USER'S MANUAL Matrix - Specialised Orthotic Services

USER'S MANUAL Matrix - Specialised Orthotic Services
Matrix
Backrest System
USER’S MANUAL
ALL USER’S OF THE EQUIPMENT SHOULD BE AWARE
OF THIS DOCUMENT AND ITS CONTENT
CUSTOM MADE DEVICE
ISSUE 2
Specification of the Backrest System supplied.
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•
Specified below are the details of the equipment supplied.
On the list each item ticked is a part of your Backrest System and opposite each item
is the reference of the relevant section in this user documentation for that item.
Backrest System Reference No.
Backrest System Type
Date Issued: / /
Weight of Backrest System Kg
User Manual Reference
Item
Tick if
supplied
No. of Items Supplied
Page
Section
Matrix Backrest
System
Detachable
Liner
Adjustable
Headrest
Cover
Specify any other features;
Maximum Client Weight Limit for
Backrest System
Kg
It is recommended that this
equipment is only suitable for use;
Indoor &
Outdoor
Indoor
Details of wheelchair(s) approved for use with the Backrest System.
Model of Wheelchair
Wheelchair Manufacturers
Reference Number
1
Tested at (Specify Angle)
Index
CONTENTS
PAGE
Specification of Backrest System
Index
Introduction
Clinical Review
Stability of Wheelchair and Backrest Systems
Recommendations on Transport
1
2
3
4
4-5
6-9
1.0
1.1
1.2
1.3
1.4
User’s Guide “Fitting the Matrix Backrest to the wheelchair”
Mounting the Matrix Backrest
Matrix Backrest Cover
Electric Wheelchair Use Maintaining the Wheelchair
10 - 11
12
12
12
2.0
2.1
2.2
User’s Guide “Lifting and Handling the Client”
Lifting and Handling the Client in and out of the Wheelchair
Client Straps, Harnesses 13
13
3.0
3.1
3.2
3.3
3.4
3.5
User’s Guide “Maintenance of the Matrix Backrest”
Cleaning the Backrest
Cleaning the Backrest Covers
Harness, Pads & Straps Visual Inspection Fire Retardancy 14
14
15
15
15
4.0
User’s Guide “Optional Features”
4.1
Adjustable Headrest
16
If You Detect a Fault or Breakage
17
CONTACT DETAILS
2
Backpage
MATRIX BACKREST SYSTEM
Introduction
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(Custom Made Device)
This Users Guide for the Matrix Backrest System is designed to give guidance on its
use and maintenance.
The Backrest is custom made to suit an individual clients postural requirements.
Each Backrest is manufactured for a particular individual and must not be used to
support anyone else.
The Backrest gives overall postural support so the clients weight is evenly distributed
over a large area. This improves comfort and should reduce pressure problems.
The Backrest is also manufactured for use with a particular wheelchair or buggy. To
make sure that placing the Backrest in the wheelchair does not render it unstable,
each Backrest supplied is tested for stability and a Certificate of Compliance is issued
to verify that the level of stability is satisfactory (for more details regarding stability of
wheelchair & seating systems, see pages 4 & 5).
It is recommended that initial use of the Backrest by the client after hand over is
closely monitored for the first few days. Particular attention should be given to
checking the client for any signs of pressure areas, which appear to be caused by
using in the Backrest. If there is any indication of any abnormal pressure areas then
refer the client back to the Special Seating Clinic as soon as possible. If the incidence
of pressure is very severe then it is recommended that the client stops using the
Backrest until this can be assessed back at the Seating Clinic.
The maintenance and safety instructions described in the manual must be adhered to.
By following these instructions you will be ensuring correct use of the Backrest and its
safety in use.
It is also important to read the ‘Wheelchair User Manual’ with regard to general use,
transportation use and maintenance.
3
Clinical Review
• To ensure that the Matrix Backrest System still meets the clinical requirement of the
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•
•
client, it is recommended that the Matrix Backrest is reviewed by the Special Seating
Clinic at least once a year.
