in accordance with the intended purpose / warning gui-
delines....................................................................................................................................10
2.5 Equipment for basic model..................................................................................10
2.6 List of accessories...................................................................................................... 11
2.7 Product overview........................................................................................................ 11
2.8 General settings ........................................................................................................ 12
2.9 Getting in and out.................................................................................................... 13
2.10 Transfer.........................................................................................................................14
2.10.1 Castor with direction lock.........................................................................14
2.10.2 Measures before the transfer .................................................................14
2.10.3 Holding and pushing points....................................................................14
3. Settings. ..................................................................................... 16
3.1 Height adjustment (via gas pressure spring)............................................... 16
3.2 Height adjustment (via motor) ........................................................................... 17
3.3 Angle adjustment (via gas pressure spring) ................................................18
3.4 Angle adjustment (via motor) ............................................................................. 19
3.5 Upper body support...............................................................................................20
3.5.1 Pad elements (for easy upper body support)................................... 21
3.5.2 Pad elements (for contourable upper body support)................. 22
3.6 Adapters for leg supports.................................................................................... 23
3.7 Leg length .................................................................................................................... 23
3.7.1 Leg supports (standard) .............................................................................. 23
3.7.2 Leg supports (flex).......................................................................................... 23
3.8. Harness......................................................................................................................... 24
3.8.1 Chest strap........................................................................................................ 24
3.8.2 Pelvic strap ....................................................................................................... 24

04
4. Accessories. ................................................................................ 25
4.1 Headrests...................................................................................................................... 25
4.1.1 Headrest with angle-adjustable lateral guide................................ 25
4.2 Universal adapter for customised headrests............................................. 26
4.3 Thorax and pelvis pelotte pads for upper body support ....................27
4.4 Contourable upper body support .................................................................. 28
4.5 Adapter for leg supports (abductable) ........................................................ 29
4.6 Leg supports (flex) ................................................................................................... 29
4.7 Knee pelotte pads ..................................................................................................30
4.7.1 Knee pelottes with patella recess ..........................................................30
4.7.2 Flexible knee positioner (FKP).................................................................... 31
4.7.3 Pads for knee pelotte pads....................................................................... 31
4.8 Footrests........................................................................................................................ 31
4.8.1 Footrests (standard) ...................................................................................... 31
4.8.2 Footrests (flex)................................................................................................. 32
4.8.3 Foot guide incl. foot straps...................................................................... 32
4.8.4 Simple foot strap........................................................................................... 32
4.9 Therapy table............................................................................................................. 33
4.9.1 Wooden therapy table (standard)......................................................... 33
4.9.2 Wooden therapy table (with quick adjustment)............................34
4.9.3 Table support pad ........................................................................................34
4.10 Push bar...................................................................................................................... 35
4.11 Safety bolt .................................................................................................................. 36
4.12 Harness........................................................................................................................ 36
4.12.1 Positioning vest.............................................................................................. 37
4.12.2 Wide chest strap ......................................................................................... 37
4.12.3 Chest strap from "Pelvi.Loc".................................................................... 37
4.13 Sub-frame with motor support....................................................................... 38
4.13.1 Instructions for use and safety .............................................................. 38
4.13.2 During operation..........................................................................................40
4.13.3 Motor unit ........................................................................................................40
4.13.4 Control unit.....................................................................................................40
4.13.5 Manual operation.........................................................................................41
4.13.6 Safety switch-o .......................................................................................... 41
4.13.7 Battery pack for motor support ............................................................41
5. Cleaning and maintaining. .......................................................... 43
5.1 Cleaning and disinfecting ....................................................................................44
5.1.1 Cleaning ..............................................................................................................44
5.1.2 Disinfection........................................................................................................44
5.2 Servicing .......................................................................................................................44
5.3 Maintenance ..............................................................................................................44
5.3.1 Maintenance specifications .....................................................................45
5.3.2 Maintenance plan.........................................................................................46
Contents.

