Invacare SHAPE SENSOR User Manual

SHAPE SENSOR USER MANUAL
SPECIAL NOTES
S P E
WARNING/CAUTION notices as used in this manual apply to hazards or unsafe prac­tices which could result in personal injury or property damage.
C
I A L
N O T E S
It is also Invacare’s position that the SHAPE SENSOR be in a proper transport posi­tion and secured before transporting the shape sensor in a vehicle of any type.
NEVER transport the back sensor panel unless it is locked in the retracted position or the back sensor panel removed and position standing up or on its side. DO NOT position the back sensor panel on its front side (w/printed grid).
When transporting the shape sensor, ALWAYS loosen the clamp blocks at the front of the frame and fold the support legs.
SPECIAL NOTES
NOTICE
WARNING
DO NOT OPERATE THIS EQUIPMENT WITHOUT FIRST READING AND UN­DERSTANDING THIS MANUAL. IF YOU ARE UNABLE TO UNDERSTAND THE WARNINGS AND INSTRUCTIONS, CONTACT AN INVACARE REPRESEN­TATIVE BEFORE ATTEMPTING TO USE THIS EQUIPMENT - OTHERWISE IN­JURY OR DAMAGE MAY RESULT.
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SAFETY SUMMARY
SAFETY SUMMARY
WARNINGS
DO NOT use unauthorized parts, accessories, or adapters other than authorized by Invacare.
Both gas cylinders MUST be operational and adjusted properly BEFORE using adjust­able back. DO NOT operate the adjustable back if only one (1) of the gas cylinders is operational or adjusted properly.
Extreme caution is advised when it is necessary to move an UNOCCUPIED shape sensor. Invacare recommends using two (2) assistants and making thorough prepa­rations. Make sure to use ONLY secure, nondetachable parts for hand-hold sup­ports. DO NOT attempt to lift the Shape Sensor by the seat sensor, back sensor, armrests, or legrests. Use the base frame for lifting purposes. Lifting by means of the removable (detachable) parts of a Shape Sensor may result in injury to the assistants or damage to the Shape Sensor.
Before attempting to transfer in or out of the Shape Sensor, every precaution should be taken to reduce the gap distance. Turn both casters toward the object you are transferring onto. When transferring to and from the Shape Sensor, ALWAYS EN­GAGE BOTH WHEEL LOCKS. NOTE: This activity may be performed independently provided you have adequate mobility and upper body strength.
A NOTE TO WHEELCHAIR ASSISTANTS When assistance to the client is required, remember to use good body mechanics. Keep your back straight and bend your knees.
S A F E T Y
S
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ALWAYS engage both wheel locks while changing the orientation of the Shape Sensor modules.
When adjusting the seat depth, make sure the adjustment knobs are securely locked in place.
To maintain stability and safety, make sure the client is properly positioned in the Shape Sensor before reclining or inclining (reverse recline).
When adjusting the back angle, DO NOT remove the back angle adjustment knobs, as they help secure the back sensor to the frame.
When returning the client in the Shape Sensor to the full upright position, more body strength will be required for approximately the last twenty (20) degrees of incline (reverse recline). Make sure to use proper body mechanics (use your legs) or seek assistance to avoid injury.
The Shape Sensor has a weight limit of 300 lbs.
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TABLE OF CONTENTS
TABLE OF CONTENTS
T
Special Notes........................................................................................................................... 2
A
Safety Summary ...................................................................................................................... 3
B
L
Introduction to the Manual ...................................................................................................... 5
E
Quick Start ............................................................................................................................... 5
O
F
History ..................................................................................................................................... 5
C
Appropriate Applications of the T echnology .......................................................................... 7
O
N
T E N
T S
Client Profiles and Disability Types......................................................................................................... 7
T erminology and Parts Description ........................................................................................ 8
Unpacking and Assembly ....................................................................................................... 9
Transporting ...........................................................................................................................11
Locking the Back Sensor Panel ........................................................................................................... 11
Transporting a disassembled Shape Sensor ........................................................................................... 12
Transporting an Assembled Shape Sensor .......................................................................................... 12
T ransfers................................................................................................................................ 13
Independent......................................................................................................................................... 13
With a Sliding Board ............................................................................................................................ 13
With a Mechanical Lift Aid .................................................................................................................... 13
Stand and Pivot ................................................................................................................................... 14
Two Person Lift ................................................................................................................................... 14
Creating a Silhouette® System .............................................................................................. 14
Commonly Asked Questions ................................................................................................ 21
T roubleshooting.................................................................................................................... 22
Technical Notes ..................................................................................................................... 22
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INTRODUCTION
INTRODUCTION TO THE MANUAL
A user centered approach is needed to meet the unique needs of each individual. The use of this manual requires that the clinician have an under­standing of their own needs as well as the clients they are serving. Individuals with good clinical skills may find the sections on “Orienting the client on the surfaces” to be common sense and be totally baffled by some of the more technical aspects. The “techies” may shy away from manipulating someone’s pelvis with their hands, but be right at home electronically digitizing these same surfaces.
The “Quick Start” section will allow those with previ­ous Silhouette sary steps to successful completion of a system. It can also be used by everyone as a checklist to make sure steps and information are not left out of the process.
The clinician has a responsibility when using the Silhouette involved, not just a product. This process al­lows for increased flexibility and versatility , but if not fully understood and practiced, it can lead to misapplication.
Please read this manual at least once, cover to cover. Do this before the first client arrives! Hope­fully, most of your questions will be answered, but if they aren’t, call the customer service staff at Invacare (1-800-451-3553).
Good luck using the Silhouette
®
experience to confirm the neces-
®
System as there is a process
®
system!
QUICK START
1. Lock castors at the rear of the frame.
2. Check the seat and back surfaces for flatness and plunger position.
3. Lock the back sensor panel. Depress the handle and pivot forward.
4. Set and lock the seat depth. (Makes sure both pointers read the same.)
5. Set and lock the back angle.
6. Apply data forms to the data panels.
7. Insert data forms into receiving channels.
8. Take baseline for seat and back.
9. Transfer client to Shape Sensor.
10. Orient client on Shape Sensor surfaces.
QUICK START (CONTINUED)
11. Readjust surfaces to fit client.
12. Adjust footrests and armrests.
13. Stabilize client and pull back sensor lever for­ward.
14. Modify back shape to fit client (scapula, lateral trunk, etc.).
15. Record seat and back shape.
16. Confirm measurements for seat depth/tilt, back height/angle.
17. Transfer client off of Shape Sensor.
18. Remove the data panels.
19. Record serial numbers onto order form.
20. Determine necessary modifications/options and fill in order form. (cushion density, cushion cover, rail cuts, leg length discrepancy, solid insert, lat­eral supports, headrest, pelvic strap, Perfor­mance™.)
