Leckey Mygo User Instructions

Mygo Stander User Instructions
Manuale Standing Posturale Mygo
Benutzerhandbuch Mygo Stehständer
Mode d’emploi du Verticalisateur Mygo
Manual del Usuario del Bipedestador Mygo Stander
Contents
01 Intended use 02 Declaration of conformity 03 Terms of warranty 04 Product history record 05 Product Training 06 Safety Information 07 How to unpack and assemble 08 Fitting the Covers 09 Clinical setup for postural management 10 Frequent adjustments for daily use 11 Cleaning and Care Information 12 Daily product inspection 13 Annual Product Inspection 14 Reissuing Leckey products 15 Product servicing 16 Technical Information
The Mygo Stander can be positioned in prone, upright or supine, to allow a progressive and varied standing therapy programme. For use by individual or multiple children, the Mygo Stander aids and increases functionality for children of all abilities, with its intelligent knee supports and dynamic footplates it can bring standing therapy to children with fixed knee contractures of up to 25 degrees. It’s easy and intuitive to use and simplifies the process of getting your child into a comfortable and secure standing position. It’s standing made simple, whilst accommodating a broader range of complexities. This manual shows you how you can quickly and easily make use of all of the functions. The instructions on the safety and maintenance of the product will ensure that you will enjoy the use of this product for a long time.
1. Intended Use
The Mygo Stander is for use in prone, supine and upright standing. The Mygo Stander comes in 2 sizes, size 1 is for kids aged 4-10 and size 2 is for 8-14 years, with a maximum user weight of 50kgs (110lbs) and 60kgs (132lbs) respectively.
2. Declaration of Conformity
James Leckey Design Ltd. as manufacturer with sole responsibility declares that the Leckey Mygo Stander conforms to the requirements of the 93/42/EEC Guidelines and EN12182 Technical aids for disabled persons, general requirements and test methods.
3. Terms of Warranty
The Warranty applies only when the product is used according to the specified conditions and for the intended purposes, following all manufacturer’s recommendations (also see general terms of sales, delivery and payment). A two year warranty is provided on all Leckey manufactured products and components.
4. Product History Record
Your Leckey product is classified as a Class 1 Medical device and as such should only be prescribed, set up or reissued for use by a technically competent person who has been trained in the use of this product. Leckey recommend that a written record is maintained to provide details of all setups, reissue inspections and annual inspections of this product.
5. Product Training Record (Parents, Teachers & Carers)
Your Leckey product is a prescribed Class 1 Medical Device and as such Leckey recommend that parents, teachers and carers using the equipment should be made aware of the following sections of this user manual by a technically competent person.
Section 6 Safety Information
Section 9
Clinical Setup for postural management
Section 10 Frequent adjustment for daily use
Section 11 Cleaning & Care Information
Section 12 Daily Product Inspection
Leckey recommend that a written record is maintained of all those who have been trained in the correct use of this product.
6.1 Always read instructions fully before use.
6.2 Users should not be left unattended at any time whilst using Leckey equipment.
6.3 Only use Leckey approved components with your product. Never modify the product in any way. Failure to follow instructions may put the user or carer at risk and will invalidate the warranty on the product.
6.4 If in any doubt as to the continued safe use of your product or if any parts should fail, please cease using the product and contact our customer services department or local dealer as soon as possible.
6.5 Carry out all positional adjustments and ensure that they are securely fastened before you put the user into this product. Some adjustments may require the use of a tool which is provided with each product. Keep all tools out of reach of children.
6.6 When placing the user into the standing frame, for safety reasons, always secure the pelvic band first. The chest and knee straps should then be fastened.
6.7 When used in the supine position it is important to ensure the knee pads are fastened securely. Always check the clips are fully engaged.
6.8 Although the stander is fitted with castors it is not a mobility device. Always ensure that the castor brakes are locked at all times when the frame is in use, being adjusted or even just stored.
6.9 When adjusting the angle of the Leckey Mygo Stander ensure that the user and all parts of the product are well clear of surrounding furnishings to avoid potential collisions.
6.10 Fine positional adjustments may be carried out safely when the user is in the product. But it is important to support all pads when adjusting them while the user is in the product.
