Excel Recliner User Manual - DASCO Home Medical Equipment

Excel Recliner User Manual - DASCO Home Medical Equipment
EXCEL RECLINER
Reclining Wheelchair
Owner’s Operator & Maintenance Manual
DEALER:
This manual must be given to the user of the wheelchair.
USER:
Please read this manual before using the wheelchair for warnings,
maintenance and safe usage instructions of this wheelchair.
2
Congratulations on your selection of the
Medline Recliner Wheelchair.
Medline wheelchairs are the result of extensive engineering
and are manufactured to meet our rigid specifications
and to surpass your expectations.
Medline wheelchairs are designed to combine comfort, safety
and reliability. Medline Industries, Inc. is committed to the
quality of our products and to the satisfaction of our customers.
Typical Product Specifications for the EXCEL RECLINER Wheelchair:
Weight
Weight Capacity
Seat Width
Seat Depth
Seat Height
Back & Head Height
Recline Range
Axle
Armrests
Footrests
Legrests
Wheels
Wheel locks
HCPCS Code
Warranty on Frame &
Crossbar
Warranty on Upholstery
Parts & Components
44 lbs without leg riggings, 52 lbs with leg riggings
16” chair: 300lbs
18” & 20” chair: 350lbs
16”, 18”, 20”
17”
19” standard, 17” hemi height
Full 22” back with a 10” removable headrest
From 90° to 160°
Dual Hemi Height Adjustable (except 20”)
Removable desk length, removable full length
Swing-away detachable
Standard, elevating
Solid urethane
Patient operated
K0003
Limited Lifetime
One year
Reorder Numbers:
MDS808350
16” Reclining wheelchair, removable desk-length arms, swing away elevating
legrests, anti-tippers (includes dual axle)
MDS808450
18” Reclining wheelchair, removable desk-length arms, swing away elevating
legrests, anti-tippers (includes dual axle)
MDS808550
20” Reclining wheelchair, removable desk-length arms, swing away elevating
legrests, anti-tippers (no dual axle on this model)
COLOR: BLACK
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WARNING
TO ENSURE YOUR SAFETY IN USING THIS MEDLINE
WHEELCHAIR, ALL WARNINGS AND SAFETY INFORMATION
AND ALL INSTRUCTIONS MUST BE FOLLOWED. FAILURE TO
DO SO MAY RESULT IN SERIOUS BODILY INJURY OR DAMAGE
TO THE WHEELCHAIR.
DO NOT USE THIS PRODUCT WITHOUT FIRST READING AND
UNDERSTANDING THE INSTRUCTIONS CONTAINED IN THIS
BOOKLET. IF YOU ARE UNABLE TO UNDERSTAND THE
WARNINGS, CAUTIONS OR INSTRUCTIONS, CONTACT A
HEALTHCARE PROFESSIONAL, DURABLE MEDICAL DEALER
OR TECHNICAL PERSONNEL, OR CONTACT MEDLINE AT
1-800-MEDLINE BEFORE USE - OTHERWISE SERIOUS BODILY
INJURY OR PRODUCT DAMAGE MAY OCCUR.
A QUALIFIED WHEELCHAIR TECHNICIAN MUST PERFORM ANY
REPAIR OR CHANGE TO THIS WHEELCHAIR OR SERIOUS
INJURY MAY OCCUR. TECHNICIANS: DO NOT SERVICE THE
WHEELCHAIR WITHOUT FIRST READING AND
UNDERSTANDING THIS OWNER’S MANUAL. IF YOU ARE
UNABLE TO UNDERSTAND THE WARNINGS, CAUTIONS OR
INSTRUCTIONS, CONTACT MEDLINE AT 1-800-MEDLINE.
DO NOT USE ACCESSORIES, PARTS, OR ADAPTERS OTHER
THAN THOSE AUTHORIZED BY MEDLINE.
CONSULT WITH YOUR DOCTOR, PHYSICAL OR
OCCUPATIONAL THERAPIST, OR OTHER QUALIFIED
PROFESSIONAL REGARDING THE SELECTION OF THE TYPE
OF WHEELCHAIR AND ACCESSORIES BEST SUITED TO YOUR
INDIVIDUAL NEEDS AND CAPABILITIES.
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TABLE OF CONTENTS
Product Specifications, Reorder Numbers………………….………………..
General WARNINGS…………….……………………………..………………..
Table of Contents………………………..………………………………………...
Basic Wheelchair Terminology…………..……………………………………..
2
3
4
5
WARNINGS and Safety Instructions
General information, Environmental……………………………………..…….
General Use………………………………………………………………………
General Care, Adjustments, Before Each Use……………………………......
6
7
9
Guidelines: Safety and Handling of Wheelchairs
Center of Gravity, Balance, Stability, Reaching/Leaning/Bending Forward..
Reaching / Leaning Backward, Transferring……………………………….....