21. Determine interfacing.
22. Complete order form.
23. Fax or modem in order.
HISTORY
In the late 1980’s the National Institute on Disability and Rehabilitation Research (NIDRR) provided grant funds to the University of Virginia’s Rehabilitation En­gineering Center to study the usefulness of custom contoured cushions by individuals with a spinal cord injury. This research was conducted primarily by Drs. Steven Sprigle and Kao-Chi Chung along with Tom Faisant RPT.
The results of this research showed that custom contoured foam cushions provided statistically lower pressure distributions than the clients’ usual cush­ions. Along with a decrease in pressure, the au­thors felt that improvements in posture and balance were also realized. The researchers used an array of 64 spring loaded plungers that were fitted with linear potentiometers. When a client sat upon the array of sensors, the amount of displacement at each point was recorded by computer. The data was later used to fabricate a cushion through the use of a three-axis milling machine that carved a block of HR (high-resilience) foam. This electronic shape sensing system and computer assisted manufacturing process was the start of the Silhou-
®
ette
System used today.
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HISTOR Y
H
I S T O R Y
FIGURE 1 THE ORIGINAL ELECTRONIC
SHAPE SENSOR
HISTORY (CONTINUED)
High quality polyurethane foam was chosen for cus­tom carving because of its low cost, low maintenance,and dynamic qualities. Pressure against the foam is equalized due to the contouring of the surfaces which makes fatiguing of this mate­rial less of an issue. Beta site testing was conducted at five separate facilities to help prove the effective­ness of this technology. The centers included: The Institute for Rehabilitation and Research, Houston Texas; Helen Hayes Hospital, West Haverstraw, NY; Newington Children’s Hospital, Newington, CT; Na­tional Rehabilitation Hospital, Washington, DC; Rancho Los Amigos Medical Center, Downey, CA.
Some of the results of this Beta site testing were presented by Anita Perr OTR/L, Andrew Lincoln, MS, and Thomas McGovern, MS, from the Rehabilita­tion Engineering center of the National Rehabilita­tion Hospital. The conclusion of their study was that the Silhouette from the users ishial tuberosities, an area prone to tissue breakdown, to the thighs, an area better suited for weight bearing.
Invacare saw the potential for this technology as a natural progression of the company’s already strong focus on customized contoured seating, and tech­nology transfer process was initiated. The electronic shape sensing apparatus, along with the necessary computer interface and software made this tech­nology difficult and expensive to apply. A group of people, including Colin Mclaurin, Clifford Brubaker, Dave Brienza, Stephen Springle, Peter Axelson, Michael Heinrich, Eric-Jan Ginder and Michael Silverman worked to develop a relatively low cost and simple process.The idea was to change
®
cushion effectively shifted pressure
FIGURE 2 THE MECHANICAL SHAPE SENSOR
the electronic sensing unit (Figure 1) into a mechani­cal measuring device that could be interfaced to a central computer using simple paper forms. The in­dividual would still sit upon a blanket of individual plungers, but their position would be recorded me­chanically in a manner similar to a credit card im­printer. When a plunger is moved, it pushes a cable. This cable is attached to a pointer whose position is recorded when a pressure roller is moved across its surface. The pointer presses against a carbonless form making a mark that corresponds to the depth of the plunger at that location. The imprinted form can be then faxed to a central location where it is digitized to produce the custom contoured cushion.
The first mechanical shape sensors (Figure 2) were designed to record only the shapes of seat cush­ions. The technology quickly proved its worth and was expanded to include a back sensing panel. When a client is seated on a Shape Sensor, gravity is the only force necessary to produce the seat con­tour. Gravity can’t be used to form the back cush­ion, and a mechanism was developed that gently pushes the plungers around the individuals back.
Along with the development of the Shape Sensor, Invacare has created software (SeatMaker), inter­facing hardware, and the machinery used to pro­duce the cushions. A good idea has become a com­plete system.
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APPROPRIATE APPLICA TIONS OF THE TECHNOLOGY
FIGURE 3 ACTIVE USERS BENEFIT FROM
ENHANCED STABILITY
APPROPRIATE APPLICATIONS OF THE TECHNOLOGY
The first step in producing a Silhouette® System is de­termining if the client is an appropriate candidate. The following information on disability types and contraindications is meant only as a general guide­line. The decision whether or not to proceed with this technology requires that the clinician have suffi­cient background information and a solid under­standing of the clients physical needs. A mat evalu-
ation should always precede the fitting of the client in the Shape Sensor. This assessment will
help determine the basic parameters of the support surfaces.
Arthritis Spina Bifida Geriatric Multiple Sclerosis Muscular Dystrophy, early stages
Contraindications
Open skin ulcers (unless the client, clinician, and caregivers have carefully designed the cushions sur­face to reduce pressure in this area, are able to care­fully monitor the wound site, and understand that the cushion may require additional modifications or replacement.)
High, or fluctuating tone that would collapse the cushions support surfaces.
Severe orthopedic complications that require maximum support and accommodation.
Significant effort is required during the simulation to maintain the client in the desired posture. The sup­port to the client that is provided by the clinician should be gentle in nature and able to be maintained during the recording process.
The client can not shift their position independently or be placed within the seating system consistently by caregivers.
The client is either too large or too small to fit on the Shape Sensor.
A P P R O P
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C H
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A T
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Client Profiles and Disability Types Seat only
The seat cushion can promote stability and balance, (Figure 3) and provide good pressure relief for indi­viduals with the disability of:
Paraplegia Quadriplegia, low level Amputee
Seat and back
A system will provide a pressure relieving seat cush­ion that promotes stability and balance, along with a back cushion that supports and aligns the trunk. This can be used by individuals who have the dis­ability of:
Quadriplegia, low/high level Cerebral Palsy, mild-moderate CVA
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TERMINOLOGY AND PARTS DESCRIPTION
M
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G
TERMINOLOGY AND PARTS DESCRIP­TION (FIGURE 1)
P A
T E R
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Y A
N D
A. Armrest Receiving Sockets. The armrest receiv-
R
ing sockets are located on the left and right side plates.
T
These sockets act as receptacles for the armrests.
S
The height of the arm rest is adjusted by loosening
D
and tightening the knob attached to this receptacle.
E
The armrests index into the receiving sockets and can
S
provide a surface that the client can use to reposition
C R
themselves or to help with balance and pressure re-
I
lief. The armrests are height adjustable.
P T
B. Back Angle Adjustment Knobs. These knobs
I
are used to change the back to seat angle. The back
O
angle adjustment knobs travel in these slots providing
N
angle adjustability to the back.
S
G
K N D
H
Q K
R
L
C. Back Grid. This grid is printed on the back sensor
panel to assist with determining back height and client symmetry.
D. Back Imprint Handle. This handle is located at the top of the back sensor panel and is used to move the imprinter across the data panel. This handle screws into the imprinter.