6.11 Never leave the product on a sloping surface greater than 5 degrees. Always remember to lock all the castors.
6.12 The product contains components which could present a choking hazard to small children. Always check that locking knobs and bolts within the child’s reach are tightened and secure at all times.
6.13 Leckey products comply with fire safety regulations in accordance with EN12182. However the product contains plastic components and therefore should be kept away from all direct sources of heat including naked flames, cigarettes, electric and gas heaters.
6.14 Never place hot items on the Activity Tray as they may damage the plastic.
6.15 Clean the product regularly. Do not use abrasive cleaners. Carry out maintenance checks on a regular basis to ensure your product is in good working condition.
6 Safety Information
6.16 The product is designed for indoor use and when not in use should be stored in a dry place that is not subjected to extremes of temperature. The safe operating temperature range of the product is +5° to +40° Celsius.
How to unpack and assemble
7
Your Mygo stander will arrive flat in a cardboard box. Firstly remove everything from the box and check you have all the parts you have ordered.
To assemble the product with the stander upright, lift it up from the cross bar (a), place vertical tubes in between the free lugs on the chassis and line up the holes (b) (the groove in the vertical tube should help with the location).
Add the bolts and tighten (c). Repeat this on the other side. Then lift up the manual actuator to the free lugs on the cross bar and line up the holes, then add bolts and tighten (d).
A
C
A
B
D
B
D
7.2 How to attach the chest support
Remove the screw on the chest support, place the chest support onto the metal extrusion at the required height, replace the screw and tighten.
7.1 Multi Tool
A number of adjustments will require the use of a multi tool, which is supplied with each product.
Before inserting the tray receivers the clamp plate for the height adjustment of the tray must be moved out of the way, as it is contained in the top of the hip pad extrusion. To do this; loosen the knob at the top of the hip pad (f) and push it in, this will push the clamp plate out of the way of the tray receiver bar. Then insert the tray receiver bar into the top of the hip pad extrusion (g), move it down to the required height and retighten the knob securely.
Repeat on the opposite side. Now you can insert your tray by inserting the tray bars into the receivers to the required depth from the front for prone and the back for supine then retighten securely using knob on receiver (h).
B
E
G
7.3 How to attach the tray receiver and tray
First of all ensure that your tray is configured to the size of your stander.
For the Size 1 the brackets on the tray bars should point outwards (a).
For the Size 2 the brackets on the tray bars should point inwards (b).
If you need to change the configuration; remove the Allen bolts (c), swap the bars over (d) then replace the Allen bolts and retighten (e).
A
C
D
F
H
7.4 Inserting attachment bolt on Sandals
Insert the required attachment bolt (a) along with the retention plate (b). Place a rubber lid (c) on, both, the top and bottom of the sandal. Fasten using the four screws (d) provided. To remove or replace the attachment bolt, reverse this process.
A
1
2
3
B
D
C
D
C
7.6 How to attach the shoulder support for supine standing
7.5 Attaching the Sandals
To attach the shoulder support to the stander, insert the Allen bolt into the bottom hole on the back of the chest support as shown (a). Place the shoulder support onto the inserted Allen bolt and secure with the two further Allen bolts supplied (b).
Place the sandal so that the attachment bolt goes through the slot in the footplate. To secure, on the underside of the footplate place the rubber washer (a), followed by the metal washer (b) and then the knob (c) onto the attachment bolt. To position the sandals, simply loosen the knob (c) under the footplate, select the position you require and re-fasten the knob.
A
2
1
C
A
B
C
7.7 Attaching the headrest for supine standing
The head support cannot be used without the shoulder support for supine standing. To attach the headrest place the headrest clamp onto the shoulder support (a) and secure using the Allen bolts provided. Then slide the headrest stem into the receiving bracket (b), set the height required and secure using the hand lever (c).
A
C
B
B
7.8 Attaching the Knee Straps
First of all you will need to feed the webbing through the plastic D ring as shown in (a).
To attach the knee straps insert the plastic clip (b) into the buckle (c) on the side of the main knee support. Then grab the straps ends (d) and pull firmly away from the user, which will secure the strap around the user’s leg. To remove the strap, simply squeeze the tabs on the top and bottom of the plastic clip (b) and the strap will pop off.
