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Duo
User Manual
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KIRTON Duo User Manual

DIRECTHEALTHCAREGROUP.COM
Duo
User Manual
DIRECTHEALTHCAREGROUP.COM2 DIRECTHEALTHCAREGROUP.COM
DUO USER MANUAL
3
1.1. Why is There a Need for this Type of Chair? ..................4
2.2. Use ........................................................................5
6.3. Seat Height Adjustment ..........................................10
6.4. Seat Width Adjustment ........................................... 10
6.5. Removing the Seat Module .....................................10
6.6. Arm Height Adjustment ..........................................10
6.7. Removable Arms ....................................................11
6.8. Castors .................................................................11
6.8.1. Directional Lock Castors ....................................11
6.9. Tilt-in-Space .........................................................12
6.9.1. Manual Operation ..............................................12
6.9.2. Electric Operation .............................................12
6.9.3 Regulated Motion Operation ...............................13
6.10. Back Angled Recline .............................................12
6.10.1. Manual Operation ............................................ 13
6.11. Articulating Legrest ...............................................13
6.11.1. Manual Operation ............................................ 14
6.11.2. Electric Operation ........................................... 14
6.12. Negative Legrest Angle .........................................14
6.12.1. Manual Operation ............................................ 14
6.12.2. Electric Operation ........................................... 14
6.13. Footrest ............................................................... 14
6.13.1. Footrest Height Adjustment ..............................14
6.13.2. Footrest Angle Adjustment ..............................15
6.14. Headrest Positioning Adjustment ...........................15
6.15. Headrest Angle Adjustment ...................................15
6.16. Headrest Split-Wing Adjustment ............................15
6.17. Back Height Adjustment ........................................16
7. Accessories ............................................................17
7.1. Lateral Support .......................................................17
7.2. Pommel ................................................................17
7.2. Leg Lateral ............................................................17
7.3. Lap-Belt and D-Ring Fixing .....................................18
7.4. Pelvic Positioner ..................................................... 19
8.1.1. Seat Modules ....................................................20
8.1.2. Back Modules ..................................................20
8.1.3. Arm Modules ...................................................20
8.1.4. Legrest Cushion ...............................................20
9. Care and Maintenance ...........................................21
9.1. Service Life ............................................................21
9.2. Periodic Checks ..................................................... 21
9.3. Cleaning ...............................................................21
9.3.1. Frame Cleaning ................................................22
9.3.2. Upholstery Cleaning .........................................22
10.3. Weight and Dimensions of the Chair .......................23
10.4.1. Flammability Testing .......................................24
10.4.2. Strength, Stability, Durability, Risk and Safety......24
10.4.3. Quality and Environmental ..............................24
Contents
Important:
Read carefully before use and retain for future reference.
It is the carer/user’s responsibility to ensure they are fully aware of and have understood all the safety and other instructions contained in these pages before installing or using the chair.
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1. Introduction to the Duo Chair
Thank you for purchasing a Direct Healthcare Group Duo chair.
The purpose of the Duo seating system is to provide the ultimate in positioning and postural management for those who are unable to maintain their body posture and require extra support.
Designed to easily adjust the tilt-in-space positioning and elevate the legrest as well as providing a pressure management seating solution, the Duo is multi-adjustable in all its dimensions for each individual user.
1.1. Why is There a Need for this Type of Chair?
The ability of a seated person to function efficiently and perform activities depends on their ability to adopt the appropriate posture. All activity is posture dependent.
If a person cannot move or has difficulty adjusting their posture, it may be necessary to use seating to try to provide externally what is limited internally.
The Duo helps fulfil the need to maintain an individual’s seated posture, yet re-orientate and redistribute pressure. This is achieved by using the tilt-in-space and back angle recline features that are key to the Duo’s functionality.
2. Warranty Guidelines
2.1. Warranty and Liability
Direct Healthcare Group provides a warranty to the buyer that the goods supplied will be free from defect of workmanship, design or materials for a period of twelve (12) months from date of delivery. The Duo chair frame has a ten (10) year warranty, subject to warranty guidelines 2.3 – 2.4, excluding damage to castors, upholstery and electrical components. An annual maintenance service is recommended but not essential.
2.2. Use
a) Each Direct Healthcare Group product is designed to a high
specification for a particular type of use.
b) It is important therefore that the correct product is purchased by
the buyer. If the buyer intends to purchase goods for a non­approved use he must use his own skill and judgment.
c) No employee or agent of Direct Healthcare Group is authorised
to recommend non-approved uses, and the buyer should not rely on such recommendations.
d) User instructions should be followed in all respects.