This may be done automatically by your Wheelchair Service.
If a client has had an Matrix Backrest over twelve months it is recommended that you
contact the Wheelchair Service for a review. This will ensure that the Matrix Backrest
is maintaining the clinical needs of the client.
If you feel that the client needs to be assessed with regard to any seating needs, then
contact your Wheelchair Service.
Stability of Wheelchair and Backrest Systems
• To ensure that the Matrix Backrest and wheelchair are safe to use, it is important that
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•
•
•
fitting the Matrix Backrest to the wheelchair does not make the wheelchair unstable
during normal daily use. Each Matrix Backrest when handed over to the user will be
tested for stability to the relevant angle of stability for the chair to be tested.
The recommended maximum angle of tilt is 12° for attendant transit wheelchairs and
16° for users of self propelling wheelchairs and 16° for users of electric indoor and
electric outdoor wheelchairs.
If the client is going to use additional items
mounted to the wheelchair or backrest
system such as communications aids etc.,
then it is essential that the test be done
with these in situ to access their impact
on the safety of the wheelchair. Similarly,
simple items such as trays need to be in
place for the test to take into account all
the equipment to be used by the client
(see diagram opposite).
The stability test is always done with the
client seated in the wheelchair and all
equipment to be used by the client on a
daily basis when in the wheelchair in situ.
The combined client Backrest System
and wheelchair assembly is tested to the
specified maximum angle of tilt.
16°
12°
Once the test has been successfully completed, a Stability Certificate will be issued
by Specialised Orthotic Services Limited. A copy of this certificate will be handed over
when the equipment is supplied and should be kept with the user manual for future
reference.
4
Stability of Wheelchair and Backrest Systems (Cont.)
• The Matrix Backrest is not to be used with any other wheelchair(s) than those
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for which it has been stability tested and proven safe for use.
Always steer clear of obstacles where possible.
When using the equipment never attempt to climb or descend an incline where
the surface is rough, wet or slippery (gravel, loose chippings, grass, rain, ice,
snow, etc).
If the equipment is to be used in an electric wheelchair then read carefully the
wheelchair manufacturers instructions with regard to safety.
WARNING: Whilst the client is seated in the wheelchair, the attachment of any
heavy object to the wheelchair (i.e. shopping bags etc.) will have a serious effect
on the overall stability of the wheelchair and may place the safety of the client at
risk.
5
Recommendations for the
Transportation of SOS Backrest Systems
The following information is intended to give guidance with regard to the use of SOS
Backrest Systems by wheelchair users and carers during transportation.
•
Specialised Orthotic Services Ltd have carried out extensive investigations into the
suitability of our Special Backrest Systems for transportation use and has established
clear guidelines for users.
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Following these investigations the following user information is intended to give
guidance to users of SOS Backrest Systems regarding the use of the equipment
during transportation.
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All SOS Backrest Systems are prescribed via Special Seating Clinics and during
the assessment process the wheelchair to be used with the Backrest System will be
identified.
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As part of the assessment process, transportation requirements will be assessed and
a suitable wheelchair prescribed for use with the Backrest System.
This information will be of interest to all parties involved in the daily management of
the wheelchair user (Relatives, Carers, Support Staff, Healthcare Professionals and
Transport Service Providers).
6
General Safety Guidelines for
Wheelchair User Transportation
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Wheelchair users should transfer to vehicle seats whenever possible.
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There should be sufficient free space around the wheelchair and user to avoid the
user making contact with other vehicle occupants, unpadded parts of the vehicle,
wheelchair accessories or W.T.O.R.S. anchor points.
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Wheelchair users should not travel with the wheelchair at an angle or facing sideways
to the direction of travel.
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.
A headrest should be provided for a wheelchair user when travelling in a vehicle where
other seated passengers have headrests.
Do 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.)
•
•
Secure methods for the safe retention of wheelchairs have been developed and are
used on a regular basis to secure wheelchairs during transportation use.
These systems are now commonly referred to as W.T.O.R.S.
