Sunrise Medical Jay Two Point Pelvic Positioning Belts User manual

SECTION
SECTION ENGLISH
JAY POSITIONING SUPPORTS
Owner’s Manual
JAY Positioning Supports EN
Important Consumer Information.
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booklet.
245889
Benutzerhandbuch
JAY Positionierungshilfen DE
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JAY supports de positionnement FR
Informations importantes pour l‘utilisateur.
REMARQUE : ce manuel comporte d’importantes informations à transmettre
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Manuel d’utilisation

SECTION
SECTION ENGLISH
JAY POSITIONING SUPPORTS
Manuale d'uso
JAY supporti per il posizionamento IT
Importanti informazioni per l’utente.
NOTA: Questo manuale contiene importanti istruzioni che devono essere comunicate
all'utente di questo prodotto. Si prega di non rimuovere il manuale prima della consegna
all'utente.
RIVENDITORE: Questo manuale va consegnato all’utente del prodotto.
UTENTE: Prima di usare il prodotto, leggere attentamente tutte le sezioni del manuale e
conservarlo per riferimento futuro.
GARANZIA: Per la garanzia di questo prodotto, si prega di conservare la prova
d'acquisto del prodotto.
Bruksanvisning
JAY Positioning Supports NL
Belangrijke informatie voor consumenten.
OPMERKING: Deze gebruikershandleiding bevat belangrijke instructies die
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ENGLISH 4
WARNINGS 4
ASSESSMENT AND SIZING 5
INSTALLATION 6
WARRANTY 21
DEUTSCH 22
WARNUNGEN 22
BEURTEILUNG UND ABMESSUNG 23
MONTAGE 24
GARANTIE 39
FRANÇAIS 40
AVERTISSEMENTS 40
ÉVALUATION, MESURES ET DIMENSIONS 41
INSTALLATION 42
GARANTIE 57
ITALIANO 58
AVVERTENZE 58
VALUTAZIONE E MISURE 59
INSTALLAZIONE 60
GARANZIA 75
NEDERLANDS 76
WAARSCHUWINGEN 76
BEOORDELING EN AFMETING 77
MONTAGE 78
GARANTIE 93

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WARNINGS
SHIPPING:
Check all parts are free from shipping damage. In case
of damage DO NOT use. Contact Sunrise Medical or
your supplier for further instructions.
WARNING!
The products described in this manual were designed to
be fitted and installed exclusively by:
• An authorized Sunrise Medical supplier.
• A qualified and competent healthcare professional
who has undergone appropriate certified training by
either Sunrise Medical or their approved supplier.
THE JAY POSITIONING SUPPORTS INTENDED USE:
The Jay Positioning Supports are intended to provide
additional support for a wide variety of wheelchair users.
WARNING!
Any application other than positioning a person in a
wheelchair where its failure could result in injury is a
misuse of these products and it is not safe.
Maximum User Weight.
Because the harnesses can be installed onto a wide
range of wheelchairs, the harness maximum user weight
is equal to the maximum user weight of the wheelchair to
which it is fitted.
Intended Lifetime.
The intended lifetime of these products is 2 years.
WARNING!
Positioning belts and trunk supports should only be used
to help support the user’s posture.
DANGER!
• Risk of chest compression or suffocation!
• Do not use any trunk support or chest harness
without stabilizing the pelvis.
• Ensure that the user cannot slide down out of the
seating system.
NOTE: The use of a JAY contoured cushion may help
prevent the user from sliding in the seat.
Word Definition
DANGER!
Advice to the user of potential risk of
serious injury or death if the advice
is not followed.
WARNING! Advice to the user of a risk of injury if
the advice is not followed.
CAUTION!
Advice to user that potential damage
to equipment may occur if the advice
is not followed.
NOTE: General advice or best practice.
Reference To Additional
Documentation
WARNING!
• Any belt, harness or support strap must not interfere
with breathing.
• Any belt, harness or support strap may alter the
person’s seating position.
• It is crucial that users at risk of skin breakdown are
regularly checked for skin integrity.
• Employ an appropriate pressure relief regime.
• A risk assessment is recommended to determine
If the user can perform pressure relief activities
independently, if not a caregiver/clinician must carry out
this task.
WARNINGS FOR TRANSPORTATION
• Jay Positioning belts, harnesses and shoulder straps
were designed for positioning, not to be used as
transportation safety belt!
• JAY POSITIONING BELTS, HARNESSES, AND
SHOULDER STRAPS may be used while in transit, but
are not crash tested or approved to provide protection
during a crash.
• When traveling in a motor vehicle, only use these
positioning supports in combination with restraints that
have been transit tested in accordance with SAE J2249
and/or ANSI/RESNA WC/20.

