Greencare DB1J 13, DB1S 13, DB1S 16, DB1S 15, DB1S 17 User Manual

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Models covered DB1J 13
DB1S 13, 15, 16, 17, 18.
DB1L 15, 16, 17, 18, 19, 20, 22.
DB1XL 20, 22, 24
Introduction
Preparing the wheelchair for use
Closing the wheelchair
Setting up Footrests
Setting up Brakes
Setting up Armrests
Setting up Wheels
Using the wheelchair safely
General advice and routine user maintenance
Getting in and out
Getting in occupant standing forwards
Getting out occupant standing forwards
Occupant side transfer
Outdoor Visibility
Using the wheelchair safely with heavy occupants
Handling heavy occupants
Build specifications for heavy occupants
Getting around safely and environmental features
Planning a trip
Dealing safely with kerbs
Safe slope
Use of castors
Use of accessories
Use of anti tippers
Use of cushions
Fire Precautions
Use of hand rims and tyres
Use of seatbelts (also posture belts)
Transporting the wheelchair in a vehicle
Transportation with occupant in a vehicle.
Use of four point tie downs and occupant restraints
User Safety Routine Checklist
Technical Data Dimensions
Warranty
GREENCARE DB1 – USER INFORMATION
This information is intended for wheelchair users, occupants or carers. It is also a useful reference for service professionals who are prescribing or handing over a wheelchair to a user. Guides are issued with serial numbers when supplied with a chair, and also for information with an accessory.
The Greencare DB1 Wheelchair is intended to provide mobility for people who are unable to walk. This guide is for all users. The information provided is intended to help users understand the wheelchair, and get the best performance out of it in safety. Different users may have specific requirements relating to them individually and their environment, both indoors and outdoors.
Greencare wheelchairs are built specifically to meet the needs of individuals who have been assessed by clinical professionals. Wheelchair service staff responsible for handing over a wheelchair to a user should explain its operation and compatibility with other equipment as necessary. Occupant transfers in and out of the wheelchair, and accessibility within the intended environment should be triale d, and the wheelchair adjusted accordingly.
Greencare component system modularity allows a chair to be fine tuned at handover, or subsequently after a trial period by a trained wheelchair technician. Greencare staff are available to assist with assessments and handovers. Users should take time to read and understand the wheelchair information before use. User s sh ould understand how the wheelchair is intended to function for them and their responsibilities for its safe use and maintenance. A wheelchair used and maintained correctly should last 5 years or more.
A service checklist is included in this guide for user reference. Recommended frequency of service checks by a wheelchair technician depends upon an assessment of usage and environmental factors. For heavy frequent use a check every 6 months is recommended. For occasional use, a check every 36 months is adequate. Where appropriate the recommended service interval will be advised. If in doubt users should contact their local wheelchair service.
Our website www.greencaremobility.co.uk has downloadable copies of User, Assessment and Technical Service guides.
Mobility
Thank you for choosing a Greencare DB1 Wheelchair.
An advanced stylish modular wheelchair, with build options for occupant and attendant control. When received, it will have been built to order with fittings to meet an assessment of your need.
Please take the time to read all the information provided, and take care that all information is kept safe for future reference
The wheelchair description code and batch date are on a label on the rear cross brace. This can be read from the back of the chair. Each wheelchair has its own specific identification code serial number .
The serial number is a unique identification reference and is important in the provision of spares, and for advice regarding your specific wheelchair
Serial number of this chair is as indicated.
Other important information can be found on labels secured to the wheelchair, or provided with accessory items, such as a cushion, are additional guidance..
Labels should not be removed. Users are responsible for ensuring that this product is maintained and used safely and correctly.
Users requiring more specific advice about the DB1 wheelchair, or who need more information about other products from Greencare, can c o n t a c t t h e G r e e n c a r e w e b s i t e
www. greencaremobility.co.uk
For technical service or repair users should co ntact their App roved Distributor or Wheelchair Service Centre.
Please dispose of packaging responsibly.
Introduction
1
PREPARING THE WHEELCHAIR FOR USE
Opening the wheelchair
Grip the armrests and push them apart as far as possible. This may be easier by tilting the wheelchair sideways slightly, so that the wheels on one side are clear of the ground.