A
B
C
D
7.10 Attaching the hip belt bracket
Before you can attach the de-rotation hip belt you will first of all need to attach the hip belt bracket. To do this slide the bracket into the receiving slots in the hip pad metalwork (a) and secure using the Allen bolt and washer provided (b). Repeat this on the other side. The de-rotation hip belt does not require hip laterals.
7.9 Attaching Sandal Raisers
If sandal raisers have been ordered, attach them by placing them onto their corresponding building block style recesses on the footplate (a & b). Put the sandal on top and secure with the sandal bolt (as per section 7.4).
A
B
A
B
7.11 Attaching the hip laterals
The hip wrap around harness requires hip laterals. To attach the hip laterals slide the bracket into the receiving slot in the hip pad metalwork (a) to the required width and secure with the washer and Allen bolt provided (b). Repeat this on the other side.
A
B
A
B
7.12 Attaching the Posterior Support and Pommel Receivers
If a posterior support is required, first attach the posterior support receiver by sliding the bracket into the receiving slots in the hip pad metalwork (a) and secure with the washer and allen bolts provided (b). Repeat this on the other side.
7.13 Attaching the standard, flipaway & complex chest laterals
The chest wrap around harness requires chest laterals, either standard or flipaway.
Pull back the PU chest pad to gain access (a). Then insert the lateral bracket together with the angle adjustment mouldings into the chest pad as shown (b), ensuring to insert the plastic bosses into the chest pad slot (c). Then secure from the outside with the Allen bolt and washer supplied (d). Repeat this on the other side.
Attaching the Pommel Receiver
Attach the pommel receiver (c) to the bracket (d) on the hip pad, using allen bolts provided (e).
A
C
B
D
E
C
C
B
D
7.14 Attaching the chest/ hip wrap around harness
To attach the chest/hip wrap around harness, slide the cushions onto the PU lateral with the flaps towards the outside of the stander (a), feed the plastic buckle (b) through the hole in the cover, then bring the two Velcro fastener straps (c) around the PU lateral and attach them to the Velcro panel as shown. Close over the flap (d). Repeat this on the other side.
D
B
A
C
7.15 Attaching the Pelvic band
There is a different pelvic band for prone and supine standing. In prone the pelvic band should be attached to the user first, if possible on a mat. The inner pelvic band is wrapped around the user’s pelvis and then when the user is secured into the frame (by their feet and chest) the longer straps are slipped through the belt bars on the hip pad (a) and secured firmly around the user. The safety strap with the plastic buckle and clip should then be secured to ensure the band is not accidentally unfastened (b).
In supine the pelvic band should stay attached to the product. When the user is secured into the frame (by their feet and chest) the inner pelvic band is wrapped around the user’s pelvis (c) and then the longer straps (d) are slipped through the belt bars on the hip pad (if they are not already through) (e) and secured firmly around the user. The safety strap with the plastic buckle and clip should then be secured to ensure the band is not accidentally unfastened (f).
F
D
B
E
A
Fitting the Covers
8
8.1 Knee Support Covers
Wrap the covers around the knee supports and secure by pressing down on the four snap fasteners. There are two on either side of the knee support (a). Repeat this on the other knee support.
8.2 Hip Pad Cover
Place the cover on the hip pad in the correct orientation. Wrap the bottom flap underneath the hip pad and press down on the snap fasteners to secure (a) then wrap the top flaps of the cover over the top of the hip pad (b).
A
A
A
A
B
8.3 Chest Pad Cover
Wrap the cover over the top of the chest pad and secure by pressing down on the snap fasteners (a). Then wrap the bottom section underneath and press down on these snap fasteners to secure (b).
8.4 Shoulder Support Pad
Follow the instructions in section 9.9 to angle the shoulder support laterals inwards, slide the cover over the shoulder wings (a) and secure with the snap fasteners (b).
A
B
B
A
B
B
A
8.5 Head cushion and cover
Place the cushion onto the head support. Secure the central fastener (a). Bring the lower flap under the head support (b) and secure with the two remaining side fasteners (c).
A
B
C
Clinical Setup for Postural Management
9
The clinical setup of the product should be completed by a technically and clinically competent person who has been trained in the use of the product. Leckey recommend a written record is maintained of all clinical setups for this product.
