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LSR Kid
User Manual
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Lifestand LSR Kid User Manual

USER MANUAL
EN
User manual
LSR Kid
Wheelchair with stand-up function
Where to find Permobil
The Permobil Group’s Head Office
Permobil AB
Box 120 861 23 Timrå Sweden
E-mail: info@permobil.se
Tel: +46 60 59 59 00 Fax: +46 60 57 52 50
Permobil Benelux BV
De Beitel 11 6466 GZ Kerkrade Nederland
Tel: +31 (0)45 564 54 80 Fax: +31 (0)45 564 54 81
Email: info@permobil.nl
LSR Kid
Wheelchair with stand-up function
Produced and published by Permobil AB, Sweden Version: 2, 2013-08 Order no.: 205276-UK-0
User Manual LSR Kid
Contents
5
Indications and Contraindications for the Use of Stand-up Wheelchairs ..................................... 6
Important information ...................................................................................................................... 8
General information ......................................................................................................................... 9
Technical support .................................................................................................................... 9
Spare parts & accessories ....................................................................................................... 9
Scrapping ................................................................................................................................. 9
Warranty .................................................................................................................................. 9
Incident reporting .................................................................................................................... 9
Product approval ...................................................................................................................... 9
Safety rules and regulations ................................................................................................. 10-19
Design & function .......................................................................................................................... 20
General - overview ................................................................................................................ 20
Raising function ..................................................................................................................... 21
Control panel for raising function .......................................................................................... 22
Operation ....................................................................................................................................... 23
General ................................................................................................................................. 23
Armrests ................................................................................................................................ 23
Raising function ..................................................................................................................... 24
Driving Rules ........................................................................................................................ 28
Adjustment..................................................................................................................................... 32
Legrest and footplate ............................................................................................................ 32
Knee supports ..................................................................................................................... 34
Seat depth ........................................................................................................................... 36
Center of gravity .................................................................................................................. 37
Seat width ........................................................................................................................... 37
The height of the armrest .................................................................................................... 38
The length of the armrest .................................................................................................... 40
Back rest angle .................................................................................................................... 41
Height of the Push handles/Back rest frame ....................................................................... 42
Height of the Back rest ........................................................................................................ 44
Replacing/Reconfiguration of the backrest straps ............................................................... 45
Equalization system ............................................................................................................. 46
Anti-tip protection ................................................................................................................. 48
Brakes .................................................................................................................................. 49
Transport ....................................................................................................................................... 50
Wheels ................................................................................................................................... 51
Back rest ................................................................................................................................ 52
Lifting points ......................................................................................................................... 53
Maintenance and repairs ............................................................................................................... 54
General .................................................................................................................................. 54
Batteries, storage ................................................................................................................... 55
Charging batteries ................................................................................................................. 56
Cleaning ................................................................................................................................. 57
Wheels ................................................................................................................................... 58
Serial number label ..................................................................................................................... 59
Power Module ............................................................................................................................. 60
The emergency standing-sitting function ............................................................................. 60
Recommended Seat Cushions ................................................................................................... 61
Technical specifications ................................................................................................................ 63
User Manual LSR Kid
6
Indications and Contraindications for the Use of Stand-up Wheelchairs
Advice: These indications and contraindications are based on general observa-
tions. The conditions for regular standing training varies from person to person and should be individually agreed with a doctor or therapist.
Only a doctor or therapist can decide which method and safe standing training can be achieved with the Lifestand wheelchair.
Indications
- Osteoporosis
Without regular standing / vertical stress of the bones, bone density can steadily decrease. This leads to the risk of bone fractures and other compli­cations.
- Decubitus prophylaxis
Whilst standing the pressure on the ischial tuberosity is reduced to a mini­mum.
- Skeletal misalignments / back pain
Whilst seated the spinal column is naturally elongated (kyphosis/hunch­back). Standing facilitates a natural spinal position and therefore better upper body stability. This prevents the risk of a scoliosis.
- Muscular atrophy
Without regular leg movement, the risk of muscle shortening increases (muscular atrophy) and consequently contractures may develop. Regular, self-standing training help as movement therapy, thereby avoiding contrac­tures and preventing possible associated pains and expensive operations.
- Tonus regulation of spasticity
Frequent standing helps to reduce spasticity and facilitates seat movement and positioning in the wheelchair or bed. This supports a peaceful sleep.
Indications and Contraindications for the Use of Stand-up Wheelchairs
User Manual LSR Kid
7
- Deeper respiration
Straightening the upper body through standing decreases the pressure of the abdominal cavity on the lungs. This improves and deepens respiration, facilitates breathing and can also help reduce the risk of pneumonia.