2.3. When the Warranty will not Apply:
a) Use of incorrect cleaning products that may damage the
surface material.
b) Incorrect maintenance not approved by Direct Healthcare Group.
c) Alterations by the buyer to the original goods.
d) Incorrect means of transportation of the goods.
e) Normal wear and tear.
f) Non Approved uses:
• Sitting on the arms of a chair.
• Sitting on the legrest or footrest of a chair.
• Hitting the chair against people and objects such as: walls, doors, beds, tables, chairs, etc.
• Spilling food, urine, excrement and other matter on the chair and not cleaning it off within a very short time of spillage (2 minutes) often causes the chair to smell and become a health hazard. Also, matter penetrates covering material, seams and foam.
• Excessive force is often applied to the moving parts of chairs thereby breaking or bending metal and wood parts.
• Bumping chairs up or down stairs or over obstructions with a person seated in the chair causes damage to wheels, framework and upholstery.
2.4. When the Warranty Does Apply:
Direct Healthcare Group will:
a) Rectify the defect
or
b) Where in the opinion of Direct Healthcare Group, rectification is
impossible, the product will be replaced.
2.5. Statutory Rights
Nothing contained in our Terms and Conditions nor in these guidelines shall affect the statutory rights of the consumer.
2.6. Warning
In this manual, warnings are indicated by symbols. The warning symbols are accompanied by a heading that indicates the severity of the danger.
WARNING
Indicates a hazardous situation that could result in serious injury or death if it is not avoided.
CAUTION
Indicates a hazardous situation that could result in minor
or slight injury if it is not avoided.
IMPORTANT
Indicates a hazardous situation that could result in damage to property if it is not avoided.
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4.4. Accessories
3. Clinical Applications
3.1. Intended Use
The Duo is intended for the following user environments:
• Domestic home use
• Hospital, hospice and care home environments
• For those with or at risk of developing an unconventional body shape
• For those with postural related problems
3.2. Who is the Duo Suitable for?
The Duo is appropriate for the following users
• Semi-ambulant and non-ambulant users who require assistance getting in and out of the chair.
• Users requiring advanced postural support when seated.
• Users at low to medium risk of pressure injuries (on chairs fitted with Reflexion™ seat foam).
• Users at high risk or with up to a Grade II pressure injury (on chairs fitted with an Intelli-Gel
®
® seat) following a clinical
assessment
• Users at high risk to very high risk or with up to a Grade IV pressure injury (on chairs fitted with a Dyna-Tek®
®
Intelligent
Air seat) following a clinical assessment.
• Users with mild to severe cognitive impairment.
• For users undergoing rehabilitation, therapy or treatment.
• For users needing postural support when being moved.
3.3. Who is the Duo not Suitable for?
The Duo is not suitable for the following users:
• Fully ambulant users unless fully supervised by a healthcare professional in a treatment setting and following a clinical assessment.
Sales Order No. ...............................................
Date of Manufacture ........................................
Client’s Name ...................................................
Product ...........................................................
Meets B.S. 5852 for cigarette and match, also crib 5 over CMHR foam.
Meets ‘The Furniture & Furnishing (Fire) (Safety) Amendment
Regulations 1993’
Direct Healthcare Group Ltd,
Withey Court, Western Industrial Estate,
Caerphilly, UK, CF83 1BF
Tel: +44 (0)800 043 0881
4. Product Information
4.1. Product Identification
Each chair has a unique number to enable swift identification. This number can be found on the underside of the legrest of the chair.
• Tilt-in-Space, independent back angle recline and legrest elevation controlled through either:
• Regulated Motion technology (excluding Duo Mini)
• Electrically powered, or
• Manual Gas Action facility
• Two back style options:
• Waterfall
• Sculpted
• Three pressure relieving seat module options
• Dartex on all user contact surfaces
• Articulating legrest without compromising footboard positioning
• Tool-free, lever and spring-clip adjustments
• Split-wing headrest for support of the head and shoulders
• Adjustable headrest for precise positioning of the head
• Push handle
• Strong, durable 100mm unbraked front and braked rear castors
4.2. Key Features
5. Guidelines for Best Practice
To ensure good practice when considering purchasing an Duo chair and effective use post purchase we advise that the following guidelines are considered:
• Seek advice and input from a qualified Occupational Therapist, healthcare professional and/or Direct Healthcare Group representative/ retailer at the initial prescription of the chair.
