Specialised Orthotic Services NESSIE User manual

USER GUIDE
ALL USERS OF THE EQUIPMENT SHOULD BE AWARE
OF THIS DOCUMENTAND ITS CONTENT
ISSUE 2
|CLASS 1 DEVICE

1
Index
CONTENTS PAGE
Index 1
Safety Notes 1
Introduction 2
1. How to Use NESSIE 2
2. Positioning the Client with NESSIE 3 & 4
3. Cleaning NESSIE 5
4. Help and Advice 6
5. Repairs and Service 6
6. Medical Devices 6
CONTACT DETAILS Backpage
SAFETY NOTES FOR USE
NESSIE• MUST ALWAYS BE USED ONLY AT FLOOR LEVEL.
NEVER
• LEAVE NESSIE CLOSE TO ANY NAKED FLAME (i.e. OPEN GAS FIRE).
NEVER
• LEAVE A CHILD UNATTENDED IN NESSIE.

(Class 1 Device)
Introduction
NESSIE gives a unique positioning experience enabling parents, therapists and carers to
play with disabled children in a positive therapeutic way.
This• User Guide for NESSIE is designed to give guidance on its use and maintenance.
NESSIE’s
• uniquedesignandexibilityallowittobemanipulatedintoawiderangeof
positioning options during play and therapy.
Under no circumstances leave anyone unattended when using
• NESSIE.
1. HOW TO USE NESSIE
When using NESSIE make sure of the following:
NESSIE• isintendedforuseonasecure,atsurfaceandonlyatoorlevel.
NEVER• use NESSIE on an elevated platform or surface.
Make
• sure NESSIE is used in a clear area allowing adequate space for access to
interact with children during use.
2

3
2. POSITIONING THE CHILD
With• NESSIEinplaceatoorlevelchildrencanbe
positioned for therapy and play.
Adjustments
• to the width of NESSIE can be done by simply
moving NESSIE’s “arms” until the required position is achieved.
Children
• can be placed securely into many positions along NESSIE’sproled
contours, with the most common options shown below:
Supine ‘Lying on your back’ (Fig.2a)
Placing• children into Supine is the most stable
position.
Supine
• position supports physical development
through strengthening neck, tummy, shoulder
andhipexorsaschildrenhavetolifthead,
arms and legs up against gravity.
The
• hipsinexionreducesthechanceof
extensor thrust.
Supports
• sensory development as this is the
position in which it is easiest for children to focus their eyes.
Encourages
• hand / feet exploration and hands to mid line.
Prone ‘Tummy Time’ (Fig.2b)
Tummy• Time supports physical development
by strengthening neck, shoulders, arms and
back, and is an important foundation for the
transition to sitting via side lying / side sitting.
Is
• the precursor for rolling, and is a position
supported by all child development workers.
e.g. health visitors and physiotherapists.
Long Sitting (Fig.2c)
Important• part of child development,
encouraging head control, hands to midline
and reaching for toys.
NESSIE’s
• unique ‘BUMPS’ encourage
transverse weight bearing through arms and
shoulders.
Fig.2a
Fig.2c
Fig.2b

4
2. POSITIONING THE CHILD (Cont.)
Side Lying (Fig.2d)
Encourages• hands together, and lifting head
against gravity.
Beginning
• of pushing up into sitting.
NESSIE’s
• arm between child’s legs reduces
crossing over of legs ‘adductor tightness’.
Side sitting (Fig.2e)
Follows• on from Side Lying.
Improves
• shoulder girdle development.
Encourages
• child to ‘cross midline’ i.e., twist
around.
Crawling ‘On all 4’s’ (Fig.2f)
Crawling• Position supports physical
development because children are supporting
their body weight against gravity, strengthening
muscles which may be used for movement
later on.
Encourages
• development of shoulder and
pelvic girdle and hip joint development.
Sitting ‘Straddle’ or Horse Riding Position (Fig.2g)
Supports• cognitive development by introducing
a lordosis.
Supports
• sensory development as hands are
free and able to play.
This
• position encourages a lordosis, and weight
bearing through feet, knees and hips.
This is the most demanding position and may
need support at pelvis from therapist / family.
Fig.2e
Fig.2f
Fig.2g
Fig.2d

5
Fig.3.2a
3. CLEANING
The• Foam Moulding of NESSIE is made from an
open cell foam and is sealed in a special water
proof clear plastic protective membrane. This
membrane is air permeable and waterproof.
DO
• NOTREMOVETHEFOAMFROMTHE
WATERPROOFLINERORTRYTOWASHITAS
THISFOAMWILLABSORBWATERANDWILLBEAPROBLEMTODRYOUT.
ANY• DEVIATIONSFROMTHEABOVEMAYAFFECTTHEFIRERETARDANCYOF
THECOVER(S).
If• the plastic membrane becomes seriously damaged it needs to be repaired quickly.
To
• clean the plastic membrane, simply wipe down with a mild cleaning agent. Towel
dry, and leave at room temperature to dry thoroughly.
DO
• NOTputNESSIEnexttoahotreoruseexcessiveheattodryasthiscould
damageit.
DO• NOTusescourersorcausticsubstancessuchasbleach.
3.2. REMOVING THE COVER
Light• soiling on the cover can simply be removed
by using a damp cloth or Baby Wipe. This should
enable the cover to be cleaned without the need
to remove it from the Nessie as the foam is
sealed in a waterproof liner.
For
• cleaning of removable cover please refer to
wash label on the inside of the padded cover.
The
• cover can be removed by simply unzipping
(Fig.3.2a)

6
4. HELP & ADVICE
If you need advice on any aspect of use or maintenance then
please contact:
Specialised Orthotic Services Ltd. (SOS)
on 0044 (0)1283 520400.
5. REPAIRS & SERVICE
Within the warranty period.
All NESSIE’s manufactured by Specialised Orthotic Services Ltd. carry a guarantee on the
main parts for 12 months, excluding covers and straps which are guaranteed for 3 months.
This guarantee only applies to correct usage of the product.
If during this period the product becomes defective and needs repair then please contact
SOS.
Outside the warranty period.
For any goods requiring repair or attention after the guaranteed period, an assessment can
be made as to the cost of the work required.
On acceptance of this quotation the work will proceed.
Misuse or neglect.
The repairs necessary resulting from misuse or neglect, whether within the warranty
period or not, will be charged for.
6. MEDICAL DEVICES DIRECTIVE 93 / 42 EEC (Class 1 Device)
Specialised Orthotic Services Ltd. in compliance with the Medical Devices Directive
have an obligation to investigate and take corrective action on defective devices. To assist
us with this procedure we would appreciate your assistance in meeting this obligation by
informing us as soon as possible and make the device available for inspection as soon as
possible having become aware of a defect.
We are required to notify the Competent Authority of certain types of incidents within 10 to
30 days. As part of our quality system we have established
procedures to deal with such incidences and would
appreciateyourswiftnoticationtousviaour
telephone, fax or e-mail details at the end of this users
manual.

I/D LABEL
Units 127/128, Fauld Industrial Park, Tutbury, Staffordshire. DE13 9HS
Tel: [phone] Fax: [phone]
E-mail: [email protected]
Web: www.specialisedorthoticservices.co.uk
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