Otto Bock Avantgarde T Instructions For Use Manual
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Summary of Contents for Otto Bock Avantgarde T
- Page 1 Avantgarde T, Ti8�9, TiUltra, VR, XXL 2 Bedienungsanleitung ������������������������������������������������������ 3 Instructions for Use ������������������������������������������������������ 53 © Otto Bock · 647G124=D/GB-08-1010...
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Page 3: Table Of Contents
Instructions for Use for Avantgarde T, Ti 8�9, Ti Ultra, VR, and XXL 2 Table of Contents Page 1 General Information ��������������������������������������������������������������������������������������������������������56 1.1 Preface ........................56 1.2 Intended Use ......................56 1.3 Field of Application ....................56 1.4 Liability ........................57 1.5 CE Conformity .......................57 2 Safety Instructions ����������������������������������������������������������������������������������������������������������58 2.1 Explanation of Symbols ..................58 2.2 General Safety Instructions ..................58 3 Delivery / Preparing the Wheelchair for Use ������������������������������������������������������������������63 4 Transportation �����������������������������������������������������������������������������������������������������������������64 4.1 Transfer .........................65 5 Options �... - Page 4 6.3 Changing the Rear Wheel Position in the Rear Wheel Adapter ......81 6.3.1 Changing the Position in the Rear Wheel Adapter Avantgarde T /Ti 8.9/VR ................81 6.3.2 Changing the Position in the Rear Wheel Adapter Avantgarde XXL 2 ..82 6.4 Setting the Wheel Camber ...................83...
- Page 5 6.6.2 Adjusting the Footplate Angle Avantgarde Ti 8.9 /Ti Ultra ......85 6.7 Adjusting the Footrest ..................86 6.7.1 Adjusting the Footrest Height Avantgarde T /Ti 8.9/Ti Ultra ......86 6.7.2 Adjusting the Footrest Height Avantgarde VR and XXL 2 ......86 6.7.3 Adjusting the Height of the Footrest for Short Lower Leg Lengths .....87 6.7.4 Adjusting the Height of the Elevating Footrest with Automatic...
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Page 6: General Information
The Avantgarde wheelchair for active use may only be combined with the options mentioned in these instructions for use and vice versa. Otto Bock assumes no liability for combinations with medical products and/or accessories from other manufacturers outside of the modular system. -
Page 7: Liability
The Avantgarde was specially designed for individuals who are normally able to move in a wheelchair independently. The following points should also be considered for an individual fitting: • Body height and weight (maximum load is 125 kg/ 275 lbs; model XXL2: 180 kg/397 lbs) •... -
Page 8: Safety Instructions
The Avantgarde wheelchair for active use is permissible for transporting passengers in motor vehicles when using Otto Bock safety components as well as appropriate restraint systems. For more information, please refer to our instructions for use manual "Using your Wheelchair/ Mobility Base with Seating Shell or Buggy as a Seat for Transportation in Motor Vehicles for the Disabled",... - Page 9 WARNING Risk of tipping when using lifting platforms� Ensure that the anti-tipper (if mounted) is outside the danger-area. Danger when getting into the wheelchair CAUTION Risk of injury as a result of using the footplate for getting into the wheelchair� If possible, the foot- plates should be flipped up before getting into or out of the wheelchair. Danger while driving CAUTION Risk of accident when driving without experience� This can lead to falls and other dangerious situ- ations.
- Page 10 CAUTION Risk of tipping when descendig slopes� When descending slopes, do not drive without braking and reduce your speed. Danger as a result of incorrect assembly or settings CAUTION Risk of tipping as a result of incorrectly set wheels� Extreme settings (e.g. rear wheels mounted in the foremost position) combined with an unfavourable body posture can cause the wheelchair to tip even on level ground. Avoid extreme settings. For transfemoral amputees it is essential to shift the rear wheels backwards.
- Page 11 Risk of skin damage CAUTION Be careful in case of unhealthy skin� Using the wheelchair with unhealthy skin can cause medically indicated complications such as reddening of the skin and pressure sores. Over several hours of use, the skin on the buttocks, back, and rear thighs is subjected to considerable strain. Therefore, always check these areas carefully before using the wheelchair.
