Leckey Squiggles TT User Manual

Squiggles TT
User Manual
Supporting Children
p.2 Squiggles TT User Manual
The Squiggles TT is a targeted trainer that has been designed to offer the support your child needs in an upright, standing posture. The stander is modular in design and has been developed for use in school or at home. This manual shows how to quickly, safely and easily use your Targeted
Trainer
Standing Frame functions. The instructions on the safety and maintenance will ensure that you will enjoy this product for a long time.
Contents
1. Intended Use p.03
2. Declaration of Conformity p.03
3. Terms of Warranty p.04
4. Product History Record p.04
5. Product Training Record p.04
6. Safety Information p.05
7. Contra-indications p.06
8. How to unpack and assemble the standing system p.06
9. Fitting the cushions p.11
10. Clinical setup for postural management p.14
11. Frequent adjustments for daily use p.20
12. Cleaning & care information p.24
13. Daily product inspection p.25
14. Annual product inspection p.26
15. Reissuing Leckey products p.27
16. Product servicing p.27
17. Technical information p.28
Squiggles TT User Manual p.3
1.0 Intended Use
The Squiggles TT is a standing frame that enables targeted training which has been designed for children with disabilities aged 1–5 for use at home or in the classroom. The maximum user weight is 22kgs (48.4lbs). Suitable for children with
decits in head/trunk control and delays in achieving
functional abilities, especially independent upright sitting with or without hand support.
2.0 Declaration of Conformity
Declaration of Conformity James Leckey Design Ltd. as manufacturer with sole responsibility declares that the Targeted Trainer Standing System conforms to the requirements
of the 93/42/EEC Guidelines Medical Device Regulations 2002 and EN12182 Technical aids for disabled persons. General requirements and test methods.
p.4 Squiggles TT User Manual
3.0 Terms of Warranty
The warranty applies only when the product is used according to
the specied conditions and for the intended purposes, following
all manufacturers’ recommendations (also see general terms of sales, delivery and payment). A three year warranty is provided on all Leckey manufactured products and components.
4.0 Product History Record
Your Leckey product is classied 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 set-ups, reissue inspections and annual inspections of this product.
5.0 Product Training Records
(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:
6.0 Safety Information
10.0 Clinical Setup
11.0 Frequent Adjustments for Daily use
12.0 Cleaning and Care
13.0 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.
6.0 Safety Information
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 to the continued safe use of your product or if any parts should fail, please cease using the product and contact our Customer Care Team 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 putting the user into the stander both for positional and safety reasons, always secure the pelvic and chest support
harnesses rst.
6.7 When the product is stationary ensure that all castors are locked and facing away from the base as this will improve product stability. This is especially important when the support frame is in a reclined position.
6.8 When the product is in use please ensure that the angle adjustment foot pedal is locked off and cannot be adjusted accidentally, especially if there are children in the area.
6.9 When the Squiggles TT is used on the Pivot chassis we do not recommend that users are moved over uneven surfaces when in the equipment. All due care and attention should be taken if transporting the user in and out of the stander.
6.10 Never leave the
product on a sloping surface, greater than 5 degrees. Always remember to lock all the castors.
6.11 Although the Pivot
stander is tted with castors
this is not a mobility device. Always place the user in an upright position before moving the stander. Hold the push handle when moving the stander.
6.12 The product contains components which could present a choking hazard to small children. Always check
Squiggles TT User Manual p.5
that locking knobs and bolts within the child’s reach are tightened and secure at all times.
6.13 Leckey products
comply with re 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 ames,
cigarettes, electric and gas heaters.
6.14 Do not place hot objects greater than 40ºC on the tray.
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.
6.16 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 deg Celsius.
6.17 Always check the plastic hand knobs on the push handle are tightened securely before you move the unit.
p.6 Squiggles TT User Manual
7.0 Contra-indications
7.1 Contra-indications
Children experiencing discomfort that cannot be resolved by adjustment
of support/positioning. Children with hip/knee exion contracture beyond
the limits of the Squiggles Targeted Training Stander
7.2 Caution to be taken with
Children with a history of recent fractures, presenting with episodes of low blood pressure at risk of fainting within equipment, poorly controlled seizure activity where they could be at risk of injury to themselves within the stander, severe dystonic
movement which presents a manual handling risk for child and carer, compromised respiratory
function, signicant learning
disability or behavioural issues which present risk of injury or anxiety to the child
and/or carer & children with a xed structural deformity
of the spine.
