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USER'S MANUAL
01218-0-00_rev20211126

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Summary of Contents for Orthofab Prima 4

  • Page 1 USER'S MANUAL 01218-0-00_rev20211126...
  • Page 2 Give this manual to the wheelchair occupant or the assistant if the occupant is unable to read it. Please read the entire manual before using the wheelchair. Please refer to this manual as needed and pay close attention to the warnings until you are familiar with them.
  • Page 3 The Prima 4 and Prima R (“Robust”) have different requirements and may have differences in operating procedures. Where required, this will be noted in the manual.
  • Page 4: Table Of Contents

    SAFETY RULES ..............................6 1.1. General Information ............................6 1.1.1. BEFORE YOU HIT THE ROAD ........................6 1.1.2. GETTING AROUND IN A WHEELCHAIR...................... 7 1.1.3. CROSSING A SLOPE ........................... 8 1.1.4. TRANSFERRING ............................9 1.1.5. MISCELLANEOUS HANDLING ........................10 1.1.6. CLEANING AND DISINFECTING .......................
  • Page 5 3.10.1. HEIGHT ADJUSTMENT OF ANTI-TILT DEVICES ..................38 3.11. WHEELCHAIR HANDLING ..........................38 3.11.1. TO OPEN THE WHEELCHAIR ........................38 3.11.2. TO FOLD THE WHEELCHAIR ........................40 3.12. HEIGHT AND DEPTH ADJUSTABLE HEAD SUPPORT ..................40 3.13. ADJUSTABLE TENSION BACK SUPPORT ...................... 42 3.14.
  • Page 6: Safety Rules

    1. SAFETY RULES 1.1. General Information (Applies to all wheelchairs) The driving settings should only be adjusted and/or modified by a health care professional or an authorized service technician. Wheelchair use should be based on the occupant's cognitive and physical abilities. Only a qualified healthcare professional should provide an opinion in this regard.
  • Page 7: Getting Around In A Wheelchair

    1.1.2. GETTING AROUND IN A WHEELCHAIR • Always use the pelvic positioning belt and adjust it properly; • When faced with an obstacle, stop, and move forward gradually; • Avoid slippery and uneven surfaces; • Avoid sudden and abrupt turns; •...
  • Page 8: Crossing A Slope

    1.1.3. CROSSING A SLOPE • The manual wheelchair can negotiate slopes at low speed, with a maximum incline of 10°, external or internal, and a length of at least 3 metres, alone or with an assistant. The assistant must always be at the back of the wheelchair, whether ascending or descending, and should hold the back support posts.
  • Page 9: Transferring

    1.1.4. TRANSFERRING • Fold down foot support plates; • We recommend that you remove the leg supports before transferring; • Always apply the brakes before transferring or before sitting in the wheelchair; • Never lean forward or backward to reach an object; •...
  • Page 10: Miscellaneous Handling

    1.1.5. MISCELLANEOUS HANDLING • Never submerge your wheelchair or leave it in the rain for a prolonged period; • Do not store your wheelchair in a damp or very cold place (this could cause serious damage); • If the occupant remains seated in a wheelchair while travelling in a road vehicle designed for transporting disabled persons, make sure that the occupant, driver and the vehicle owner respect all legislative, regulatory, policy, guideline and standard requirements, instructions and recommendations of all competent...
  • Page 11: Cleaning And Disinfecting

    While the Prima 4 is suitable for occupants weighing up to 300 pounds, the Prima R offers the same advantages for anyone weighing up to 350 pounds. All three models are tested in accordance with BNQ 6645-001, which specifies requirements for wheelchairs and user documentation for all users.
  • Page 12: Technical Information

    Heel support strap Bumper with castors Seat Front wheels Width: 14 to 20 in. (Prima 4) Width: 18 to 24 in. (Prima R) 5, 6, 7 or 8 in. semi-solid tires Air tires: 6 or 8 in. Depth: 14 to 20 in.
  • Page 13: Adjustments

    3. ADJUSTMENTS Even if the bolts and screws are non-locking, after making any adjustments, and before using the wheelchair, check that all hardware is securely tightened. Check that the locking mechanisms are secure before using the wheelchair. Adjustments to your wheelchair should only be performed by health care professionals.
  • Page 14: Changing The Angle Of The Adjustable Angle Foot Support, Single And Full Width

