Jenx Multistander Instructions For Use Manual

INSTRUCTION FOR USE

Important Information: These instructions must be kept with the product at all times. This product is a prescribed Medical Device. To be used only under the guidance of a Therapist or Prescribing Practitioner. You must read these instructions carefully before use.

Version 002

Max user weight: 35 kg Weight of product: 20 kg

Multistander

INSTRUCTION FOR USE

Multistander

INSTRUCTION FOR USE

Note: Some fabric and plastic colours may vary, adjustments are not affected.

Prone configuration

Supine configuration

Carers and home users

Re-issue and stores

Professional and technical users

Contents

Safety Information

Safety Labels ..................................................5

Important Safety Information ...........................6

Basic Safe Configuration ................................. 7

General Information

Key ..................................................................9

Care and Cleaning Instructions .......................10

Maintenance ....................................................11

Product Induction & Hand Over ....................... 12

Specification & Warranty .................................13

Main Features and Benefits ............................. 14

Initial assembly................................................16

Fitting the tray fixing bracket............................16

Fitting the footplate ..........................................17

Fitting the kneeblocks ......................................18

Fitting the support pads ................................... 19

Frequent Adjustments

Castors............................................................21

Safety straps ................................................... 22

Kneeblock straps ............................................. 24

Tray fixing bracket ........................................... 25

Tray fitting & depth / height adjustment ...........27

Tray angle / Depth ........................................... 28

Fitting the sandals ........................................... 29

Tray fixing bracket height / remove .................. 29

Adjusting the sandals .....................................30

Clinical Adjustments

Support pad adjustment ..................................32

Kneeblocks......................................................33

Upper pad angle ............................................. 35

Angle adjustment .............................................36

Height adjustment ...........................................38

Lower pad height ............................................. 40

Upper pad height ............................................. 41

Optional Components

Removable covers and chest prompt ...............43

Fitting the headrest .........................................45

Headrest adjustment .......................................46

Multigrip headrest ............................................49

Sandal raising blocks ......................................50

Elbow blocks (tray) .......................................... 50

Angle adjustable footplate ...............................51

Thin thoracic pads ........................................... 54

High rise thoracic pads .................................... 54

Maintenance & Inspection

Maintenance & Inspection ...............................57

Frequently Asked Questions ............................59

Notes ..............................................................59

Carers and home users

Re-issue and stores

Professional and technical users

Safety Information

CHAPTER ONE

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Multistander

Product Labels

Each Jenx product has a number of pictorial safety labels attached, please refer to the explanations below.

Client weight Limit (changes per model and size)

Conforms to CE Marking Regulations Medical Devices Directive (MDD) 93/42 EEC)

The serial number is written on the CE label (see picture), which is located on the product. Please quote this number on all correspondence.

Serial Number/ CE Certification

Attention / Warning

Please read Instruction for use

Only for indoor use

Always fasten and adjust positioning straps and belts to suit the child. Adjust to suit changes in clothing. Allow one fingers width between the belt and the child

Do not leave child unattended (see page 4 for full warning)

DO NOT USE as a mobility device Never use product on rough ground or uneven surface

Safety Labels

Safety Information

Ensure that your Therapist has confirmed that the product is correctly set up, by signing the ‘Set Up’ section of the Log book before using this product. If the product has not been set up by your Therapist DO NOT USE.

Jenx Limited recommends that children are never left unattended whilst using this Medical Device. Children may slip or fall when unattended and may suffer serious injury. It is the sole responsibility of the person caring for a child using this Medical Device to ensure the safety of the child in the Device should they be left alone.

Always read the instructions before operating. Failure to read and follow the Instruction for Use, especially with regard to moving parts, may pose a risk to the user.

Do not use this product if you suspect or know that it is broken or faulty. Please contact Jenx Limited immediately for advice: Jenx Limited, Tel: +44 (0)114 285 3376.

This product contains small parts which could present a choking hazard to small children.

All Jenx Limited products are tested to meet current Fire Safety regulations. Always keep products away from; naked flames, cigarettes and sources of heat such as heaters.

Jenx Limited supplies the necessary tools to adjust each product. These tools are supplied for use by trained therapists only. Store the tools in a safe place and keep away from children.