8.0 How to unpack & assemble the standing frame
8.1 Folding and unfolding
the pivot chassis
The Pivot Chassis can be easily folded for storage or transportation. To unfold, release the levers by pressing them together, rotate the rear tubes until the levers engage in the locked position. To fold the chassis simply reverse this procedure.
Always remove the standing support frame before trying to fold the chassis.
Always use caution to ensure
ngers do not become
trapped when folding and unfolding the pivot chassis.
shown
The Targeted Trainer has been designed to t with a pivot chassis.
8.2 Attaching stander to pivot chassis
To attach the stander to the Pivot Chassis, pull the locking pin out
, slide the central spine into the receiving bracket until it is fully engaged, release the pin allowing it to snap back into place.
Squiggles TT User Manual p.7
Always make sure the locking pin is fully engaged before you place the child in the stander.
8.3 Attaching the horizontal support
To attach the Leckey
Horizontal Support rst open
the locking lever by pressing the safety button and pulling the handle
. Then slide the stem into the receiving bracket on the central spine, set to the desired position and secure using the locking handle.
The angle adjustment plate allows the angle of the stander to be changed and set.
To adjust the plate loosen the bolts with the Leckey tool provided.
Slide the plate along the slots until it contacts the upright support at the desired angle.
The position of the assembly can be adjusted up the spine. However this should only be necessary if the spine assembly is adjusted. The plate position relative to the chassis should always be as shown.
p.8 Squiggles TT User Manual
8.4 Attaching the headrest
To attach the Leckey
headrest rst open the
locking lever by pressing the safety button and pulling the handle
. Then slide the stem into the receiving bracket on the central spine, set to the desired position and secure using the locking handle .
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.
8.5 Inserting sandal attachment bolt
Insert the required attachment bolt with the retention plate
along
. Place a rubber lid on, both, the top and bottom of the sandal. Fasten using the four screws provided. To remove or replace the attachment bolt, reverse this process.
8.6 Attaching the sandals
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
, followed by the metal
washer and then the knob
onto the attachment bolt. To position the sandals simply loosen the knob under the footplate, select the position you require and re-fasten the knob.
Squiggles TT User Manual p.9
8.7 Assemble the tray
To attach the arms to the tray brackets, loosen the knob, place the moulding to the inside of the tray plate so the plastic teeth mesh Replace the knob on the outside and secure. Repeat
on other side. Ensure both
horizontal tubes are aligned so they locate in the tray bracket receivers .
Please be aware of a gap on the underside of the tray where a child
could insert their nger
between the metal bracket and the base of the plastic tray.
.
p.10 Squiggles TT User Manual
8.8 Attaching the tray in supine
The tray is attached to the stander by inserting the tubes into the receiving brackets. Once the tray is located in position the knobs should be tightened. The cut out of the tray should always be facing the child. To attach the tray ensure that the tray receiving tubes are at their maximum height.
Always use caution to ensure the child’s hands or arms do not become trapped when inserting the tray.
9.0 Fitting the Cushions
9.1 Knee support pads
Unscrew the washer and bolt from the knee cup using the Leckey tool
the buckles are facing away from the frame. Holding the knee cup in position against the plate, place the washer and screw into position on the other side and secure together in place, adjust as needed correct position, secure cam-lock for further repeatability .
.
When secured
. Once knee is in
. Ensure
Squiggles TT User Manual p.11
9.2 Padded Spine Cap
Place the padded spine cap over the spine of the standing support and place the plastic loops around the adjustment knobs.
9.3 Headrest cushion
To attach the headrest cushion, place the cushion onto the head support plate, then Velcro
and bring the lower ap under
the plate and Velcro the two fasteners in place.
p.12 Squiggles TT User Manual
9.4 Attaching the lateral covers
Slide the cover over the front of the lateral.
Pull the tabs around the back and secure the Velcro in place.
9.5 Horizontal support cushion
Slide the cushion over the horizontal support plate.
Feed the Velcro aps
through the groove at the back and secure in place.
Without Cover
With Cover
Front View Back View Cushion
9.6 Pelvic and Trunk wrap
Squiggles TT User Manual p.13
Fit the cushion over the plastic support
.
Slide the tab up from below and attach the velcro to the tab over the top
.
Screw the wrap to the plate through the holes on the wrap. Tighten until secure, ensuring not to over tighten
.
Cover the screws with the padded Velcro tab .