    3.1.2. CHANGING THE ANGLE OF THE ADJUSTABLE ANGLE FOOT SUPPORT, SINGLE AND FULL WIDTH 1 - Loosen the screws (A) with a 10 mm open-end wrench. 2 - Reposition the plates at the desired angle and firmly tighten the screws (A) (140 psi). 3.1.3.
  • Page 15: Retracting And Removing The Leg Support Assembly

    3.1.4. RETRACTING AND REMOVING THE LEG SUPPORT ASSEMBLY RETRACTING THE LEG SUPPORTS 1 – Fold down the plates (B). 2 – Press the release (A) and rotate the stem (C) towards the outside or inside of the wheelchair. REMOVING THE LEG SUPPORTS 1 –...
  • Page 16: Two-Piece Full-Width Plate

    NOTE : It is best to fold down the foot support before retracting the leg support. NOTE : Always check that the front wheels are in forward position. FORWARD POSITION Figure 30-E: Retracting, wheels in forward position. 3.1.5. TWO-PIECE FULL-WIDTH PLATE For full-width plate, fold down the plate with the anchor rod (A) (see Figures 2-A and 2- Figure 2-A : Full-width plate Figure 2-B: Full-width plate...
  • Page 17: Depth Adjustment Of Heel Support Strap

    3.1.6. DEPTH ADJUSTMENT OF HEEL SUPPORT STRAP Pull on the Velcro strip and replace at the desired length. Figure 3: Adjusting the heel support strap.
  • Page 18: Adjusting The Flat Padded Lower Leg Support

    3.1.7. ADJUSTING THE FLAT PADDED LOWER LEG SUPPORT HEIGHT 1 – Loosen the hexagon socket screw (A) with a 3/16 in. Allen wrench. 2 – Place the bracket (B) at the desired height and firmly tighten the screw (A). DEPTH 1 –...
  • Page 19: Arm Support

    3.2. ARM SUPPORT 3.2.1. ADJUSTING THE REMOVABLE T-SHAPED ARM SUPPORT TO REMOVE THE ARM SUPPORT 1 – Tighten the screw (E) to secure the arm support assembly. 2 – To remove the arm support, press the lever (A), then remove the assembly (make sure the screw (E) is not tightened).
  • Page 20: Adjusting The Removable And Foldable U-Shaped Arm Support

    3.2.2. ADJUSTING THE REMOVABLE AND FOLDABLE U-SHAPED ARM SUPPORT TO FOLD DOWN AND REMOVE THE ARM SUPPORT 1 – To fold down the arm support, press the release (A) and rotate the assembly towards the back of the wheelchair. 2 – You can lock the removable assembly rest with the screw and locknut (B). Tighten the screw with a 4 mm Allen wrench, then lock it with the lock nut, using an 8 mm open-end wrench.
  • Page 21: Adjusting The Removable T-Shaped Arm Support

    3.2.3. ADJUSTING THE REMOVABLE T-SHAPED ARM SUPPORT PIVOTING AND REMOVING THE ARM SUPPORT 1 – To pivot the arm support, pull the arm support (A) up just enough to release it from the screw (D) and rotate it out of the wheelchair. 2 –...
  • Page 22: Angle-Adjustable Back Support

    3.3. ANGLE-ADJUSTABLE BACK SUPPORT 3.3.1. BACK SUPPORT ANGLE ADJUSTMENT 1 – Using a 7/16 in. open-end wrench, loosen and remove the screw (A), the nut (B) and the washers (C). 2 – Adjust the back support (D) to the desired angle, then place the hardware in the hole corresponding to the chosen angle.
  • Page 23: Changing Back Support Height

    3.3.2. CHANGING BACK SUPPORT HEIGHT 1 – Loosen the screw (A) with a 7/16 in. wrench. 2 – Choose the desired height by aligning the threaded hole of the spacer (D) of the back support (E) with a hole of the back support (C), then firmly tighten the screw (A), making sure the washer (B) is in place.
  • Page 24: Installing The Back Support Tension Bar

    3.4. INSTALLING THE BACK SUPPORT TENSION BAR To stiffen the back support, you can install a tension bar. To do this: 1. Cut the rubber handle evenly with the end of the back support posts; 2. Insert the spacer clamp (C) onto the back support post tube (see Figure 11-B);...
  • Page 25: Seat

    3.5. SEAT 3.5.1. REMOVING THE SEAT SLING 1 – Close the wheelchair to release the tension on the seat sling (D). 2 – Use a pointed object (punch, Phillips screwdriver, etc.) to push on the plug latch (B) in the hole (A). 3 –...
  • Page 26: Adjusting The Seat Sling Tension