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ASSESSMENT AND SIZING
ASSESSMENT:
WARNING!
An appropriate clinical assessment by a clinician or qualified wheelchair professional is highly recommended to guarantee
safety and correct clinical usage.
CLIENT MEASUREMENTS:
Fig.1.0 shows a series of standard measurements.
It is the clinician/wheelchair professionals responsibility to make the appropriate measurements relevant to the product to be
used. This is essential to ensure client safety and that the correct size is ordered.
Fig. 1.0
A. Shoulder Width.
B. Chest Width.
C. Hip Width.
D. Width at the Knee.
E. Seat to Top of Head.
F. Seat to Top of Shoulder.
G. Seat to Axilla.
H. Seat to Pssis.
I. Not Used
J. Not Used
K. Chest Depth.
L. Back to Anterior of Seat Bones, (Ischial Tuberosity)
M. Seat Depth.
N. Seat to Footplate.

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INSTALLATION
INSTALLATION:
When assessing posture in terms of seating, always
begin with the pelvis.
PELVIC POSITIONING:
Pelvic Area Shaded, (Fig.2.0).
Fig. 2.0
Two Point Pelvic Positioning Belts.
• Two Point Belt Push Button, (Fig.3.0).
• Two Point Belt Side Release, (Fig.4.0).
Four Point Pelvic Positioning Belts.
• Four Point Belt Push Button, (Fig.5.0).
• V Contour Belt Push Button, (Fig.6.0).
J2 DC CUSHION COMPONENTS
Fig. 3.0
Fig. 4.0
Fig. 6.0
Fig. 5.0

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INSTALLATION
PELVIC BELT INSTALLATION:
Pelvic belts can be installed in different ways according
to user’s seating system, wheelchair type and hardware
used.
Belt Anchors.
All JAY positioning belts include belt anchors for
attachment, (Fig.7.0).
WARNING!
The products described below must be fitted and installed
exclusively by:
• An authorized Sunrise Medical supplier.
• A qualified and competent healthcare professional who
has undergone appropriate certified training by either
Sunrise Medical or their approved supplier.
• Never place a pelvic belt, or positioning support across
the waist or abdomen.
Initial Considerations.
Angles of attachment.
The angle that the pelvic belt is mounted to the
wheelchair has a direct impact on the pull angle on the
pelvis.
A 60° attachment angle to the seat rail positions the pelvic
belt anterior and inferior to the axis, which reduces the
tendency of the user with a posterior pelvic tilt to slide
under the belt.
A 45° attachment angle on the back post encourages a
posterior pelvic tilt, which assists in positioning users with
an anterior pelvic tilt.
INSTALLATION PROCEDURE
Two Point Pelvic Belt, (Fig.9.0).
1. Locate desired attachment point.
2. Attach the belt hardware to the wheelchair frame.
3. Consider the user’s position to determine the ideal
angle for attachment and position the belt on the
centre of the pelvis.
4. Thread the webbing end through the belt mount.
Fig. 7.0
Fig. 8.0
45°
60°
Fig. 9.0