U
H
I
E. Back Location Pointers. These blue pointers are
located on the left and right side plates, just forward of the armrest sockets and are used to help align the back sensor panel. The pointers should read the same num­ber on each side before locking the back sensor panel into position. The location of these pointers is a critical part of the requested information on the order form.
F . Back Pivot Pins. The back pivot pins are found on both sides of the back sensor panel and are used to suspend the back within the side plate receiving notches.
G. Back Sensor Lever. This lever is located on the left side of the back sensor panel and is used to push the back plungers forward. This lever has a second­ary function that locks the back sensor panel in place.
H. Back Sensor. The back sensor panel contains 100 cable driven plungers that are used to capture the shape of an individuals back.
I. Casters. These are the rear wheels which can be locked to prevent rotation or rolling.
J. Clamping Blocks. The clamping blocks are lo­cated at the bottom front side of the frame and are used to hold the folding legs into a locked position.
Data Forms. These are carbonless, pressure sensi­tive forms that attach to the data panels using self ad­hesive strips. There are separate forms for the seat front and back. (Not Shown)
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F
B
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J
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M
FIGURE 1 TERMINOLOGY AND PARTS
DESCRIPTION
P
WARNING
DO NOT use unauthorized parts, acces­sories, or adapters other than autho­rized by Invacare.
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UNPACKING AND ASSEMBLY
K. Data Panel Receiving Slots. The data panels
are indexed into these slots to insure proper alignment with the imprinters. The panels are clear plastic de­vices that hold the data forms within the imprinters. These panels have short indexing pins that match holes prepunched into the data forms. The panels are fitted with a flexible handle to assist in removing them from the receiving slots.
Footrests. The footrests attach to the front vertical frame members and are held in place by friction. (Not Shown)
L. Frame. The frame is the lower tubular portion of the Shape Sensor.
M. Gas Cylinders. The gas cylinders are used to change the tilt angle of the Shape Sensor. They are lockable anywhere along their travel, giving an infinite adjustment range between 0-20 degrees.
WARNING
Both gas cylinders must be operational and adjusted properly BEFORE using adjustable back. DO NOT operate the adjustable back if only one (1) of the gas cylinders is operational or adjusted properly.
N. Imprinters. These devices are located within the back and seat sensor panels and are used to record the position of the plungers onto the data forms. They operate in a similar fashion as a credit card imprinter.
Plunger Caps. Each plunger is attached to a cable using a snap fitting cap. The end of the cable is shaped like a ball with the cap formed as the receptacle. These caps are replaceable if necessary. (Not Shown)
S. Side Plates. The side plates are used to connect the back sensor panel to the seat sensor panel. They slide into the slotted seat rails and are made in a left hand and right hand configuration.
T. Stop Blocks. The stop blocks are black plastic components located on both sides of the back sensor panels. These blocks are used to help store the back in a forward folded position. The stop block on the left side also controls the back sensor lever’s forward po­sition.
U. Tilt Adjustment Lever. The tilt adjustment lever is located at the bottom rear of the frame. This lever controls the tilt angle of the Shape Sensor. The lever is retractable, allowing it to be stored underneath the frame.
UNPACKING AND ASSEMBLY
Note: Please refer to the Terminology and Parts De­scription portion of this manual to assist in identifying the components referred to in this section.
Unpacking
The Shape Sensor will come shipped in three boxes. These boxes should contain the following:
1. The lower frame
2. The back sensor panel
3. The seat sensor panel
4. Two data panels (clear plastic panels with handles)
5. One back sensor panel handle
6. Two pins for attaching the gas cylinders
7. Data forms for the seat
U N P A C K
I N G
A N D
A S S E
M
B L Y
O. Plungers. The plungers consist of a section of
cable and the snap fitted caps. There are 100 plung­ers for the seat and 100 plungers for the back. They are located 1.75” apart and move approximately 4”.
P . Seat Depth Adjustment Knobs. Are located on the side plates directly behind the armrest sockets. They lock the side plates into the slotted seat rail and control the placement of the back sensor panels position.
Q. Seat Imprint Handle. This is a flat handle located at the rear of the seat sensor and is used to move the imprinter across the data panel.
R. Seat Sensor. The seat sensor panel consists of 100 cable driven plungers housed within a section of segmented foam. This component is used to capture the shape of an individuals seat.
8. Data forms for the back
9. One pair of footrests
10. One pair of armrests
11. Two Side plates ( left and right)
12. Two back angle adjustment knobs To remove the contents first open the boxes and lay
them on their sides. Slide the components out of the boxes and make sure you have all of the parts listed above before discarding the packing materials.
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ASSEMBLY
Assembly
1. Install the gas cylinder clevis pins through the frame
clevis and gas cylinder receiving sockets (Figure
1).
A S S
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Y
FIGURE 1 INSERTING THE CLEVIS AND HAIR
PINS
2. Lock the pins in place using the hairpin clips (Fig­ure 2).
FIGURE 3 ASSEMBLED BASE FRAME
6. Lock the rear wheel castors.
7. Carefully lift the seat sensor panel (using the pro­vided handle) and position the forward locking clips under the front horizontal support bar. Make sure the rear rubber bumpers are seated forward of the rear horizontal support bar (Figure 4). The seat sensor panel is not overly heavy (46 pounds) but its overall size (25x 32” x 9) can make handling the unit somewhat awkward until the process of assembly has been practiced a few times. Please
be cautious and practice good body mechan­ics when lifting this component into place.
FIGURE 2 TIGHTENING THE CLAMP BLOCKS
3. Position the round lower frame tube underneath the two semicircular clamp blocks and tighten down the clamping knobs.
4. Install the left and right side plates into the slotted seat rails with the blue pointer positioned at the front of the frame.
5. Tighten down the adjustment knobs on these side plates so both pointers are locked at the #18.
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FIGURE 4 REAR RUBBER BUMPERS
8. Carefully lift the back sensor panel and place the backs pivot pins into the side plate receiving notches (Figure 5). This may require two people as the back sensor is slightly larger and heavier than the seat. Use the provided handles and once again practice good body mechanics.
10
FIGURE 5 ALIGNING THE PIVOT PINS
TRANSPORTING
12. Install the Back Imprint Handle into the threaded hole on the back imprinter (Figure 7). Be careful not to cross thread the handle while screwing it into place. The handle should screw easily into the threaded receptacle.
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9. Install the back angle adjustment knobs through the back angle adjustment slots into the threaded receivers mounted on the back sensor panel (Fig- ure 6). Tighten these knobs to position the back at the 95 degree angle mark.
FIGURE 7 INSTALLING THE BACK
IMPRINTER
TRANSPORTING
The Shape Sensor can be transported either fully as­sembled, or in parts. What method is chosen is de­pendent upon the type of vehicle to be used and if a portable ramp is available. The Shape Sensor should be secured in a manner that will prevent it from shifting around while the vehicle is moving and from becom­ing a projectile if an accident should occur.