    3.5.2. ADJUSTING THE SEAT SLING TENSION 1 – Remove the seat sling (A) as in point 4.4.1. 2 – Detach the flap with hook and loop fastener (C), then reposition it on the part (D) to adjust the tension. 3 – To replace the seat sling (A) and rods (B) in the crosspieces as in point 4.4.1. When reinstalling the seat sling, make sure to align the retaining latch into the mounting hole.
  • Page 27: Floor-To-Seat Height And Centre Of Gravity

    3.6. FLOOR-TO-SEAT HEIGHT AND CENTRE OF GRAVITY 3.6.1. FRONT FLOOR-TO-SEAT HEIGHT ADJUSTMENT. 1 – Using two (2) 8 mm open-end wrenches, remove the screw (A) and the nut (B). 2 – Reposition the wheel and the spacers or washers (C) in another position. 3 –...
  • Page 28: Rear Floor-To-Seat Height Adjustment

    3.6.2. REAR FLOOR-TO-SEAT HEIGHT ADJUSTMENT. 1 – Remove the rear wheels from the wheelchair. 2 – With two (2) 7/16 in. flat wrenches, loosen the 4 screws (A) and 4 nuts (E). 3 – Reposition the multi-position plate (B) with the hardware (A) (C) (D) (E) to the desired position. If you switch from an even-numbered position (P02, P04, etc.) to an odd-numbered position (P01, P03, etc.) and vice versa, you must reverse the plates, placing the right plate on the left and the left on the right.
  • Page 29: Adjusting The Centre Of Gravity

    3.6.3. ADJUSTING THE CENTRE OF GRAVITY 1 – Unfold the lock washer notch (F), then loosen and remove the nut (G) and washer (F), using a 1 1/8 in. open-end wrench. 2 – Remove the remaining adjustment spacer assembly (A) (B) (D). 3 –...
  • Page 30: Rear Wheels

    3.7. REAR WHEELS 3.7.1. THREADED AXLES THREADED AXLES 1 – To remove the wheel, remove the cap (A) from the wheel hub, then loosen the screw (B) using a 3/4 in. wrench and the nut (C), using a 3/4 in. wrench. 2 –...
  • Page 31: Wheel Width Adjustment

    3.7.2. WHEEL WIDTH ADJUSTMENT 1 – Remove the adjustment spacer assembly, as in point 4.5.3. 2 – Replace the adjustment spacer assembly as in point 4.5.3, but during assembly, screw or unscrew the spacer (A) to move the wheels closer to or further away from the wheelchair. 3.7.3.
  • Page 32: Fork Bracket

    3.8. FORK BRACKET 3.8.1. PERPENDICULAR FORK ALIGNMENT To maintain a linear trajectory of the wheelchair and to facilitate turning, it is important to ensure a 90° angle between the ground and the axis of the fork stem. To make this adjustment, follow the instructions outlined below.
  • Page 33: Fork Bracket Orientation

    3.8.2. FORK BRACKET ORIENTATION For reduced clutter and easier handling, it is best to mount the fork brackets toward the rear. However, with shallow seat depths, certain front and rear wheel diameter configurations can create interference between front and rear wheels or the front frame. In such cases, the fork brackets should be mounted forward, reversing them;...
  • Page 34: Locking Brakes

    3.9. LOCKING BRAKES 3.9.1. BRAKE POSITION ADJUSTMENT Brake adjustment is necessary depending on the level of tire wear or whenever the position of the rear wheels is changed. Check for proper tire pressure before adjusting the brakes. 1 – Slightly loosen the brake bracket screw (A) with a 13 mm open-end wrench (for push or pull brakes), or a 6 mm Allen wrench (for one-sided brakes), until the brake rod (C) can rotate slightly, and the bracket (B) can slide onto the frame tube.
  • Page 35 The brake is at optimal efficiency when there is a ¼ to ½ in. space between the tire and the brake brace, with the brake open. You can have a standard push, pull or one-sided brake, but some specific wheelchair configurations require pull brakes.
  • Page 36: Changing Or Installing A Brake Lever Extension

    3.9.2. CHANGING OR INSTALLING A BRAKE LEVER EXTENSION 1. Install extension guides (E) on each side of brake lever (A); 2. Place the spring (D) provided with the extension (F) into hole (B). 3. Insert the pin (C) into the hole (B) by compressing the spring (D); 4.
  • Page 37 LEVER Figure 20: Brake lever angle adjustment.
  • Page 38: Anti-Tips