Trunk Wrap
Cushion
Pelvic Wrap
p.14 Squiggles TT User Manual
10.0 Clinical setup
10.1 Before you start
It is recommended before setting up the Squiggles TT that a mat assessment is done. To do this, place the child in supine (lying on their back) on the mat. You will need to measure from the bottom of the child’s foot in a neutral position to the child’s ASIS between the centre of the
PELVIC SUPPORT and the top
of the sandal. It can be set by adjusting the leg supports
Measure the distance from the
child’s ASIS to the point where they start to lose trunk control (see ‘SATCo’ assessment). This will be for the placement
of the TRUNK SUPPORT Measure from the bottom of
the child’s foot to the centre of the knee. This will be for placement of knee supports. It’s recommended to adjust the height whilst the frame is in an upright position.
. This will be the height
.
.
10.2 Adjusting the overall height
The overall height of the standing support can be adjusted by loosening the bolt on the back of the main frame with the multi-tool
. Sliding the inner stem to the desired height and re-tightening the Allen bolt. A calibration
strip is tted on the side
of the inner frame to help you record the selected positions of the supports. There is also a safety stop at the maximum height.
10.3 Adjusting the push handle
The push handle height can be adjusted by loosening the Allen bolt
at the attachment point to the stander, adjusting to the desired height then re-tightening the Allen bolt. The angle of the push handles can be adjusted by loosening lever at the attachment point to the stander. Rotate the push handle to the desired position, then secure the lever to original orientation.
Squiggles TT User Manual p.15
To prevent nger nipping always hold the
push handle with one hand whilst making the adjustment with your other hand.
10.4 Adjusting the trunk and pelvic supports
To adjust the trunk support rotate both knobs
in an anticlockwise direction as shown. Set to the required position and then re-tighten both knobs in a clockwise direction as shown
.
To adjust the pelvic support loosen the 4 locking bolts (2 either side)
. Rotate both knobs in an anticlockwise direction as shown. Set to the required position and re-tighten both knobs in a clockwise direction as shown . Finally re-tighten the 4 locking bolts.
Always use caution to ensure
ngers do not become
trapped when adjusting the trunk and pelvic supports.
p.16 Squiggles TT User Manual
10.5 Lateral supports
Loosen the hand knob to adjust the width of the lateral supports and re-tighten when you have achieved the desired position. If the lateral supports are attached with bolts instead of hand knobs they can be adjusted with the multi tool.
Always use caution to
ensure ngers do not
become trapped when adjusting the lateral supports.
10.6 Adjusting the height, depth and angle of the knee cups
Each knee cup can be
positioned independently. To adjust the height, depth and angle of the knee cups, loosen screw
, select the height, angle and depth required and re-tighten the screw securely. To adjust the width of the knee cup loosen screw , set to the desired width then re-tighten.
10.7 Headrest adjustment
Squiggles TT User Manual p.17
The headrest should only be used for horizontal transfer and when the child has poor head control and needs training in this segment. To adjust the height, depth and angle of the contoured headrest, loosen the hand knobs
and when set to the desired position re-tighten the knobs.
Always use caution to
ensure ngers do not
become trapped when height adjusting the headrest.
10.8 Flat headrest lateral adjustment
To adjust the width of the laterals loosen plastic knob
to desired position and
tighten securely.
p.18 Squiggles TT User Manual
10.9 Sandals positioning
To position the sandals simply loosen the knob under the footplate, select the position you require and re-fasten the knob. 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 placed 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.
If the child is wearing sandals or light footwear check the straps to make sure the webbing does not irritate the skin.
10.10 Footplate angle adjustment
To set the angle to accommodate
plantarexion and dorsiexion, simply loosen
or tighten the knob to set the desired angle.
10.11 Adjusting the height of the tray
The height adjustment knobs for the tray are located on either side of the central spine. Loosen the 2 knobs
, select the required height and re-tighten.
10.12 Adjusting the depth and angle of the tray
Squiggles TT User Manual p.19
Loosen the adjustment knob
on either side, slide the tubes along the receiving brackets to achieve the desired depth and re-tighten the knobs. To adjust the angle of the tray loosen the knobs on either side of the tray, set the tray to the required angle and re-tighten.
p.20 Squiggles TT User Manual
11.0 Adjustment for daily use
(therapists/carers/parents)
Parents and carers should be shown how to make adjustments and made aware of the safety checks in section 6 by a technically and clinically competent person who has been trained in the use of the product. Leckey recommend that a written record is maintained of all parent and carers who have been trained in the use of this product.
11.1 Before transferring in to the Targeted Trainer
Ensure the dynamic base is
in a stored position marker on the dynamic base) before transferring the child in to it. Carry out the daily product inspection as outlined in section 12 of this user manual. Lock all the castors , ensuring that they are facing outwards to maximise product stability.