Locking the back sensor panel
Anytime a client is going to transfer onto the Shape Sensor or whenever it is transported/disassembled, the back sensor panel must be locked.
1. Make sure all of the plungers are flattened out and that the back sensor lever is pushed all of the way to the most rearward position (Figure 8).
FIGURE 6 INSERTING THE ADJUSTMENT
KNOBS
10. Install the footrests by placing them on the front, vertical, frame tubes. The footrests hook around these tubes and are held in place by friction.
11. Install the armrests by sliding them into the receiv­ing sockets located on the left and right side plates. Knobs are used to adjust the height of these arm­rests.
11
FIGURE 8 PUSHING IN THE SENSOR
LEVER
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TRANSPORTING
2. Push the back sensor levers attaching block in-
wards towards the center of the back sensor panel.
T
This will release the handle from its plunger mov­ing position into its locking position.
R
3. With the attaching block depressed, push the le-
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ver forward until it rests against the stop block. The handle should pop back out and lock the back sensor into position. If the handle does not pop back out, and the back sensor does not lock, then re­peat the above steps.
Transporting a disassembled Shape Sensor
1. Lock the back sensor panel into its retracted position (See above). Never transport or lift the
back sensor panel without it locked in the retracted position (Figure 9)!
be stored as a complete unit or disassembled into a more compact package. If the most compact package is desired then proceed as follows:
6. (Optional) Loosen the clamp blocks at the front of the frame and fold the support legs. When reas­sembling the frame make sure these clamps are fully engaged.
7. (Optional) Remove the gas cylinder clevis pins and fold the frame. Reinstall the pins into the clevis to help prevent loss. Do not misplace these pins.
Transporting an assembled Shape Sensor
The Shape Sensor can be transported fully assembled in a van. A ramp with a full width platform should be used to make this process a safer procedure. The back sensor panel can be folded forward or reclined to improve access and handling. The method used will be dependent upon the available head room in the van.
Folding the back sensor forward
1. Lock the back sensor panel (Page 10). Never transport or lift the back sensor panel without it locked in the retracted position!
FIGURE 9 ROTATING THE IMPRINT HANDLE TO
THE “LOCKED” POSITION
2. Depress the tilt adjustment lever and position the Shape Sensor in the fully tilted position. Depress­ing the gas cylinders will help create the smallest frame package.
3. Remove the back sensor and store it either stand­ing up, or on its back side. Do not store the back sensor on its front side (The side with the grid printed on it.)
2. Place cardboard on the seat sensor to protect the sensors. Loosen the back angle adjustment knobs and rotate the back sensor panel forward (Figure
10) until the stop blocks index into the receiving notches located on the front of each side plate.
FIGURE 10 FOLDING THE SENSOR FORWARD
3. Lift the back sensor upwards just enough to move the stop blocks forward into the second receiving notch (Figure 11). The stop blocks attaching bolts will then rest into both receiving notches.
4. Remove both side plates.
5. Remove the seat sensor panel and store it either standing up, or on its bottom side. The frame can
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12
FIGURE 11 MOVING THE SENSOR TO THE
“FULL FLAT” POSITION
4. The back angle adjustment knobs can now be re-
moved and reinserted into the second threaded receptacle to lock the back into position (Figure
12).
TRANSFERS
TRANSFERS
Care must always be taken whenever an individual transfers onto or off of the Shape Sensor. The Shape Sensors back panel and the rear castors must both be locked before attempting a transfer. There are sev­eral methods of transfers, and what style is used should be determined by the client and/or caregivers. The ability to transfer can vary from total independence, to total dependence. Never assist in a transfer unless you are completely confident in your skills and solicit any help needed to complete this important procedure. When necessary, assist the client in moving across the Shape Sensors seat so as not to disengage the plunger caps. Once the transfer has been completed, make sure that the client is stable and secure upon the surfaces before letting them sit independently.
Independent
If the client normally performs independent transfers, then the clinicians role is to help prepare/position the Shape Sensor and spot the client during the process. The client knows best how to prepare their own chair and the clinician may be asked to remove or position accessories.
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FIGURE 12 REINSERTING THE KNOBS TO
LOCK THE SENSOR BACK
WARNING
Extreme caution is advised when it is necessary to move an UNOCCUPIED Shape Sensor. Invacare recommends using two (2) assistants and making thor­ough preparations. Make sure to use ONLY secure, nondetachable parts for hand hold supports. DO NOT attempt to lift the Shape Sensor by the seat sen­sor, back sensor, armrests, or legrests. Use the base frame for lifting purposes. Lifting by means of the removable (de­tachable) parts of a Shape Sensor may result in injury to the assistants, or dam­age to the Shape Sensor.
1. Remove the footrests.
2. Remove whatever armrests the client requests. Some clients may prefer that the armrest furthest away from them be left in place as a point of stabi­lization and support. Other clients may require both armrests be left in place.
3. Position yourself in a location that will allow you to assist in the process if the client is experiencing diffi­culty. Keep close, but dont inhibit the maneuver.
4. Reinstall footrests and armrests.
With a sliding board
Follow steps 1-3 above
5. Help keep the sliding board from moving away from the support surfaces, and assist with its removal when the transfer is complete.
With a mechanical lift aid
Only use a mechanical lift aid if you have been trained in its operation and have all of the necessary compo­nents to safely complete the task. There should be sufficient background information to determine if the client remains seated on the sling at all times. Re­move the footrests and armrests before starting the transfer.
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CREATING A SILHOUETTE® SYSTEM
Stand and Pivot
Only assist with this maneuver if you have been trained
C R
in the process, and you have a second person avail-
E A
able as a spotter”.
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Follow steps 1-4 above.
G A
Two person lift
S
Once again, only perform this style of transfer if you
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have been trained and understand the use of proper
H O
body mechanics.
U E T T E ®
S Y S T E
M
Before attempting to transfer in or out of the Shape Sensor, every precaution should be taken to reduce the gap dis­tance. Turn both casters toward the object you are transferring onto. When
WARNING
transferring to and from the Shape Sen­sor, ALWAYS ENGAGE BOTH WHEEL LOCKS. NOTE: This activity may be per­formed independently provided you have adequate mobility and upper body strength.
A NOTE TO WHEELCHAIR ASSISTANTS When assistance to the client is re­quired, remember to use good body mechanics. Keep your back straight and bend your knees.
gentle tug or push will put them back in place. With the plungers as even as possible, accurate data production can be assured.