- Page 12 NOTICE Damage caused by wear and tear� If your seat and back upholstery become worn out or damaged, replace it immediately. NOTICE Damage caused by incorrect packaging� Only use original packaging for shipment of the product. 2.3 Warning Symbols and Type Plates Label / Typ Plate Explanation A Type designation B Manufacturer’s article number C Maximum load capacity (see Section „Technical Data“) D Manufacturer information / address /...
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Page 13: Delivery / Preparing The Wheelchair For Use
3 Delivery / Preparing the Wheelchair for Use CAUTION Risk of pinching� Only grip the components shown when folding or collapsing the wheelchair. Your wheelchair is usually delivered fully assembled, folded, and with the rear wheels re- moved. A few simple steps are sufficient to prepare it for use: 1. When folding or unfolding the wheelchair, hold it only at the indicated positions (otherwise there is risk of injury). -
Page 14: Transportation
Depending on the wheelchair model, further options are available for making the wheelchair more manageable for car transport etc. With the model »Avantgarde T« with single-panel footrest you can swing away the left part of the footrest with footplate to the outside to reduce the folding with (Fig. -
Page 15: Transfer
Reach into the spokes close to the hub of the rear wheel and press the button on the quick-release axle with your thumb. You can then easily pull off the rear wheel (Fig. 6). Follow the correspond- ing procedure when remounting. Risk of accident�... - Page 16 Flip down the footplate of the Avantgarde. Position your feet on the footrest of the wheelchair (Fig. 13). Release the wheel locks (Fig. 14). Now you can use the wheelchair.
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Page 17: Options
5 Options The wheelchair is designed as a modular component system. This means that certain acces- sories can be adapted to your wheelchair. In the following, we will present you a selection of our variants and accessories which improve the use and comfort of your wheelchair. We recommend using a seat cushion at all times. -
Page 18: Transport Wheels
5.4 Transport Wheels (Fig. 18) With the rear wheels removed, the wheelchair can still be used as a rolling base; this makes it possible to manoeuvre through narrow passages (e.g. narrow bathroom doorways or airplane aisles). Risk of accident� Note that once the rear wheels are removed, the wheel locks are no CAUTION longer functional! 5.5 Footrests /Footplates + Accessories (Fig. -
Page 19: Footrest For Short Lower Leg Lengths
5�5�3 footrest for Short Lower Leg Lengths (Fig. 21) For 16 to 31 cm lower leg length. 5�5�4 footrest Bar for Avantgarde Ti 8�9 (Fig. 22) The footrest is angle-adjustable. 5�5�5 Plastic Plate for the footrest of the Avantgarde Ti 8�9 (Fig. 23) Non-skid surface, colour: black. 5�5�6 Locking Device for Single-panel footrest (Fig. 24) Prevents inadvertent loosening of the footplate, especially with spastic users. -
Page 20: Lateral Heel Blocks For The Footplate
5�5�7 Lateral Heel Blocks for the footplate (Fig. 25) For 16 cm deep footplates. 5�5�8 Adjustable Lateral Heel Blocks for the footplate (Fig. 26) Prevent the feet from slipping off the footplate and can be adjusted in their position. 5�5�9 Elevating footrest (Fig. 27) Allows positioning of the leg at different angles. The adjustment range of the legrest is 15° to 90°. 5�5�10 Elevating footrest with Automatic Length Adjustment (Fig. -
Page 21: Amputation Legrest
5�5�11 Amputation Legrest (Fig. 29) An alternative to be mounted to an elevating footrest. 5.6 Seat (Fig. 30 /31) 5�6�1 Seat Upholstery with Pocket for Catheter (Fig. 30) Accommodates disposable catheter and offers easy access below the seat. 5�6�2 "The Seat" (Fig. 31) Variably adjustable seat base to improve positioning. -
Page 22: Back
5.7 Back (Fig. 32-35) 5�7�1 Standard Back, height-adjustable/adaptable (Fig. 32) Height adjustment is possible in increments of 2.5 cm and with setting ranges of 25 to 35 cm, 30 to 40 cm, and 37.5 to 47.5 cm. 5�7�2 Ergo Back (Fig. 33) Continuously height-adjustable option with setting ranges of 25 to 35 cm, 35 to 45 cm, and 40 to 50 cm. -