Unlock the break release point . While pressing down on the break, pull the handles down so that the Squiggles TT is almost horizontal (5 degrees off
horizontal). Make sure the
straps on the trunk and pelvic supports are released and out of the way to facilitate transfer. Transfer child in to the Squiggles TT.
(grey
11.2 Pelvic support
Ensure the rachet straps are
unlocked
. Thread the clip and buckle through each side of the pelvic wrap and secure around child’s hips . Push down on the rachet strap from above to tighten further
. This should be tight but
not uncomfortable.
11.3 Knee support pads and sandals
Squiggles TT User Manual p.21
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 placed 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. Place the child’s knees in the supports and secure.
11.4 Trunk support
Ensure the rachet straps are
unlocked
. Thread the clip and buckle through each side of the trunk wrap and secure around child’s trunk
. Push down on the rachet strap from above to tighten further . This should be tight but not uncomfortable.
Open the knee supports fully. Insert child’s knee into place. Wrap small strap over the knee, then bring the longer wrap over to ensure
a snug t over the knee.
Velcro in place and secure with buckle.
Once knee is in correct position, secure cam-lock for further repeatability.
p.22 Squiggles TT User Manual
11.5 Head support and horizontal support
Keep this in position until the child is fully upright and then remove horizontal support. Keep headrest in
position if the child has no/
poor head control
. If appropriate, remove the head rest and horizontal support and place the spine cap over the top of the spine .
11.6 Bringing the child upright
Press the brake
and push
the handle bars up until the
child is upright. Ensure the
brake is fully engaged before letting go of the handles.
11.7 Dynamic base
To engage the dynamic base:
Face the Squiggles TT, turn the dial on each side of the base towards yourself
. Go
to the back and lift the cross bar (with your foot) until you hear a click. Push down on the bar
to click and lift the Squiggles Targeted Trainer handles upwards and forwards. This is now engaged (blue on indicator).
If the rocking point needs adjustment, adjust 4 bolts (2 on either side) using the multitool. Adjust to the next increment and make sure both sides are equal. This may take a few attempts to get right
.
Squiggles TT User Manual p.23
To disengage the dynamic base:
Facing the dials, turn the dials away from you until the dial clicks
. Lift the Targeted Trainer forward while the foot is on the crossbar until there is a click. Lift the cross bar until you hear a click. This is now in the STORED position . (grey on indicator)
The rachet straps on the trunk and pelvic supports should only be adjusted during initial set up.
p.24 Squiggles TT User Manual
12.0 Cleaning & Care Information
How to Maintain
When cleaning we recommend that you use only warm water and a non-abrasive detergent.
Never use organic solvents or dry cleaning uids.
Upholstery and fabrics
1. The upholstery and fabrics can be cleaned by hand whilst
in place. When cleaning we recommend that you use only warm water and a non-abrasive detergent.
2. The best cleaning method is a ‘wipe & dry’ technique.
3. Staining should be removed as quickly as possible with
absorbent cloth, towels or a sponge. Routine soap and warm water sponging is effective for ordinary soiling and minor spills. Be careful not to over wet the fabric as this will cause the staining to spread.
4. Antiseptic cleaning agents can be used on more stubborn
stains. These may require a safe solvent such as Isopropyl
Alcohol or Mineral Spirit. A half cup of household bleach to
5 litres of water can also be used as a useful disinfectant.
5. Always ensure the product is dry before use.
Metal and plastic components
1. Soap and water or antibacterial spray can be used
for daily cleaning.
2. For deep cleaning a low pressure steam cleaner can be used.
3. Do not use solvents to clean plastic or metal components.
4. Make sure the product is dry before use.
Squiggles TT User Manual p.25
13.0 Daily Product Inspection
Therapists, parents & carers
We recommend that daily visual checks of the equipment are carried out by therapists, carers or parents to ensure the product is safe for use. The recommended daily checks are detailed below.
1. Ensure all adjustment knobs and bolts are in place
and secure.
2. Check all upholstery for signs of wear and tear.
3. Check all castors are moving freely and lock securely.
4. Check all Velcro strips and brush uff to ensure straps
secure rmly.
If in any doubt to the continued safe use of your Leckey product or if any parts should fail, please cease using the product and contact our Customer Care Team or your local dealer as soon as possible.