Assemble product fully before use. Please contact Jenx Limited if you have any problems at this stage. Jenx Limited, Tel: +44 (0)114 285 3376.

Ensure that good care is taken of your product: clean regularly. Do not use abrasive cleaners. When not in use, store this product in a dry place that is not subject to extreme temperatures. Places not to store this product include garages, attics or garden sheds.

Any changes or alterations carried out by persons other than a Jenx authorised service person will invalidate the warranty and Jenx can accept no liability for any injury or damage so caused.

All Jenx products are Medical Devices and are sold on the understanding that they will be prescribed, issued and maintained in line with current national device management guidelines.

This product must be thoroughly inspected by a qualified person at least annually

Important Safety Information

This product conforms to the European Medical Devices Directive. It has not been tested in conjunction with other manufacturer’s products. Do not add any accessories other than Jenx Limited accessories to this product. If in doubt, contact Jenx for advice +44 (0)114 285 3376.

All belts and harnesses should be used at all times. For therapy purposes it may be necessary to deviate from this rule and any deviation should be fully documented as part of a Risk Assessment or Therapy Program and all relevant staff and carers appropriately trained. Secure client with straps before adjusting product. Ensure finger’s width between safety strap and client to prevent over tightening or client moving to inappropriate position. Adjust straps for each client and changes of clothing. Minimum Velcro® overlap: 3 inches (7.5cm) on all straps. If strap is not long enough: DO NOT USE PRODUCT.

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Multistander

Basic Safe Conﬁguration

Supine

In order to safely use the Multistander in supine mode, the following features must be used: Kneeblocks and straps, chest pads and straps, hip pads and straps, footplate, sandals and headrest. Failure to use these basic features may pose a risk to the user. Other accessories can be added but these basic features must always be used.

Prone

In order to safely use the Multistander in prone mode, the following features must be used: Kneeblocks and straps, chest pads and straps, hip pads and straps footplate and sandals. Failure to use these basic features may pose a risk to the user. Other accessories can be added but these basic features must always be used.

Supine configuration

Prone configuration

If using in prone without the tray, ensure that both the tray and the tray fixing bracket are removed. Be aware that there are potential hazards and finger traps present on the stander in the prone configuration without a tray fitted

Carers and home users

Re-issue and stores

Professional and technical users

General Information

CHAPTER ONE

Multistander

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Key to Components

Key

Key for Users

Wing knob

Allen key bolt

Swiss clip

T-Nut

Wing nut Star knob Plastic spacer Plastic washer

Carers and home users

Re-issue and stores

Professional and technical users

Scallop wheel

Clamping lever

Adjustment specific to the stander in the prone configuration

Adjustment specific to the stander in the

supine configuration

Note: Design may vary

Fabrics, Vinyl and PU (polyurethane)

• Minor spills can be removed with a damp cloth

• Spillages should be removed as quickly as possible after contact, dab the stain, do not rub

• Do not over wet the stain

• Do not use organic solvents, dry cleaning fluids, abrasive cleaners or industrial bleaches

• Antibacterial spray or wipes can be used

• Always ensure that the product is dry before use

Wooden Products and Parts

• For deep cleaning, a low pressure steam cleaner can be used

• Do not use organic solvents to clean Jenx Products

• Soap and water or antibacterial spray can be used

• Check for breaks or splintering of the wood before re-issuing

• Daily cleaning: Spray polish or wax polish can be used

Metal Frames and Coated Parts

• For deep cleaning, a low pressure steam cleaner can be used

• Do not use organic solvents to clean Jenx products

• Soap and water or antibacterial spray can be used

• Daily cleaning: Wipe framework down with a damp cloth as necessary

Care and Cleaning Instructions

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This product must be thoroughly inspected by a qualified person at least annually

Daily Checks

Daily checks of the equipment should be carried out by carers. These checks are not technical but a basic understanding of the product is needed. Multiple daily checks may be needed in schools or therapy rooms where the products are used by multiple users. The checks should include the following points:

Multistander

• Check that all nuts and bolts are in place and secured

• Check that all mechanical movements operate fully

• Check the structure of the product for signs of fatigue

• Castors: Lift base and check each wheel to ensure it is not loose or worn. Remove any grease or dirt that

has built up on the wheels, check that the brake stops the wheels rotating (where applicable)