Ramps / Inclines, Obstacles, Curbs……………………………………………
Basic Information for Wheelchair User Assistants……………………………
10
11
12
13
General Use Instructions
Opening the Wheelchair………………………………………………………....
Closing the wheelchair…………………………………………………………..
Installing the Anti-tippers…………………………….…………………………..
Wheel Locks………………………………………………………………………
Adjusting the Wheel Locks………………………………………………………
Installing Caster and Rear Wheels, Adjusting to Hemi Height......................
Arm Rests……….……………………………………………………………..….
Recliner Operation……………………………………………………………….
Adjusting the Legrest Pad, Adjusting the Legrest Length………………...….
Adjusting / Elevating the Legrest…………....................................................
Installing / Removing the Swing-Away Legrest Riggings…………...…….....
14
15
16
17
18
19
20
21
22
23
24
Safety Inspection and Maintenance
General Care, Monthly Checklist / Troubleshooting…………………..…...…
Maintenance………………………………………………………………………
Safety Inspection Checklist……………………………………………………..
Limited Warranty………………………………………………………………..…
25
26
27
28
5
BASIC WHEELCHAIR TERMINOLOGY
9
4
3
8
5
10
7
6
2
1
14
11
13
10
15
16
9
12
For chairs with
elevating legrests
1. Armrest assembly, desk length
9. Rear wheel assembly
2. Seat Upholstery
10. Axle, rear wheel
3. Back Upholstery
11. Front fork
4. Headrest assembly
12. Front caster
5. Stabilizing bar
13. Wheel lock assembly
6. Reclining system
14. Footrest assembly
7. Cable & release for reclining system
15. Elevating legrest assembly
8. Back canes
16. Calf pad
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WARNINGS & SAFETY INSTRUCTIONS
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General Information
DO NOT use this product without first reading and understanding the
instructions contained in this booklet. If you are unable to understand the
Warnings, Cautions or Instructions, contact a healthcare professional, durable
medical equipment dealer or technical personnel, or contact Medline at
1-800-Medline before use - otherwise serious bodily injury or product damage
may occur.
DO NOT use the wheelchair in a vehicle for transport. This wheelchair has not
been approved as a seat surface to be used within a vehicle of any kind.
Always transfer the wheelchair user to an approved vehicle seat and use
restraints available from the auto industry for this application.
DO NOT exceed the weight capacity of the wheelchair: 16” chair: 300lbs,
18” & 20” chairs: 350lbs. The weight capacity includes the weight of the rider
plus items carried or attached to the wheelchair.
DO NOT use the wheelchair while weight training. Medline wheelchairs have
not been tested for any type of weight training. If the chair is used during
weight training, Medline will not be held liable. If the weight capacity is
exceeded, risk of fall, tip-over or loss of control may occur which can result in
bodily injury or product damage.
A seat restraint / positioning strap (optional accessory) is recommended to
maximize stability and safety.
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Environmental
Your chair is designed for use on firm, even surfaces such as concrete,
asphalt, and indoor floors and carpeting.
DO NOT operate the wheelchair on streets or roadways.
DO NOT operate the wheelchair on loose, slippery, or uneven surfaces such
as sand, gravel, hills, dirt roads, or ice.
DO NOT operate the wheelchair on inclines greater than 10% (6 degrees)
without assistance.
DO NOT attempt to go up or down inclines that are covered with oil, water, ice
or any other potentially slippery substance.
DO NOT attempt to ride over curbs or obstacles. Doing so may cause your
wheelchair to tip over and cause bodily harm to you or damage to the
wheelchair.
DO NOT use the wheelchair on stairs or escalators.
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WARNINGS & SAFETY INSTRUCTIONS
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General Use
DO NOT stand on the frame of the wheelchair.
DO NOT stand on or put pressure on the footrests. When getting in or out of
the wheelchair, make sure the footplates are in the up position.
DO NOT attempt to lift the wheelchair by any detachable components.
Always make sure to completely open the wheelchair before sitting in the
wheelchair. Confirm that the seat tubes (frame rails) are completely resting in
the seat cradles.
WARNING: There is a potential finger pinch point between the seat frame
rails and the seat cradles. DO NOT place your hand or fingers between the
seat frame rails and the seat cradles when opening or closing the wheelchair.
ALWAYS keep hands and fingers away from moving parts. DO NOT sit in the
wheelchair until it is completely open and the seat frame rails are firmly
seated in the seat cradles. Risk of injury may occur if care is not taken.
DO NOT use the wheelchair without the stabilizer bar securely locked in place.
The wheelchair should be on a stable, level surface with both wheel locks
engaged before transferring the user to or from the wheelchair.
Completely engage BOTH wheel locks:
• when entering and leaving the wheelchair
• when using the wheelchair in an elevator or a wheelchair lift
• before reclining / inclining the occupant of the wheelchair
DO NOT transfer in or out of the wheelchair on your own unless you have
sufficient upper body strength, balance and agility and have been instructed in
transfer techniques by a health professional. Every precaution should be
taken to reduce the gap distance between the wheelchair and the target seat
or bed. Turn both casters parallel to the object you are transferring onto.
