Specialised Orthotic Services 3D MODULAR SEATING SYSTEM User Manual

Seating system

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3D MODULAR SEATING
SYSTEM
USER'S MANUAL
ALL USER'S OF THE EQUIPMENT SHOULD BE AWARE
OF THIS DOCUMENT AND ITS CONTENT
|
ISSUE 2
CLASS 1 DEVICE

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Summary of Contents for Specialised Orthotic Services 3D MODULAR SEATING SYSTEM

  • Page 1 3D MODULAR SEATING SYSTEM USER’S MANUAL ALL USER’S OF THE EQUIPMENT SHOULD BE AWARE OF THIS DOCUMENT AND ITS CONTENT ISSUE 2 CLASS 1 DEVICE...
  • Page 2: Specification Of Seating System

    Specification of the Seating System supplied. • Specified below are the details of the equipment supplied. • the list each item ticked is a part of your Seating System and opposite each item is the reference of the relevant section in this user documentation for that item. Seating System Reference No. Date Issued: / / Seating System Type Weight of Seating System Kg User Manual Reference Tick if Item No. of Items Supplied Page Section supplied 3D Cushion Pommel Kneeblocks 3D Backrest Lateral Supports Sacral Pad Adj - Headrest Adj - Footrest Specify any other features; Maximum Client Weight Limit for Seating System Kg...
  • Page 3: Table Of Contents

    Index CONTENTS PAGE Specification of Seating System Index Introduction Clinical Review Stability of Wheelchair and Seating Systems 4 - 5 Recommendations on Transport 6 - 9 User’s Guide “Fitting the 3D Modular System to the wheelchair” 1.1 Locating the 3D Modular System Frame 10 - 13 1.2 3D Modular Support Pads 14 1.3 Electric Wheelchair Use 14 1.4 Maintaining the Wheelchair...
  • Page 4: Introduction

    3D MODULAR SEATING SYSTEM (Class 1 Device) Introduction • 3D Modular Seating System is a Modular Seating System intended for use with Standard Wheelchairs. • maintenance and safety instructions described in this manual should be adhered to. By following these instructions you will be ensuring correct use of the 3D Modular System. • 3D Modular Modular Seating System is a Class 1 Device with a customised insert intended for use by a particular client and should not be used for any other client. • assessment as to the level of support required by a client will normally be done through a Special Seating Clinic organised by your Wheelchair Service. • system is manufactured for use with a particular wheelchair(s). To make sure Each using the 3D Modular System does not render the wheelchair unsuitable, the 3D Modular System and wheelchair should be tested for stability with the client seated in the equipment (for more details regarding stability of wheelchair and seating systems, see page 4). • with most Seating Systems it is advisable to monitor a client’s initial use of the 3D Modular System in the early stages of its use. It is recommended that the time a client sits in the system is controlled, this will vary due to circumstances, but where possible periods of sitting in the system should not exceed more than 3 hours at any one time. • Removing the client from the system is advised after such a period to offer a change of posture. By doing this you will improve a clients tolerance to sitting in the 3D Modular System on a daily basis. • is also important to read the ‘Wheelchair User Manual’ with regard to general use, transportation use and maintenance.
  • Page 5: Clinical Review

    Clinical Review • To ensure the 3D Modular System continues to meet the clinical requirements of the client, it is recommended that the system is reviewed by the Special Seating Clinic at least once a year. • This may be done automatically by your District Wheelchair Service. • a client has had a 3D Modular System over 12 months it is recommended that you contact the District Wheelchair Services for a review. This will ensure that the 3D Modular System is maintaining the clinical needs of the client. Stability of Wheelchair and Seating Systems • To ensure that the 3D Modular System and wheelchair are safe to use, it is important that fitting the 3D Modular System to the wheelchair does not make the wheelchair unstable during normal daily use. Each 3D Modular System when handed over to the user will be tested for stability to the relevant angle of stability for the chair to be tested. • recommended maximum angle of tilt is 12 degrees for attendant transit 16° wheelchairs and 16 degrees for users of self propelling wheelchairs and 16 degrees for users of electric indoor and outdoor electric wheelchairs. • the client is going to use additional items mounted to the wheelchair or seating system such as communications aids etc., then it is essential that the test be done with these in situ to access their impact 12°...
  • Page 6: Stability Of Wheelchair And Seating Systems