Wheelchair Tie down and Occupant Restraint Systems
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There are many types of W.T.O.R.S. available from various manufacturers (a list of
some manufacturers is given on page 9). Refer to your Wheelchair Manufacturers
Handbook for details of their particular recommendations.
Please note that all lap /chest belts and harnesses supplied with the seating system
are not sufficient for occupant restraint when the equipment is used on a moving
vehicle and additional Occupant Restraint is required.
7
Use of Backrest System in a
Wheelchair for Transportation
To make sure that the Backrest system and wheelchair are used effectively and
safely for transportation use, the following recommendations are provided for:
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The Backrest System - Wheelchair Interface (see page 10)
The Wheelchair Tie down System
The Occupant Restraint System
1. WHEELCHAIR TIE DOWN SYSTEM
• Wheelchair users should not travel in cars, taxis or minibuses, unless the
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•
wheelchair is tied down.
Please refer to your wheelchair users guide for information regarding the
recommended wheelchair tie down system to be used.
Only the wheelchair specified for use with the Backrest system can be used.
2. OCCUPANT RESTRAINT SYSTEM
• Wheelchair users should not travel in cars, taxis or minibuses, unless an
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occupant restraint system is in place on the client.
For any client to be transported safely in the Backrest System and wheelchair, it is
essential that an Occupant Restraint System be used.
SOS have proven during crash tests on Seating/Backrest Systems that transporting
any client on a moving vehicle without an approved occupant restraint system is
extremely dangerous and will place the client at great risk.
It is important that the Occupant Restraint System is positioned correctly as most
clients using Special Seating/Backrests will be dependent on carers for correct
placement of the occupant restraint.
Consideration should be given to the most suitable type and positioning of restraint for
the user, both in normal travel and during an impact.
The Occupant Restraint should have a clear path from the user to the anchor point
and should not be interfered with by any part of the vehicle, wheelchair, backrest or
accessory.
8
Stowage of the Backrest System and Wheelchair
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During use of your Matrix Backrest System it may be necessary for you to remove the
Backrest System and stow this along with the wheelchair in a vehicle.
It is important to realise that these items pose a risk if not adequately restrained
whilst in transit.
It 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
SYSTEMS
Unwin House
The Horseshoe
Coat Road
Martock
Somerset
TA12 6EY
KOLLER
ENGINEERING LTD
Unit 5, Garrett Road
Lynx Trading Estate
Yeovil
Somerset
BA20 2TJ
QSTRAINT
(EUROPE)
Unit 175
TEL: 01227 773035
John Wilson Business Park FAX: 01227 770035
Whitstable
E MaiI: [email protected]
Kent
CT5 3RB
SAFETEX
Unit 16 / 17
Bookham Industrial Park
Church Road
Bookham
Surrey
KT23 3EU
TEL: 01935 827740
FAX: 01935 827760
E Mail: [email protected]
9
TEL: 01935 426695
FAX: 01935 433766
E MaiI: [email protected]
TEL: 01372 451272
FAX: 01372 451282
E Mail: [email protected]
USER GUIDE 1.0
THE MATRIX BACKREST SYSTEM WHEELCHAIR INTERFACE
• The Matrix Backrest 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.
1.1. MOUNTING THE MATRIX BACKREST
FULLY CLAMPED INTERFACE (Not Shown)
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When the Backrest is in place in the wheelchair it is clamped to the wheelchair push
handles/uprights and cannot be removed from the wheelchair without the use of tools.
V-TRACK SYSTEM INTERFACE
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The V-Trak system is used when frequent removal from the wheelchair is required,
the key parts are identified below (Fig.1.1), for fitting/removal of the backrest see next
page.
1
9
2
6
4
5
8
3
7
Fig.1.1 V-Trak System
1.
2.
3.
4.
5.
6.
7.
8.
9.
Backrest
Arms
Backrest Track
Mounting Block
Central Mount
10
Locking Lever
Secondary Arms
Straps
Wheelchair Push Handle (not
supplied)
1.1. MOUNTING THE MATRIX BACKREST (Cont.)
• Ensure that both locking levers in the open position, lower the pins into the two
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mounting blocks (Fig.1.1a). Note: Taller backrests may have two sets of locking levers
(four in total).