    3.10. ANTI-TIPS A maximum clearance of 1 ¾ in. between the anti-tip rollers and the ground must always be maintained. If the floor-to-seat height or the rear wheel size has been changed, the anti-tips must be adjusted to a clearance of 1 ¾...
  • Page 39 Position yourself to the side of the wheelchair. Using both hands, push down on both seat rails as shown in Figure 24, and push until they rest in the (A) brackets provided; or use one hand to alternately push down on the seat rails. Figure 24: To open the wheelchair.
  • Page 40: To Fold The Wheelchair

    3.11.2. TO FOLD THE WHEELCHAIR 1. Raise the foot support, making sure to push the heel support straps forward, if necessary; 2. Remove the seat cushion; 3. Retract the lower leg supports, if applicable; 4. Fold the back support push bar, if applicable; a.
  • Page 41 Turn the handle (A) to adjust the depth of the head support, then turn the two handles (B) to adjust the height (see Figure 26-A). After selecting the head support height position, adjust the retaining ring (C) on the head support anchor (D) for a better fit, and to indicate the position when replacing the head support.
  • Page 42: Adjustable Tension Back Support

    3.13. ADJUSTABLE TENSION BACK SUPPORT The adjustable tension back support has a set of Velcro straps (A) to adjust the tension level. To adjust the back support, simply open the fabric flaps (B), adjust the straps to the desired tension and close the flaps, making sure to tighten them securely. The center straps can also be height-adjusted by repositioning the small Velcro envelopes (C) (see Figures 32-A and B).
  • Page 43 To do this: Use two plastic self-locking tie wraps to attach the lower flap of the back support from the lower eyelets to the front part of the rear frame of the manual wheelchair. This adjustment provides stability to the occupant's sacroiliac area while maintaining seat depth. Anterior portion Lower eyelet of the rear...
  • Page 44: Locking Brakes

    3.14. LOCKING BRAKES ENGAGING – RELEASING PUSH-TYPE BRAKES 3.14.1. NOTE: Reverse the lever action directions for pull-type brakes. Figure 34-A: Push brake ENGAGED. Figure 34-B: Push brake DISENGAGED. To engage the brakes, push forward on the lever (see Figure 34-A); To disengage the brakes, pull the brake lever towards you (see Figure 34-B).
  • Page 45: Engaging - Releasing The Anti-Reverse

    ENGAGING – RELEASING THE ANTI-REVERSE 3.14.2. To help you negotiate inclines, your wheelchair can be equipped with an anti-reverse mechanism that prevents the wheelchair from rolling backwards. LEVER Figure 36-A: Anti-reverse DISENGAGED. Figure 36-B: Anti-reverse ENGAGED. 1. To activate the anti-reverse, lower the lever towards the ground, so that the wheelchair cannot roll backwards (see Figure 36-B).
  • Page 46: Anti-Tip Device

    3.15. ANTI-TIP DEVICE 3.15.1. TO REMOVE OR RETRACT • For easier transport of your wheelchair, you can remove the anti-tip. To do this, simply press the button (A) and pull it downwards out of its housing (see Figure 37-A). • Alternatively, press button (A) and retract the anti-tip towards the inside of the wheelchair to the opposite housing (see Figure 37-B).
  • Page 47: Pelvic Positioning Belt

    3.16. PELVIC POSITIONING BELT For your comfort and safety, make sure that the belt provided with the wheelchair is adjusted to your waist. Do not modify the belt assembly or attachments. To adjust the belt length, slide the strap through the plastic loops, making sure that the belt moves in the direction shown in Figure 40-A.
  • Page 48: Specialized Transit