Ensure the seat back is in the upright position.
WARNING: DO NOT use the Excel Recliner Wheelchair without the anti-tip
devices installed. Anti-tippers MUST be attached at all times and both
adjusted to the same height. Ensure the anti-tippers are secure as evidenced
by the spring buttons fully protruding out of the holes. If the seat-to-floor
height is changed, the height of the anti-tippers must also be adjusted.
Make sure the stabilizer bar is securely attached BEFORE using the
wheelchair.
Make sure the occupant is properly positioned before the wheelchair is
reclined or inclined.
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WARNINGS & SAFETY INSTRUCTIONS
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General Use
Make sure both back canes are at the same angle BEFORE releasing the
handles of the recline mechanism.
Caregivers MUST be prepared to support the weight of the occupant when
reclining or returning the wheelchair occupant to the full upright position. Use
proper body mechanics when inclining (lifting) the back of the chair.
The Excel Recliner wheelchair MUST be operated by a healthcare professional
or assistant when in ANY reclined position.
DO NOT use the wheel locks to stop the wheelchair from moving. Wheel locks
are not brakes. DO NOT use the wheel locks to slow your descent down an
incline.
ALWAYS use the handrims – DO NOT grip the rear wheels themselves.
Changing direction when going down an incline could cause instability.
DO NOT lean forward out of the wheelchair any farther than the length of the
armrests.
DO NOT attempt to reach for objects if doing so means you must move
forward in the seat.
DO NOT attempt to reach objects if you have to pick them up from the floor by
reaching down between your knees.
DO NOT shift your weight or sitting position toward the direction you are
reaching as the wheelchair may tip over.
DO NOT attempt to lean over the top of the back upholstery to reach objects.
Before leaning or reaching forward, make sure to rotate the casters straight
ahead toward the front of the wheelchair. This can be achieved by advancing
the wheelchair and then reversing it in a straight line. Be sure to engage both
wheel locks to prevent the wheelchair from tipping over or moving.
DO NOT tip the wheelchair without assistance. DO NOT lean the wheelchair
back since this can cause the wheelchair to tip over. If trying to reach objects,
reach back only as far as your arm will extend without altering your seating
position.
Any person assisting the rider in maneuvering or lifting of the wheelchair must
have sufficient strength and be able to see obstacles in the path of travel.
When learning a new assistance technique, have an experienced assistant
help you before attempting it alone. Remember to use good body mechanics.
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WARNINGS & SAFETY INSTRUCTIONS
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General Care
Contact with water or excess moisture may cause the wheelchair to rust or
corrode. DO NOT use the chair in a shower, pool or other body of water.
Avoid excess moisture (example: do not leave the chair in a damp bathroom
while taking a shower).
Dry the chair immediately if exposed to moisture.
When cleaning the hand grips, use only a clean towel lightly dampened with
cool water. Ensure the hand grips are dry before use. Use of soap or
ammonia based cleaning solutions may result in the hand grips sliding off.
If the wheelchair is exposed to extreme temperatures, high humidity, and/or
becomes wet, check the handgrips to ensure they are not loose and do not
twist on the handle.
Avoid storing or using the wheelchair near open flames or combustible
products.
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Adjustments
DO NOT operate, maintain, or adjust the wheelchair without reading and
understanding all instructions in the manual.
DO NOT adjust the footrests any closer than 2 ½ inches from the floor.
DO NOT modify the wheelchair. Examples: drilling holes, grinding, welding
parts, using non-authorized / non-approved parts. Such modifications may
change the chair’s structure and center of balance which may increase the
risk of serious injury to the user and void the warranty.
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Before EACH Use
9 Make sure the chair rolls easily and that all parts work smoothly.
9 Check for noise, vibration, or any change in use. They may indicate loose
parts or wheelchair damage.
9 Check to ensure the seat back reclines / inclines smoothly and locks in
place when the cables are released.
9 Check to ensure wheel locks are in good working order.
9 Make sure hand grips are not loose and cannot be moved or twisted.
9 Have any problem found repaired promptly with authorized parts.
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GUIDELINES:
SAFETY & HANDLING OF WHEELCHAIRS
Center of Gravity, Balance and Stability
Your wheelchair has been designed to be safe and stable during normal daily
activity as long as proper balance is maintained. The point at which a wheelchair
will tip forward, backward, or to the side depends on its center of balance. To
assure stability and proper operation of your wheelchair, you must maintain your
center of gravity in the chair. Center of gravity is the point at which all the weight of
an object can be considered to be concentrated and represents the balance point.
Most daily activities such as transferring in and out of the wheelchair, bending, and
reaching affect the center of gravity and weight distribution of the wheelchair.
Addition of accessories such as a backpack will also re-distribute weight.
