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Akces-Med ACTIVALL User Manual

Dynamic standing frame
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DYNAMIC STANDING FRAME
A C T I V A L L ™
USER MANUAL

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Summary of Contents for Akces-Med ACTIVALL

  • Page 1 DYNAMIC STANDING FRAME A C T I V A L L ™ USER MANUAL...
  • Page 2 Akces-Med employee or at specialized medical store! AKCES-MED. Ltd. reserve the right to introduce technical and trading changes in the content of the instruction without warning. Product marked with the CE sign is Class I medical device, of...

  • Page 3: Table Of Contents

    ™ CONTENTS 1. The Purpose of user manual..................5 2.Indications and contrindications for use..............5 3. General characteristics of standing frame..............7 3.1 Standard equipment..................7 3.2 Additional equipment..................8 4. Size table........................11 5. Description how to assebly standing frame ............12 6. Description how to use standing frame..............15 7.
  • Page 4 If you have any questions or remarks, do not hesitate to contact with us: Medical consultant: mobile +48 508 382 509 Akces-MED Sp. z o.o.: ph. +48 17 864 04 77 e-mail: export@akces-med.com Thank you for purchasing our product! CAUTION! Before using the product, user is obliged to familiarize himself/herself with user manual.

  • Page 5: Contents

    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. Before using the ACTIVALL ™ standing frame, user is obliged to familiarize himself/herself with user manual.
  • Page 6 ™ Contraindications: While standing upright, the user who is in a standing position should be closely monitored. The therapy should be discontinued in case of such side effects as: turning pale, sweating or fainting, joint strain and the resulting deformities of the body. Further proceeding should be consulted with the medical specialist or a physiotherapist who prescribed the treatment.

  • Page 7: General Characteristics Of Standing Frame

    ™ 3. 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 70...

  • Page 8: Additional Equipment

    ™ 3.2. Additional equipment AVL_011 AVL_002 AVL_010 Belt for moving the patients Castors with fixed direction of Castors with blockade of reverse AM-P movement movement AVL_015 AVL_015 AVL_019 AVL_016 AVL_016 AVL_020 Koło TANGO z hamulcem stop Koło stalowe z hamulcem stop...
  • Page 9 ™ 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_209 AVL_210 AVL_211 Lower limb brace with polycentric Post operative knee brace with Post operative knee brace with polycentric 20°...
  • Page 10 ™ AVL_621 Module CROSS www.akces-med.com +48 17 864 04 70 produkcja@akces-med.com www.akces-med.com +48 17 864 04 70 produkcja@akces-med.com...

  • Page 11: Size Table

    ™ 5. SIZE TABLE AVAILABLE SIZES Symbol Measurement Size 1 Size 2 Unit Size 3 Size 4 Size 5 Indicative user height** [cm] 70-100 100-130 110-150 110-170 140-200 Pelvic/chest support width [cm] A/A1 Pelvic support height 44-60 66-82 77-102...

  • Page 12: Description How To Assebly Standing Frame

    ™ 5. DESCRIPTION HOW TO ASSEMBLY STANDING FRAME LIST OF ELEMENTS: (1) Chest brace (2) Pelvic brace (3) Frame with lower limbs separator (4) Columns (2 pcs) (5) Screw M6x40 (6) Nut M6 www.akces-med.com +48 17 864 04 70...
  • Page 13 ™ To assemble ACTIVAL™ you should: STEP 1. Mount Chest brace (1) fig.1 fig.2 fig.3 fig.4 (5) screw M6x40 fig.5 fig.6 fig.6 (6) nut M6 fig.7 fig.8 www.akces-med.com +48 17 864 04 70 produkcja@akces-med.com...
  • Page 14 ™ hex key 5 spanner key 10 fig.9 fig.10 STEP 2. 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. This step does not concern size 1 of the stander.
  • Page 15 ™ CAUTION! After assemble of the pelvic support and adjusting it at the desired height be sure to tighten the knobs! fig.15 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 16: Description How To Use Standing Frame

    ™ 6. 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. CAUTION! Before use of...