- Gastrointestinal complications
As with breathing, standing also reduces the pressure on the digestive system. This facilitates digestion (intestinal peristalsis) and helps with the improvement of bowl and bladder functions.
Contraindications
Warning: A Lifestand wheelchair can only be used upon prescription by a doc-
tor. Here are the most common contraindications for the use of a Lifestand wheelchair.
- Reduced bone density
Should the bones already be very weak it is not recommended to stand. This could lead to fractures. In this case consult your doctor for a bone density measurement.
- Poor circulation
For heart or circulatory diseases standing should only occur under medical supervision (cardio training). Please consult a doctor in this case.
- Severe mobility limitations or severe contractures
Indications and Contraindications for the Use of Stand-up Wheelchairs
User Manual LSR Kid
8
Important information
Important information about the user manual
Congratulations on choosing a LifeStand stand-up wheelchair. Our aim is your continued satisfaction with your choice of supplier and wheelchair.
The user manual is primarily intended to inform you about the functions and capabilities of your wheelchair and to advise you on the best way of using it. It also contains important safety and maintenance information and describes some of the problems which might arise when you drive the wheelchair.
You can also find information on our products on our website. You will find us at www.permobil.com.
All information and all photographs, illustrations and specifications are based on the product information that was available at the time this user manual was printed. Fig.s and illustrations that appear in the user manual are typical examples and are not intended to be exact depictions of different parts of the wheelchair.
We reserve the right to make changes to the product without prior notification.
Benefits of a Daily Standing Regimen
The use of any stand-up device should be done only under the prescription and supervision of a medical professional. At the outset, it is recommended that your introduction to regular standing be closely monitored by your Physical or Occupational Therapist.
It has been documented that the regular and cyclical activity of going from the seated to the standing position may offer many benefits to those that are no longer able to stand on their own. The benefits are two fold:
1) there is the ability to once again function in daily activities that necessitate standing (reaching file cabinets and equipment in the workplace, accessing cupboards/stoves/shelving at home, as well as the ability to interact eye to eye); and, 2) the potential of physical benefits that result from repeated standing (these benefits may include improved; range of motion, bone density, circulation, bowel and bladder function, etc.).
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9
Technical support, warranty, etc.
Technical support
In the event of technical problems, you should contact your dealer or Permobil Life Stand Service Center at + 31 (0)45 564 54 90.
Always state the wheelchairs serial number when contacting Permobil to ensure that the correct information is provided.
Spare part & accessories
Spare parts and accessories must be ordered through your dealer. The expected service life of this product is 5 years.
Scrapping
Contact Permobil BV or your dealer for information about scrapping agreements in force.
Warranty
All wheelchairs are supplied with a two-year product guarantee. Batteries and char­ger are supplied with one year warranty.
Incident reporting
If an incident occurs please contact your nearest Permobil representative. Normally the same person you contacted at purchase day. To prepare this contact there is a link on our homepage, on the internet, at www.permobil.com. Open up your country page and the contact page. Here is the needed contact information and a guidance document in what information we need to investigate the incident. Complete the information as much as possible. This is of great help for us.
To increase the product quality and to ensure that our product is safe through the whole life cycle we need you to send in Incident Reports. It is also stated in MEDDEV 2.12-1 and Annex 9 that the manufacturer shall “Encourage users
or those given specific responsibility for reporting incidents that have occurred with medical devices and that meet the criteria within these guidelines to report the incidents to the Manufacturer and or to the Competent Authority in accor­dance with national guidance”.
To meet the requirements and to ensure that our products shall remain safe in your hands we need your assistance. We hope you never need to use the infor­mation on this page but if there is an incident please contact us.
Product approval
This product fulfill the requirements according to EN 12183, ISO 7176-16:1997, ISO 7176-8 and ISO 7176-14:2008.
User Manual LSR Kid
Safety rules and regulations
10
Safety rules and regulations
A stand-up wheelchair is a complicated product. Therefore, you need to be very careful when you use and handle it. It is important to read and follow the instructions and safety rules given in this user manual before starting to use your wheelchair, as incorrect use could lead to injury to the user or damage to the wheelchair.
Warning labels
The user manual contains the following "warning labels" which are intended to draw attention to situations which could lead to problems, near-accidents, personal injury or damage to the wheelchair, etc.
Permobil accepts no liability for personal injury or damage to property which may arise from the failure of the user or other persons to follow the recommendations, warnings and instructions given in this user manual.
Take care here.
m CAUTION!
Take extra care here. Risk of personal injury or damage to the wheelchair and its surroundings.
m WARNING!
User Manual LSR Kid
Safety rules and regulations
11
Safety rules and regulations
Your wheelchair may have been adjusted precisely to your needs on delivery, so you should always ask the advice of the person who provided the seat for you before making changes or adjustments to the wheelchair. Certain adjustments may impair the wheelchair's safety/functions or its suitability for your needs.