05 Contents.
5.4 Spare parts .................................................................................................................46
5.5 Duration of use and re-use................................................................................. 47
5.6 Elimination of faults and troubleshooting.................................................... 47
6. Technical data. ............................................................................ 48
6.1 Dimensions ...................................................................................................................48
6.2 Drive system................................................................................................................ 49
7. Guarantee ................................................................................... 49
8. Identication. ............................................................................. 50
8.1 EU Declaration of Conformity.............................................................................50
8.2 Serial number / date of manufacture........................................................... 52
8.3 Product version ......................................................................................................... 52
8.4 Issue of the document .......................................................................................... 52
8.5 Name and address of the manufacturer, specialist dealer sup-
plying the product .......................................................................................................... 52

06 1. Preparation.
1.1 Delivery
On receiving the product, please check it for completeness, lack of faults
and any transport damage. Inspect the goods in the presence of your
forwarder. Should transport damage have occurred, please arrange for
an inventory (determination of the faults) to be made in the presence of
the forwarder. Please send a complaint in writing to the specialist dealer
responsible.
1.2 Safety measures prior to use
The correct use of the product requires detailed and thorough
instruction of the user or the accompanying person. We ask you to read
through the Instructions for use carefully prior to initial commissioning of
the product, and to observe them. It is possible that product parts that get
in contact with the skin may heat up in the sun. Depending on the duration
and intensity of solar radiation, the surfaces of individual parts can heat up
to over 41°C and thus lead to slight burns in the event of direct skin contact.
Therefore cover these areas or protect the device from direct sunlight.
1.3 Safe disposal
In order to preserve and protect the environment, to prevent environmental
pollution and to improve the recycling of raw materials, please note the
disposal instructions in points 1.3.1 and 1.3.2.
1.3.1 Packaging
The product packaging is used for protection during transport and should
be stored in case the product needs to be transported again. Should you
have to return the product for repairs or in case of a guarantee claim,
please if possible use the original box so that the product is optimally
packaged. Should you no longer require the packaging materials, sepa-
rate and recycle them.
Do not leave packaging materials unattended, as they are a possible source of
danger.
1.3.2 Product
Attheendoftheproductlifecycle,recycletherawmaterialsusedintheproduct
according to their nature (see material information under point 2.1).

07 1. Preparation.
1.4 Where to store the Instructions for use
Please store these Instructions for use carefully and ensure that these inst-
ructions for use remain with the product in case of re-use. Should you lose
the instructions, you can always download an updated version at www.
schuchmann.de .
2. Product description.
2.1 Material information
The sub-frame and the individual elements are made from steel (corro-
sion-free and cathodic-dip coated or powder coated), aluminium and
plastic. All body supports (except for three-dimensionally adjustable knee
pelotte pads) are padded and covered. The footrests are made from
wood and have grip tape stickers. The covers are made of 100% polyester
and are flame resistant (according to DIN EN 1021-1+2). Dierent materials
consisting of polypropylene, polyester or polyurethane were used for the
padding.
2.2 Handling and transport
The till. supine standing frame is not intended for carrying, since it is equip-
ped with castors. If carrying cannot be avoided due to obstacles, this may
only be done without the user. Make sure that all movable parts are tigh-
tened. Subsequently, at least two persons should stand next to the supine
standing frame, hold on to the left and right of the base frame and carry
it to the desired location. In order to transport the supine standing frame,
reduce all adjustments to their most compact size (upper body support,
leg supports, height to lowest setting etc.).

08 2. Product description.
2.3 Application areas, use according to the intended purpose
The till. supine standing frame is a medical product of risk class 1 for indoor
areas and is used for standing training in the event of significantly impaired
or non-existing ability to walk or stand.
2.3.1 Indications
The till. supine standing frame is designed for users with significantly pro-
nounced impairment of standing and walking, especially due to:
• a complete or incomplete hemiplegia/hemiparesis, if applicable, with
inclusion of the torso musculature due to a condition of the brain (e.g.
stroke, brain tumour)
• a complete or incomplete paralysis of the arms and legs
(tetraplegia/tetraparesis) and, if applicable, with inclusion of the torso
musculature due to a condition of the brain (e.g. multiple sclerosis, brain
injury), the spinal column (e.g. poliomyelitis, paraplegic syndrome with
trauma or tumour) or the peripheral nervous system/muscular conditions
(e.g. Guillan-Barré syndrome, muscle dystrophy)
• a complete/incomplete paralysis of the legs (paraplegia/
paraparesis) and, if applicable, with inclusion of the torso musculature
due to a spinal condition (e.g. paraplegic syndrome with traumatic/in-
flammatory/tumourous thoracic and lumbar lesion) or conditions of the
peripheral nervous system/muscular conditions
(e.g. polyneuropathia, muscular dystrophy)
Thesupinestandingframetill.isusedtoassumeastandingpositiontoachie-
ve positive eects of an upright body position and/or to prepare for walking
training. The vertical position has a positive eect on the cardiovascular re-
gulation, the bone metabolism, the peristalsis and urinary diversion. Stan-
ding training is used to prevent decubitus, a thrombosis or joint contractures,
it promotes head control, arm function and spatial awareness. Spatial
awareness is supported by possible change in location of the aid by care-
ful rolling in supine position, if the clinical picture and the spatial conditions
permit it.