Squiggles TT User Manual p.26
14.0 Annual Product Inspection
(Therapist, Technician, Product Specialist, Dealer)
Leckey recommend that each product should be subject to a detailed inspection at least once a year and every time the product is reissued for use. This inspection should be carried out by a technically competent person who has been trained in the use of the product and should include the following checks as a minimum requirement.
1. Check all knobs, nuts, bolts and plastic buckles are in place,
replacing any missing items. Paying particular attention to the following items; > Headsupport locking bolts > Chest and hip height and angle adjustments > Knee cups adjustment knobs and straps > Footrest angle adjustment.
2. Check the chassis folding and angle adjustment
mechanism is working properly. Also, check that the locking pin on the Pivot Chassis engages securely in the pedal.
3. Lift the base to check each castor individually.
Make sure they are moving freely and remove any dirt from the rubber wheels. Check that the brakes lock the wheels securely.
4. Visually check the structure of the product paying
attention to weld points on the frame ensuring there are no signs of fatigue or cracking around the welds.
5. Leckey recommend that a written record is
maintained of all annual product inspections.
If in any doubt to the continued safe use of your Leckey product or if any parts should fail, please cease using the product and contact our Customer Care Team or your local dealer as soon as possible.
p.27 Squiggles TT User ManualSquiggles TT User Manual p.26
15.0 Re-issuing Leckey Products
Most Leckey products are assessed and ordered to meet
the needs of an individual user. Before reissuing a product we recommend that the therapist prescribing the product has carried out an equipment compatibility check for the new user and has ensured that the product being re-issued
contains no modications or special attachments.
A detailed technical inspection should be carried on the product prior to re-issuing. This should be carried out by a technically competent person who has been trained in the use and inspection of the product. Please refer to section 13 for the required checks to be carried out.
Ensure the product has been cleaned thoroughly in
accordance with section 11 of this manual.
Ensure a copy of the user manual is supplied with the
product. A copy can be downloaded from our website www.leckey.com.
Leckey recommend that a written record is maintained of all product inspections carried out during the reissue of the product.
If in any doubt to the continued safe use of your Leckey product or if any parts should fail, please cease using the product and contact our Customer Care Team or your local dealer as soon as possible.
16.0 Product Servicing
Servicing of all Leckey products should only be carried out by technically competent persons who have been trained in the use of the product.
All international service enquiries should be directed to the appropriate Leckey distributor who will be delighted to assist you. For further information on Leckey distributors please visit our website www.leckey.com.
Squiggles TT User Manual p.28
17.0 Technical Information
Product and Accessory Codes
188-1600 Stander support 184-764 Pivot Chassis 188-1810-02 Cover pack – Blue
188-1810-04 Cover pack – Purple 188-1810-09 Cover pack – Red
188-1810-09VIN Cover pack – Red Vinyl 188-680-02/04/09/09VIN Conversion kit with covers
Accessories
152-1600 Size 1 sandals 152-2600 Size 2 sandals 118-619 Tray 117-769 Grab rails 118-697 Headrest support 184-1814 Headrest cushion with laterals 118-687 Headrest laterals 188-630 Perturbation board
Age (approx.) 1-5
Max User Weight 22kg / 48.4lbs
User Height - Min 730mm / 28.5 inches Max 1100mm / 43.3 inches
Trunk Support Height (Distance from footplate to armpit)
Min 160mm / 6.25 inches
Trunk / Pelvic Width - Min 135mm / 6.25 inches Max 250mm / 9 inches
Pelvic Support Height (Distance from footplate to mid-buttock)
Min 300mm / 11.8 inches
Distance between mid line of knees - Min 140mm / 5.5 inches Max 215mm / 8.4 inches
Footplate - Plantarexion 10
Pivot chassis angle range - 90-180º Pivot chassis angle range 90 - 70º
Tray height - supine - Min 480mm / 18.5 inches Max 825mm / 32.5 inches
Pivot chassis footprint (Minimum dimensions for storage) Min 5.5kg / 12.1lbs
Standard support frame
(Minimum dimensions for storage) Min 7kg / 15.4lbs
0
Max 820mm / 32 inches
Max 530mm / 20.8 inches
Dorsiexion 10
Width 660mm / 21.7 inches Length 700mm / 27.6 inches Height 300mm / 11.8 inches
Width 380mm / 15.4 inches Length 890mm / 26.8 inches Height 380mm / 15.4 inches
0
Notes
Notes
Squiggles TT User Manual p.30
Notes
Leckey 19c Ballinderry Road Lisburn BT28 2SA Northern Ireland
LS835-01
leckey.com
(+44) 28 9260 0750 hello@leckey.com
Loading...