(Backpacks should not remain attached when the wheelchair is reclined.) Loss of
proper balance may cause you to tip over. Use of a seat restraint / positioning belt
may help maintain stability by minimizing movement within the wheelchair seat.
Reclining the wheelchair will alter the center of gravity. Anti-tip devices MUST
ALWAYS be in place.
To determine your particular safety limits, it is recommended that you practice daily
activities such as transferring, bending, and reaching with a healthcare professional
that is knowledgeable about wheelchair use. It is important to learn the
characteristics of your wheelchair and to incorporate safe methods of use for the
activities of your lifestyle. This should be done BEFORE independent use of the
wheelchair occurs.
To assure safe operation of the wheelchair, ALL of the Warnings and Instructions in
this manual must be followed. Failure to do so may result in tipping the wheel chair
over or causing the user to fall which may result in serious bodily injury or damage to
the wheelchair.
Some basic wheelchair safety guidelines follow. Important note: All basic
wheelchair safety information pertains to activity with the back of the chair
locked in the fully upright position only. It is very important that you work with
your healthcare professional to establish mobility techniques that are safe, are within
your capabilities, and address your individual daily activities and environment.
Reaching / Leaning / Bending – FORWARD or SIDEWAYS
• Position the wheelchair as close as possible to the object.
• Make sure the front casters are pointing in a forward position. This extends the
wheel base and will help stabilize the chair.
• Make sure the wheel locks are engaged before activity.
• DO NOT attempt to reach for objects if doing so means you must move forward
in the seat.
• DO NOT shift your weight or seat position toward the direction you are reaching.
• DO NOT attempt to reach objects if you have to pick them up from the floor by
reaching down between your knees.
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GUIDELINES:
SAFETY & HANDLING OF WHEELCHAIRS
Reaching / Leaning – BACKWARD
• Position the wheelchair as close as possible to the object.
• Make sure the front casters are pointing in a forward position. This extends the
wheel base and will help stabilize the chair.
• DO NOT engage the wheel locks – if your weight shifts while reaching backwards
it is better for the wheelchair to roll than to tip.
• DO NOT lean back over the top of the back upholstery.
• Reach back only as far as your arm will extend without changing your position in
the seat.
Transferring into and out of the wheelchair
Transferring to and from the wheelchair is a significant task that requires balance,
agility and upper body strength. Practice with your healthcare provider before
attempting transfers. If possible, always use a transfer board and have assistance
available. Remember that during every transfer, there is always a point where a seat
is not beneath you.
• Make sure the seat back is in the upright position and the stabilizer bar is
secured in place.
• Position the wheelchair as close as possible to the seat or bed you are
transferring to. Use a transfer board whenever possible.
• Position both casters parallel to the seat you are transferring to.
• Make sure both wheel locks are engaged.
• Remove the armrest and footrest that are in the transfer path.
• DO NOT put weight on the foot rests.
• Transfer as far back into the seat or onto the bed as possible.
12
GUIDELINES:
SAFETY & HANDLING OF WHEELCHAIRS
Ramps / Inclines
Know your own capabilities and limitations in terms of strength and endurance
before attempting to go up or down a ramp. Slopes will change your center of
gravity. DO NOT attempt to negotiate steep inclines greater than 10% (6 degrees or
one foot of rise or fall for every ten feet of ramp length) without assistance. Use of
anti-tip devices are encouraged, however, they may not prevent a tip-over.
Sometimes anti-tip devices may catch at the beginning of a ramp. If this occurs,
they will need to be disengaged and extra care should be taken. Backpacks or other
gear on the back of the wheelchair will cause you to tip backward more easily.
Practice negotiating ramps with your healthcare professional before attempting them
on your own. If possible, have an assistant available.
• Go as straight up or down the incline as possible.
• Check the ramp for any obstacles, bumps, depressions, or wetness before
•
•
•
•
•
•
•
beginning. Ask for assistance if necessary.
Stay in the center of the ramp if possible.
Avoid changing direction as this may cause loss of control of the wheelchair.
Avoid stopping on a ramp. Stopping may cause loss of control of the wheelchair.
If stopping is necessary, avoid sudden, abrupt forward movement when you
resume propelling the chair as that could cause instability.
When going up an incline, lean forward. This will adjust your center of gravity to
counteract the tendency of your wheelchair to tip backward.
When going down a ramp, face forward and lean backward into the seat.
Descent should always be done slowly. Use the handrims to slow your descent.
DO NOT use wheel locks as brakes to slow down or stop. Attempting to use the
wheel locks could result in accidental locking, veering or tipping to one side, or
suddenly stopping.
If the ramp has handrails, you can use them to help propel yourself up the ramp.
Pull yourself up the ramp by pushing on one wheel handrim while pulling on the
handrail. If two rails are available, you can use both to pull yourself up the ramp.
If an assistant is wheeling you down a steep incline, go down backwards to avoid
tipping out of the chair.