09 2. Product description.
2.3.2 Contraindications
In general, a doctor or orthopaedist should determine if there is any cont-
raindication. Any type of pain is to be considered a contraindication.
Strong contractures of the leg joint chain, extreme misalignment of the
spine and above all severe foot deformities, which cannot be compensa-
ted with shoes, can present a contraindication for the standing treatment.
The risk of secondary damage cannot be excluded. If necessary, standing
training can still be carried out on the doctor's instructions with an appro-
priate orthotic fitting. The extent to which the correction of misalignments,
contractures and deformities can be carried out must be clarified indivi-
dually.
In addition, very spastic or very flaccid patients, especially those with a
higher body weight, can be dicult to position in raising aids. It must also
be clarified whether the user can be brought into a complete stretching
position. For many users, initially only standing in a bent position is possible.
Never correct posture using force or strong pressure!
Depending on the disease symptoms and therapy, please clarify how long
the user may stand in the upright trainer. The following symptoms may
occur in some cases:
• Circulation problems
• Pain in the leg and back areas
• Epileptic spastic seizures
• Uncontrollable dystone tone fluctuations or stretching spasms

10 2. Product description.
2.4 Use not in accordance with the intended purpose / warning guide-
lines
• Make sure that the supine standing frame is used by one user only.
• Never leave the user lying/standing in the
supine standing frame without supervision.
• The correct use of the supine standing frame requires precise and care-
ful training of the accompanying person.
• The max. load (see Point 6.1) must not be exceeded.
• Do not use the supine standing frame with defective, worn or missing
parts.
• For reasons of fire safety, the supine standing frame may not be placed
close to an open fire or any other strong source of heat such as electric
or gas heaters.
• Only use accessories and spare parts made by Schuchmann, otherwise
you will endanger the user.
• Only use the supine standing frame if all components have been
correctly mounted and adjusted.
• When adjusting the supine standing frame there is the risk of jamming or
crushing limbs.
• Users who have diculty reading must have someone read these Ins-
tructions for use aloud so that they understand how to use the supine
standing frame.
• Pay attention to the instructions for use and warnings for the sub-frame
with motor support (see Point 4.13 onwards).
2.5 Equipment for basic model
• Height and angle adjustment (0-90°) using a gas pressure spring for size
1+2
• Height and angle adjustment (0-90°) via electrical motor for size 3+4
(incl. safety switch-o and manual operation)
• Can be positioned underneath patient lifter
• Upper body support adjustable in length incl. padded elements to
adjust the upper body support length
• incl. chest and pelvis strap
• Adapter for leg supports (standard)
• Leg supports (standard), adjustable in length, with 5 cm level compen-
sation
• Footrests (standard) that can be lowered down to the ground using the
height adjustment of the central column
• Sub-frame with 5 5 (for size 1-3) or 6 (for size 4) brakable castors
(75 mm) with total lock, one of which only with direction lock
• Frame colour: telegrey 4 (white grey), attachment parts: black
• incl. tool for all setting tasks (adjustment functions can be eected wi-
thout tools)

11 2. Product description.
2.6 List of accessories
• Headrest (standard / shell shape
/ lateral guide / with angle-ad-
justable lateral guide)
• Universal adapter for
customised headrests
• Thorax pelotte pads / pelvis
pelotte pads
• Knee pelotte pads (patella
recess)
• Knee pelotte pads (with adjusta-
ble, padded positioner brackets)
• Pads for additional
knee support
• Push bars (for size 1+2)
• Safety bolts (for release lever)
• Adapter for leg supports
(abductable)
• Leg supports (flex)
• Footrests (flex)
• Foot guidance
• Simple foot strap
• Wooden therapy table with rim
• Table support pad
• Wide chest strap
• Positioning vest
• Adapter width extension for
positioning vest
• Pelvic strap "Pelvi.Loc"
• Battery pack (Li-ion 2.25 Ah)
2.7 Product overview
The Fig. below is intended to show you the designation of the most im-
portant components as well as the terms which you will find in these Inst-
ructions for use.
Headrest
(standard)
Base frame
brakable castor
(75 mm) with
total lock
Upper body support
Thorax pelotte
pad
Pelvic pelotte pad
Knee pelotte pads with
adjustable positioner
brackets
Manual operation for
height adjustment
Pelvic strap "Pelvi.Loc"
Motor for height adjustment
Tilt of reclining surface
can be adjusted from
0 - 90°
Footrest with
heel edge
Leg support (ex)
Central column can
be adjusted in height
Positioning vest