9.1 Adjusting the Hip Height
9.2 Adjusting the Chest & Shoulder Support Height
To adjust the hip height, loosen the knobs on either side of the stander (a), move the hip pad to the required height and retighten the knobs securely.
To adjust the chest height and the shoulder support relative to the hip pad, loosen the knob located at the back of the chest support (a), adjust to the required height and retighten securely.
A
A
A
9.3.1 Adjusting the knee supports
The height, depth and lateral position of the knee supports can be positioned independently. To alter the height of the knee supports, loosen the knob located at the back of the knee post (a), adjust until the required height has been achieved and retighten. To alter the individual depth of the knees, loosen the knob at the side of the knee post (b), adjust to the required depth and retighten securely. To alter the lateral position of the knees, loosen the knob at the back of the knee pad (c), adjust to the required position and retighten securely.
A
B
C
9.3.2 Attaching the extended knee brackets
Loosen Knob (c) and remove knee support. Slide extension bracket unto the knee bracket and secure with white rubber washer, silver washer, plastic spacer and knob.
Fix the knee supports to the extension brackets at the required height using black rubber washer, black washer and M6 screw.
C
9.4 Adjustment to accommodate the contracture angle
If possible, adjustment of the swinging footplate on the Mygo stander should be performed when the client is out of the stander. However there may be circumstances where it is necessary or preferable to adjust the angle of the swinging footplate with the client in the stander. This process requires two competent persons; one to make the adjustments and one to assess the comfort of the client during the adjustment, and is best performed with the stander in a horizontal position.
In upright or prone standing:
Assess the client’s range of movement, muscle tone, etc, on a plinth and determine the optimum standing posture before positioning the client in the stander. Position the client in the Mygo stander. While carefully
Prone Configuration
A
B
Supine Configuration
supporting the head and shoulders, move the client into a horizontal position. Open the knee straps and sandal straps. Loosen the Allen (a) bolt on both sides of the swinging footplate ensuring the weight of the user’s knees are supported by a carer, adjust the angle of the swinging footplate as necessary, always taking care to assess the client’s comfort, and retighten the bolts securely. Then secure the knee straps and sandal straps. Return the client to prone standing position.
In supine standing:
Assess the client’s range of movement, muscles tone, etc, on a plinth and determine the optimum standing posture before positioning the client in the stander. Position the client in the Mygo stander and move it into a horizontal position. Open the knee straps and sandal straps. Loosen the Allen bolt (a) on both sides of the swinging footplate ensuring the weight of the user’s knees are supported by a carer, adjust the angle of the swinging footplate as necessary, always taking care to assess the client’s comfort, and retighten the bolts securely. Then secure the knee straps and sandal straps. Return the stander to preferred supine standing angle.
B
A
9.5 Positioning the sandals
Each sandal is attached to the individual footplate with a single fixing bolt. The footplate is encapsulated in rubber to ensure the sandals do not slide when secured. To position the user’s feet in the sandals secure the Velcro straps provided so the foot is held in place. The straps should be over the bridge of the foot and over the toes. The front strap can be fed through one of two slots on either side of the sandals, depending on the size of the user’s feet (2).
If the child is wearing sandals or light footwear check the straps to make sure the webbing does not irritate the skin.
1
2
9.7 Adjusting the Hip Laterals
To set the width of the hip laterals, loosen the Allen bolts at the back of the hip pad (a), adjust to desired width and retighten.
9.6 Secondary Footplate Angle
To set the angle to accommodate plantar­flexion or dorsi-flexion, simply loosen the Allen bolt located by the knee post to the inside of the footplate (a), place in the required position and then retighten the bolt securely. 10° of flexion is accommodated in each direction.
A
A
9.8 Adjusting the standard, complex and flipaway chest lateral supports
To adjust the height and angle of the lateral supports, loosen the Allen bolt (a), adjust to the required width, height and angle and retighten securely.
A
Complex laterals
The complex laterals can also be angled to allow the pad to contour to the user’s shape. To adjust loosen the screw (b) at the centre of the pad, angle the pad to the required position and retighten the screw. The laterals can be flipped away to aid transfer, by pulling the pin (c) at the back and rotating the support out of the way.
B
C
Loading...
+ 218 hidden pages