It is also extremely important to take the necessary time to familiarize yourself with the raising function of the wheelchair before you start using it.
Do not make your first attempt to stand up on your own. Make sure you have assistance close by if you should need help.
To ensure that the seat has not been damaged during transport to you, please check the following before initial use:
• Check that all products ordered are included in the delivery. If you suspect that something is missing, contact your mobility aids center or Permobil as soon as possible for further information.
• Check that no transport damage or other damage has occurred to the seat or its accessories. If you discover any damage or notice any other problem, contact your mobility aids center or Permobil as soon as possible for further information before continuing your inspection.
Also check that the air pressure in the wheelchair tires is correct before you start using the wheelchair.
If, in any situation, you find that the wheelchair does not behave as expected or you suspect that something is wrong, contact your service contact or Permobil for information.
User Manual LSR Kid
Safety rules and regulations
12
Safety rules and regulations
Operation
Do not allow children to drive the wheelchair unsupervised. Do not use the wheelchair on public streets and roads. Follow local regulations for pedestrians and remember that vehicle drivers may find it difficult to see you.
Do not drive the wheelchair if you are under the influence of alcohol. Alcohol may affect your ability to use the wheelchair safely.
Some physical limitations or the ingestion of medicines, either prescription or over the counter medicines, may limit your ability to use the wheelchair safely. Always consult your physician about your limitations and medicines.
m CAUTION!
Maintenance and service
Carry out only the servicing and maintenance activities indicated in this user manual. All other servicing, changes and interventions in the wheelchair should be carried out by a qualified service engineer or a person with adequate knowledge to undertake this in an expert manner. In case of doubt, always contact a qualified service engineer or Permobil.
Weight limits
The maximum user weight for your wheelchair is specified in the specifications section of this user manual. If the wheelchair is used by anyone who weighs more than the maximum permitted user weight, the result may be personal injury or damage to property, including damage to the wheelchair. This may also invalidate the wheelchair's warranty.
Do not carry passengers on the wheelchair. This can lead to personal injury and damage to the wheelchair.
m WARNING!
User Manual LSR Kid
Safety rules and regulations
13
Safety rules and regulations
Driving on sloping surfaces
When you drive up a slope, ensure that you drive the wheelchair straight up the slope (vertically). If you drive at an angle, there is an increased risk of tipping over or falling. Be extremely careful when you drive up a slope.
Always avoid driving on slopes covered with snow, ice, gravel, clay, sand, wet leaves or similar, or where the surface is uneven.
m WARNING!
Operation - turning/cornering
The risk of the wheelchair tipping over increases at high turning speed, in tight curves, on uneven surfaces, with fast changes of direction and if you drive from a place with low friction (for example a lawn) to a place with high friction (for example a gravel road).
To avoid tipping over, with the risk of personal injury or damage to property that entails, you should always drive slowly when turning/cornering and changing direction.
Driving on steps and stairs
Wherever you come across obstacles, you should always approach them slowly, preferably in the company of another person watching or helping you.
The front wheels can be raised from the ground by your carer by treading on the anti-tip protection on the rear of the chair and pulling back and down on the carer handle at the same time. Although it is not recommended for the chair to be tipped back any further (the anti-tip protection will touch the floor), it is possible. This is done by turning the anti-tip protection to the upper position (see page 48).
Make sure to put the anti-tip protection into operational mode again once the procedure is complete.
Driving on inclines
When moving uphill, always lean forwards and avoid changing direction suddenly. When moving downhill, always lean backwards. It is also important to keep speed and direction under control.
Make sure that the wheelchair is facing up or down the hill. Never try to drive diagonally or swing down a slope.
m WARNING!
User Manual LSR Kid
Safety rules and regulations
14
Safety rules and regulations
Passengers
The wheelchair is not designed to transport passengers, whatever their age. Nor is it designed for taking heavy items other than the user's personal belong­ings. The maximum user weight specified in the user manual for the seat in question must not be exceeded. Ignoring this could impair the wheelchair's maneuverability and stability.
Operation in different climates
Avoid exposing the wheelchair to very low temperatures, prolonged moisture, heavy rain/snowfall and similar situations.
Do not use the wheelchair when it is icy or slippery outdoors. These conditions may impair the performance and safety of the wheelchair, which could result in accident, personal injury and damage to property, including damage to the wheelchair.
Keep in mind that certain areas of the wheelchair, when exposed to external sources of heat (e.g. sunlight), can increase in temperature.
m WARNING!