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INSTALLATION
Four Point Pelvic Belt, (Fig.10.0).
A. Main Straps, (Fig.11-12).
B. Secondary Straps, (Fig.11-12).
3. Follow the installation steps described in the previous
Two Point Pelvic Belt paragraph, to attach the main
straps of the pelvic belt.
4. Attach the secondary straps to the chair so that they
anchor the primary straps.
5. Tighten secondary straps to prevent movement of the
primary straps.
SAFETY:
For both types of belt, when the installation is finished,
carry out the following procedure to ensure that the user is
appropriately and safely positioned:
1. Check if the user is sitting comfortably.
2. Check if there are any areas of irritation. This usually
manifests as a reddening of the skin especially in soft
tissue.
3. Check that the user does not slide down through the
belt, if they do, adjust the belt as required. If the user
still slides under the belt and the belt is a two point
model, asses if there is a need for the four point belt,
this will provide additional security and adjustment.
4. Check if the pelvic belt mounting hardware is interfering
with any other positioning accessories/devices on the
wheelchair and reposition it if necessary.
Fig. 10.0
Fig. 12.0
Fig. 11.0
A
A A
A
B
B
B
B

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INSTALLATION
ENGLISH
ANTERIOR TRUNK SUPPORTS INSTALLATION:
* Measurements = mm and (inches). Measurements may vary slightly due to binding finish
Classic Style.
Classic Dimensions*
A B C D E F G H
Early
Intervention 248 (9.75) 76 (3) 51 (2) 133 (5.25) 76 (3) 76 (3) 25 (1) 165 (6.5)
X-S 318
(12.5) 89 (3.5) 51 (2) 191 (7.5) 89 (3.5) 76 (3) 51 (2) 191 (7.5)
S381
(15) 114 (4.5) 51 (2) 229 (9) 102 (4) 102 (4) 51 (2) 216 (8.5)
M482
(19) 140 (5.5) 51 (2) 280 (11) 127 (5) 127 (5) 76 (3) 241 (9.5)
L572
(22.5) 165 (6.5) 51 (2) 330 (13) 152 (6) 152 (6) 89 (3.5) 267 (10.5)
XL 572
(22.5) 165 (6.5) 64 (2.5) 356 (14) 178 (7) 178 (7) 114 (4.5) 292 (11.5)
Fig. 13.0
Fig. 14.0
Strap Positioner, (Fig.14.0).
This accessory is sold separately.

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INSTALLATION
ENGLISH
Fig. 15.0
* Measurements = mm and (inches). Measurements may vary slightly due to binding finish
Back Pack Style.
Back Pack Dimensions*
A B
S 305 (12) 305 (12) 51 (2)
L 457 (18) 457 (18) 51 (2)
Fig. 16.0
* Measurements = mm and (inches). Measurements may vary slightly due to binding finish
Contour Style.
Contour Dimensions*
A B C D E F G H
Early
Intervention 248 (9.75) 76 (3) 45 (1.75) 133 (5.25) 25 (1) 89 (3.5) 38 (1.5) 165 (6.5)
X-S 318
(12.5) 89 (3.5) 51 (2) 191 (7.5) 25 (1) 89 (3.5) 38 (1.5) 191 (7.5)
S381
(15) 114 (4.5) 51 (2) 229 (9) 25 (1) 102 (4) 51 (2) 216 (8.5)
M470
(18.5) 140 (5.5) 51 (2) 280 (11) 25 (1) 127 (5) 64 (2.5) 241 (9.5)
L572
(22.5) 165 (6.5) 51 (2) 330 (13) 38 (1.5) 152 (6) 89 (3.5) 267 (10.5)
XL 572
(22.5) 165 (6.5) 64 (2.5) 356 (14) 38 (1.5) 178 (7) 114 (4.5) 292 (11.5)

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INSTALLATION
* Measurements = mm and (inches). Measurements may vary slightly due to binding finish
Centre Opening Style.
Centre Opening Dimensions*
A B C
Early
Intervention 248 (9.75) 178 (7) 127 (5)
X-S 280
(11) 203 (8) 147 (5.75)
S311
(12.25) 229 (9) 165 (6.5)
M362
(14.25) 280 (11) 248 (9.75)
L394
(15.5) 292 (11.5) 248 (9.75)
XL 445
(17.5) 324 (12.75) 254 (10.0)
Fig. 17.0
Technical Notes:
• Adjustable buckle closure provides quick user access.
• Available in structured construction only.
• Four point attachment provides independent tension adjustment.