When the pins are located in the mounting
blocks, push down firmly to ensure that the pins
are fully located then press the locking levers
downwards (Fig.1.1b) until fully horizontal. The
backrest will now locked into the wheelchair.
Wrap the lower arm retention straps (if fitted)
around the wheelchair uprights/push handles
(Fig.1.1c), pull the strap back through the
secondary arms (Fig.1.1d) and velcro in position
(Fig.1.1e).
With the Backrest now installed into the
wheelchair it is now safe to place the client in
position.
Fig.1.1a
Removing the Backrest from the wheelchair is the reverse of the above procedure.
Fig.1.1b
Fig.1.1c
Fig.1.1d
Fig.1.1e
11
1.2. MATRIX BACKREST COVER
• If the Backrest is fitted with a cover, check that the cover fits neatly.
• Every time a cover is made for the Backrest a pattern is kept. Therefore if any
•
duplicate covers are required, these can be easily made without the need to see the
client or the Backrest.
Contact your Wheelchair Service for further details or contact SOS (see back page for
details).
1.3. ELECTRIC WHEELCHAIRS
• When fitting the Backrest 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 Backrest during placement into an electric wheelchair. 1.4. MAINTAINING THE WHEELCHAIRS
• It is important that the wheelchair manufacturers guidelines for maintenance are
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carried out.
Under inflated tyres or faulty brakes etc. can render a wheelchair dangerous if used
with such faults. All new wheelchairs are supplied with a copy of the manufacturers user instructions.
You should have a copy of the Wheelchair Manufacturers User Information.
If you do not have a copy, contact your Wheelchair Service to obtain a copy.
Always maintain your wheelchair as per manufacturers instructions.
12
USER GUIDE 2.0
2.1. LIFTING & HANDLING THE CLIENT IN & OUT OF THE WHEELCHAIR
• Most users of Matrix Backrest Systems will need to be hoisted into the equipment.
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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.
It 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 outside of the Wheelchair/
Backrest. 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.
On lowering the client into the Wheelchair make sure that the client’s hips / pelvis are
located as far back as possible into the seat and that the client is supported correctly
via the Backrest.
Leaving the hoist sling in the Wheelchair once the client has been placed is not
recommended as this could cause discomfort and pressure areas to be generated.
However, if any management issues require the sling to be left in situ then it is
recommended that the most appropriate sling be used. If you require further
information regarding this, contact your local Wheelchair Service Therapist.
Please note, that it is very important that the client is correctly positioned to
give maximum comfort and support.
2.2. CLIENT STRAPS / HARNESSES
• Secure all straps / harness supplied. Straps
•
•
and harness must be tightened to work
correctly.
It is dangerous to have straps too loose or
not in place on the client.
If the Wheelchair/Backrest 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’.
13
‘X’
Keep bottom straps of
harness tight.
USER GUIDE 3.0
MAINTENANCE OF THE Matrix BACKREST System
To make sure that the Matrix Backrest System remains satisfactory it is necessary to carry
out simple maintenance.
3.1. CLEANING THE BACKREST
• During use the Backrest will require cleaning. This can be done by simply applying a
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•
•
warm damp cloth with a mild detergent to the surface of the Backrest to remove any
soiling and towel dry. Note: The cover MUST be removed prior to any cleaning of this
Backrest.
If the Backrest remains slightly damp simply leave for a short period at room
temperature to dry.
DO NOT PUT THE BACKREST NEXT TO A HOT FIRE OR USE EXCESSIVE HEAT
TO DRY AS EXCESSIVE HEAT COULD AFFECT THE COMPONENTS MAKING UP
THE SHAPE OF THE BACKREST.
DO NOT USE SCOURERS OR CAUSTIC SUBSTANCES SUCH AS BLEACH
3.2. STRETCH COVERS
• If the Backrest has been supplied with a cover this will require occasional cleaning,
•
•
•
for cleaning of removable cover please refer to wash label on the inside of the padded
cover.