Obstacles
Obstacles such as floor threshold strips, uneven floors, cords or items on the floor,
or cracks in pavements can damage your wheelchair and may cause loss of control
or a tip over. Be alert! Scan your path and avoid any items that may cause
instability.
Curbs, Steps and Stairs
Do not attempt to negotiate curbs or single steps without assistance! Ask your
healthcare worker to provide instructions to you and your assistant regarding safe
wheelchair use for curbs, steps and stairs.
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GUIDELINES:
SAFETY & HANDLING OF WHEELCHAIRS
Basic Information for Wheelchair User Assistants
Work with the wheelchair user’s healthcare professional to learn safe ways to
assist that are within your capability and comfort level. Always tell the rider what
you intend to do so he/she is ready for your actions and can assist with
maintaining a balanced center of gravity for stability.
To prevent injury to yourself, always maintain good body mechanics:
• Always ask the wheel chair rider if they would like assistance.
• Always tell the rider what you are going to do.
• Bend at the knees, not at the waist. Keep knees bent, not locked straight.
• Use legs for strength, not the weaker muscles of the back or arms. This
will help prevent back strain.
• Do not twist at the waist. Keep the torso facing the same direction as the
hips and move the feet to turn. This will help prevent back strain.
• Maintain a straight back. Hunching over or rounding the shoulders can
cause back strain.
• Do not hesitate to call for additional assistance if needed.
• If you do not feel comfortable with an activity you are requested to assist
with (such as negotiating a step or a steep incline), you may decline to
assist. Help the wheelchair user find appropriate assistance.
• Be prepared to support the weight of the rider when reclining or returning
the wheelchair back to the full upright position. Maintain good body
mechanics.
• Always stay in attendance when the wheelchair is in the reclined position.
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GENERAL USE INSTRUCTIONS
OPENING AND FOLDING THE WHEELCHAIR
To OPEN the Chair
1. Tilt the wheelchair toward you (to one side).
2. Push down on the raised side of the wheelchair. This will partially open the
chair.
3. With your fingers and thumbs pointed towards the inside of the
wheelchair, push downward on the seat frame rails until the wheelchair is
fully open. Make sure that the seat frame rails rest completely inside all 4
seat cradles. Keep hands and fingers away from the area under the rail.
See photo below.
4. Secure the stabilizer bar. The bar should already be attached on the left
side of the chair. Push the notched part of the stabilizer bar flush with the
stabilizer bar connection on the right back cane and hand tighten the
triangular thumb screw.
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WARNING: There is a potential finger pinch point between the seat
frame rails and the seat cradles. DO NOT place your hand or fingers
between the seat frame rails and the seat cradles when opening or closing
the wheelchair. ALWAYS keep hands and fingers away from moving
parts.
DO NOT sit in the wheelchair until it is completely open, the seat frame rail
is firmly seated in the seat cradles, and the stabilizer bar is secured in
place. Risk of injury may occur if care is not taken.
seat
seat
frame
rail
seat
frame
rail
seat
cradle
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GENERAL USE INSTRUCTIONS
__________________________________________________________________
head Support
right back
cane
triangular
thumb
screw
triangular
thumb
screw
stabilizer bar
To CLOSE / FOLD the chair
1. Loosen the triangle screw on the right side of the stabilizing bar. Swing
the stabilizing bar down and to the left side.
2. Ensure the swing-away legrests are in the forward and locked position.
3. Fold the footplates up to the vertical position.
4. With both hands, hold the center of the seat upholstery at the front and
back edge and lift up.
5. Alternatively, after starting by lifting the seat upholstery, you may lift up on
the two seat frame rails.
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GENERAL USE INSTRUCTIONS
INSTALLING THE ANTI-TIPPERS
WARNINGS:
• Anti-tippers MUST BE attached at all times.
• Anti-tippers MUST be fully engaged. Ensure the release button of
the anti-tipper fully protrudes out of the hole on the bottom of the
wheelchair frame.
• Ensure both anti-tippers are adjusted to the same height.
• A 1½ to 2 inch clearance between the bottom of the anti-tipper
wheels and the ground/floor must be maintained at all times.
Installed anti-tipper
Anti-tipper
release
button
3 adjustment
holes
To install the anti-tippers:
1. Depress the release buttons and insert the anti-tippers with the anti-tipper
wheels pointing toward the ground/floor into the wheelchair frame tubing.
2. Ensure that the release button of the anti-tipper fully protrudes out of the
hole in the bottom of the wheelchair frame tubing.
3. Adjust anti-tippers as necessary.
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GENERAL USE INSTRUCTIONS
WHEEL LOCKS
To Engage the Wheel Locks
• Push the wheel lock handle forward to unlock the chair.
• Pull the wheel lock handle back to engage the lock.
wheel
lock
handle
wheel lock
engaged
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WHEEL LOCK WARNINGS
• Check the wheel locks to ensure proper function before using the chair.
Wheel locks should embed into the wheel at least 1/8 inch when engaged.