• Check gas springs for normal operation and resistance. Slow descent (creeping) of the gas spring can be checked by observing the position of the unit over a period of time

• Check that gas spring levers are not bent. Do not use the product if any levers are bent. Contact Jenx Limited to arrange replacement

If you have filled your product inspection log book, copies can be printed from www.jenx.com

• Replace any lost or worn washers or bolts

• Check tray for damage. Ensure that the tray edging is secure and that the tray is clean and free of any

rough or sharp corners

• Check all upholstery for any signs of wear and tear

• Brush Velcro® to remove fluff

• Check wooden parts for splitting or splintering

• Check straps for fraying and missing or broken buckles

• Clean any stains or spillages

• Contact Jenx Limited if any accessories not manufactured by Jenx Limited have been attached to the

product. Unauthorised accessories may affect the safety of this product and invalidate your warranty

• Check that gas spring levers are not bent. Do not use the product if any levers are bent. Contact Jenx Limited to arrange replacement

Monthly Checks

We recommend that on a monthly basis a competent person who is familiar with this piece of equipment and who has been trained in its use should carry out a more detailed check:

Maintenance

General Information

This product is a Prescribed Medical Device and as such it is important that all users understand the use and adjustments that this product offers. This booklet shows the range of adjustments and gives guidelines for each type of user to follow.

Professional / Technical users

This refers to the Therapist and Prescribing Practitioner.

Ensure you read all sections in this booklet and are fully familiar with all the adjustments. As well as the selection, prescription and set up of the product to suit the client’s needs, the technical user has the responsibility for the induction of the Carer, ensuring that the Carer:

• Has an understanding of the safety aspects of the product

• Is familiar with the product; what to use and what not to use

• Knows which accessories have been added and what daily adjustments to make

• Has an understanding of the care and cleaning procedures

A formal hand over procedure should be adopted for this product. Use the separate Inspection Log to record set ups and changes to the product. Jenx Limited offers Product Courses for Technical Users. Please contact us for more information.

Carer (This section refers to the daily carer)

This product is a Prescribed Medical Device. It should only be used with the guidance of a prescribing professional. Do not make any adjustments other than those you have been instructed to make.

The Carer section of this guide gives the adjustments needed to aid daily use only, any other adjustments are only to be performed by the Therapist.

Re-Issue (This section refers to Stores Personnel)

Stores personnel must follow the checks and maintenance guide before re-issue. The Medicines and Healthcare products Regulatory Agency (MHRA) releases regular bulletins regarding product updates and issues. These should be monitored.

• Records should be kept on all products serviced or re-issued

• Repairs or replaced parts should be traceable

• The Jenx serial number should always stay with the product and never be removed

• Instructions should always be issued with the product. Copies are available from Jenx Limited or can

be downloaded from www.jenx.com

• Always inform the technical user before a product is issued to a home for set-up purposes

• If the product is to be re-delivered, ensure adequate and secure packaging is used

• If in any doubt as to the safety of this product do not issue it, contact Jenx Limited for advice

• Products must only be issued fully assembled, clean and in good working order. Instruction for Use

must be with the product

Jenx Limited offers Technical User Courses for stores personnel. The course gives guidance for: maintenance, inspection of the products, regulatory information, cleaning. Please contact us for more information.

Product Induction & Hand Over

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Multistander

Speciﬁcation & Warranty

Warranty

The Instruction for Use of this product should be followed carefully. It is impossible to eliminate all risks inherently associated with the use of this product. Product failure or other unintended consequences may result because of such factors as improper storage, use or maintenance, unauthorised and inappropriate alteration or repair or improper or violent treatment, excessive strain, use of improper replacement parts, or because of normal wear and tear, all of which are beyond the control of the Manufacturer and Seller. Buyer and User assume all such risks.

