Operation Manual

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Instructions for Use for the Start series

Contents

Page

1 General Information ....................................................................................................

1.1 Preface .................................................................................................................. 35

1.2 Intended Use ........................................................................................................ 35

1.3 Field of Application .............................................................................................. 35

1.4 CE conformity ....................................................................................................... 36

1.5 Liability ................................................................................................................. 36

2 Safety Instructions ......................................................................................................

2.1 Symbol Legend ..................................................................................................... 36

2.2 General Safety Instructions .................................................................................

3 Delivery / Preparing the Wheelchair for Use .............................................................

4 Folding – Transport .....................................................................................................

5 Accessories ................................................................................................................

5.1 Anti-tipper ..............................................................................................................42

5.2 Transport wheels...................................................................................................42

5.3 Crutch holder with hook and loop strap ............................................................... 43

5.4 Side panels (ip-up and removable) ..................................................................... 43

5.5 Plug-on wheel lock lever extension ...................................................................... 43

5.6 Drum brakes ......................................................................................................... 43

5.7 Wheel lock for one-handed operation .................................................................. 44

5.8 Tray ........................................................................................................................ 44

5.9 Lap belt ................................................................................................................. 44

5.10 Elevating footrest ................................................................................................44

5.11 Push handles, height adjustable / removable .................................................... 45

5.12 Wheelbase extension .......................................................................................... 45

5.13 Back upholstery, adaptable ................................................................................ 45

5.14 Folding back ........................................................................................................ 45

5.15 Spoke protectors ................................................................................................. 45

5.16 Amputation legrest .............................................................................................. 46

5.17 Infusion stand ...................................................................................................... 46

5.18 The Back .............................................................................................................46

5.19 The Seat .............................................................................................................. 46

Summary of content (34 pages)