• Engage the wheel locks on both wheels before entering the chair, leaving
the chair, leaning forward in the chair or while being transported in an
elevator or a wheelchair lift.
• Check to make sure that the legrests do not unlock the wheel locks when
they are swung back.
• DO NOT use the wheel locks to stop the wheelchair from moving. Wheel
locks are not brakes. DO NOT use the wheel locks to slow your descent
down an incline.
18
GENERAL USE INSTRUCTIONS
To Adjust the Wheel Locks
When adjusted correctly, the wheel lock shoe should be embedded into the tire
at least 1/8” when engaged in the locked position.
1. Loosen the wheel lock nut on the wheel lock carriage bolt.
2. Slide the clamp toward / away from the rear wheel until the lock shoe is
embedded at least 1/8 inch into the tire when the handle is engaged in the
locked position.
3. Tighten the nut and bolt to secure the position.
4. Inspect for correct locking action BEFORE the wheelchair is used.
wheel lock clamp assembly
wheel lock carriage clamp
with bolt
wheel lock nut
(posterior view of carriage clamp)
19
GENERAL USE INSTRUCTIONS
Installing / Removing / Adjusting Caster Wheels
The caster height will need to be adjusted if the
wheelchair is changed from standard to hemi height
or vice verse. Remove the caster wheel screw and
nut, reposition the wheel to the appropriate height
using the three holes in the fork, and re-connect the
caster with the screw and nut. Choose the height
that provides the most comfortable maneuvering
capabilities while making the wheelchair level and
most stable. Ensure that both casters are installed
in the same respective mounting hole.
Note: Anti-tippers must also be adjusted.
Adjusting to Hemi Height / Installing / Removing Rear Wheels
The wheelchair is shipped in the standard height configuration. Adjusting the
wheelchair to hemi height will lower the rear frame by 2 inches.
To remove the wheel axle for replacement or changing between standard and hemi
height: (17mm & 19mm socket wrench required)
1.
2.
3.
4.
Remove the hub cap cover.
Remove the axle bolt nut located on the inner side of the wheelchair frame.
Remove the axle bolt.
Slide the wheel / axle off the axle sleeve.
Posterior view of right wheel
Hemi height
axle sleeve
Axle bolt nut
standard
height axle
axle bolt
To install the wheel:
1. If present, remove the plastic plug from the desired axle hole and insert it into
the non-used axle hole. Insert the rear wheel axle bolt into the desired axle
sleeve. (standard or hemi height)
2. Fully tighten the axle bolt.
3. Secure the wheel by placing and tightening the axle bolt nut.
4. Replace the hubcap.
20
GENERAL USE INSTRUCTIONS
Installing / Removing Rear Wheels / Adjusting to Hemi Height
Warnings:
After changing a wheel or changing the wheelchair height:
• Check wheel locks for proper adjustment before use.
• Re-adjust the anti-tipper position to accommodate the chair height.
• After the chair height has been changed, the front casters also require
adjustment to accommodate the chair height. Check to make sure the
wheelchair is level and rolls smoothly.
Detachable Arms
1. Depress the armrest spring button.
2. Lift the arm up and out of the front and rear sockets.
3. To replace, fit the armrest securely into the front and rear sockets and push
down. Ensure the armrest spring clip is fully locked in place and the spring
button is fully extended.
armrest spring button
armrest spring button
locking clip
WARNINGS:
Make sure arms are securely locked before operating the wheelchair.
DO NOT lift the wheelchair by detachable armrests.
21
GENERAL USE INSTRUCTIONS
Recliner Operation
WARNINGS:
• ALWAYS make sure the wheelchair is stable BEFORE using the recliner.
• Anti-tippers MUST be attached at all times. Ensure both anti-tippers are
adjusted to the same height.
• Ensure the stabilizer bar is attached and secured BEFORE using the
Excel Recliner.
• Use good body mechanics! Be prepared to support the weight of the
occupant when assisting with reclining / inclining the back.
• The occupant must never be left unattended while the wheelchair is
reclined.
To Recline:
1. Attach stabilizer bar if not already in place.
2. Inform the wheelchair occupant that you are about to recline the back of the chair.
3. Make sure the wheelchair is occupied and is on a level surface before reclining.
4. Stand behind the wheelchair and grasp both handles firmly. Make sure both the
back canes and handles are at the same angle BEFORE releasing the levers.
5. Lift up on the handles and squeeze the release levers.
6. SLOWLY pull back on / guide the back assembly while squeezing the release
levers.
7. When the back reaches the desired angle, SLOWLY let go of the release levers.
To Incline: (decrease the degree of recline or return the back to the upright position)
1. Lift up on the handles and squeeze the release levers. Be prepared to support
the occupant’s weight.
2. SLOWLY raise the back of the chair while continuing to squeeze the release
levers.