Manufacturer and Seller warrant that this product will be free from defects in material and workmanship for a period of 24 months from the date of purchase and is reasonably fit for the purposes stated in the Instruction for Use, subject to the inherent risks under normal use conditions. This Warranty does not extend to the use of the product contrary to the Instruction for Use, or under abnormal conditions, or under conditions not reasonably foreseeable to or beyond the control of the Manufacturer or Seller. Buyer and User assume the risk of any such use. MANUFACTURER MAKES NO WARRANTIES OF SATISFACTORY QUALITY OR OF FITNESS FOR A PARTICULAR PURPOSE NOR ANY OTHER EXPRESS OR IMPLIED WARRANTY EXCEPT AS STATED ABOVE.

In no event shall Manufacturer or Seller be liable for any incidental, consequential or special damages resulting from the use of this product. THE EXCLUSIVE REMEDY OF THE USER OR BUYER AND THE EXCLUSIVE LIABILITY OF MANUFACTURER AND SELLER FOR ANY AND ALL CLAIMS, LOSSES, INJURIES OR DAMAGES (INCLUDING CLAIMS BASED ON BREACH OF WARRANTY, CONTRACT, NEGLIGENCE, TORT STRICT LIABILITY OR OTHERWISE) RESULTING FROM THE USE OF THIS PRODUCT, SHALL BE THE RETURN OF THE PURCHASE PRICE OF THE PRODUCT OR THE REPLACEMENT OF THE PRODUCT.

Manufacturer and Seller offer this product, and Buyer and User accept it, subject to the foregoing conditions of sale and limitations of warranty and liability, which may not be modified except by written agreement signed by a duly authorised representative of the Manufacturer.

Size Guide

Average user age range 9 months - 6 years

Maximum user weight 35 Kg

Maximum user height 1160 mm

Base Dimensions (mm) 700 x 840 mm

Description Prone Supine

Angle range 5° - 85° 5° - 85°

Chest pad width (small pads) Max: 270 mm Min: 125 mm Max: 270 mm Min: 125 mm

Hip pad width (small pads) Max: 270 mm Min: 125 mm Max: 300 mm Min: 125 mm

Kneeblock width (centre to centre size 1)

Max: 200 mm Min: 120 mm Max: 200 mm Min: 120 mm

Height of stander (floor to top of upper pad)

Max: 900 mm Min: 600 mm Max: 900 mm Min: 660 mm

General Information

Main Features and Beneﬁts

Locking Castors

Benefits: All four castors lock to ensure that the stander stays stationary.

Angle Adjustment

Benefits: Can accommodate users of different abilities as altering the angle of standing changes the forces acting on the child

Kneeblocks

Benefits: Fully adjustable to give appropriate support at the knees

pg 34

pg 36

pg 21

Prone configuration

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Multistander

The adjustment can be found on the page specified

Key

Sandals

Benefits: Ensure the users feet are held firmly in position

Headrest

Benefits: Fully adjustable to give appropriate support.

pg 45

Tray (optional)

Benefits: The tray gives a surface for the child to play and learn on. It is adjustable for height and angle and can be removed.

pg 25

pg 29

pg 00

Supine configuration

Straps

Ensure that the straps are fastened as soon as the child is in the stander

Support Pads

Benefits: Adjust to support or brace the child and help to improve symmetry

pg 22

pg 32

General Information

Initial assembly

Multistander as it should look when first taken out of the box.

Before use: Fit footplate, kneeblocks, pads, tray, headrest (supine)

Fitting the tray ﬁxing bracket

Step 1: Slide the barel nut into the channel as shown above Step 2: Tighten the allen key bolts with the allen key provided

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Multistander

Fitting the footplate

Step 1: Put the

bolts supplied through the plate at the bottom of the frame, through the footplate, washer and nut, as shown.

Screw the bolts into the nuts to hold the footplate in place

Step 2: Tighten all 4 of the bolts using the 4mm allen key

and spanner provided, as shown above.

2 2

General Information

Fitting the kneeblocks

Step 1: Slide

the knee block assembly onto the post that is pre mounted to the stander

Step 2: Tighten

the wing knob to hold the kneeblock in position

Kneeblocks size 1 Kneeblocks size 2

Note: Both sizes of kneeblocks fit in the same way

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Multistander

Fitting the support pads

Step 1: Insert the pad onto the

stander as shown above

Note: It is necessary to apply a little force to put the support pad onto the stander. There is a notch in the plastic to limit the safe adjustment range.

Step 2: Tighten the wing

knob to hold the pad in place. Repeat for the other 3 pads.