FIGURE 1 CHECK FOR IRREGULARITIES
3. Lock the back sensor panel (Figure 2) by press­ing in the handle and pulling it forward (Page 1 1).
CREATING A SILHOUETTE
®
SYSTEM
The process of creating a Silhouette® System is a com­bination of mechanical adjustments, measuring, cli­ent posturing, interfacing and paperwork. The Quick Start guide (Page 5) is a condensed version of this section and can be used as an easily accessible check­list once you have familiarized yourself with the follow­ing steps.
1. Lock the rear castors. The rear castors of the
Shape Sensor are equipped with a locking mecha­nism that stops the swiveling of the castor as well as the wheels rotation. Depressing the lever on top of the castor will lock it into position. The cas­tors should be locked when a client is transferred on or off of the Shape Sensor, the Shape Sensor is disassembled, or surfaces or system orienta­tion is adjusted.
2. Check the seat and back for flatness and plunger position. This is accomplished by run­ning your hand across the surfaces and feeling for irregularities (Figure 1). Only minor indentations should be felt. The plungers can at times become stuck in a depressed or extended position and a
FIGURE 2 MOVE THE SEAT SENSOR BACK
4. Set and lock the seat depth. The back sensor
panel should be moved to its most rearward posi­tion. This is accomplished by loosening the seat depth adjustment knobs and sliding the side plates along the slotted rail. Once in place, the blue pointer found at the front of the side plates should indicate the same number on both sides of the frame. Tighten the knobs securely to help prevent un­wanted movement of the back during transfers.
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5. Set and lock the back sensor angle. There are printed graduations on the back panel to assist in accurately recording this measurement. It is sug­gested that a setting of 95 degrees be used initially and that the final angle be determined with the cli­ent in place. The back angle is adjusted by loos­ening/tightening the back angle adjustment knobs. Make sure this adjustment is tight before transfer­ring or adjusting tilt and depth. The knobs used to adjust back angle and back sensor placement must be tightened sufficiently to prevent any unwanted movement during the simulation process. This is especially important when the system tilt angle is changed. Armrest tightness requires checking as these components can become critical places of stability and support during transfers.
6. Apply data forms to the data panels. There are different forms for the back and for the seat. The forms are clearly marked and can only be applied to the data panels in the correct orientation. The data panels have short metal pegs that line up with holes prepunched in the carbonless data forms. Orient the forms holes to match the data panel’s pegs and apply the form using the adhesive strips. The strips should be placed on the data panel one at a time with care taken to make sure the form is attached as flat as possible (Figure 3).
7. Insert the data panels into the imprinters. The
imprint handle must be all of the way to one side for the data panel to have access into the chan­nels. Care must be taken at this point to make sure the data panel is properly inserted into the channels. The clinician should have a clear view of the panels and the channels during this opera­tion. Do not force the data panels into place and make sure they enter evenly. Some resistance may be felt but the panel should advance smoothly into position (Figure 4).
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FIGURE 3 APPLY THE DATA FORMS
FIGURE 4 INSERT THE DATA BOARDS
8. Take a baseline for the seat and back. The
base line is the starting position for the shape sens­ing plungers. In order for depths to be recorded there must be a reference point. This reference point is produced by sliding the imprinter handles all of the way across the data panels. This should be performed with a smooth continuous move­ment and a slight resistance may be felt at the beginning of the stroke. If the handle does not move, check to make sure the data panel is in­serted fully (Figure 5).
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9. Transfer the client onto the Shape Sensor.
10. Orient the client on the Shape Sensor ’s seat.
FIGURE 5 TAKING A BASELINE
MEASUREMENT
Please refer to the section regarding transfers (Page 13) to assist with this important step.
This orientation process requires that the clinician have a strong background in seating/positioning and that a thorough mat evaluation was performed (Figure 6). It is suggested that the following guide­lines be used with the understanding that each person is unique and there are always exceptions.
Check for pelvic obliquity . Accommodate if fixed, andcorrect if flexible.
Check for rotation of the pelvis and trunk. De­rotate if the forces are not excessive and improved posture is realized. An apparent leg length dis­crepancy may actually be rotation of the pelvis.
Set the footrest height so each thigh is level and at the same height. The footrest height can also control the depth of the leg channels and influences clearance under tables.
Position the lower extremities in the desired amount of ab/adduction taking into account the limi­tations of the wheelchair frame and the therapeu­tic benefits of the posture. Increased abduction can mean a more stable posture, but may exceed the overall width of the clients chair.
Adjust the armrests to help support the upper extremities and trunk. Be careful to not elevate or depress the shoulder girdle.
11. Orient the client to the Shape Sensor back.
WARNINGS
ALWAYS engage both wheel locks while changing the orientation of the Shape Sensor modules.
When adjusting the seat depth, make sure the adjustment knobs are securely locked in place.
FIGURE 6 POSITIONING THE CLIENT ON THE
SEAT
Center the client on the Shape Sensor so that an equal amount of cushion shows on both sides. Asymmetries of the client may not allow for equal space on both sides.
Check pelvic tilt and position the client with a neu­tral to slightly anterior orientation. Use your thumbs and forefingers of each hand to gently hold the cli­ents pelvis. The need for excessive force to posi­tion the pelvis may require that smaller adjustments be made. A neutral to anteriorly tilted pelvis can assist with spinal extension and reduced kyphotic posturing.
To maintain stability and safety, make sure the client is properly positioned in the Shape Sensor before reclining or in­clining (reverse recline).
When adjusting the back angle, DO NOT remove back angle adjustment knobs as they help secure the back sensor to the frame.
Adjust the seat depth with the clients pelvis ori­ented to the desired tilt and the thighs fully sup­ported. Do not cause posterior pelvic tilt by over­extending the seat depth. If there is a significant amount of thigh that remains unsupported, even with the seat depth set to the maximum amount, then the remaining surfaces can be produced at the factory by extrapolating the cushions shape forward. This will be covered more fully in the mea­surements section.
Adjust the back angle for the desired comfort level and to accommodate any limitations of move­ment. The head should be balanced over the
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shoulders and hips. The client should have a natural forward gaze and not be pushed forward in the system (Figure 7).
FIGURE 7 ADJUSTING THE BACK ANGLE
Adjust the tilt angle to help balance the client and to allow gravity to assist in the fitting process. The clinician should be aware of the limitations that the clients wheelchair may have upon the ability to tilt. Functional issues such as forward reach and swal­lowing must also be taken into consideration.
Center the clients trunk on the back surface using the printed grid as a guide.
14. Take the back shape. Gently place one hand on
the individuals sternum while pulling the back sen­sor lever all of the way forward. Tell the client they may feel a slight pressure against their sacrum (buttocks) during this phase (Figure 8).
15. Quickly, visually check to make sure that all of
the extended plungers are touching the client in the areas desired. The clinician can manually ex­tend or depress the plungers to fine tune the shape (Figure 9). The area behind the scapula should
be flattened to reduce interference with up­per extremity movement (unless protraction of
the shoulders is a desired feature) (Figure 10). If for any reason the clients posture or the back’s shape does not seem right, then retract the lever and start over. Make sure the shapes are right before recording them.