3. Stop at the desired height or when the back is fully upright.
4. Release the release levers.
Adjusting the Reclining mechanism
Adjustments to the reclining mechanism should only be performed by a qualified
wheelchair technician. If the seat back does not recline / incline smoothly, or if
the seat back does not lock into place easily, DO NOT use the reclining feature
until the chair has been serviced.
22
GENERAL USE INSTRUCTIONS
Adjusting the Position of the Legrest Pad
When adjusting the position of the footrest / legrest rigging and pad, the
wheelchair user should be sitting in the wheelchair with his/her feet on the
footplates.
To easily adjust the legrest pad:
1. Swing the pad up to a vertical position.
2. Slide the pad up or down into the most comfortable slot. There are three
positions to choose from. (“A” in photo below)
3. Turn the pad to lock into place.
If this is not sufficient, continue with the following to move the location of the
legrest pad on the legrest support assembly.
1. Loosen the bolt on the clamp around the legrest pad assembly.
(“B” in the photo below).
2. Raise or lower the legrest pad assembly as needed to provide maximum
support of the thighs on the seat upholstery.
A. 3 slots for
simple pad height
adjustment
Legrest
support
assembly
B. legrest pad
bolt & clamp
C. leg length adjustment bolt
To adjust the length of the legrest assembly
1. Loosen the leg length adjustment bolt. (“C” in photo above.)
2. Adjust the length of the legrest assembly by sliding the footrest portion up
or down. The front rigging should not be lowered to the point that it
causes pressure on the thighs at the front of the seat upholstery.
3. Tighten the legrest bolt.
WARNING: The footrest should not be closer than 2 ½ inches from the
ground to ensure proper clearance.
23
GENERAL USE INSTRUCTIONS
Adjusting / Elevating the Legrest
1. To elevate the legrest assembly, simply lift up on the legrest assembly by
the footplate to the desired height or position.
2. Release the legrest and it will automatically lock in place due to the ratchet
rod.
3. To lower the legrest assembly, hold onto it by the footplate and push out
on the legrest lever.
4. Slowly lower the legrest until the desired position is reached.
Legrest lever
Lift up to
elevate
Swing away leg
release
Ratchet rod
24
GENERAL USE INSTRUCTIONS
Installing / Removing the Swing-away Legrest / Footrest Riggings
To Swing-away / Remove the Legrest assembly:
1. Release the lock by pushing on the front rigging lever.
2. Swing the legrest outward and to the side.
3. To remove the legrest, lift up on the assembly to remove the legrest off the
hinge pins.
Front rigging lever
Swing-away release
Legrest hinge pins with
legrest in place
To Install the Riggings:
1. Open the footplate (turn it perpendicular to the wheelchair). Hold the
legrest rigging to the side of the wheelchair.
2. Install the legrest assembly hinge plates onto the hinge pins of the
wheelchair frame.
3. Push the legrest rigging to the front until it locks into place.
Legrest hinge pins with
legrests removed
25
SAFETY INSPECTION & MAINTENANCE
It is highly recommended that the wheelchair be taken to a qualified dealer
annually for a thorough inspection and maintenance / repair service.
GENERAL CARE
• Wipe off chrome parts at least once per week using a clean, soft cloth.
• Clean all metal parts with auto wax or similar products.
• Dry the chair immediately if exposed to moisture.
• Do not use abrasive cleanser or materials that will scratch the finish of the
chair.
• Clean the upholstery with a mild soap solution, rinse and wipe dry.
• Clean the handgrips with water only and dry thoroughly. Use of soap or
ammonia based cleaning solutions may loosen the grips.
MONTHLY CHECK LIST / TROUBLESHOOTING
General:
Inspect the entire wheelchair for broken parts, sharp edges and loose fasteners.
Ensure that everything works and the chair rolls straight without drag and does
not pull to one side. Replace or tighten parts as needed. Inspect for bent
frame and crossbars.
Frame and Crossbraces:
Check that the frame and crossbraces are not bent or dented. Check the tubing for
cracks and rust. If such issues are found, take the wheelchair to your local service
dealer. Clean and lightly oil the two rear axles on each side of the frame (standard and
hemi height) to prevent rust. Plastic caps should be placed over the axle holes while
not in use.
Upholstery:
Inspect for any rips, tears or worn spots and replace as necessary. Inspect the
upholstery screws and assure that all are present and tight. Torn or worn
upholstery may not support the user’s weight and could result in a fall with
serious bodily injury.
Armrests:
Check for cracks or sharp edges. Inspect the spring locks. They should engage
fully and should not bind.
Handgrips:
Ensure the handgrips are tight and secure on the handles. They should not
move or twist.
Handrims:
Inspect the handrims for signs of rough edges or peeling. Replace as needed.
26
MAINTENANCE
Footrests / Legrests:
Ensure the legrests remain secure when elevated. Ensure the legrest
assembly release works properly. For swing away detachable legrests, ensure
the assembly automatically locks securely into place when attached and will not
accidentally unlock.
Recliner:
Inspect the reclining mechanisms to ensure they are clean and work freely.