Put hands on the seat canvas with fingers pointing into the middle of seat. Push down and out, with the flat of the hand on the two sides of the seat, until the chair is completely open.
The Greencare frame is positively located in the open position. Press down on the seat rails and you will feel the frame going into the final open position. This positive open lock makes the frame rigid, the seat position comfortable, and also enables more effective maneuverability and control.
The Greencare DB1 backrest is available optionally as a non folding, or folding frame tube. If a none folding version has been fitted, the lifting weight of the frame is slightly less, but the chair will not fold down to the most compact size. Subsequent changes in method of use may mean a change of backrest specification to the other option. Modularity of build will allow this.
When fitted with a folding backrest, the upper push handle section will be folded down at the back of the wheelchair frame. To raise the backrest, lift the push handles. Backrest latches on each side will click into position when the push handle is fully up, provided that the back brace tension is released. When the backrest catches locate, push down on the back brace to tension chair back.
DB1 has the option of an integral lightweight easy folding cushion support backrest or tension adjustable cushion support backrest upholstery. The type provided will be based upon the assessment of your need.
For occupant comfort and support the backrest has an additional folding comfort brace. This unit operates on the over centre lock principle. It will need to be pressed down in the centre, to lock out, before the occupant sits in the wheelchair. Carers should take care when closing this brace, keeping fingers away from the closing surfaces, because it locates quickly to lock out.
The tension adjustable backrest has a support back cushion supplied separately. when the chair is packed in its carton. This cushion should be attached to the inner tension strap support frame by Velcro.
The tension back support requires to be set up to conform to the required shape. This should be set up for you at handover, when the chair frame has been opened.
Finally push the lower back flap upwards and under the seat so that the Velcro engages to close and secure the seat fabric assembly
If a separate seat cushion is provided, as part of the final specification it should now be placed in position on the seat (see page 16)
2
Closing the wheelchair
For transit and storage, foot plates should be swivelled upright, or detached. The footplate has an inbuilt friction grip which retains the upright position when folded.
Release the Velcro flap securing the back support to the underside of the seat. For some users this operation may require more effort than expected because velcro is such a strong connection. Where ease of operation is a priority, the velcro flap may be left to hang down without attaching.
The back support upholstery options as shown on the previous page, affect wheelchair folding. The thin lightweight integrated back cushion support, can be conveniently folded.
The thicker more supportive back cushion is attached by Velcro to inner tension adjustable support frame straps. This thicker cushion increases the folded width, and if the storing space available is limited, it is recommended that this thicker cushion is removed for folding to the minimum size.
The comfort locking brace assembly keeps the backrest tubes in line when the tension straps are set. This reduces backrest deflection, under tension pressure and occupant load. This brace has a central folding feature, which should be lifted to release when folding.
Backrests may be built with specially re enforced components for very heavy occupants or those who create excessive pressure.
On folding backrest models, press down the latch lever at the back of the hinge. This releases the backrest locking pin.
To fold the frame, grasp the middle of the seat canvas at the front and back, and give a sharp pull upwards. The frame will release from its location, and the two sides will start to come together.
PREPARING THE WHEELCHAIR FOR USE
Press the armrests inwards until the chair is fully closed.
A Velcro secured closing strap is provided at the top of the pushing handle to keep the wheelchair in the folded closed position. This is particularly useful when the tension adjustable assembly with the thicker back cushion is left in place when the wheelchair is folded. This strap should be wrapped around the opposing push handles to keep the chair frame from accidentally re opening.
On occupant-propelled wheelchairs, the QD (quickly detachable) wheels can be removed to further reduce the individual component size, or reduce the weight for lifting.
Make sure that the folded wheelchair and detached components are stored securely and available for next use.
3
PREPARING THE WHEELCHAIR FOR USE
Setting up Backrests
Backrests are built according to occupant measurements and assessed requirements. They may include specially reinforced components for heavy occupants or those who create excessive pressure.
Backrests may be foldable, with a hinged push-handle which automatically locks into place when the back is lifted to the occupant supporting position. A folding back will allow storage in a car boot or small space.