User Manual LSR Kid
Safety rules and regulations
15
Safety rules and regulations
Seat belt (Optional)
The seat belt is only designed to hold the user in place and not as protection in the case of collision/accident. Check the condition of the belts regularly in case any damage or worn places have developed. If damage has occured, contact your equipment provider for replacement.
Getting in and out of the chair
Make sure the wheelchair brakes are activated before getting into or out of the wheelchair.
When getting into or out of the wheelchair, you should take all precautions to reduce the distance between the wheelchair and the point to which the user is moving. If this distance is increased, it could result in the user losing balance or falling over.
We recommend that users get in and out with another person present to keep an eye on the operation or to help.
Be careful when bending down or reaching out to get something.
Do not use the foot plates or armrests as supports when getting into or out of the wheelchair. The foot plates and armrests are not intended to support heavy loads. Unnecessarily high load could cause them to give way, which could result in personal injury or damage to property, including damage to the wheelchair.
m WARNING!
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Safety rules and regulations
16
Safety rules and regulations
Transport
The wheelchair must only be transported in vehicles approved for this purpose.
Carefully check that the wheelchair is properly secured. An inadequately secured wheelchair could cause major damage and injury if it broke loose, both to persons in the transport vehicle and to the vehicle and the wheelchair itself.
Use in motor vehicles forbidden
We recommend that users are NOT transported in any vehicle while seated in the wheelchair. The only safe option is for the user to move to a seat in the vehicle and to use the vehicle's seat belt system.
Do not sit in the wheelchair in a moving vehicle. In the event of an accident or a sudden stop, the user could be thrown from the chair, resulting in serious injuries.
The optional seat belt is solely designed to hold the user in place and offers no protection in the event of an accident.
m WARNING!
The sticker indicates that the wheelchair is not approved to use as a seat in
motor vehicles.
User Manual LSR Kid
Safety rules and regulations
17
Safety rules and regulations
Flame resistance
The material components have been tested against flammability. Seat cushion and back cushion have been tested according to European flammability test­ing. (EN1021-1:2006 and EN1021-2:2006). The control box has been tested according to UL 94-VO.
Maintenance and service
Carry out only the servicing and maintenance activities indicated in this user manual. All other service, alterations and changes to the wheelchair and the vital systems of its accessories must be carried out by a competent service engineer or a person suitably qualified to do so in an expert manner. In case of doubt, always contact a qualified service engineer or Permobil.
Use only spare parts or accessories approved or recommended by Permobil. All other use could lead to changes which might impair the functions and safety of the wheelchair. It could also lead to the warranty for your wheelchair becom­ing invalid.
m WARNING!
EMC Requirements
The electronics of an power wheelchair can be affected by external electro­magnetic fields (for example from mobile telephones). Similarly, the electronics of the wheelchair itself can also emit electromagnetic fields that can affect the immediate surroundings (for example certain alarm systems in businesses).
The limit values for Electromagnetic Compatibility (EMC) with respect to power wheelchairs is set in the harmonized standards for the EU in the Medical Devices Directive, No. 93/42/EEC.
Permobil LifeStand’s electronic wheelchair’s comply with these limit values.
m CAUTION!
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Damage to/breakdowns in the wheelchair and its accessories
If at any point you notice that the wheelchair and its various functions are not behaving as expected or if you suspect something is wrong, stop using your wheelchair as soon as possible, turn off the wheelchair and contact your mobility aids center or Permobil for information.
It is extremely important that Permobil is informed if the wheelchair or its accessories have been damaged during transport, during driving or for any other reason as soon as possible after the damage has occurred. There could be a risk that the wheelchair and its accessories can no longer be operated safely and without danger.
Disposal
Used wheelchairs and batteries, or defect batteries must be disposed of according to applicable local waste disposal regulations and in an environmen­tally friendly manner.
m WARNING!
Safety rules and regulations
User Manual LSR Kid
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Clamping points
In the following positions of the wheelchair there is an increased risk of entrap­ment. Please exercise particular caution here. Pay attention to the marked areas on the gap between moving and stationary parts. Danger that lose items of clothing or hands could become clamped.
WARNING!
Safety rules and regulations
User Manual LSR Kid
Design and function
20
Design & function
General
LSR Kid is a manual wheelchair for outdoor and indoor use. It is intended for kids with physical disabilities. Its raising function allows the user greater freedom of movement. We recommend gradual training in standing up under the guidance of a physiotherapist before you use "LSR Kid" every day. You will gain the greatest benefit in standing up if you regularly switch between a sitting and a standing position. This alternation is simple with the LSR Kid wheelchair.
Overview
1. Armrest
2. Knee supports
3. Leg rest
4. Foot plate
5. Back rest
6. Rear wheels
7. Front wheels
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5
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