    3.18. SPECIALIZED TRANSIT The Prima 4 and Prima R comply with BNQ 6645-001 (2019) and ISO 7176-19 (DIS2019) requirements. These models were designed and subjected to frontal impact testing when used as a forward-facing seat in a motor vehicle. The dynamic tests were performed in a forward-facing direction, using a dummy restrained by lap and shoulder belts.
  • Page 49 Section 1 – General information • The Prima 4 and R models are tested according to the 7176-19 standard, Section 5.2, with specific configuration and components that comply with standard BNQ-6645- 001/2019. When used as a seat in a motor vehicle, the wheelchair must be immobilized in a forward-facing position.
  • Page 50 • In their test configuration, the Prima 4 and Prima R wheelchairs weigh 37 lbs and 40 lbs respectively. Section 2 – Instructions – Using the wheelchair as a seat in a motor vehicle Anchor points Use the anchor points on the wheelchair, following the directions provided in this note. Look for the following symbol, which indicates anchor points that comply with the ISO 7176-19 standard.
  • Page 51 The shoulder belt should fit snugly over the body through the midpoint of the shoulder and across the centre of the abdomen. Make sure the belts are not twisted. They should be adjusted as tightly as possible, allowing for the comfort of the occupant.
  • Page 52 • Install the pelvic belt on the anchor points at the back of the wheelchair. • Thread the pelvic belt between the back support and the arm support. Do the same on the other side...
  • Page 53: Instructions For Specialized Transit

    3.18.1. INSTRUCTIONS FOR SPECIALIZED TRANSIT • Place the wheelchair facing the front of the vehicle in the tie-down area; activate the wheel locks (brakes) and turn off the power if necessary. • Attach tie-down straps to the vehicle floor anchors as specified by the anchoring system manufacturer.
  • Page 54 • Check that the tie-down straps are attached at about 45 degrees. • Do not attach the hooks to the wheels, or to plastic or removable wheelchair parts. • The brakes must be engaged. Never leave the wheelchair in freewheel mode during transport.
  • Page 55: Maintenance

    4. MAINTENANCE MAINTENANCE PROCEDURE Like any other vehicle, your wheelchair needs maintenance to operate safely and efficiently. Routine maintenance will increase your wheelchair's lifespan and efficiency. Take your chair to a qualified dealer or authorized service centre once a year for thorough inspection and maintenance.
  • Page 56 Tire pressure The recommended air pressure will usually be marked on one side of the tire. However, if necessary, you can refer to the following table: 6 x 1 ¼ tire 36 psi 7 x 1 ¼ tire 36 psi 8 x 1 ¼...
  • Page 57: Troubleshooting Guide

    5. TROUBLESHOOTING GUIDE Wheelchai Wheelchair Wheelchair Front Noise or SOLUTIONS r pulls to pulls to the is difficult to wheels squeaking the right left propel oscillate Check tire air pressure Check the tightness of the screws and nuts Check that both front wheels are touching the ground at the same time Check the tightness of the spokes Check the angle of the front fork brackets...
  • Page 58: Warranty

    (5) years from the date of delivery. This is provided in lieu of any other written, implied, or statutory warranty. ORTHOFAB'S liability is limited to the repair or replacement of any part or component, according to the...
  • Page 59 O distributor. RTHOFAB The warranty shall be limited to the repair and, at ORTHOFAB's absolute discretion, the replacement of defective material as provided herein. Except for the warranties set forth herein, O makes no express or implied warranty, statutory or contractual, including...
  • Page 60 NOTES: Any components exchanged under this warranty shall be covered by the original warranty. If a component is returned under this warranty, but considered by O as functional, RTHOFAB the component will be returned to the customer.
  • Page 61: Authorized Centres

    AUTHORIZED CENTRES Technical Aids Services Addresses CIUSSS du Bas-Saint-Laurent 800, avenue Sanatorium 800, avenue Sanatorium Mont-Joli (Québec) G5H 3L6 Mont-Joli (Québec) G5H 3L6 CIUSSS du Saguenay-Lac-Saint-Jean 2230, rue de l'Hôpital 2230, rue de l'Hôpital Jonquière (Québec) G7X 7X2 Jonquière (Québec) G7X 7X2 CIUSSS de la Capitale-Nationale Site François Charron / section adultes 525, boulevard Wilfrid-Hamel Est...
  • Page 62 Gatineau (Québec) J8Y 6X7 CISSS de l'Abitibi-Témiscamingue 622, 4e Rue Ouest CH SAT Amos Amos (Québec) J9T 2S2 622, 4e Rue Ouest 7, 9e Rue Amos (Québec) J9T 2S2 Rouyn-Noranda (Québec) J9X 2A9 CISSS de l'Abitibi-Témiscamingue 915, rue Germain Val-d’Or (Québec) J9P 3Y1 CRDP Rouyn-Noranda 7, 9e Rue Rouyn-Noranda (Québec) J9X 2A9...
  • Page 63 Customer Service Centre 2160, De Celles Québec (Québec) G2C 1X8 (418) 847-5225 (800) 463-5293 Prima 4 Prima R 01218-0-00_rev.20211126...

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