When a chair is specified as needing specific storage requirements, this should be checked at the handover to ensure equipment compatibility. Rigid backrests are suitable when the wheelchair is not stored in a small space.
If the wheelchair is to be used in transport, accessibility to this should be checked at assessment and handover to ensure equipment compatibility. Backrests can be supplied to meet occupant requirements with a range of different support angles. When an adjustable reclining backrest is fitted, it allows the carer to set the backrest to a required occupant support position.
On reclining back chairs the backrest angle is cable controlled by operating levers on the push handles. The support height of reclining backrests will normally have an extension to the level of the occupants head, according to assessed need.
Backrest extensions are integrated into the backrest build and located on special upper frame tubes. They are supplied with adjustable tension straps and separate cushioning of similar construction to the main back support upholstery.
When the occupant is reclined, weight distribution reduces the rearward stability of the wheelchair. As a build standard, rear wheels will be set in the most stable position, usually with anti-tip stabili sers. With the backrest rec lined, manoeuvrability is more difficult for the carer.
A situation in which frequent removal of the head support extension is required is in vehicle transportation. In this application an extended head support may be inconvenient for other aspects of normal use, because it restricts visibility and communication for general use. In such cases the backrest extension will be removable, with a separate option of individual push handles, which can be located at the required pushing height by adjustable fixings. The separate backrest components should be safely stored when not in use.
These illustrations show chairs with and without a backrest extension.
4
PREPARING THE WHEELCHAIR FOR USE
Setting up the Footrests
The chair that you have been supplied with will have a footrest specification configured to meet your assessed needs. Environment of use and functional operation determine the final specification required.
In addition to the configurable foot support plates, shown opposite, Greencare DB1 has a choice of detachable footrest brackets, and footrest support options including an angle adjustable type a rigid foot bar and a dynamic foot support for use in tight spaces
The lift and swing type bracket features a double locking action for increased security. The frame location stud for this is also smaller when footrests are removed for transfer. The swing type bracket swivels into position and releases with a single touch, these are easier for the occupant.
To attach the footrest brackets, locate the upper pivot spigot in the top of the front frame tube, press down or swivel to locatet in the forward facing position. To release depress the trigger on the underside of the mounting support feature. Footrest brackets should be swivelled away or removed for occupant transfer. It is possible to pivot the footrest bracket inwards or outwards depending on the user requirement. Footrest brackets should normally be removed for storage.
For complete footrest bracket removal, continue to lift so that the upper pivot clears the front tube location. When removed, place the footrests carefully in a safe position ready for the next use.
Lateral position, height and the angle of footrest support plates on the Greencare DB1 wheelchair are adjustable. This is set by means of three fixing screws on the underside of each unit. Each DB1 footrest has a choice of three alignment positions. This will normally be set to meet user need, with the central gap between footrests minimized, when the wheelchair is handed over. It is possible to adjust footrest height and position, if .
A jacking screw at the end of the footrest bracket stem adjusts the sideways angle of the footplate. When unloaded this will be slightly upward facing. It is normal for this to deflect under foot pressure, and it can be adjusted to be horizontal by this screw
The foot support plate height is adjustable by a range of fixing screw positions, and a series of threaded holes in the inner stem. Using this combination of holes, the footrest can be aligned and tightened in its location.
Footrest height settings are important. A correctly set footrest height will help to spread the load of the occupant weight, easing pressure, and improving the comfort.
The most comfortable seating position is usually obtained when the occupant thighs are horizontal and the hips and knees are at right angles. Footrest adjustments should be explained and completed at the handover.
Footbar
As an alternative to separate type foot plates it is possible to fit a foot bar. This is a telescopic frame that fits into the footrest brackets and locates as previously described for the footrest. When fitted, the front of the chair becomes compact and is more manoeuvrable.
Dynamic Footboard
This is an option for indoor use in a compact environment like a kitchen. It is an option that can be fitted or removed as and when required. The dynamic footboard is suspended by cables set to measurements from the assessment. It allows the occupants to be able to get closer to objects like sinks, tables and etc.