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Check the clients trunk for rotation and the shoulders for a level orientation. It is impor-
tant at this time to critically evaluate the amount of force and support an individual will need to main­tain the desired posture. Only gentle assistance should be necessary to support the client during the fitting phase. If significant force is necessary then other intervention strategies should be con­sidered.
12. Release the back sensor lever from its locked
position by pressing it in and moving it rearwards into the plunger activation position.
13. Confirm the clients posture from the feet up to
the head.
FIGURE 9 EXTENDING THE PLUNGERS
FIGURE 8 TAKING THE BACK SHAPE
FIGURE 10 FLATTENING THE AREA BEHIND
THE SCAPULA
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16. Record the back and seat shape by pulling the
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imprinting handles across the data panels. Pull each imprinting handle only once. A baseline and a contour line should now be printed on each data form. If the base line was not recorded, it can be taken once the client transfers out of the Shape Sensor.
17. Confirm measurements with the client still seated
in the Shape Sensor. Cushion length. Retract the back sensor lever
to create a flat panel and measure from this sur­face to the place on the clients thighs that the cush­ion is to end. What you are measuring is the ac­tual cushion length not the clients seat depth. Take into account the wheelchairs available depth. Sil­houette
®
seat cushions are produced with a rounded rear section that allows them to be fully inserted into the wheelchair with minimum inter­ference from the back push handles. Issues such as the clients activity level and propulsion method should be taken into account when determining the cushions length. If the client has their knees pulled into a tucked position for improved maneu­verability then the cushion may be quite short. If the client propels using their lower extremities then clearance should be provided for the calf to allow sufficient movement rearwards. Lengths can be produced from 8-22”.
Back height. The individuals back height is de­pendent upon activity level and the need for pos­tural support. There is no magic rule for determin­ing back height. In order to promote upper extrem­ity function the scapula area should be free from interference. This can be accomplished by stop­ping the back height below the scapula or flatten­ing the area behind it. The number printed on the back grid is used to determine back height (Fig- ure 11). Do not measure the back height with a tape measure, but write down the number printed on the front of the back sensor grid.
Leg length. This measurement is taken to help determine footrest height and desired floor to seat height. This is especially important for individuals who propel using their feet or who transfer using the stand and pivot technique.
Back Angle. The back angle measurements are printed on the side of the back sensor panel.
Tilt Angle. The tilt angle can be taken using an inclinometer or bubble level. This angle will assist with setting up the clients finished system.
WARNING
When returning the client in the Shape Sensor to the full upright position, more body strength will be required for ap­proximately the last twenty (20) degrees of incline (reverse recline). Make sure to use proper body mechanics (use your legs) or seek assistance to avoid injury.
FIGURE 11 INDICATING BACK HEIGHT
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18. Transfer the client off of the Shape Sensor and
position them in their own wheelchair. Make sure the back sensor panel is locked before the trans­fer, and that the client is supported properly and all belting/strapping is secured in their chair.
19. Remove the data panels from the imprinters.
The data panels have a flexible strap to assist with their removal. Make sure the imprinters are all of the way to one side to allow the panels to be pulled out of their channels.
20. Remove the data forms from the panels and fill
in the requested information on each section (date, dealer name and number, client name, contact person, and phone number)
21. Copy the Shape Sensor ’s serial number onto
the order form. There is a separate serial number for the back and seat. This is a very important step! Each Shape Sensor has its own “personal- ity that assists in fabrication and this is recorded by Invacare in their computer system. The cush­ions can not be produced without this number.
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22. Determine the necessary cushion modifica­tions and options and write this information on the
order form. Additional changes in the cushion are available to the clinician if they are using SeatMaker software and can modify the cushion on screen before sending the data to Invacare.
Cushion density . There are two choices for cush­ion density, soft or firm. Soft foam is generally cho­sen for instances were maximum pressure relief is desired. Firm foam will provide increased sta­bility and support.
Cushion thickness. Cushions are available in 4,5”, and 7 thickness. The thickness of the cush- ion is determined by the overall depth of the con­tour and the functional characteristics desired. A 7 cushion can only be provided if the clinician uses SeatMaker software to design the cushion.
Cushion width. The cushions width is determined by the clients width and the dimensions of the wheelchair. Widths can be produced from 10”- 22”.
Cushion fabric. Cushion covers are available in four different styles, but only in one color (black). The variety chosen is dependent upon the clients function and the environment where the individual resides. Consideration should be given for the pur­chase of a second cover as they are custom made. If an additional cover is desired at a later date then the dimensions of the cushion would have to be sent back to the factory to serve as a pattern.
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Lycra
. The smooth texture of this fabric can make
transfers easier. It should not be used if the client is incontinent.
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Waterproof L ycra
. This cover has a layer of thin,
stretchable material bonded to the lycra making it waterproof. The top surface of the cover can still absorb moisture but fluids cant pass into the cush­ion. If the cover does become wet it can be dried easily. This cover would be appropriate for indi­viduals that experience incontinence on a periodic basis.
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Stretch Vinyl
. The waterproof coating is on the
outside of this cover making cleanup a much easier task. This is the suggested option for persons who are incontinent.
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Polartec
. This fabric is a polyester fleece mate-
rial commonly used for jackets and sporting ap­parel. It is very durable and comfortable to sit upon. It is not waterproof.
Rail Cuts. Rail cuts can be specified if a cushion needs to drop between the seat rails of a wheel­chair in order to create a specific floor to seat height. Rail cuts on the back will allow the cushion to ex­tend between the push handles helping to increase seat depth with maximum surface contact main­tained to the back. Rail cuts will require that the clinician provide the necessary mounting materi­als.
Leg Length Discrepancy. If a client has a leg length discrepancy then the cushion will need to be cut back for the shorter leg. The overall length of the cushion should be measured with the longer leg. This will be the cushion length recorded on the order form. The length of the discrepancy for the shorter leg should then be indicated on the op­tions portion of the order form.
Solid Insert. A solid insert consists of a 1/4 thick panel of rigid plywood, cut to be 2 less than the width of the cushion. This panel is meant to be used with a seat cushion that is placed directly upon the sling upholstery of the wheelchair. This can be a low cost alternative to a drop seat or modular shell. An insert should only be used by individuals that can independently regulate the placement of the cushion within the chair.