PAGE 1
Instructions for Use for the Start series Contents 1 Page General Information..................................................................................................... 35 1.1 Preface . ................................................................................................................. 35 1.2 Intended Use . ....................................................................................................... 35 1.3 Field of Application ..............................................
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6 Adjustment / Assembly Instructions ........................................................................... 47 6.1 Adjusting seat height and seat inclincation........................................................... 47 6.2 Changing the wheelbase....................................................................................... 48 6.3 Caster wheels........................................................................................................ 49 6.4 Wheel lock.............................
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1 General Information 1.1 Preface Congratulations on choosing a lightweight wheelchair from the Start series, a high-quality product that offers versatile applications for everyday use at home and outdoors. Before using your wheelchair, it is essential to read the sections “Delivery / Preparing the Wheelchair for Use” and “Safety Instructions” . The section “Accessories” presents additional components of the Start which can expand its field of application and improve its comfort.
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Fitting considerations: • Body height and body weight (max. load 125 kg (for M4 XXL: 160 kg, for M6 Junior: 90 kg) • Physical and psychological limitations • Age of the patient • Home and living conditions • Environment 1.4 CE conformity This product meets the requirements of the 93/42/EWG guidelines for medical products. This product has been classified as a class I product according to the classification criteria outlined in appendix IX of the guidelines.
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2.2 General Safety Instructions DANGER! All brakes acting on the tires do not serve as service brake but are only designed as parking brake (wheel lock). DANGER! To avoid tipping and dangerous situations, familiarize yourself with your new wheelchair by practicing on level ground first. DANGER! Do not use the footplates as a step stool when getting into or out of your wheelchair. These should be flipped and swung out of the way first, if possible.
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DANGER! Do not ascend or descend stairs without the assistance of attendants. Make use of ramps or elevators whenever available. If wheelchair-friendly access is missing, two attendants must carry the wheelchair over the obstacle. If only one attendant is available, he or she must adjust the anti-tipper (if mounted) such that it does not come in the way of the steps during transport. Failure to observe this precaution can lead to severe falls.
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DANGER! Using your Otto Bock product as a seat for transportation in motor vehicles for disabled passengers Whenever possible, users should be transferred to the seats installed in the motor vehicle for disabled passengers. The corresponding restraint systems should also be used. Only this can ensure optimal protection of the passengers in case of an accident.
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3 Delivery / Preparing the Wheelchair for Use DANGER! Risk of injury: Do not hold on to other moveable parts than the ones described. Wheelchairs of the Start series are generally delivered completely assembled and folded. Three simple steps prepare it for use: 1) When folding or unfolding the wheelchair, hold it only at the indicated positions (Fig. 1, Fig. 3). 2) While standing next to the wheelchair, tip it slightly toward you and press on the edge of the seat upholstery closest to you.
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4 Folding – Transport INFORMATION! Flip up the footplates. Grab the seat upholstery at the front and the back in the middle and pull it upwards. The wheelchair then folds into itself (Fig. 3). INFORMATION! Once the wheelchair is folded, secure the strap of the folding fixture with the snap fastener. This will prevent the wheelchair from unfolding unexpectedly (Fig. 3A). For more manageable transportation, e.g. in cars, the footrests can be swung inwards or outwards or be entirely removed.
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INFORMATION! Slide four fingers between the spokes near the hub of the rear wheel. Then press the button of the quick-release axle with your thumb. You can then easily pull off the rear wheel. Follow the corresponding procedure when remounting. INFORMATION! When remounting, be sure the quick-release axle securely locks into the quick-release axle housing. The rear wheel must not be removable when the button is not being pressed! 5 Accessories The wheelchair is designed as a modular assembly system.
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5.3. Crutch holder with hook and loop strap (Fig. 8) 5.4. Side panels (flip-up and removable) (Fig. 9) Available in several models, also with height-adjustable armrests; side panels can be flipped up or removed for getting into or out of the wheelchair. To flip up the side panel, manipulate the release lever behind the side panel tube. 8 9 5.5. Plug-on wheel lock lever extension (Fig. 10) Facilitates use of the wheel lock. 5.6. Drum brakes (Fig.
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5.7. Wheel lock for one-handed operation (Fig. 12) INFORMATION! Please note that the wheel lock lever extension must always be attached when releasing or engaging the wheel lock. Recommended especially for hemiplegics. It can be activated either on the right or left side and ensures the safe locking of both rear wheels with a pull-wire system. 5.8. Tray (Fig. 13) Serves as a supporting surface during meals, when working or when playing.
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5.11 Push handles, height-adjustable (Fig. 16) Can be adjusted vertically to a more comfortable height for the attendant. 5.12 Wheelbase long (Fig. 17) Makes the wheelchair particularly stable against tipping, increases the turning range. INFORMATION! For transfemoral amputees the long wheelbase setting is indispensable. 16 17 5.13 Back upholstery, adaptable (Fig. 18) 5.14 Folding back (Fig. 19) 18 19 5.15 Spoke protectors Protect the fingers from getting caught in the wheel spokes.
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5.16 Amputation legrest (Fig. 20) 5.17 Infusion stand (Fig. 21) 20 21 5.18 The Back (Fig. 22) Firm back to support positioning (see 647H491 Instructions for Use). 5.19 The Seat (Fig. 23) Seat base with variable setting possibilities to improve positioning (see 647H450 Instructions for Use).
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6 Adjustment / Assembly Instructions All wheelchair users have expectations regarding wheelchair type, accessories, seating and handling. Your Start wheelchair has many options by which it can be customized to your needs and preferences. We recommend consulting with your dealer or therapist to determine which wheelchair settings will work best for you.
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A A B B 24 25 6.2 Changing the wheelbase Shifting the rear wheel backwards lengthens the wheelbase and thus provides for greater stability of the wheelchair. Shifting the rear wheel forwards (only for advanced wheelchair drivers!) relieves the load on the casters. This increases the maneuverability of the wheelchair. The caster wheels can then also be lifted more easily to clear obstacles such as curbs or steps.