5
PREPARING THE WHEELCHAIR FOR USE
Setting up Brakes
The Greencare brake unit is a toggle action, requiring operation of a handle on either side. Brakes should exert sufficient pressure on tyres to hold the chair on an 8-degree slope. This test is not a usage recommendation. (Read section on outdoor safety.)
Brake shoe action of pressing onto the surface of a pneumatic tyre, requires the tyre to be fully inflated to the correct operating pressure of 3 bar. Puncture free tyres have a constant pressure.
When correctly set, brakes should be easily operated by occupant or carer, as required. A build option with an extended brake handle is available to reduce the operating effort.
This extended handle unit can be set up rigidly or to allow folding down if handle height reduction is required for side transfer.
When the extended handle is set for folding down, care should be taken to ensure that it is returned to the upright position for operation.
Handle options can be fitted retrospectively if user needs change.
6
It also helps with moverability in confined spaces, which with the standard footrest would not be possible.
The dynamic footboard comes in one size but is able to fit most foot sizes comfortably. The height is set to length by the suspension cables and will be made to suit the user of the wheelchair. The footrest angle can also be adjusted by fixing the cable length shorter or longer, front to rear, and this can be held with a grub screw.
287mm
308mm
PREPARING THE WHEELCHAIR FOR USE
The range of wheel positions on the Greencare frame system require brake settings to suit wheelchair configuration.
Brakes are clamped in position on the frame. Position of the clamp can be changed using a hexagonal Allen key. The brake clamps incorporate safety grips to maintain the set position during use. Users should frequently check that the brake is positioned effectively. Brake adjustment may be carried out by a competent person/carer if technical service support is not available.
Lubrication of the brake mechanism, with a none toxic lubricant will maintain effective operation over a long period of use. Lubricant on the operating face of the brake contact shoe should be avoided.
Cable operated brakes with levers on the pushing handle are an additional option to allow attendant to slow down the chair without having to reach for the brake handle. Holding back the speed when going downhill is an increasing benefit as the occupant weight increases. It is a recommendation on 150Kg and 175Kg occupant chairs.
Setting up Armrests and Supports
Armrests are latched at the front of the frame, in socket locations, and pivoted at the rear of the backrest location. They can be released at the front and pivoted upwards and back for transfer in and out of the chair. They are not be removable from the chair unless specially adapted for this purpose.
7
can be made detachable , which can help with the compactness of the wheelchair and also in side transfer (see page 11)
The armrest is removed by releasing the latch and pivoting on the rear of the arm rest. When it reaches a 30 degree angle the armrest will release vertically and can be removed.
When not in use for transfer, armrests should be fully located in the front socket at all times. An armrest that is not fully located is prone to accidental damage.
The front socket has a quarter turn feature that releases the armrest. The armrest can be swivelled back into the front socket, where it will latch into position automatically.
The armrest should be secured in position at all times. It is not recommended that the armrests are grasped by the attendants to lift the chair and occupant. Heavy lifting operations should be avoided.
Thoracic supports are also available, these positioning accessories are most often used to improve occupant side stability and balance. They can also ask as tactile reminders, to allow the occupant maintain optimised posture.
If needed for a special purpose, the armrest
PREPARING THE WHEELCHAIR FOR USE
The adjustable thoracic support pads can offer a wide range of vertical, lateral, depth, and angle adjustments, while providing excellent anterior as well as lateral support. they are also contoured for a natural fit.
It is usual to fit thoracic supports with a none folding back. When a folding back is fitted the height adjustability of the thoracic pad position is restricted.
The thoracic support should not interfere with the occupants comfort. The support pad can be raised and swung away during transfers.
8
The thoracic supports can be used singly or as a pair depending on the users needs.
Greencare support pads are manufactured in a wipe clean durable material. They should be kept clean using a mild detergent
Greencare side panels my be produced in a semi transparent grade of structural plastic, which has some flexability or rigid aluminium as determined by the assessment. They should be kept clean using a soft damp cloth, and mild detergent. They should not be rubbed with an abrasive pad.
The Greencare wheelchair has the possibility to fit an arm pad safety option, Armalight. This unit has an integral chargeable lighting system.
Tray Supports
The adjustment of support pads positions may be done at the time of handover.
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