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INSTALLATION
Fig. 18.0
* Measurements = mm and (inches). Measurements may vary slightly due to binding finish
Zipper Opening Style.
Zipper Opening Dimensions*
A B C D E F G H
S381
(15.0) 114 (4.5) 51 (2) 229 (9) 102 (4) 102 (4) 51 (2) 216 (8.5)
M482
(19.0) 140 (5.5) 51 (2) 280 (11) 127 (5) 127 (5) 76 (3) 241 (9.5)
L572
(22.5) 165 (6.5) 51 (2) 330 (13) 152 (6) 152 (6) 89 (3.5) 267 (10.5)
XL 572
(25.5) 165 (6.5) 64 (2.5) 356 (14) 178 (7) 178 (7) 114 (4.5) 292 (11.5)
Technical Notes:
• Zipper closure provides quick user access.
• Breathable fabric and machine washable.
• Dynamic construction provides support and allows limited range of movement.

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INSTALLATION
* Measurements = mm and (inches). Measurements may vary slightly due to binding finish
Trunk Strap Style.
Trunk Strap
Dimensions*
A B
X-S 76
(3) 203 (8)
S76
(3) 254 (10.0)
M76
(3) 305 (12)
L102
(4) 356 (14)
XL 102
(4) 406 (16)
Fig. 19.0
Technical Notes:
• Mounts to backrest with strap anchors.
• Anterior Velcro and “D” ring closure provide quick user access.
A
B
* Measurements = mm and (inches). Measurements may vary slightly due to binding finish
“Y” Style Shoulder Straps.
“Y” Style Dimensions*
A B C
Early
Intervention 381 (15.0) 178 (7) 45 (1.75)
S482
(19.0) 203 (8) 51 (2)
M559
(22) 229 (9) 57 (2.25)
L635
(25) 280 (11) 64 (2.5)
Fig. 20.0

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INSTALLATION
INSTALLATION REQUIREMENTS
To be able to mount any anterior trunk support / shoulder
harness you have to ensure that the following are in
place:
• A wheelchair with a solid backrest set approximately
at shoulder height.
• An installed pelvic belt.
WARNING!
The products described below must be fitted and
installed exclusively by:
• An authorized Sunrise Medical supplier.
• A qualified and competent healthcare professional
who has undergone appropriate certified training by
either Sunrise Medical or their approved supplier.
• Never use anterior trunk supports without stabilizing
the pelvis.
• Always use a properly installed pelvic belt.
Installation steps
1. Fitting and installation should be performed with the
user sitting in the wheelchair.
2. If the user is not using any pelvic belt: Seat the user
in the wheelchair and install the pelvic belt according
to the previous instructions of this manual, (pages
9 and 10). Define which shoulder harness type is
suitable for the user.
3. The following types are available:
i. Classic Style – for optimal distribution of support
and maximum stability.
ii. Contour Style - for women or individuals who want
to limit the amount of contact area between the
harness and the body.
iii. Zipper Open - to aid in frequent transfers and
ease of removal.
iv. Adjustable Stretch, Centre Opening - to aid in
frequent transfers and provide a more precise fit.
v. Trunk Strap - to increase range of motion when
shoulder rotation and reaching are required.
vi. Y-Style - for increased range of motion for one
arm while providing optimal support.
vii. Backpack Style – for maximum shoulder retraction
and minimal chest contact.
4. Place the desired anterior trunk support /shoulder
harness on chest with upper straps over the backrest.
5. Position straps between neck and shoulder joint.
Top Straps
i. Adjust each shoulder strap for comfortable fit
according to the user’s shoulder width and sitting
position.
ii. Attach to the solid backrest using the fasteners/strap
positioners, (sold separately from harness).
Lower Straps
iii. Identify optimal position for the lower straps on the
backrest without interfering with other positioning
devices (lateral supports, etc.).
iv. Install end mounting between the top of the pelvis and
the seat, (Fig.21.0).
v. Attach using the fasteners supplied.
Fig. 21.0