To remove the cover simply stretch off the Matrix Backrest System, taking care to
guide any straps etc. through the cover before removing.
When placing the cover back on the Backrest after cleaning, please note that the inner
label should be positioned at the top of the seat to ensure correct alignment of the
straps and general fit on to the Backrest.
ANY DEVIATIONS FROM THE ABOVE MAY AFFECT THE FIRE RETARDANCY OF
THE COVER(S).
14
3.3. HARNESSES, PADS & STRAPS
• Make sure all straps are in good working order and that buckles work correctly.
• If any show signs of fraying or any buckles are broken or faulty contact your
•
Wheelchair Service immediately, DO NOT ATTEMPT TO REPAIR.
Harnesses may be cleaned by applying a warm damp cloth with a mild detergent,
DO NOT USE POLISH.
3.4. VISUAL INSPECTION
• Every 3 - 4 weeks check the condition of the Matrix Backrest System and wheelchair,
•
•
if you notice any faults or broken parts please notify your Wheelchair Service
immediately, DO NOT ATTEMPT TO REPAIR.
Look at the frame components of the Backrest and make sure there are no signs of
distortion or loose attachments.
Check the interface components for damage or looseness.
3.5. FIRE RETARDANCY
• Fire retardant materials have been used in the construction of this Backrest system.
• It is important that no accelerants are introduced to the materials (e.g. Hairspray, fabric
cleaners, deodorants, polish etc..), as this may adversely affect the fire retardancy of
your equipment.
15
USER GUIDE 4.0
OPTIONAL FEATURES
4.1. ADJUSTABLE HEADREST
•
•
•
If the Backrest has been fitted with an adjustable headrest, the headrest will have
been adjusted when the Backrest was originally supplied.
If 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 BACKREST SYSTEM.
Fig.4.1a
Fig.4.1b
16
IF YOU DETECT A FAULT OR BREAKAGE
1.
IF YOU DETECT A FAULT OR BREAKAGE OF THE EQUIPMENT THEN REPORT
THIS IMMEDIATELY.
2.
UNDER NO CIRCUMSTANCES ARE ANY MODIFICATIONS / ALTERATIONS TO BE
DONE BY ANYONE OTHER THAN SPECIALISED ORTHOTIC SERVICES LTD (see
contact details enclosed).
3.
TO CONTACT SPECIALISED ORTHOTIC SERVICES LTD PLEASE REFER TO THE
INFORMATION INCLUDED IN THIS USER MANUAL.
REPAIRS & SERVICE
Within the warranty period.
All Seating Systems manufactured by Specialised Orthotic Services Ltd. carry a guarantee
on the main parts for 12 months, excluding covers and straps which are guaranteed for
3 months, when used normally. If during this period the product becomes defective and
needs repair then please contact SOS (please see the end of this users guide for details).
You can also contact your local wheelchair service regarding any faults requiring attention.
Outside the warranty period.
For any goods requiring repair or attention after the guaranteed period, then assessment
can be made as to the cost of the work required to effect the repair.
On acceptance of this quotation the work will proceed.
Misuse or neglect.
The repairs necessary resulting from misuse or neglect, whether within the warranty
period or not will be charged for.
MEDICAL DEVICES DIRECTIVE 93 / 42 EEC
Specialised Orthotic Services Ltd. in compliance with the Medical Devices Directive
have an obligation to investigate and take corrective action on defective devices. To assist
us with this procedure we would appreciate your assistance in meeting this obligation by
informing us as soon as possible and make the device available for inspection as soon as
possible having become aware of a defect.
We are required to notify the Competent Authority of certain types of incidents within 10 to
30 days.
As part of our quality system we have established procedures to deal with such incidences
and would appreciate your swift notification to us via our telephone, fax or e-mail details at
the end of this users manual.
17
NOTES:
18
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: [email protected]
Web: www.specialisedorthoticservices.co.uk
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