Page 23: Side Panels
5.8 Side Panels (Fig. 36-39) 5�8�1 Plug-on Clothing Protector Side Panel (Fig. 36) The side panel can be adapted to the rear wheel position. In addition, the clothing protector side panel can be removed for transfer, for example. 5�8�2 Side Panels, adjustable, with protection against cold (Fig. 37) 5�8�3 Aluminium Clothing Protector Side Panels with Neoprene Insert (Fig. 38) Many wheelchair users know the problem of clothes coming into contact with the rear wheels and getting dirty. -
Page 24: Desk Side Panels
5�8�5 Desk Side Panels (Fig. 40) This side panel can be flipped up and removed, and features a height-adjustable armrest. For getting into and out of the wheelchair, the side panel can be swung to the rear and removed. 5.9 Push Handles (Fig. 41/42) 5�9�1 Push Handles, height-adjustable (Fig. -
Page 25: Caster Adapter /Caster Accessories
5.10 Caster Adapter /Caster Accessories (Fig. 43-46) 5�10�1 Caster Adapter for Large Anterior Seat Heights (Fig. 43) Increases the anterior seat height by 3.5 cm. Also increases the adjustment range of the lower leg lengths. Offers more freedom of movement for the feet due to casters being positioned more exteriorly. -
Page 26: Rear Wheels
5.11 Rear Wheels (Fig. 47/48) Spox wheels (Fig. 47) and Infinity Ultralight wheels (Fig. 48) can be selected among others. 5.12 Brake/Wheel Lock Systems /Wheel Lock Accessories (Fig. 49/50) 5�12�1 Rear Wheel with Drum Brake (not illustrated) Allows the attendant to comfortably and safely brake the wheelchair. The rear wheels remain removable via the quick-release axle system. -
Page 27: Wheel Lock For User And Attendant
5�12�4 Wheel Lock for User and Attendant (not illustrated) The wheelchair can also be braked by the attendant. The rear wheels remain removable via the quick-release axle system. 5�12�5 Plug-on Wheel Lock Lever Extension (not illustrated) Facilitates use of the wheel lock. 5.13 One-arm Drive (Fig. 51) Especially for hemiplegics who want to move either by »toddling« or by using the push ring on one side. -
Page 28: Spoke Protector
5.15 Spoke Protector (Fig. 53) Protects the fingers from getting caught in the wheel spokes. Also improves the appearance of the wheelchair. 5.16 Shock Absorber System (Fig. 54) The shock absorber system absorbs loading peaks, for example when driving over steps or curbs or on uneven ground. -
Page 29: Adjustment /Assembly Instructions
6 Adjustment /Assembly Instructions INfORMATION The following tools are required for repair and maintenance: • Allen wrenches, sizes 4 mm, 5 mm, and 6 mm • Open-end wrenches, sizes 8 mm, 10 mm, 11 mm, 12 mm, 13 mm, 19 mm, and 24 mm •... -
Page 30: Adjusting The Wheel Lock
6.1 Adjusting the Wheel Lock (Fig. 57) To change the position of the rear wheels, first loosen the wheel lock attachment screws and push the wheel lock forward. Then reposition the rear wheels. The wheel lock should then be remounted such that the distance between the tyres and brake block is max� 5 mm when the wheel lock is not activated (Fig. -
Page 31: Changing The Rear Wheel Position In The Rear Wheel Adapter
Changing the rear wheel position can also change the angle of the caster axle in INfORMATION relation to the ground. Ensure that this angle is always approx. 90° wide. The wheel lock must be re-adjusted as well. Make sure to firmly retighten all screws and nuts after making adjustments. The torque INfORMATION for the screws (Fig. -
Page 32: Changing The Position In The Rear Wheel Adapter Avantgarde Xxl 2
6�3�2 Changing the Position in the Rear Wheel Adapter Avantgarde XXL 2 (Fig. 60/61) Loosen and remove the nut (Fig. 60, item A) of the rear wheel fitting (Fig. 60, item B) on the inside of the frame. The possible positions result from defined bore holes in the rear wheel adapter (Fig. -
Page 33: Setting The Wheel Camber
6.4 Setting the Wheel Camber (Fig. 62/63) (does not apply to XXL 2 and Ti Ultra, since here only 0° is possible) The Avantgarde modular system provides a rear wheel adapter which can be used to set the rear wheels at different camber angles (0°, 2°, and 4°). The greater the negative camber angle of the rear wheels, the more manoeuvrable the wheelchair becomes (Fig. -