• If unsure when ordering the chair and any accessories contact either the Occupational Therapist involved, your Direct Healthcare Group representative, retailer or Direct Healthcare Group Customer Care Team on Freephone 0800 043 0881.
• All care-givers that will be supervising the user(s) should be trained in operating the chair to ensure correct positioning of the user is achieved.
CAUTION
Only use accessories recommended by Direct Healthcare Group with the Duo chair.
Duo Major
Duo Major Leg Laterals DU103
Duo Negative Legrest Angle DU105
Lateral Supports (Pair) DU601
Pommel DU602
Duo Legrest Wedge (Specify Dimensions in Comments)
DU111
Duo Major Arm Covers DU815
Extra Waterfall Cushion (For Back Heights 910mm, 940mm, 970mm)
DU401
Footboard Cover (Replacement) DU811
Flat Seat Board DU511
Easicare Medium 4 Point Lap-Belt with Fixings DU701
Easicare Medium 2 Point Lap-Belt with Fixings DU703
Easicare Large 2 Point Lap-Belt with Fixings DU704
Easicare Large 4 Point Lap-Belt with Fixings DU705
Lap-Belt (Requires D-Ring Straps) KB724
Large Pelvic Positioner (Requires D-Ring Straps)
KB705
Large Padded Vinyl Pelvic Positioner (Requires D-Ring Straps)
KB726
Large Fleecy-Faced Pelvic Positioner (Re­quires D-Ring Straps)
KB719
D-Ring Straps (Long) UL706
Universal Mobile Tray KB313
Annual Maintenance Visit for Duo (Per Chair) DU990
Duo Minor
Duo Minor Leg Laterals DU104
Duo Negative Legrest Angle DU105
Lateral Supports (Pair) DU600
Pommel DU602
Duo Legrest Wedge (Specify Dimensions in Comments)
DU112
Duo Minor Arm Covers DU816
Extra Waterfall Cushion for Back Heights (740mm, 780mm, 810mm, 840mm, 870mm)
DU409
Footboard Cover (Replacement) DU812
Flat Seat Board DU511
Easicare Medium 4 Point Lap-Belt with Fixings DU701
Easicare Medium 2 Point Lap-Belt with Fixings DU703
Easicare Large 2 Point Lap-Belt with Fixings DU704
Easicare Large 4 Point Lap-Belt with Fixings DU705
Lap-Belt (Requires D-Ring Straps) KB724
Large Pelvic Positioner (Requires D-Ring Straps)
KB705
Large Padded Vinyl Pelvic Positioner (Requires D-Ring Straps)
KB726
Large Fleecy-Faced Pelvic Positioner (Re­quires D-Ring Straps)
KB719
D-Ring Straps (Long) UL706
Universal Mobile Tray KB313
Annual Maintenance Visit for Duo (Per Chair) DU990
4.3. Key Options
4.3.1. Pressure Management
Pressure management is critical for those who are seated for long periods or for those at risk of tissue damage. The Duo has pressure relieving foams on all contact surfaces areas of the chair and further options are available for the seat module in accordance with the occupant’s needs.
If you are unsure about the suitability of your pressure care, please seek advice and input from a qualified Occupational Therapist, Tissue Viability Nurse, healthcare professional and/or Direct Healthcare Group representative/retailer before purchasing.
Duo Mini
Duo Mini Leg Laterals DU110 Duo Mini Flat Seat Board DU552
Duo Mini Laterals (Pair) DU603 Duo Mini Tray with Straps DU300
Duo Mini Adjustable Pommel DU604 Duo Mini Easicare 4-Point Lap Belt with Fixings DU702
Duo Legrest Wedge (Specify Dimensions) DU113 Lap-Belt (Requires D-Ring Straps) KB724
Duo Mini Arm Covers DU817 D-Ring Straps UL706
Extra Waterfall Cushion for Back Heights 625mm, 645mm, 665mm
DU421
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DUO USER MANUAL
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IMPORTANT
Never move the chair while the charger is still plugged into the wall socket.
WARNING We recommend the use of a power surge protector when using the power pack.
Battery Care
(Electric and Regulated Motion Models)
The battery is charged through the handset using the power pack included with the chair. The power pack should be plugged into a mains socket and then attached to the hand control unit. The charging port on the hand control is at the bottom of the unit.
We recommend that if the chair is used during the day, the battery should be charged overnight to ensure the battery is topped up regularly.
The chair can be used whilst the chair is being charged, however, we recommend that this is avoided where possible to ensure the charger cable does not become a tripping hazard.