Carers and home users

Re-issue and stores

Professional and technical users

CHAPTER TWO

Frequent Adjustments

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Multistander

Castors

Lock Castors

Press down on the lever to lock the castor.

Lock castors before using the stander.

Unlock Castors

Lift the lever to unlock the castor.

Do not move the stander with the castors locked

Supine configuration

Frequent Adjustments

Safety straps

3 4

Step 1: Image showing the straps open. Step 2: Fix the child in place using the large velcro

strap

Step 3: Pull the strap to tighten the large velcro

strap around the child

Step : Stick the velcro to the support pad

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Multistander

Safety straps

Step 5: Clip the buckle

Step 6: Pull the smaller velcro strap to tighten

Step 7 : Secure it back on itself

7 8

Step 8 : Image showing the tightened straps

Frequent Adjustment

Kneeblock straps

1 2

3 4

Step 1: Thread the strap through the plastic loop

at the back of the knee pad

Step 2: Pull the strap through to secure the knee

in place

Step 3: Stick the velcro back on itself Step 4: The knee straps secure

Step 5: Fasten the press stud over the strap

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Multistander

Tray ﬁxing bracket

Step 3: Insert bolts (with

washers) and tighten

Step 1: Remove the 2 bolts using the allen key provided, as

shown. Ensure that the washer stays on the bolt

Prone to Supine

Step 2: Line up the yellow stickers. This is done by rotating

the bracket as shown opposite

Tray fixing bracket should be removed when not in use, see page 29 for instructions on how to remove.

Frequent Adjustments

Tray ﬁxing bracket

Step 3: Insert bolts (with

washers) and tighten

Step 1: Remove the 2 bolts using the allen key provided, as

shown. Ensure that the washer stays on the bolt

Supine to Prone

Step 2: Line up the red stickers. This is done by rotating

the bracket as shown opposite

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Multistander

Tray ﬁtting & depth / height adjustment

Supine

Step 1: Insert the tray in to the

fixing brackets

Step 2: Tighten the wing knobs

(one on each side)

Prone

Step 1: Insert the tray in to the

fixing brackets

Step 2: Tighten the wing knobs

(one on each side)

Depth Adjustment

Loosen the wing knobs (one on each side), adjust the height or depth of the tray, tighten the wing knobs. The gauge (shown below) will enable you to match up both sides

Only the occupant of the product should lean on the tray

Why? What are the benefits?

Tray depth, height and angle are adjusted to place the tray in an appropriate position for the child to access activities comfortably

Only use the tray infill with the tray in the prone configuration

Frequent Adjustments

Tray angle / Depth

Step 1: Loosen the

wing knobs (one on each side)

Step 2: Adjust the

tray angle

Step 3: Tighten the

wing knobs (one on each side)

View of underside of tray

Step 1: Loosen the wing knobs (one on each side)

Step 2: Adjust the tray depth

Step 3: Tighten the wing knobs (one on each side)

Angle Adjustment

Depth Adjustment

Note: The tray depth must be at its minimum when the stander is in the prone configuration. There must not be a gap between the stander and the tray.

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Multistander

Fitting the sandals

Step 1: Insert the wing knob through the metal

washer, then the plastic washer and through the footplate into the sandal, as shown above

Step 2: Tighten the wing knobs on the underside

of the footplate

Tray ﬁxing bracket height / remove

Step 1: Loosen the

allen key bolts

Step 2: Adjust

the height of the bracket or remove

Step 3: Tighten the

allen key bolts

Frequent Adjustments

Adjusting the sandals

Step 1: Loosen the wing knob (under

the footplate)

Step 2: Adjust the angle, width and

depth of the sandal

Step 3: Tighten the wing knob (under

the footplate)

The straps must always be fastened in use and can be used in the two configurations shown opposite.

Why? What are the benefits?

Sandals are adjusted to influence the standing position of the child to improve posture and weight bearing.

CHAPTER THREE

Clinical Adjustments

Re-issue and stores

Professional and technical users

Clinical Adjustments

Support pad adjustment

Step 1: Loosen the wing knob on the back of the pad that you wish to adjust Step 2: Adjust the width and angle of the pad Step 3: Tighten the wing knob

Note: It is necessary to apply a little force to fit or remove the support pad from the stander. There is a notch in the plastic to limit the safe adjustment range.

