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AKCES-MED Ltd ACTIVALL User Manual

Dynamic standing frame
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ACTIVALL
™
DYNAMIC STANDING FRAME
USER MANUAL

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Summary of Contents for AKCES-MED Ltd ACTIVALL

  • Page 1 ACTIVALL ™ DYNAMIC STANDING FRAME USER MANUAL...
  • Page 2 CAUTION! Manufacturer takes responsibility for proper usage of the device only when the product was purchased from qualified Akces-Med employee or at specialized medical store! CAUTION! AKCES-MED Ltd. reserve the right to introduce technical and trading changes in the content of the instruction without warning.

  • Page 3: Table Of Contents

    ACTIVALL CONTENTS 1. The Purpose of user manual................5 2. Indications for use....................5 3. General characteristics of standing frame............6 3.1 Standard equipment..................6 3.2 Additional equipment................7 4. Size table.........................9 5. Description how to assebly standing frame ...........10 Description how to use standing frame...
  • Page 4 ACTIVALL INTRODUCTION As far as this standing frame is concerned, it is highly beneficial to the process of daily rehabilitation which takes place not only in hospitals and rehabilitation wards but also in patient's house. This device enables the patient to stand and walk.

  • Page 5: The Purpose Of User Manual

    The present user manual contains basic information which is essential for proper usage, preparation, maintenance, cleaning and guarantee conditions ACTIVALL™ dynamic standing frame. User manual should be kept in easily accessible place. It is designed for people who look after the disabled , and for both doctors as well as physiotherapists who operate the device.

  • Page 6: General Characteristics Of Standing Frame

    ACTIVALL GENERAL CHARACTERISTICS OF STANDING FRAME 3.1. Standard equipment 1.Frame with castors equipped with brakes (2 back castors with friction brake) 2. Lower limbs separator 3. Adjustable pelvic support 4. Adjustable chest support 5. Pelvic harness www.akces-med.com +48 17 864 04 77...

  • Page 7: Additional Equipment

    ACTIVALL 3.2. Additional equipment AVL_002 AVL_011 AVL_010 Belt for moving the patients Castors with fixed direction of Castors with blockade of reverse AM-P movement movement AVL_112 AVL_015 AVL_141 AVL_016 Tango wheels (75 mm / 125 mm) Forearm supports (2 pcs)
  • Page 8 ACTIVALL AVL_206 AVL_207 AVL_208 Universal knee immobilizer Lower limb in 20° flexion Lower limb in 10° flexion immobilizer OKD-03/10 immobilizer OKD-03/20 OKD-01 AVL_210 AVL_209 AVL_211 Post operative knee brace with Lower limb brace with polycentric Post operative knee brace with polycentric 20°...

  • Page 9: Size Table

    ACTIVALL SIZE TABLE Size 1 Symbol Measurement Unit Size 2 Size 3 Size 4 Size 5 pelvic support width [cm] pelvic support depth * [cm] pelvic support height [cm] 44-60 66-82 77-102 85-112 98-120 pelvic support circuit [cm] chest support width...

  • Page 10: Description How To Assebly Standing Frame

    ACTIVALL DESCRIPTION HOW TO ASSEMBLY STANDING FRAME LIST OF ELEMENTS: 1) Chest brace 2) Pelvic brace 3) Frame with lower limbs separator Columns (2pcs.) www.akces-med.com +48 17 864 04 77 export@akces-med.com...
  • Page 11 ACTIVALL To assemble ACTIVAL™ you should: STEP 1. Attach the columns (4) to the standing frame's base (3). Columns should be fastened to the base in place of two holes by use of attached screws. STEP 2. Attach the pelvic support (2) to the base (3).
  • Page 12 ACTIVALL CAUTION! After assemble of the pelvic support and adjusting it at the desired height be sure to tighten the knobs! STEP 3. Attach the chest support (1) to the base (3). In order to do that, insert the chest support brackets into the second frame of the base.