Lateral supports. When a cushions lateral trunk supports require additional depth or strength, then auxiliary supports should be considered. The op­tional trunk supports are made with a quick release feature and can be purchased with varying degrees of offset. The offsets are available in 1/2,1, 1-1/
out and 1/2, 1, 1-1/2” in, and straight configu-
2 rations. It is best to have all of these brackets avail­able to assist in the fitting process. The hardware used to attach the supports to the cushion is mounted inside the modular shell. The support can be moved along an extruded rail within the shell to adjust the desired height. The metal support bracket can be bent to create a curved surface. The bracket can only be bent with significant force applied and requires that the padding be removed. The padding will slide off of the bracket once the locking dot has been pressed out of position (Fig-
ure 12). Headrest. There are many clinical reasons for
using a headrest. This can vary from helping to reduce neck hyperextension to providing a surface upon which to rest the head when the individual is tilted back. There are three styles of headrest pads available; small, large, and two step. The mount­ing hardware is removable and adjustable
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FIGURE 12 REMOVING LATERAL INSERTS
ions on sling, modular shells, KwikFit, and cus­tom.
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Cushions on sling. The Silhouette
cushions can work quite effectively, in some instances, when placed directly on a sling. The most common ap­plication is when a seat cushion is used by active user in an ultra-light base. It is beneficial if the sling is tight and matching Velcro® is available on the slings fabric. Additional firmness of support can be achieved by using the optional solid insert. There are many wheelchair styles that have an integral seatboard as part of the chair. This is usu­ally a metal pan with Velcro® attached to the sur­face.
Modular Shells. The modular shells are made to the dimensions of the cushion in 14”,16”, or 18 widths and between 10-21” in length. These shells consist of two extruded aluminum channels, and two plastic endcaps (Figure 13). The channels are used for attaching the mounting hardware and auxiliary supports such as lateral trunk supports. The end caps connect the channels, and create a smooth and attractive surface. The cushions are covered with the fabric of choice and are held into the shells using Velcro
®
. The modular shells come complete with all hardware for mounting into the wheelchair.
in all directions. If it is unknown whether or not an individual requires a headrest then the modular shell for mounting the back cushion should be specified as headrest ready. The mounting holes for the headrest will be prepared and then filled with attractive caps.
Pelvic strap. Every seating system should use a pelvic positioning strap. This is a necessary safety option and will help stabilize the pelvis. The variety offered for the Silhouette
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System attaches to the wheelchair seat rails. This will allow for precise positioning and optimum angle of pull.
Performance Shaping. When a client is very ac­tive and is using an ultra-light chair then Perfor­mance Shaping should be considered. This op­tion will maintain the leg troughs produced during the simulation and add an undercut behind the calf to allow for increased flexion of the knees. The leg troughs will help to stabilize the lower extremities and the undercut allows for an increased tucked posture that can improve stability and maneuver­ability.
23. Determine the interfacing of the cushions to the
wheelbase. There are four basic choices; cush
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FIGURE 13 SILHOUETTE® MODULAR SHELL
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KwikFit. The back KwikFit system consists of
two aluminum channels connected together with a solid ABS panel. This system has all of the ben­efits of the modular shell design, but is a broader range of sizes. The back comes complete with attaching hardware that is adjustable in depth and angulation. The seat KwikFit system is a flat ABS panel with hardware that snaps easily onto the wheelchairs seat tubes. Both the back and seat KwikFit systems are covered by the fabric of choice.
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Custom. Silhouette
seat and back cushions can be interfaced into a chair using standard hooks and hangers. The seat cushion can be placed directly upon a drop seat. The back cushion can be glued to a board that has been prepared with the necessary T-nuts. The attaching hardware can then be bolted through the cover. Custom mount­ing is an easy process for those that have the nec­essary equipment for fabrication.
24. Fill in order form and fax to Invacare at 1-800-
870-4928.
COMMONLY ASKED QUESTIONS
The following should address some of the common questions that clinicians and clients may have regard­ing the Silhouette® System. Unfortunately, not all situ­ations or applications can be predicted and some ques­tions may still remain. If this is the case, then please feel free to contact Customer Service (1-800-451-
3553). Cushion Life. The life of a Silhouette® cushion de-
pends upon the type of environment, and the use it is exposed to. There is a 60-day unconditional guaran­tee and a two year replacement warrantee.
®
Growth. How much growth a Silhouette accommodate is dependent on what kind of growth is experienced. If the growth is linear, then the back can be shifted in the wheelchair. One method of extending the life of a seat system is to purchase the interfacing (modular shells or custom) oversized with the addi­tional foam extending underneath the back. When a new cushion is made then the interfacing can still be used. This method of accommodating growth is lim­ited by the type of wheelchair being used. When growth is actually weight gain, then the amount that can be accommodated is proportional to the individuals size. The cushions are soft in their construction and some accommodation is possible. The cushions can also be carved by hand to adjust for weight gain,and then re-coated.
cushion can
Large Clients. How large of an individual can use Sil­houette
®
The Shape Sensor is 18 wide, and any part of the client that extends over these surfaces will be extrapolated by the computer following the clients re­corded curve (up to 21). The measuring limits of the Shape Sensor for cushion length is similar, but the ex­trapolation of leg length is a much more accurate pro­cedure. The Shape Sensor is rated for up to 300 lbs.
Low Floor to Seat Heights. When a low floor to seat height is desired, the proper chair should first be chosen. Custom interfacing using a drop seat may be necessary for extreme conditions, or when the op­timum chair cant be provided. Care should also be taken when specifying the thickness of the cushion.
Restriction of Movement. Clients and clinicians alike may have concerns that a custom contoured seat cushion will restrict an individuals capacity to freely move about. Comments such as I dont like to sit in just one spot, and I like to move around a lot are frequently heard. The Silhouette
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cushion is made from soft polyurethane foam and shifts in position are readily achievable. Invacare has found through inter­viewing previously skeptical clients, that the reason they had moved around so much in the past, was that they were often uncomfortable. The Silhouette® cushion increased their comfort making constant shifting less of a necessity.
Shear. Shear is a difficult phenomena to measure and quantify. The less a surface has to deform, the less shear it will exert on the clients tissue. The Sil­houette
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surface is contoured to the clients shape and
should theoretically, cause less shear. Shorter Seat Depths. When only a seat cushion is
being produced, then a dense material of known thick­ness can be added to the front of the back sensor’s surface. This thickness will have to be related back to the factory to assist in the fabrication process. If the client requires both back and seat, then the attach­ment hardware holding the seat sensor panel will have to be modified. This modification process can be per­formed at the factory or written directions can be given. The modification will require the purchase of two re­taining clips and two bumpers. It will also require the drilling and tapping of four holes.
Small Clients. Cushions can be made as small as 10 x 10, and Invacare rates the low end capacity of the Silhouette
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at 50 lbs. Very small clients do not have sufficient weight to press into the Shape Sensors seat. Some clinicians have had good success in applying additional force onto the client to produce the desired
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contour. This can be a tricky procedure, and caution should be taken so that asymmetries are not introduced
Transfers. The ability to transfer must be considered
T
when screening a candidate for a Silhouette
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ease of transfer will be dependent upon the type of
O U
cover used and depth of contour. The depth can be
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adjusted for individuals whose abilities may be com-
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promised by a deeper cushion.