12 2. Product description.
2.8 General settings
The till. supine standing frame is delivered completely mounted and in
the smallest possible adjustment, unless any pre-adjustments have be re-
quested. Before the user is placed in the supine standing frame, a pre-ad-
justment must be carried out.
User dimensions
Measure the user Carry out adjustment on the
supine standing frame see
AUpper body length (crotch to
upper edge of shoulder) Length of the upper body support 3.5
BKnee to crotch** set to max. 3.7
CSole to knee* set to max. 3.7
Presettings
* Final adjustments are made only with the user in place.
A
C
B

13 2. Product description.
2.9 Getting in and out
After all pre-settings have been made, plea-
se first lock all castors, except for the castor
with direction lock (see Point 2.10.1), for get-
ting in and out. To do this, press down the lo-
cking device (A) on each castor using the tip
of your foot (B). To release the castors again
again, push the locking devices up again
with the tip of your foot (C).
The brakes only work reliably on an
even surface!
Now bring the reclining surface (D) to the
horizontal position (see Point 3.3 and 3.4) and adjust the transfer height.
When transferring from a wheelchair, choose a low height, a high one when
doing a transfer from a carrying position. If available, fold the thorax and
pelvis pelotte pads (see Point 4.3) to the side and also release the harness
on one side (see Point 3.8).
Now you can move the user in the wheelchair / buggy etc. close to the
supine standing frame and lock the wheelchair / buggy. Lift the user out of
the wheelchair / buggy together with a second person or by using a lifter.
Place him on the supine standing frame, close first the harness and then
the thorax and pelvis pelotte pads (if available).
When adjusting the supine standing frame there is the risk of jamming or crus-
hing limbs.
Now you can undertake the fine adjustments on the individual compo-
nents. Please observe here the guidelines on the adjustment of the res-
pective components (see Point 3).
Only have the user get in and out of the product on stable and at ground.
D
A
B
C

14
2.10 Transfer
till. can also be pushed carefully and
slowly during use (e.g. to other rooms). Here
we highly recommend transferring the user in
the supine and lowest position
(A) .
2.10.1 Castor with direction lock
For easier movement, the sub-frame of any
size is equipped with a castor
(B) with direc-
tion lock
(C) . To release the lock of this cas-
tor, pull the direction lock
(C) gently upwards
and turn it a quarter turn to the left or right.
Now the castor
(B) can be moved freely. To
lock the castor again, simply turn back the
direction lock
(C). As soon as the castor (B) is
aligned straight, the direction lock will engage.
2.10.2 Measures before the transfer
The following measures must be carried out before the transfer:
• all fine adjustments to the individual components must have been carri-
ed out (see Point 3).
• the user must have been secured against unintentional falling out of the
frame (see Point 3.8).
• the supine and standing position must have been reduced to the smal-
lest possible adjustment (see Point 3).
2.10.3 Holding and pushing points
The following holding and pushing points are
provided on till. for transfer:
For size 1+2 in the supine position:
• Shoulder (D) or push bar (E - if available)
and leg supports (F) at the same time
For size 1+2 in the standing position:
• Push bar (E- if available)
• Back (G) and leg supports (F) at the same
time
2. Product description.
B
C
A = min.
E
G
F
D
F
E

15 2. Product description.
For size 3+4 in the supine position:
• Push bar
(A - if available)
• Shoulder (B) and leg supports (C) at the
same time
For size 3+4 in the standing position:
• Push bar
(A - if available)
• Back (D- not above the hip) and leg sup-
ports (C) at the same time
Make sure that always the two points mentioned
are used when pushing in the standing position
without push bar to guarantee safe transfer.
Make sure that when transferring size 3+4 in the
standing position, the user must not be pushed
above the hip at the back and that in general
there is the risk of tripping over the sub-frame
when pushing.
A
DC
B
A
C

16 3. Settings.
Settings and adjustments to the product or accessories may
only be made by people who have been given the necessary instructions
by a medical product advisor. Please ensure that none of the user's extre-
mities are in the respective area when making adjustments of any kind to
minimise the risk of injury.
As standard, till. is equipped with a tool (A)
for adjustment work, with the help of which
all provided hexagon socket screws can be
adjusted. The adjustable screws are marked
with a blue washer (B).
All adjustments (except for the upper body
support length) can also be adjusted retrospec-
tively. Make sure that during use all adjustments may be changed only in the
supine position to exclude sliding down of the user!
3.1 Height adjustment (via gas pressure spring)
To adjust the reclining surface height for si-
zes 1+2 operate the lever (C), which is fitted
as standard on the frame body (D) or optio-
nally on the push bar (E), in both cases on the
left, and keep it pulled.
Now bring the reclining surface into the desi-
red position upwards or downwards and re-
lease the lever (C) again.
For easy lowering of the reclining surfa-
ce, place a foot onto the tread surface (F)
and press the reclining surface downwards.
In upright position, after successful footrest
adjustment, the height adjustment can be
lowered until the floor.
D
C
F
C
E
A
B