Why? What are the benefits?

Support pads are adjusted to offer support to a child’s torso. This may be close support for a weak child or may be a little distance from the child to encourage balance and posture shifting practice for a more able child. Pads can be used to ‘brace’ a child’s spine where they have or are developing a scoliosis.

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Multistander

Kneeblocks

Step 1: Loosen the wing knob

on the back of the kneeblock

Step 2: Adjust the kneeblock

for angle in both directions and width

Step 3: Tighten the wing knob

Angle and width adjustment

Note: Both sizes of kneeblocks adjust in the same way

Take care of potential finger traps whilst adjusting the kneeblocks.

Why? What are the benefits?

The adjustment of the knee blocks is used to ensure safety of the child (especially in supine where the knee blocks will take a great deal of the child’s standing weight) and to maintain extension of the knees and to work with the sandals to create the desired standing posture.

Clinical Adjustments

Kneeblocks

Further angle and height adjustment

Step 1: Loosen the bolts

Step 2: Adjust the height of the kneeblocks

Step 3: Tighten the bolts

Height adjustment

1 2

Step 1: Loosen the wing knob

Step 2: Adjust the angle and height

of the kneeblock

Step 3: Tighten the wing knob and

repeat for the opposite side

Multistander

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Upper pad angle

Step 1: Loosen the allen key nut with the allen key provided

Step 2: Adjust the angle of the pad

Step 3: Tighten the allen key nut

Close up of allen key nut

Why? What are the benefits?

The angle of the upper pad can be changed to encourage extension and head control. This adjustment is only used in prone.

Clinical Adjustments

Angle Adjustment

Step 1: Unlock the push down

foot button by turning it in an anti-clockwise direction (left).

Step 2: Push down on the foot

button whilst keeping hold of the upper pad to control the adjustment. When the desired angle has been reached remove your foot from the button.

Step 3: Re-lock the button. To

lock the foot button turn it in a clockwise direction (right).

Push down foot button, shown in red for illustrative purposes only

Why? What are the benefits?

The angle adjustment of the whole board is used to alter the posture of the user and to increase or decrease weight bearing. It is also used in supine to allow a child to be hoisted on to a near horizontal surface to reduce manual handling.

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Multistander

Angle Adjustment

The stander in a vertical position

The stander in a horizontal position

Move

to ho

rizo

ntal

Move

to ve

rtica

Hold on tight to the upper pad to steady the stander whilst changing the angle.

Clinical Adjustments

Height adjustment

Step 1: Loosen the bolts with

the allen key provided, as shown opposite

Step 2:

To lower the stander: Push

down on the stander from the top pad, ensuring to apply equal pressure on both sides.

The stander will raise when the bolts are loosened.

Why? What are the benefits?

The height of the board is adjusted to suit the height of the user.

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Multistander

Height adjustment

Step 3: Tighten the bolts using

the allen key provided

Clinical Adjustments

Lower pad height

Step 1: Loosen the bolts with

the allen key provided, as shown opposite

Step 2: Adjust lower pad height

Step 3: Tighten the bolts with the

allen key provided

Why? What are the benefits?

The lower pad and upper pad height adjustments are used to set the pads at the correct height and proportions for each user.

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Multistander

Upper pad height adjustment

Step 1: Undo and remove bolts and

washers as shown opposite. Ensure that you keep hold of the pad whilst doing this.

Step 2: Lower the

pad until the upper bolt holes on the pad line up with the holes on the bracket

Step 3: Insert the bolts back

through the bracket and into the holes in the back of the pad. Ensure the washer stays in place on the bolt. Tighten both using the allen key provided.

Note: This adjustment is only to be used with very small children in prone standing. The pad must be in the upper position for supine standing

Note: If the headrest bolts have been left in the top holes of the upper pad, they will need to be removed prior to adjusting the height of the upper pad.

Carers and home users

Re-issue and stores

Professional and technical users

CHAPTER FOUR

Optional Components

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Multistander

Removable covers and chest prompt

The photo shows a set of removable covers, the covers can be used on the stander in supine or prone

Fitting the chest prompt into the cover

The chest prompt can be slotted into the top cover for use in prone standing, as shown below:

Removable covers

Why? What are the benefits?