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When changing the adjustments originally made in the factory, two other component groups of the wheelchair must be readjusted, refer to sections 6.3 and 6.4. 6.3 Caster wheels Adjusting the caster wheel journal angle (Fig. 26) After the rear wheels have been mounted in the appropriate position, the caster wheel journal angle must be readjusted. The threaded axle should be as horizontal as possible in relation to the ground to ensure optimal driving behavior of the wheelchair.
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6.4 Wheel lock To change the position of the rear wheels, first loosen the attachment screws of the clamping adapters of the wheel lock and push the wheel lock forward. Then reposition the rear wheels. The wheel lock should then be remounted such that the distance between the tires and wheel lock bolts is max. 4 mm when the wheel lock is not activated (subject to technical changes) (Fig. 27). Check the tire air pressure and the effectiveness of the locking devices regularly.
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6.5 Adjusting the brake force for rear wheel with drum brake The brake force is adjusted at the adjustment screw to achieve optimal braking effect. The brake force is increased by turning the screw counter-clockwise and decreased by turning the screw clockwise. INFORMATION! Turn the adjustment screw counter-clockwise until frictional noise occurs at the turning wheel. Then tighten the adjustment screw until the frictional noise disappears. The wheel should run freely.
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6.7 Adjusting the height of the footrest (Fig. 29) INFORMATION! By loosening the set screw, the footplate can be adapted to your lower leg length and to the thickness of your seat cushion. INFORMATION! Make sure when adjusting the footrest height, that the footrest bar is slid into the swivel segment at least 40 mm. A marking on the footrest bar indicates how far the bar should be slid in. INFORMATION! After having made adjustments, retighten the set screw to a torque of 6 Nm. 29 6.8.
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6.9 Adjusting the height of the armrest for desk side panel The armrest can be set to three different heights. In the standard assembly, the armrest is mounted firmly onto the tube bend. INFORMATION! To increase the armrest height, remove the two cap screws completely from the tube bend. Then place the two distance pieces above the tube bend between armrest and side panel tube to adjust a further height. INFORMATION! Make sure to firmly retighten all screws and nuts after making adjustments. 6.
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6.11 Adjusting the back height (Fig. 32) The back tube which is integrated into the posterior frame allows for the adjustment of the back height in increments of 2.5 cm. INFORMATION! Remove the screws A and B from the rear wheel adapter. Set the desired back height. INFORMATION! Make sure to firmly retighten all screws and nuts after making adjustments (8 Nm). 32 6.
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6.13 Adapting the back upholstery (Fig. 33) If you have selected the option “adaptable back upholstery”, you can adjust the back upholstery in segments according to your needs. INFORMATION! To do this, remove the back upholstery padding and undo the hook-and-loop fasteners of the straps. Reposition the straps as desired, attach them again with the hook-and-loop fasteners and cover with the padding.
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6.14 Setting rear wheel tracking (M5) (Fig. 34, 35) The correction plate, which is angled twice, is to be mounted to the adapter with the rear wheel fitting and the camber washers. To correct wheel tracking, put the level on the straight edge of the correction plate and turn the plate until the camber washers are level. Next, fix the plate with the 6 mm oval head screw. Finally retighten the M18x1 nuts. INFORMATION! Make sure to firmly retighten all screws and nuts after making adjustments.
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7 Maintance, Cleaning and Care Your Start wheelchair has been provided with the CE marking. The manufacturer herewith guarantees that this medical product as a whole conforms to the requirements of the European Directive for Medical Products 93/42/EEC. The proper function of the wheelchair, especially of the brakes, should be checked before every use. Safety nuts should be used only once. If they have been loosened several times, they must be replaced.
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• Screw connections should be periodically checked for tightness, especially during the initial period of use or after making adjustments to the wheelchair. If a screw connection comes loose repeatedly, please consult your specialist dealer. Cleaning and Disinfection Clean the cushions and upholstery with warm water and a mild detergent. Remove spots with a sponge or a soft brush. Rinse with clear water and let the components dry. Note! Do not use any aggressive cleaners, solvents, or hard brushes etc.
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Mounting (Fig. 36) • Place the protective rim band over the valve. Then push the valve through the rim. Screw on the valve nut, if there is one. The rim band can then be easily applied. • Ensure that all spoke ends are covered. Tires (Fig. 37) • Beginning behind the valve, place the lower side of the tire over the edge of the wheel rim. Pump the tube with a small amount of air until it is round. Then insert it in the tire. • Check the inner tube for folds. If folds are present, release some air.
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9 Technical Data Overall length (in cm) Rear wheel size 20x1 3/8” 22x1 3/8” 24x1 3/8” Module Rear axle po- Front axle po- Rear axle po- Front axle po- Rear axle po- Front axle position sition sition sition sition sition M1 - - 100 90 103.5 94 M2, M3 - - 100.5 90 104 94 M4 - - 100.5 87.5 104 91 M5 - - 97.5 81.5 101 85 M6 89.5 79 92 81.5 95.5 85 Overall width (in cm)1) Seat width Standard rear wheel max. Rear wheel with drum brake max. 28 47 49.5 30.5 49.
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Start M1, M2, M3, M4, M5, M6 Start M3 Anterior seat height (in cm) without wider foot space Anterior seat height (in cm) wider foot space Caster fork, short Caster fork, short Position Setting range* Caster diameter Setting range* 5“ 40-44 5“ 36-41 5.5“ 42-45 5.5“ 39-42 6“ 42-45 6“ 39-42 7“ 45-47 7“ 42-44 8“ 47-48 8“ 44-45 Caster fork, long Caster diameter Caster fork, long Position Setting range* 5“ 5.
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Rear wheel adapter M1, M2, M3, M6 M4, M5 62
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10 Information on Re-use The Start Series lightweight wheelchairs are suitable for re-use. Similar to second-hand machines or cars, products that are being re-used are subject to increased strain. Features and functions must not change in a way that could endanger patients or other persons within the product’s life cycle.
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Ihr Fachhändler/Your specialist dealer: Hersteller/Manufacturer: Otto Bock HealthCare GmbH Max-Näder-Straße 15 · 37115 Duderstadt/Germany National: Telefon (0 55 27) 848 1461/1462/1463 · Fax (0 55 27) 848 14 60 International: Phone +49-5527-848-1304/1562/1590/1594/3663 · Fax +49-5527-848-1676 e-mail: reha@ottobock.de · Internet: http://www.ottobock.