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INSTALLATION
SAFETY CHECK
Once the installation is finished, carry out the following
checks to ensure that the user is appropriately and safely
positioned.
If possible, ask the user to lean forward and to the sides to
test the fit.
Check that:
1. The buckles and adjustment straps are operating
properly.
2. The user sits comfortably in the seating and the
harness.
3. The harness is not too low or too high. The support
must not rub or cut into the users neck.
4. The mounting hardware is not interfering with any other
positioning accessories/devices on the wheelchair.
5. Adjust the harness if necessary.
• Harness Too High, (Fig.22.0).
• Harness Too Low, (Fig.23.0).
• Harness Fitted Correctly, (Fig.24.0).
Fig. 22.0
Fig. 23.0
Fig. 24.0

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INSTALLATION
INSTALLATION OF Y-STYLE HARNESS
The Y-Style harness is typically used when increased
range of motion for one arm is needed, (one shoulder
rotation).
The JAY Y-Style positioning harness provides control of
trunk rotation and independent shoulder retraction while
minimizing interferences with feeding tubes.
Installation steps.
1. Place the upper part of the Y-Strap above and below
the rotated shoulder and install belt anchors to the
backrest’s rear face, (Fig.25.0).
2. Stretch the lower strap diagonally across the trunk
and attach the lower part of the Y-Strap to the
backrest’s rear face, (Fig.26.0).
3. Using the tension straps on the top portion of the
Y-Strap, pull the rotated shoulder back until a proper
and comfortable position for the user is achieved,
(Fig.27.0).
Fig. 25.0
Fig. 26.0
Fig. 27.0

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INSTALLATION
LOWER BODY POSITIONING SUPPORTS
Shoe holder With Tendon Relief, (Fig.28.0 & Fig.30.0).
Shoe Holders help maintain positioning of the feet and
ankles, broadening the seating “footprint”, and improving
overall posture.
* Measurements = mm and (inches).
Fig.30 A*B*
S89 (3.5) 133 (5.25)
M102 (4.0) 171 (6.75)
L121 (4.75) 203 (8.0)
XL 127 (5.0) 254 (10.0)
Foot and Ankle Positioner, (Fig.29.0 & Fig.31.0).
Foot and ankle positioners keep the feet protected on the
foot plates without the restrained feeling of a rigid shoe
holder.
The foot and ankle positioner has three-point ankle
attachments which form a cup for the heel while the side
straps wrap around ankle.
Ankle positioners are fitted with side-release buckles that
aid access for easy adjustment and release for transfers.
* Measurements = mm and (inches).
Fig.31 A*B*C*Ankle Circumference
S127 (5.0) 133 (5.25) 114 (4.5) 165 - 229 (6.5 - 9.0)
M127 (5.0) 171 (6.75) 114 (4.5) 203 - 254 (8.0 - 10.0)
L152 (6.0) 203 (8.0) 140 (5.5) 241 - 305 (9.5 - 12.0)
XL 165 (6.5) 254 (10.0) 152 (6.0) 279 - 343 (11.0 - 13.5)
Fig. 30.0
B
A
Fig. 28.0
Fig. 31.0
A
B
C
Fig. 29.0