Ensure that the stabilizer bar locks securely into place.
Front Caster Forks:
Verify the forks swivel freely without binding. Check to ensure the casters roll
freely by lifting the chair and spinning the caster. The caster should come to a
gradual stop. If the nut is too loose, the caster will flutter or shimmy. If the nut
is too tight, the chair will be difficult to steer. Check the bearings and clean the
fork stem housing.
Front Casters and Rear Wheels:
The fork housing and the rear and front wheels are constructed with low
maintenance, sealed bearings to keep dirt out and increase the durability of the
chair. Bearings are also protected with an additional bearing spacer
component. Check that the wheels are not warped, cracked or otherwise
damaged and the spokes are not broken. Replace as needed. Assure that the
wheels spin freely. Replacement and maintenance of wheel bearings should be
completed by a qualified wheelchair technician only.
Rear Wheels:
The rear wheels should be checked for correct tightness. Lift the wheelchair
and spin the rear wheels. If the wheel wobbles or is loose the bearings may be
worn. Ensure the axle bolt and axle nut are tight.
Front and Rear Tires:
Solid tires require minimal maintenance. They should occasionally be cleaned
with a damp cloth. Replace the tires if they become cracked, excessively worn,
or have flat spots.
Wheel Locks:
Check to ensure both locks engage correctly and embeds in the tire at least
1/8 inch. If the lock is worn or damaged, it needs to be replaced. Make sure
the locking assembly is securely attached to the frame and the wheel will not
move when the lock is engaged. Make sure the wheel lock does not interfere
with wheel rotation when the lock is not engaged. See wheel lock adjustment
instructions in the General Use section.
27
MAINTENANCE
SAFETY INSPECTION CHECKLIST
INITIALLY
ITEM
GENERAL
Wheelchair rolls straight.
(no excessive pull to one side)
INSPECT
/ ADJUST
WEEKLY
INSPECT /
ADJUST
MONTHLY
X
CLEANING
Wipe chrome parts with clean, soft cloth.
Auto wax / similar product on metal parts.
Clean upholstery with mild soap solution with
hand-wash or drip-dry only. Machine washing
may damage upholstery. Heat from a dryer may
damage upholstery.
Note: Washing the fabric may decrease fire
retardant properties.
Use only water on handgrips.
Dry chair immediately when wet.
Do not use abrasive cleansers or cloths.
FRAME & CROSSBRACES
Inspect for loose or missing hardware.
Inspect for bent frame or crossbraces.
X
X
X
INSPECT /
ADJUST
PERIODICALLY
X
X
X
X
X
X
X
X
X
SEAT AND BACK UPHOLSTERY
Inspect for rips or sagging.
Inspect for loose or broken hardware.
X
X
HANDRIMS
Inspect for signs of rough edges or peeling.
X
X
X
X
X
X
RECLINER
Inspect reclining mechanisms to ensure they
are clean and work freely.
Ensure stabilizer bar engages securely.
FRONT CASTERS AND REAR WHEELS
Inspect wheel / fork assembly for proper tension
by lifting the chair and spinning the caster. It
should come to a gradual stop.
Loosen locknut if wheel wobbles / tighten
locknut if wheel binds to a stop.
Ensure wheel bearings are clean and free of
moisture.
REAR WHEELS
No excessive side movement or binding when
chair is lifted and wheels are spun.
FRONT AND REAR TIRES
Inspect for flat spots and wear.
X
X
X
X
X
X
X
X
X
WHEEL LOCKS
Do not interfere with tires when rolling.
Pivot points free of wear and looseness.
Wheel locks easy to engage.
X
X
X
X
X
X
X
X
X
Take your wheelchair to a qualified dealer annually for a thorough
inspection and maintenance / repair services.
28
MAINTENANCE
Cautions:
Use only Medline Industries authorized accessories and parts.
DO NOT modify the wheelchair. Examples: drilling holes, grinding, welding
parts, using non-authorized / non-approved parts. Such modifications may
change the chair’s structure and center of balance which may increase the
risk of serious injury to the user and void the warranty.
Medline Limited Warranty
Medline has great confidence in the quality of our wheelchairs. That is why
Medline warranties for the original purchaser, that the frame of the wheelchair
will be free from defects in materials and workmanship for the life of the chair.
Medline also warranties the parts and upholstery on the wheelchair to be free
from defect in materials and workmanship for a period of one (1) year from date
of purchase by the original purchaser.
If within the warranty period any such product shall be proven to be defective,
such product shall be repaired or replaced, at Medline’s option.
This warranty does not cover device failure due to owner misuse or negligence,
or normal wear and tear.
All warranty claims must include the product in question unless otherwise
authorized by Medline.
For more information about your wheelchair, warranty or to reorder parts call
1-800-MEDLINE.
Medline is a registered trademark of Medline Industries, Inc.
Manufactured for Medline Industries, Inc., Mundelein, IL 60060 USA
29
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