    Stability of Wheelchair and Seating Systems (Cont.) • 3D Modular System is not to be used with any other wheelchair(s) than those for which it has been stability tested and proven safe for use. • Always steer clear of obstacles where possible. •...
  • Page 7: Recommendations On Transport

    Recommendations for the Transportation of SOS Seating Systems The following information is intended to give guidance with regard to the use of SOS Seating Systems by wheelchair users and carers during transportation. • Specialised Orthotic Services Ltd have carried out extensive investigations into the suitability of our Special Seating Systems for transportation use and has established clear guidelines for users. • Following these investigations the following user information is intended to give guidance to users of SOS Seating Systems regarding the use of the equipment during...
  • Page 8 General Safety Guidelines for Wheelchair User Transportation • Wheelchair users should transfer to vehicle seats whenever possible. • users should not travel with the wheelchair at an angle or facing sideways Wheelchair to the direction of travel. • should be sufficient free space around the wheelchair and user to avoid the There user making contact with other vehicle occupants, unpadded parts of the vehicle, wheelchair accessories or W.T.O.R.S. anchor points. • Wheelchairs should have the parking brakes applied and their power units switched off during vehicle movement. Powered wheelchairs should not be left in free wheel mode. • Wheelchairs should not block gangways and exits for other passengers in the vehicle. • headrest should be provided for a wheelchair user when travelling in a vehicle where other seated passengers have headrests. • not place / hang any additional items onto the wheelchair during transportation such as shopping bags and holdalls. • Trays should be removed for transportation whenever possible. If it is necessary for a tray to be used on transportation, then a risk assessment should be done. Wheelchair Tie Down and Occupant Restraint System (W.T.O.R.S.) •...
  • Page 9 Use of Seating System in a Wheelchair for Transportation To make sure that the seating system and wheelchair are used effectively and safely for transportation use, the following recommendations are provided for: The Seating System - Wheelchair Interface • The Wheelchair Tie down System • The Occupant Restraint System • 1. WHEELCHAIR TIE DOWN SYSTEM •...
  • Page 10 Stowage of the Seating System and Wheelchair • During use of your Special Seating System it may be necessary for you to remove the Seating System and stow this along with the wheelchair in a vehicle. • is important to realise that these items pose a risk if not adequately restrained whilst in transit. • is not adequate to simply place the items into a car boot or the floor of an open vehicle such as an MPV or estate car as in a collision these unsecured items could cause serious injury to occupants of the vehicle. • Various retention methods are available to secure such equipment during transit, and once again the list of Wheelchair Restraint System Manufacturers in this booklet will be happy to advise on this matter (see below). W.T.O.R.S MANUFACTURERS Below are details of some Wheelchair Tie down and Occupant Restraint Systems manufacturers. UNWIN SAFETY Unwin House TEL: 01935 827740 SYSTEMS...
  • Page 11 USER GUIDE 1.0 THE SEATING SYSTEM WHEELCHAIR INTERFACE • 3D Modular System will have been built to suit the wheelchair specified at the assessment. The method of interfacing the seat may vary and the 2 types of interface options are described in this section. • The standard 3D Modular system consists of a backrest and cushion assembled into a 1 piece or 2 piece system. To attach the 3D Modular system to the appropriate wheelchair, please follow the instructions for both 1 piece and 2 piece systems. 1.1. LOCATING THE 3D MODULAR SEAT FRAME CANVAS FITTING INTERFACE METHOD (1 piece system) If the 3D Modular System has been set up to interface on the existing wheelchair canvases then the following method is used to install and remove it from the wheelchair. • Whilst holding the 3D Modular System, place this into the wheelchair making sure that the front bar on the support frame locates behind the armrest upright posts (Fig.1.1a) or into the ski brackets (if...