  • Page 13: Description How To Use Standing Frame

    ACTIVALL DESCRIPTION HOW TO USE STANDING FRAME CAUTION! The adjustment of standing frame to the patient should be always made by suitably trained staff. Suitably trained persons have to assist patient while doing exercises. Before use of standing frame you should block the wheels' brakes and...
  • Page 14 ACTIVALL Height of chest support depends on patient's control over his chest. If control is good, patient keeps upright position, it does not require his big effort and patient feels safe, the clamping- ring can be fixed below. Nevertheless, in such case a walking process should begin with fixing the clamping-ring under one's arm and then you can gradually level down.
  • Page 15 ACTIVALL Pelvic support should be fixed at the level of trochanter of lower limbs. After fixing height you must regulate position of pelvic support (regulation forward and backward) The proper position of trunk and pelvis depends on precise adjusting. The ideal position is one line of arms, trunk and hips.
  • Page 16 6.4. Castors with friction brake Using the castors with friction brake enables patient to fit the speed of moving in ACTIVALL™. It is of importance during the first exercises in dynamic standing frame. Knob A regulates strength of stress of a metal strip which brake the rotating castors.

  • Page 17: Learning To Walk

    We recommend to use special paths in order to help in orientation for both courageous and not courageous type of patients. After practicing in verticalizer ACTIVALL™ patient must return safely on wheelchair, chair, armchair, bed etc. www.akces-med.com +48 17 864 04 77...
  • Page 18 ACTIVALL CAUTION! Patient cannot leave standing frame independently Therapist is obliged to patient's insurance at side or at the back CAUTION! You should pay your special attention to block the wheels of wheelchair and protect the chair or armchair before patient is going to seat on it. Backing off of the seat can cause patient's fall or injurie s.

  • Page 19: Additional Equipment

    ACTIVALL ADDITIONAL EQUIPMENT 8.1. AVL_011 Castors with blockade of reverse movement Knob A castors with blockade of reverse Using the movement is of great importance while first steps in the dynamic standing frame. Screwing tight the knob A blocks a bend of castors and patient can move forward only.
  • Page 20 ACTIVALL AVL_012 8.3. Forearm supports Perfect for people with limited control of the upper body, provide additional side support. You can order 1 or 2 pieces. 8.4. Lower limbs separator AVL_145 Lower limbs separator prevents crossing of the legs during using of the dynamic function of the device.
  • Page 21 ACTIVALL AVL_015 AVL_016 8.7. Tango Wheel (75 mm, 125 mm) Very quiet and extremely durable. Front castors with directional and reversing lock, rear castors with directional lock and brake. AVL_142 AVL_143 8.8. Narrowing pad for chest/hip support Cushions narrowing the chest/hip support provide additional stabilization of the trunk.
  • Page 22 ACTIVALL AVL_201 8.10. Lower limb immobilizer AM-TUD-KD It prevents from knee hyperextension and is highly recommended in the rehabilitation process of the patient. AVL_202 8.11. Lower limb immobilizer with kneecap protection AM- TUD-KD-02 Indicated for patients with lower limbs muscles weakness.
  • Page 23 ACTIVALL AVL_205 8.14. Lower limb extension immobilizer OKD-03 It prevents from knee hyperextension and is highly recommended in the rehabilitation process of the patient. AVL_206 8.15. Lower limb in 10° flexion immobilizer OKD- 03/10 It keeps the knee joint in moderate 10° flexion which prevents from knee hyperextension.
  • Page 24 ACTIVALL AVL_209 8.18. Lower limb brace with polycentric 20° rom adjustment OKD-02 It stabilizes and reliefs the knee joint. Equipped with a 2R side clock that enables you to adjust the range of motion of the knee joint at 20°.