  • Page 17: Pelvic Support

    ™ 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 18: Pelvic Harness

    ™ should be fixed at the level of trochanter of lower Pelvic support 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 19 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 20: 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 70 produkcja@akces-med.com...
  • Page 21 ™ 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 22: Additional Equipment

    ™ 8. ADDITIONAL EQUIPMENT 8.1. AVL_011 Castors with blockade of reverse movement Knob A Using the castors with blockade of reverse 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 23 ™ 8.3. AVL_012 Forearm supports Perfect for people with limited control of the upper body, provide additional side support. You can order 1 or 2 pieces. fig.30 FOT. 1 FOT. 3 FOT. 2 AVL_748 8.4. Lower limbs stabilizer Lower limbs stabilizer converts the standing frame into fully functional static version.
  • Page 24 ™ 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. fig.34 FOT. 1 FOT. 3 FOT. 2 8.8. AVL_142 AVL_143...
  • Page 25 ™ 8.10. AVL_201 Lower limb immobilizer AM-TUD-KD It prevents from knee hyperextension and is highly recommended in the rehabilitation process of the patient. fig.38 FOT. 1 FOT. 3 FOT. 2 AVL_202 8.11. Lower limb immobilizer with kneecap protection AM-...
  • Page 26 ™ 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. fig.42 FOT. 1 FOT. 3 FOT. 2 AVL_207 8.16. Lower limb in 20° flexion immobilizer OKD- 03/20 It keeps the knee joint in moderate 20°...
  • Page 27 ™ AVL_210 8.19. Post operative knee brace with polycentric 20° rom adjustment AM-KD-AM/2R 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 28 ™ 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. fig.50 FOT. 1 FOT. 3 FOT. 2 8.24. AVL_217 The lower limb brace OKD-13 It allows for safe and independent movement of the patient e.g.
  • Page 29 ™ 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: (1) Basket x 1 pc (2) Flat washer (overlay) x 2 pcs...
  • Page 30 ™ To assemble the CROSS module you should: STEP 1. Remove the standard wheels of the standing frame: a) Use the spanner keys 10 (6) to unscrew the wheels (fig.53-55). fig.54 fig.53 FOT. 1 FOT. 1 FOT. 3 FOT. 3 FOT.
  • Page 31 ™ Then, put the following elements in the correct order: first put the flat washer (overlay) and large flat washer (underlie) on the wheel fork, and then stick the screw from the bottom which you have after removing the standard wheels (STEP 1, pt.
  • Page 32 ™ Next - Insert the self-locking nut on the other side of the fork - in the hexagonal with the hex key 8 (5) (fig. 2, 3). shaped insert - and tighten the screw fig.62 fig.63 FOT. 1 FOT. 1 FOT.
  • Page 33 ™ STEP 5. Then using a phillips scredriver unscrew the 2 little screws at the end of hip support frame (fig.67). After loosening the knobs (fig.68), remove the support along with the pelvic harness by using the phillips screwdriver (fig.69).
  • Page 34 ™ fig.72 fig.73 FOT. 1 FOT. 1 FOT. 3 FOT. 3 FOT. 2 FOT. 2 STEP 7. The frame with brakes (8) must be secured with 4 screws which you have after disassembling the remaining part of the hip support (STEP 6) (fig.74). Next we place the hip support frame and harness on it (fig.75), and once again we screw the...

  • Page 35: The Use Of Standing Frame

    ™ 9. 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 36: 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 37: Upright Position

    ™ 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 38 ™ 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 39: 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 40 ™ 8.It is important to engage brake during getting into and getting out the device. 9.Make sure that all limbs are not close to spokes or other adjustable elements. 10. Please pay your attention when approaching to sources of fire or sources of high temperature during using the device.

  • Page 41: Terms Of Warranty

    11. TERMS OF WARRANTY 1) AKCES-MED Sp. z. o. o sells products free from manufacturing defects or faults. 2) Manufacturer gives the purchaser 24-month guarantee from the date of purchase. All defects revealed during warranty period will be repaired free of charge.

  • Page 42: Maintenance And Cleaning

    ™ 12. 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.
  • Page 43 ™ 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 44 ™ TECHNICAL INSPECTION Technical inspections should be performed regularly. Before servicing, the product should be thoroughly cleaned to reveal any hidden damage. Frequency What should be checked? What should be done? Remarks Before each use. General condition of Check:...
  • Page 45 ™ Frequency What should be checked? What should be done? Remarks Once a month. Wheel axles, quick connec- Check: Clean the wheels when dirty. tors (if applicable). if the wheels are rolling and if they are not In case of any damage or defects, ź...

  • Page 46: Labelling

    ™ 13. LABELLING Symbols 12.1. Declaration that the product Protect from sunlight meets the essential requirements Catalog number Storage temperature limitation Serial number Relative humidity storage Please read the manual Dry vertically instructions before use Attention! Do not chlorinate...
  • Page 48 MANUFACTURER MANUFACTURER Akces-MED Sp. z o.o. Akces-MED Sp. z o.o. Jasionka 955B Jasionka 955B 36-002 Jasionka 36-002 Jasionka tel. (17) 864 04 77 tel. (17) 864 04 77 e-mail: export@akces-med.com e-mail: export@akces-med.com BDO: 000031619 BDO: 000031619 Authorised Dealer Authorised Dealer Date of issue: 09.12.2019...

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