  • Page 12 CANVAS FITTING INTERFACE METHOD (2 piece system) If the 3D Modular System has been set up to interface on the existing wheelchair canvases then the following method is used to install and remove it from the wheelchair. • Whilst holding the cushion of the 3D Modular System, place this into the wheelchair making sure that the front bar on the support frame (if fitted) locates behind the armrest upright posts (Fig.1.1a) or into the ski brackets (if fitted). • Having located the cushion into the wheelchair, Place the 3D Modular backrest into the wheelchair on top of the cushion and up against the rear canvass. • Once the backrest is in position on the cushion the seat retention straps now need to be fastened around the back of the wheelchair (Do Not fasten the securing straps before the two pieces are in the wheelchair). • are 3 retaining straps (Fig.1.1d) to secure around the wheelchair on the 2 piece There 3D Modular System. • Retention Straps are secured around the back of the wheelchair frame, not just Seat the wheelchair canvas (Fig.1.1b). • the 3D Modular System now installed into the wheelchair it is now safe to place With the client in position. • Seating Systems need to be interfaced to the wheelchair safely and it is important that the retention straps are always secured for client safety.
  • Page 13 HANGER BRACKET INTERFACE METHOD If the 3D Modular System has been set up to interface into the wheelchair with Location Hanger Brackets then the following method is used to install and remove it from the wheelchair. • Firmly holding the 3D Modular System lower it into the wheelchair. As you lower the seat into the wheelchair please note that under the support frame on the seating system you will see some additional brackets, these are the Location Hanger Brackets and are intended to sit onto the seat rails of the wheelchair. Gently lower the seating system into position making sure that the Hanger Brackets locate on the seat rails (Fig.1.1e). • Having lowered the seat onto the seat rails and Fig.1.1e located the Hanger Brackets the rear of the seat needs to locate onto the back of the wheelchair. Slide the seating system back on the seat rails until the rear Location Hanger Bracket sits against the backrest of the wheelchair. • the seating system Hanger Brackets located With on the seat rails and the backrest posts of the wheelchair it is now necessary to slide the Hanger Bracket lock tubes into position where fitted (Fig.1.1f). • the locking tubes in position tighten the With locking screws to secure permanently. • Having attached all the hanger brackets into position as described above all that remains to...
  • Page 14 QUICK RELEASE (Quick-Loc) INTERFACE METHOD • Whilst holding the 3D Modular System, place this into the wheelchair making sure that the front of the interface frame locates into stops as shown (Fig.1.1h). • the back of the seat into the wheelchair Lower until the interface locates into the rear catches as shown and it clicks into position (Fig.1.1j). • Secure the Seat Retention Straps around the back of the wheelchair frame, not just the wheelchair canvas (Fig.1.1k). • the 3D Modular System now installed into With the wheelchair it is now safe to place the client in Fig.1.1h position. • S.O.S. Seating Systems need to be interfaced to the wheelchair safely and it is important that the retention straps are always secured for client safety.
  • Page 15: Modular Support Pads