  • Page 25: Movement

    ACTIVALL AVL_213 8.22. Kafo brace for lower limb with splints 2r and dynamic foot made of carbon fibre AM-KDS-AM/2R KAFO type orthotics, stabilizes the knee joint and compensates for the lost flexion function. AVL_216 8.23. Knee and hip orthosis with rom adjustment OKD-14 The orthotics stabilizes the hip and knee joint in the frontal and sagittal plane.
  • Page 26 ACTIVALL AVL_621 8.23. CROSS Module ATTENTION! It is possible to assemble the turning wheels in the front of the standing frame and in the back of the standing frame. Components: Basket Long screw x 2 Flat washer (overlay) x 2...
  • Page 27 ACTIVALL - Use The Hex key (allen wrench) (8) to remove the fork. STEP 2. The next step is assemble of the swivel wheels. In order to do that, you should, in the correct order, put the flat washer (overlay) (3) and large flat washer (underlie) (4) on the wheel fork, and then stick the long screw (2) from the bottom.
  • Page 28 ACTIVALL STEP 3. Insert the long hex key (allen wrench) in the circular-shaped opening as shown in the picture. Next - Insert the self-locking nut on the other side of the fork - in the hexagonal shaped insert - and tighten the screw.
  • Page 29 ACTIVALL STEP 5. Then using a phillips scredriver unscrew the 2 little screws at the end of the hip support frame. After loosening the knobs, remove the support along with the pelvic harness by using the phillips screwdriver. STEP 6 . To disassemble the remaining part of the structure you should unscrew 4 screws.
  • Page 30 ACTIVALL STEP 7. The frame with brakes must be secured with 4 screws. Next we place the hip support frame and harness on it , and once again we screw the two small screws at the ends of the support frame.

  • Page 31: The Use Of Standing Frame

    ACTIVALL THE USE OF STANDING FRAME CAUTION! ACTIVALL™ has to be used with compliance to guidelines included in this user manual. Remember to use the product only with someone who is trained and knowledgeable. Do not forget to prepare both product as well as patient before using ACTIVALL™!

  • Page 32: How To Use Standing Frame

    Check also if fastenings from adjustable elements are firmly tightened. Patient cannot leave standing frame independently! To leave ACTIVALL™ the following should be done (hints for doctors of rehabilitation): 1. Block the wheels of dynamic standing frame using brakes.

  • Page 33: Upright Position

    ACTIVALL 9.3. Upright position CAUTION! The length of time for upright position process is different for each patient. It is recommended to extend this time during the initial period (adaption period for the change of position). Either doctor or physiotherapist can make decision concerning the length of upright position process.
  • Page 34 ACTIVALL CAUTION! As far as first upright standing is concerned, it takes place in rehabilitation, neurosurgery or orthopedics wards. Moreover, it has to be performed together with doctor and physiotherapist due to the fact that medical problems may appear during first treatments such as fainting, drop in blood pressure, dizziness etc.

  • Page 35: Safety Rules

    It is highly important to consult either doctor or physiotherapist in order to make right decision concerning the choice of ACTIVALL™ and its size. It is also essential to familiarize with the guidelines described in user manual before using the device.

  • Page 36: Www.akces-Med.com ' +48 17 864 04 77 * Export@Akces-Med.com

    ACTIVALL 2. It is forbidden to use the device for different purposes that it is intended to. 3. It is forbidden to use the device when it is damaged or any part is missing. 4. It is forbidden to leave the patient unattended.
  • Page 37 ACTIVALL CAUTION! This device can be only used inside the buildings. CAUTION! The device contains small parts which children may swallow. CAUTION! It is forbidden to make any changes concerning device's structure due to the fact that it is dangerous and it results in loosing warranty.

  • Page 38: Maintenance And Cleaning

    ACTIVALL MAINTENANCE AND CLEANING ACTIVALL™ should be kept clean and used in compliance with the manufacturer's recommendations. The device should be kept in clean, dry and ventilated room. Maintenance as well as cleaning have to be performed at least once a month. Regular cleaning and maintenance of device are indispensable to maintain its correct functionality as well as safety.
  • Page 39 ACTIVALL 8. Pelvic harness should be hand washed in water not exceeding 40°C, using mild detergents. After washing, dry it at room temperature. 9. In the case of using the standing frame by many patients in hospitals, rehabilitation wards or other places, and regulations of these facilities do not provide otherwise, the push handles should be disinfected before passing the device to other patient.
  • Page 40 ORTHOPAEDIC DEVICES MANUFACTURER Akces-MED Sp. z o.o. Jasionka 955B 36-002 Jasionka tel. (17) 864 04 77 www.akces-med.com e-mail: export@akces-med.com Authorised Dealer Date of issue: 27.07.2007 The last update: 30.01.2017...

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