Removable covers are used to protect the surface of the board and also to house the chest prompt. The chest prompt is used to increase extension of the thorax and can help to improve head control. This is only used in the prone configuration.

Optional Components

Removable covers and chest prompt

Fitting the removable covers

Step 1: Wrap the cover around the pad

Step 3: Fix using both press studs

Stander with both covers in place

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Multistander

Fitting the headrest

Oval Headrest (MH02)Multigrip Headrest (MH01)

Step 1: Insert the bolts through the

washer, plate on the headrest and into the top pad, as shown

Step 2: Tighten the bolts using the

allen key provided

Why? What are the benefits?

Headrests are used to support a child’s head. Only use in the supine configuration. Headrests can be adjusted to offer more or less support depending on the needs of the child.

Optional components

Headrest adjustment

Using the clamping lever: Loosen

1 2

3 4

Step 1: Pull the lever out to disengage Step 2: Keeping the lever pulled out, rotate the

lever clockwise to the upper most position

Step 3: Release the lever Step 4: Rotate the lever anti-clockwise to

loosen. Repeat steps 1 to 4 to loosen further.

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Multistander

Headrest adjustment

Adjust the angle of the joint that you have loosened

Always ensure levers are left in an appropriate and safe position

Ensure that the headrest is not set to a position that would enable the user to come into contact with the metal links

Optional Components

Headrest adjustment

Using the clamping lever: Tighten

1 2

Step 1: Turn the lever clockwise to tighten.

If the headrest needs further tightening continue to step 2.

Step 2: Pull the lever out to disengage the ratchet

Step 3: Turn the lever anti-clockwise Step 4: Release the lever and return to step 1

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Multistander

Multigrip headrest

Use these bolts to adjust position of the Multigrip links

To move Multigrip links undo the bolts shown above. The links can then be easily moved to desired position. Once position is achieved tighten the bolts securely.

Optional Components

Sandal raising blocks

Step 1: Insert the wing knob through

the metal washer, plastic washer, through the footplate, sandal raising block and into the bottom of the sandal.

Step 2: Tighten the wing knob.

Note: Up to four sandal raising blocks can be used with each sandal. Ensure that the correct length wing knob is used to suit the number of blocks used, 4 lengths are supplied with the raising block kit.

Elbow blocks (tray)

Fitting: Insert the studding through the slot in the tray,

through the plastic washer, metal washer and onto the wing knob as shown opposite

Why? What are the benefits?

These are used to encourage a child’s hands to stay on the tray and to resist attempts to take elbows backwards off the tray.

Why? What are the benefits?

These are used to make up for a leg length discrepancy.

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Multistander

Angle adjustable footplate

Removing the current footplate

Step 1: Remove the 4 bolts from the top of the footplate, using the allen key and spanner provided. The allen

key is used for the bolt heads on top of the footplate and the spanner for the nuts on the underside.

Step 2: Remove the footplate

Optional Components

Angle adjustable footplate

Fitting the angle adjustable footplate

Step 1: Insert the bolt

through the plate on the stander and then through the angle adjustable footplate and screw the bolt on beneath the footplate.

Note: Only use the nuts and bolts that come with the angle adjustable footplate to fit it.

2 2

Step 2: Tighten all 4 nuts

and bolts using the allen key and spanner provided

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Multistander

Angle adjustable footplate

Adjusting the angle

Step 1: Loosen the wing knob Step 2: Adjust the angle of the footplate Step 3: Tighten the wing knob

Do not adjust the angle of the footplate when the stander is occupied

Why? What are the benefits?

This is used to alter the angle of the footplate which may be necessary for some children to improve their posture and weight bearing.

Optional components

High rise thoracic pads

Step 1: Slide the pad into place Step 2: Tighten the 2 wing knobs

1 2

Fitting the pads

Note: only use in prone

Thin thoracic pads

Thin thoracics are fitted and adjusted in the same way as the positioning pads, see page 19 for

fitting instructions and page 32 for adjustment instructions

Why? What are the benefits? High rise thoracic pads are used in prone standing to encourage protraction of the

shoulders and to bring the arms into midline. This will tend to improve arm function.