    1.2. 3D MODULAR SEAT SUPPORT PADS • the support pads fitted to the 3D Modular System are attached by Velcro. The pads have fitted covers and these can be removed by simply unzipping the cover. 1.3. ELECTRIC WHEELCHAIRS • When fitting the 3D Modular System to an electric wheelchair, the fitting procedures are the same as in 1.1. • However it is also necessary to make sure that any electric cables etc., are not trapped or jammed by the 3D Modular System during placement into an electric wheelchair. 1.4. MAINTAINING THE WHEELCHAIRS • is important that the wheelchair manufacturers guidelines for maintenance are carried out. • Under inflated tyres or faulty brakes etc. can render a wheelchair dangerous if used with such faults. • new wheelchairs are supplied with a copy of the manufacturers user instructions. • should have a copy of the Wheelchair Manufacturers User Information. • you do not have a copy, contact your Wheelchair Service to obtain a copy. Always maintain your wheelchair as per manufacturers instructions.
  • Page 16: Lifting And Handling The Client In And Out Of The 3D Modular System

    USER GUIDE 2.0 2.1. LIFTING & HANDLING THE CLIENT IN & OUT OF THE 3D MODULAR SYSTEM • Most users of 3D Modular Systems will need to be hoisted into the equipment. Manually lifting the client is not recommended, however with some clients it may not be possible to hoist them safely by conventional means and in instances such as this you are recommended to carry out a ‘RISK ASSESSMENT’ to assess the risks involved in any such action. • is important that all carers are aware of the Health & Safety guidelines for ‘Lifting and Handling’. • Before lifting the client make sure all straps are placed out of the 3D Modular System. This will avoid the straps becoming trapped under the client when seated. • When using the hoist, make sure that you follow the hoist manufacturers instructions regarding correct use. • lowering the client into the 3D Modular System make sure that the client’s hips / pelvis are located as far back as possible into the seat.
  • Page 17: Client Straps, Harnesses

    2.2. CLIENT STRAPS / HARNESSES • Secure all straps / harness supplied. Straps and harness must be tightened to work correctly. • is dangerous to have straps too loose or ‘X’ not in place on the client. • the 3D Modular System has been fitted with a ‘Butterfly X Harness’, it is important that it is correctly adjusted to maintain safe clearance at the top of the harness as illustrated in the diagram opposite at ‘X’. Keep bottom straps of harness tight. 2.3. FOOTREST ADJUSTMENT • is recommended that feet be supported on the foot supports provided to ensure that the client is seated with optimum comfort. • Leaving the clients feet unsupported is not recommended as this can lead to great discomfort and abnormal pressure being generated at the pelvis and other weight bearing areas. • is therefore essential that the footrests of the wheelchair be adjusted correctly (see Wheelchair User Manual for details).
  • Page 18: Cleaning The 3D Modular System

    USER GUIDE 3.0 MAINTENANCE OF THE 3D MODULAR SYSTEM To make sure that the 3D Modular System remains satisfactory it is necessary to carry out simple maintenance. 3.1. CLEANING THE 3D MODULAR SYSTEM • During use the 3D Modular System will require cleaning. This can be done by simply applying a warm damp cloth with a mild detergent to the inside surface of the seat to remove any soiling and towel dry. Note: The covers/pads MUST be removed prior to any cleaning of the seat. • the 3D Modular System remains slightly damp simply leave for a short period at room temperature to dry. • moulded foams are sealed in a special water proof clear plastic protective skin which although waterproof is air permeable to assist daily management. Under no circumstances is the clear protective skin to be removed as the foam will have no protection against contamination and will need to be replaced. If the plastic skin becomes seriously damaged contact SOS immediately. To clean the moulded pads, simply wipe down with mild detergent and a damp cloth and towel dry and leave at room temperature to dry thoroughly. Under no circumstances use excessive heat to try to dry the foam as this could damage the protective skin. • ancillary Foam pads on the 3D Modular System can also be made from an open cell foam, which will absorb water. DO NOT get these excessively wet as the foam will be a problem to dry. •...
  • Page 19: Cleaning The 3D Modular System Covers

    3.2. REMOVABLE COVERS • cleaning of removable covers please refer to wash label on the inside of the padded cover. • remove the covers simply remove the pads from the 3D Modular System and unzip the cover on each pad. • 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. • DEVIATIONS FROM THE ABOVE MAY AFFECT THE FIRE RETARDANCY OF THE COVER(S).
  • Page 20: Adjustable Headrest