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INSTALLATION
SHOE HOLDER WITH PADDED STRAPS
The shoe holder with padded straps keep the feet
protected on the foot plates, but also provide an added
degree of comfort.
The shoe holder with padded straps includes two,
two-point foot support that provides extra security and
comfort.
The padded straps are fitted with side-release buckles
that aid access for easy adjustment and release for
transfers, (Fig.32.0).
Fig. 32.0
B
A
C
D
E
F
* Measurements = mm and (inches).
Fig.32 A*B*C*D*E*F*
S89 (5.75) 133 (5.25) 83 (3.25) 111 (4.375) 83 (3.25) 108 (4.25)
M102 (7.75) 171 (7.25) 92 (3.625) 121 (4.75) 83 (3.25) 108 (4.25)
L121 (9.75) 203 (9.25) 114 (4.5) 146 (5.75) 102 (4.0) 133 (5.25)
XL 127 (12.25) 254 (11.75) 152 (6.0) 178 (7.0) 133 (5.25) 159 (6.25)
Fig. 33.0
SHOE HOLDER FLEXIBLE
The flexible shoe holder with fold over padded cover
keeps the feet protected on the foot plates. The flexible
shoe cover also provides an added degree of comfort
and flexibility.
The flexible shoe holder includes two, two-point fold
over straps that provide extra security and comfort and
flexibility.
The straps are fitted with side-release buckles that aid
access for easy adjustment and release for transfers,
(Fig.33.0).

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INSTALLATION
FOOT BOXES
Foot Boxes reduce the risk of skin breakdown and/or client
injury that may result from periods of high tone or continual
contact with the hangers and foot plates.
Single Foot Box Dimensions
* Measurements = mm and (inches).
A B
203 (8.0) 203 (8.0)
305 (12.0) 203 (8.0)
Full Foot Box & Divider Dimensions
* Measurements = mm and (inches).
A B
203 (8.0) 406 (16.0)
203 (8.0) 457 (18.0)
203 (8.0) 508 (20.0)
203 (8.0) 559 (22.0)
305 (12.0) 406 (16.0)
305 (12.0) 457 (18.0)
305 (12.0) 508 (20.0)
305 (12.0) 559 (22.0)
Full Foot Box Dimensions
* Measurements = mm and (inches).
A B
203 (8.0) 305 (12.0)
203 (8.0) 356 (14.0)
203 (8.0) 406 (16.0)
203 (8.0) 457 (18.0)
203 (8.0) 508 (20.0)
203 (8.0) 559 (22.0)
305 (12.0) 406 (16.0)
305 (12.0) 457 (18.0)
305 (12.0) 508 (20.0)
305 (12.0) 559 (22.0)
Fig. 35.0
A
B
Fig. 34.0
A
B
Fig. 36.0
A
B

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INSTALLATION
SINGLE FOOT BOX INSTALLATION
Mounting a Single Foot box onto foot plate:
1. Fasten the Single Foot box onto the foot plate (A) using
screws (B), as shown in Fig.37.0.
2. If the existing foot plate holes cannot accommodate the
holes in the Single Foot box, please use the drill guide,
shown in Fig.39.0.
3. Place Velcro strap (C) around leg rest extension bar (D).
FULL FOOT BOX INSTALLATION (with or without divider)
Mounting a Full Foot box onto foot plate
1. Fasten the Full Foot box onto the foot plate (A) using
screws (B), as shown in Fig.38.0.
2. If the existing foot plate holes cannot accommodate the
holes in the Full Foot box, please use the drill guide,
shown in Fig.40.0.
3. Place Velcro strap (C) around leg rest extension bar (D).
DRILL GUIDES
Single Foot Plate, Fig.39.0.
A. 102 mm (4.0 Inches).
B. Diameter = 7.1 mm (9/32 Inch).
Double (Full), Foot Plate, Fig.40.0.
A. 102 mm (4.0 Inches).
B. Diameter = 7.1 mm (9/32 Inch).
1 = Left Foot Plate, 2 = Right Foot Plate.
Fig. 37.0
A
B
C
D
Fig. 38.0
A
B
C
D
Fig. 39.0
AB
Fig. 40.0
12
AA
B