17 3. Settings.
3.2 Height adjustment (via motor)
The adjustment of the reclining surface height
for sizes 3+4 (optionally also for size 1+2) can
be done using an electrical motor. It has a
safety switch o (see Point 4.13.6) and is con-
trolled manually (A).
To lower the reclining surface, press button (B)
and to raise press button (C). Release the res-
pective button as soon as you have reached
the desired height.
Sizes 3+4 of till. are equipped with an addi-
tional safety system for maximum stability in
any situation. This safety system ensures that
the reclining surface can only be raised to a
predefined height, if the reclining surface is
in the adjustment range of 45°-90° (see Fig.
1) . If during height adjustment the red arrow
(D) reaches the red marking at the central
column (E), the safety system automatically
stops the height adjustment.
In order to carry out another height ad-
justment, the reclining surface must first be
brought to an angle between 0°-45° (see Fig.
2and Point 3.4). Then you can continue with
the height adjustment to the maximum re-
achable height.
To determine the reclining surface angle
there is a scale (F) on both sides at the ad-
apter, with the help of which you can orien-
tate yourself quickly and easily and read the
angle.
A
BC
E
D
F
45°
90°
Fig. 1
45°
0° Fig. 2

18
3.3 Angle adjustment (via gas pressure
spring)
In order to change the angle of the reclining
surface for sizes 1+2 (see Point 3.4 for the si-
zes 3+4) please operate the lever (A), which
can be found by default on the body (B)
or which is optionally mounted to the right
of the push bar (C) and keep it pulled. Now
bring the reclining surface into the desired
angle and release the lever (A) again
To determine the reclining surface angle
there is a scale (D) on both sides at the ad-
apter, with the help of which you can orien-
tate yourself quickly and easily and read the
angle.
To secure the reclining surface against unin-
tentional angle adjustment, we oer an ad-
ditional safety bolt (E) (see Point 4.11).
B
A
3. Settings.
D
AC
E

19 3. Settings.
3.4 Angle adjustment (via motor)
The angle adjustment of the reclining surface
for sizes 3+4 is done using an electrical mo-
tor (see Point 3.3 for sizes 1+2). It has a safety
switch-o (see Point 4.13.4) and is controlled
manually (A - see Point 4.13.5).
The reclining surface can be adjusted in a
range from 0° to 90° (see Fig. 1). In order to
change the reclining surface angle, press
buttons Band C. Using button Bmove the
reclining surface into the horizontal and with
button Cinto the vertical. Release the res-
pective button as soon as you have reached
the desired angle.
Keep in mind that sizes 3+4 of till. are equip-
ped with an additional safety system for
maximum stability in any situation. This saf-
ety system ensures that the reclining surface
can only be adjusted from 45° to 90° if a pre-
defined height has not been exceeded (see
Point 3.2).
To determine the reclining surface angle
there is a scale (D) on both sides at the ad-
apter, with the help of which you can orienta-
te yourself quickly and easily and read the angle.
0°
90°
Fig. 1
A
B
C
D

20
3.5 Upper body support
till. is available in size 1+2 with a standard
upper body support. In addition to this ver-
sion, there is also a contourable upper body
support (see Point 4.4) for size 3+4. Both va-
riants can be adjusted in length.
Before any adjustment to the length, re-
move the padded elements (see Point
3.5.1 + 3.5.2) and bring the reclining sur-
face (without user) into the horizon-
tal (see Point 3.4). Afterwards loosen the
hexagon socket screws (A) for size 1+2.
For size 3+4 you must loosen the hexagon
socket screws (B) in the lateral profiles.
Once you have loosened the respective
screws, pull out the body (C) for an extension
or push it in for a reduction. To do this, get a
good hold of if or use for sizes 1+2 the push
bar (D)and support, if needed, the adjust-
ment by taking along the upper body sup-
port pad (E).
The body support is a type B application part.
Bring the reclining surface rst into a horizontal
position before carrying out any length adjust-
ment!
The length adjustment of the upper body sup-
port may only be carried out without a user!
3. Settings.
A
B
C
D
E