    USER GUIDE 4.0 OPTIONAL FEATURES .1. ADJUSTABLE HEADREST • the 3D Modular System has been fitted with an adjustable headrest, the headrest will have been adjusted when the 3D Modular System was originally supplied. • any adjustments need to be carried out this can be done by releasing the locking knobs and adjusted for height (Fig.4.1a) and depth (Fig.4.1b), re-tighten locking knobs when finished. • PLEASE NOTE THAT SOS RECOMMEND THE HEADREST IS USED AT ALL TIMES WHENEVER THE CLIENT IS BEING TRANSPORTED IN THEIR WHEELCHAIR AND SEATING SYSTEM. Fig.4.1a Fig.4.1b...
  • Page 21: Adjustable Footrest

    4.2. ADJUSTABLE FOOTREST • the 3D Modular System has an adjustable footrest, it is important that the feet are well supported (Fig.4.2a) and the footrest positioned correctly. The footrest will have been correctly adjusted when the equipment was handed over in clinic as opposite. • footrest is adjustable for height (Fig.4.2b) and reach (Fig.4.2c). • the 3D Modular System has been set up for use with the standard wheelchair footrests, then these will be adjusted correctly when the equipment is handed over in clinic. Adjustments can easily be done to the footrests if necessary (see the Fig.4.2a wheelchair manufacturers user information for more details). • the 3D Modular System has been set up to use an integral footrest (Fig.4.2a), then the wheelchair footrests are not to be used. Fig.4.2b Fig.4.2c...
  • Page 22: Detachable Pommel

    4.3. DETACHABLE POMMEL • the 3D Modular System has a detachable pommel this is secured in place by either a wing knob underneath the seat or a locking knob at the front of the pommel. Wing Knob Underneath: • remove/adjust, turn the wing knob (Fig.4.3b) underneath the seat anti-clockwise to release. The pommel can then be withdrawn/adjusted (Fig.4.3a) and re-tightened when in position. • -fitting is a reversal of the above procedure. Locking Knob at Front: Fig.4.3a • remove/adjust, turn locking knob (Fig.4.3c) at the front of the bracket anti-clockwise to release. The pommel can then be withdrawn/ adjusted (Fig.4.3a) and re-tightened when in position. • replace simply insert bracket stem back into the square socket, slide into desired position and lock into place, turning the lock knob clockwise until secure making sure that the barrel lock is correctly positioned as shown (Fig.4.3c). Fig.4.3c Bracket Barrel Lock Lock Lock Knob Threaded Fig.4.3b You can identify all the relevant parts supplied with your 3D Modular System by referring to Page 1, “Specification of the Seating System supplied”.
  • Page 23: Kneeblocks

    4.4. ADJUSTABLE KNEEBLOCKS • kneeblocks have been fitted to the 3D Modular System, these need to be located in the RIGHT and LEFT hand sockets (Fig.4.4a) at ‘B’ in the triple bracket located underneath the 3D Modular Cushion. Slide the knee blocks into the bracket (see Fig.4.3a on previous page illustrating the correct position of the barrel lock mechanism) and locate as required on the client and lock in position by turning the lock knobs at ‘C’. Fig.4.4a You can identify all the relevant parts supplied with your 3D Modular System by referring to page 1, “Specification of the Seating System supplied”.
  • Page 24: If You Detect A Fault Or Breakage

    THIS IMMEDIATELY. UNDER NO CIRCUMSTANCES ARE ANY MODIFICATIONS / ALTERATIONS TO BE DONE BY ANYONE OTHER THAN SPECIALISED ORTHOTIC SERVICES LTD (see contact details enclosed). CONTACT SPECIALISED ORTHOTIC SERVICES LTD PLEASE REFER TO THE INFORMATION INCLUDED IN THIS USER MANUAL.
  • Page 25 NOTES...
  • Page 26 NOTES...
  • Page 27 NOTES...
  • Page 28 If you require further copies of this handout or require further details relating to any of its content, then please contact us (Copyright applies): Units 127/128, Fauld Industrial Park, Tutbury, Staffordshire. DE13 9HS Tel: 0044 (0)1283 520400 Fax: 0044 (0)1283 520401 E-mail: enquiries@specialorthotic.com Web: www.specialisedorthoticservices.co.uk...

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