Why? What are the benefits?

These may be used with smaller children or where the broader pads are found to impede arm function.

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Multistander

High rise thoracic pads

Adjusting the pads

Step 1: Loosen the wing knobs

Step 2: Adjust the angle, height and

depth of the pad

Step 3: Tighten the wing knobs

Carers and home users

Re-issue and stores

Professional and technical users

CHAPTER FIVE

Maintenance & Inspection

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Maintenance & Inspection Multistander

Maintenance & Inspection

Each Jenx product must be checked and inspected in line with the advice given in this IFU. Failure to complete these regular checks poses a risk to the user. Every year, each product must be thoroughly inspected by a person competent to assess faults and able to rectify or out-source rectification. The maximum period that should elapse between full product inspections is 1 year. After 3 years or from purchase where a product is subject to heavy use, this should be increased to six monthly full inspections. For complete peace of mind, Jenx Limited offers Product Inspections. Charges apply

Jenx Limited products are usually assessed for an individual client, therefore the following points must be adhered to prior to the re-issuing of any Jenx products.

• Check with issuing Therapist that the product is standard and no special attachments or modifications have been made. If modifications have been made: contact Jenx Limited for advice

• Check that the product has been fully cleaned, taking into account the condition of the fabric and the foam inside

• Check that all hand wheels and levers are in good condition and fitted securely

• Check the product and any accessories fully for any sign of wear and tear or distortion

• Check that all the functions of the product are working correctly e.g. tilt, height adjustment or back

recline, etc.

• Always ensure that the Instruction For Use stays with the product and is passed on to the new user. For new sets of instructions please contact our Sales Support Department on 0114 285 3376 or visit www. jenx.com

• If the product is being delivered, always ensure that the product is packed securely

• We strongly recommend that all straps and harnesses are replaced with new ones before re-issue. Only

genuine Jenx parts should be fitted

• Check that gas spring levers are not bent. Do not use the product if any levers are bent. Contact Jenx Limited to arrange replacement

• Check that the product to be re-issued is to the correct specification for the intended new user. Each user may require different ranges of accessories

Follow the product log book document, supplied separately. Use extra pages if required, extra sheets are available from the Jenx Limited website: www.jenx.com

Maintenance & Inspection

Stores should follow the MHRA guidelines for the recording, issuing, servicing or repairing of products in their charge. Check the MHRA web site for the latest bulletins: www.mhra.gov.uk

• Structure is the product structurally sound, no wobbles or loose parts?

• Safety is the product safe and fit for use?

• Straps are the straps in good condition and not showing any signs or wear? Check straps for

fraying and missing or broken buckles, ensure all webbing end clips are in place.

• Stability is the product stable on an even surface, no rocking?

• Screws, Nuts and Bolts Are there nuts and bolts missing or damaged?

• Castors are the castors in good order? Do swivels and brakes work?

• Springs do all gas springs work and hold pressure and weight?

• Sandals are the sandals in good condition? Do straps and Velcro show signs of wear?

• Upholstery and PU is the upholstery and PU in good, clean condition with no rips, wear or

gaping of the cushions?

• Steel and Woodwork is the steel and wood work in good order? Check for deformities, splinters

or breaks

If there is any doubt about the safety of the product, do not hesitate to contact our Customer Support Department for advice

Products should be thoroughly decontaminated in line with MHRA and local guidelines prior to inspection, storage and re-issue

Jenx Limited can take no responsibility for re-issue of products

Multistander

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Frequently Asked Questions

Question: Who is a qualified person to Inspect products?

Answer: The purchasing authority has a duty under the MHRA guidelines DB2006 (05) to address training for

Medical Devices Management. Check with your authority.

Question: Does Jenx run technical competency courses?

Answer: Yes. Please visit jenx.com for details of available courses.

Notes

Standing

Seating

Mobility

Therapy

Sleeping

Bathroom

Jenx Limited, Wardsend Road, Shefeld S6 1RQ T: 0114 285 3376 E: sales@jenx.com jenx.com

Jenx Multistander Instructions For Use Manual

Specifications and Main Features

Frequently Asked Questions

User Manual