Page 34: Setting The Rear Wheel Camber To 0
6�4�1 Setting the Rear Wheel Camber to 0° (Fig. 62 A) Position the tapered washer on the outside of the rear wheel adapter with the thicker side point- ing upwards into the desired engaging position (you will find -2° engraved on the outside). Place the second tapered washer (with the thinner side pointing upwards) on the inside of the rear wheel adapter and into the corresponding engaging position (you will find +2°... -
Page 35: Adjusting The Caster Wheel Journal Angle
Make sure to very firmly retighten all screws and nuts after making adjustments. The INfORMATION torque of the cap screws (Fig. 64/65, item C) for the Avantgarde T, VR, and XXL2 is 23 Nm; for the Avantgarde Ti 8.9 and Ti Ultra with aluminium screws, the torque is 13 Nm. -
Page 36: Adjusting The Footrest
6.7 Adjusting the Footrest (Fig. 68-69) 6�7�1 Adjusting the footrest Height Avantgarde T /Ti 8�9/Ti Ultra (Fig. 68) By loosening the screw at the footrest bar (Fig. 68), the footplate can be continuously adapted to your lower leg length and to the thickness of your seat cushion. Loosen the screw – do not completely remove the screw. There are two threaded INfORMATION holes in the footrest bar. -
Page 37: Adjusting The Height Of The Footrest For Short Lower Leg Lengths
6�7�3 Adjusting the Height of the footrest for Short Lower Leg Lengths (Fig. 70) Loosen the screws (Fig. 70, item A). Move the footplate to the desired position. Make sure to firmly retighten all screws and nuts after making adjustments. The torque INfORMATION for all screws is 9 Nm. 6�7�4 A djusting the Height of the Elevating footrest with Automatic Length Adjustment (Fig. -
Page 38: Swinging Away The Elevating Avantgarde Fl Footrest
Make sure to always secure the legrest with your hand against uncontrolled falling INfORMATION downward when lowering it. 6�7�7 Swinging Away the Elevating Avantgarde fL footrest (Fig. 74) Slightly lift the legrest and swing it to the inside or outside (Fig. 74). 6.8 Adjusting the Brake Force – Drum Brake (Fig. 75) The brake force is adjusted at the adjustment screw (Fig. -
Page 39: Tension Adjustable Seat Upholstery
6.9 Tension Adjustable Seat Upholstery (Fig. 76) If the seat fabric has stretched due to extended use, the upholstery can be re-adjusted to restore optimal pressure distribution of the thighs. Loosen the hook and loop connection under the seat fabric. Re-tighten the upholstery and secure this position using the hook and loop fastener. -
Page 40: Mounting The Anti-Tipper
6.11 Mounting the Anti-tipper (Fig. 78–81) 1. Mount the receiver tube with the two screws (Fig. 78, item 1) on the inner side of the posterior frame part. Tighten the nuts (Fig. 78, item 2) with a torque of 9 Nm. 2. Insert the expansion spring (Fig. 79, item 4) with the close eyelet into the receiver tube. When the receiver tube's bore hole and the eyelet hole are flush, insert the sleeve (Fig. -
Page 41: Attaching The Safety Belt
6.12 Attaching the Safety Belt (Fig. 82 / 83) Attach the safety belt with the screws provided to the uppermost bore hole of the posterior frame part. -
Page 42: Maintenance, Cleaning, And Disinfection
7 Maintenance, Cleaning, and Disinfection 7.1 Maintenance Your 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 wheel locks, should be checked before every use. -
Page 43: Cleaning And Disinfection
• Screw connections should be checked frequently, in particular when beginning to use the wheelchair and after any adjustment. If a screw connection comes loose repeatedly, please consult your specialist dealer. 7.2 Cleaning and Disinfection Clean the padding and upholstery with warm water and a washing-up liquid. Remove spots with a sponge or a soft brush. - Page 44 Tyres • Beginning behind the valve, place the lower side of the tyre over the edge of the wheel rim. Pump the tube with a small amount of air until it assumes its round shape, and then insert it into the tyre. •...