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The process of producing a Silhouette® seating sys-
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tem using the mechanical Shape Sensor, quickly be-
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comes an easy and rewarding method of intervention.
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The tools are durable and simple in design, but as with
G
all things, problems may arise. Refer to this trouble shooting guide for answers to some of those prob­lems.
Bent Cable. If a cable becomes bent, attempt to straighten it. If the bend cant be sufficiently repaired to allow operation then it will have to be replaced. If the bent cable is located in a nonessential area then note this on the order form and cushions can be produced. A bent cable is easy to find on the computer and its position can be adjusted.
Data Form put into Wrong Imprinter. This really isnt a problem. Make sure to indicate on the form which sensor made the impressions.
®
seat. The
Seat Depth Won’t Lock. If the seat depth cant be locked, and the knob keeps spinning, then remove the back sensor panel and slide out the side plate. In­spect the carriage bolt that attaches the knob to the side plate. Chances are, the edges of the bolt have worn, and a new one should be installed.
TECHNICAL NOTES
Periodic maintenance of the Shape Sensor and Sil­houette® seating systems is recommended. Informa­tion regarding the care of the cushions and interfacing should be passed on to the client.
Shape Sensor
Keep the slotted seat rail free from debris.
®
If the Shape Sensor is used to make ContourU ions, then plaster should be prevented from getting into any moving parts and surfaces kept clean.
Replace the gas cylinders when they no longer lock in position.
Check before each fitting that the clamping blocks, used to fold the frame, are securely tightened.
Do not store objects on top of the Shape Sensors seat.
Cushions and Interfacing
Wash the covers in cold water and tumble dry on low heat.
cush-
Footrest Length. There can be times when the foot­rests cant accommodate the clients leg length. Use any surface available such as books or boards to sup­port the feet. The feet need to be supported for the legs to be positioned properly.
Jammed Data Panel. This condition can be averted by always confirming the panel is seated properly in the receiving channels before pushing it into the im­printer. When a jam does occur, firmly grasp the stuck end of the panel with a pair of pliers and pull it out. If you pull too hard on the cord style handle it could break away from the panel. If this technique does not work, then the sensor should be returned to the factory.
Plunger Disconnected. When a plunger becomes disconnected simply snap it back over the ball end of the cable. If the cable is pressed down into the foam, then depress the foam cell around it, and pull it back up. If the ball end of the cable is broken or missing then it will have to be replaced. If the damaged cell is located in a nonessential area then notify this on the order form and cushions can be produced. A stuck or broken sensor is easy to find on the screen of the com­puter and its position can be adjusted.
Do not immerse the cushions into water as they are made from open cell foam and will soak up water like a sponge. The urethane coating does not make the foam waterproof only water resistant. If the cushion must be immersed, then squeeze out the excess wa­ter and dry thoroughly before returning to service.
Periodically check the fasteners that hold the interfac­ing hardware, and tighten if they have become loose.
Data Forms
The data forms are used to record the contour of the client and are clearly marked for installation onto the data panels. There is a form for the seat, and a form for the back. There is a front and back to the back form, and a top and bottom to the seat form. Inspec­tion of the data form will show 50 rows along the Topshape and 50 rows along the Bottomshape, Each one of these rows corresponds to one of the plungers. A finished data form should have imprinted upon it one base line and one contour line. Always bring duplicate forms to a fitting in case one is incorrectly printed.
Tear off the side stubs along the perforations and dis­card the portion of the foam with the adhesive.
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Separate the Topshape section from the Bottomshape section by tearing along the two perforations.
Fill in the requested information including; Dealer name, dealer number, dealer phone number, contact person, date, client name and any remarks.
Make sure the data forms serial number is recorded on the order form.
Fax the data forms along with the order form to Invacare at 1-800-870-4928. This fax line can accommodate the longer forms.
Order Form
Information regarding the order form and available op­tions is presented in the section titled Creating a Sil­houette order form be filled out. Within the order form, the type of simulator back is requested. If the model being used is complete with a Sensor panel then mark Earlier models of the Shape Sensor were made for producing seats only. These models used a strap style back.
Guarantee
Invacare cushions for 60 days from the date of shipment. The cushions are also covered for a full two years for de­fects in materials or workmanship.
Serial Numbers
Each Shape Sensor has a separate serial number for the back and seat sensor. These numbers must be recorded on the order form as they give Invacare im­portant information regarding the personality of the machine. The serial numbers are located on the back of the Shape Sensor.
SeatMaker
SeatMaker is a computer program created by Invacare to input and manipulate the data produced on the Shape Sensor. This software can be used by the cli­nician to further refine the cushions and as a method to review the data before sending it off for production. The inputting of data into the computer is accomplished by touching each of the imprinted data points using a stylus and digitizing tablet. The cushions shape can be modified and fine tuned to exactly meet the clients needs. Once the changes are made, then the data can be sent by modem to the factory.
®
System. It is important that all parts of the
Sensor.
unconditionally
guarantees Silhouette
General Shape Sensor specifications
Measuring grid:
10 x 10 data grid spaced 1.75 apart
Maximum depth of contour measuring capacity:
4.5 (seat and back)
Cushion construction:
HR 32 polyurethane foam with segmented top section
Seat sensor depth:
17.5 front to back, adjustable to 11
Seat sensor width:
20 (17.5 measuring area)
Back sensor height:
19.5 from top of seat (17.5 measuring area)
Back sensor width:
20 total (17.5 measuring area)
Seat-to-back angle adjustment:
80-110 degrees
Tilt-in-space angle adjustment:
0-20 degrees
Wheelchair transfer height:
23.5 from floor
Weight Limitation:
®
Shape Sensor dimensions
Fully assembled: 30.5W x 43L x 57”H With back sensor folded flat: 30.5W x 48L x 35”H Base frame: 30.5W x 37L x 11”H
Seat sensor module: 25W x 32L x 9”H Back sensor module: 26W x 32L x 12”H
Shape Sensor weight:
Frame 50 lb. Back sensor module 68 lb. Seat sensor module 46 lb.
Features
Direct measurement and recording of total posture Tilt-in-space adjustment for more accurate simulation Seat depth adjustable. Sturdy 8 wheels and 5 casters with brakes and rota-
tional lock. Removable arm rests and foot rests
300 lbs.
(folded flat for transport)
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INVACARE CORPORATION l
INVACARE CANADA l
5970 Chedworth Way l
Phone (905) 890-8300, 1-800-668-5324, Fax (905) 890-5244
Form No. 98-110 Part No. 0900117 Rev. B (5/99) Printed in USA
1200 TAYLOR STREET l
Phone 1-(800)-333-6900
Mississauga, Ontario Canada L5R 3T9 l
Elyria, Ohio 44036-2125 l
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