IMPORTANT
Do not allow the battery to completely discharge as this will render it unable to fully recharge again. If this happens, the battery will need to be replaced.
CAUTION:
When the chair is in use, always ensure the user is checked regularly for safety and is not left unattended for long periods of time.
WARNING The Duo is not suitable for use by children. Any children present in the vicinity of the chair must be supervised at all times.
CAUTION Do not sit on the arms of the chair at any time.
The purpose of these user instructions is to ensure the safe operation and maintenance of your Duo chair.
The chair is ready for use once fully installed in the correct position and all carers/users have read and understood the operating instructions.
Safety warnings are included within these user instructions and it is the operator’s responsibility to ensure these are read and fully understood.
If you have any questions or concerns, please contact your Direct Healthcare Group representative, retailer or the Direct Healthcare Group Customer Care Team on Freephone 0800 043 0881.
Please retain these instructions for future reference
Products must never be modified or altered after purchase other than by Direct Healthcare Group authorised personnel.
It is extremely important that Duo chairs are used appropriately, if there is any doubt as to the suitability of the product for a user, professional advice should be sought from a qualified healthcare professional such as an Occupational Therapist, Physiotherapist, Tissue Viability Nurse or a moving and handling specialist.
Consideration should be given to matching the basic dimensions of the chair to the body size of the user to ensure good posture, support, comfort and safety. Any pressure care, moving and handling, incontinence or infection control issues should be considered and appropriate advice taken from qualified healthcare professionals.
Environmental factors should also be considered and assessed and any potential risks or hazards should be identified and taken into consideration to ensure user safety.
When any chair is specified we recommend that a risk assessment is conducted to ensure it will be safe and appropriate for the user(s) of the chair and for all who may find themselves in the vicinity of the chair. Regular reassessment as to the suitability of the product for the user is important.
If you wish to discuss safety issues in more detail please telephone our Customer Care Team on Freephone 0800 043 0881.
6. Instructions for Use
6.1. General Operation
WARNING
Do not push the chair up or down steps or a steep incline as this could result in loss of control.
WARNING
Ensure there is nothing present to obstruct the free movement of the chair before attempting to use the chair.
6.2. Setting up the Duo for use
Upon delivery of the chair the wrapping should be removed carefully in order not to damage the upholstery.
The user instructions must be fully read by all involved with using the chair and ensure the chair is set up correctly before use.
It is recommended that the chair is adjusted to accommodate each occupant’s specific requirements in terms of seat length, leg length and angle, and tilt-in-space.
Begin by sitting the user in the chair, most adjustments can be easily made with the occupant in the chair with the exception of the seat length which is easier to facilitate when the chair is unoccupied.
IMPORTANT
Do not use sharp scissors or blades to cut the plastic wrapping from the chair as this could accidentally damage the upholstery
Electric and Regulated Motion Models
On receipt of the chair, the battery must be fully charged for 8 hours before use.
IMPORTANT
Do not use sharp scissors or blades to cut the plastic wrapping from the chair as this could accidentally damage the upholstery
6.2.1 Seat Depth Adjustment
The seat depth should be adjusted for each occupant. If the seat depth, from the front of the seat cushion to the backrest of the chair, is too deep the occupant will slide forward, losing posture and increasing localised pressure, and if it is not deep enough, pressure will be concentrated on a smaller area of the body and poorly distributed.
If the person is slumped in the chair when being measured it will give an inaccurate seat depth measurement. Correct this position before measuring provided it is safe to do so.
The chair back or the back of the seat cushion should be the starting point for measuring seat depth. To measure, squat to the person’s side to avoid stooping and hold the tape measure end against the chair back or the back of the seat cushion and bring the tape forwards until it is level with the back of the knee. Record the measurement.
If the legrest is regularly used at 90° to the seat then a minimum clearance of 25mm or one inch between the front of the seat cushion and the calf is desirable when the occupant is seated against the back of the seat.
If the legrest is generally used elevated, then the optimum seat length is when the calf lightly touches the legrest cushion.
To adjust, locate at the rear of the seat module a spring-loaded adjuster. Lifting the spring will enable the seat module to be moved forwards or backwards according to the user’s needs.
Check that the silver spring adjuster is securely in place and the seat module is not movable.
Position the user in the chair to ensure the seat length is correct. If it needs adjusting further ensure the chair is unoccupied and repeat the adjustment steps.
IMPORTANT Only adjust the seat length when the chair is unoccupied.
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