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Page 45: Technical Data
9 Technical Data Avantgarde T, Ti 8�9, and Ti Ultra — Overall length (in cm) Rear wheel size 22" 24" MTB 24" 26" Rear axle Front axle Rear axle Front axle Rear axle Front axle Rear axle Front axle Seat depth position position position position position position position position 36 – 42 80.5 91.5 92.5 85.5... - Page 46 Avantgarde XXL 2 — Overall length (in cm) 24" 26" Lower leg length Seat depth Rear axle position Front axle position Rear axle position Front axle position max./min. 95.5 87.5 89.5 81.5 97.5 89.5 91.5 83.5 99.5 91.5 93.5 85.5 101.5 93.5 97.5 87.5 103.5 95.5 97.5 89.5 105.5 97.5...
- Page 47 Seat heights — Avantgarde T, Ti 8�9, Ti Ultra, and VR Anterior seat height — Avantgarde T, Ti 8�9, Ti Ultra, and VR (in cm) Caster diameter Position 3" 4" 5" 140 mm 6" 7" Position 4 Position 3 42.4 43.5 Short caster fork Position 2 42.3 43.6 44.7 45.7 46.2 Position 1 43.6 44.9 47.5 Position 4 47.5 Position 3 46.1 47.2 48.2 48.7 50.2...
- Page 48 Seat heights — Avantgarde XXL 2 Anterior seat height — Avantgarde XXL (in cm) Caster diameter Position 140 mm 7" 8" Position 4 Position 3 Short caster fork Position 2 Position 1 Position 4 Position 3 Long caster fork Position 2 49.5 51.5 52.5 Position 1 50.5 52.5 53.5 The anterior seat height and posterior seat height are dependent INfORMATION on the chosen wheel size and mounting position.
- Page 49 Lower leg length (in cm) Footrest for short Short footrest bar (23 cm) Long footrest bar (32 cm) lower leg lengths Min. (with 28 Max. (with 28 Min. (with 38 Max. (with 38 Min. (with 42 Max. (with 42 cm seat depth) cm seat depth) cm seat depth) cm seat depth) cm seat depth)
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Page 50: Re-Use / Disposal
10 Re-use / Disposal 10.1 Information on Re-use CAUTION Risk due to improper use� Seat padding which come into direct contact with the skin may cause func- tional or hygienic risks for another patient using one and the same product. They should be replaced in case of re-use. The wheelchairs for active use of the Avantgarde series are suitable for re-use. - Page 53 Kundenservice/Customer Service Europe Asia/Pacifi c Otto Bock Australia Pty� Ltd� Otto Bock Romania srl Otto Bock HealthCare Deutschland GmbH Suite 1.01, Century Corporate Centre Șos de Centura Chitila-Mogoșoia Nr. 3 Max-Näder-Str. 15 · D–37115 Duderstadt 62 Norwest Boulevarde · Norwest Business Park RO–Chitila 077405, Jud. Ilfov Tel. +49 5527 848-3433 · Fax +49 5527 848-1460 AUS–Baulkham Hills NSW 2153 Tel: +40 21 4363110 ·...
- Page 54 Lindenstraße 13 · 07426 Königsee/Germany Hersteller/Manufacturer: Otto Bock Mobility Solutions GmbH Lindenstraße 13 · 07426 Königsee/Germany Phone +49 69 9999 9393 · Fax +49 69 9999 9392 ccc@ottobock.com · www.ottobock.com Otto Bock has a certifi ed Quality Management System in accordance with ISO 13485.