versa INSERTO DOMINO XXS, INSERTO DOMINO USS, INSERTO SEAT DOMINO Series, INSERTO DOMINO US, INSERTO DOMINO UUS Product Technical Specification
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PRODUCT TECHNICAL SHEET
INSERTO SEAT DOMINO
This Technical Sheet is to be intended as an integral section of the Inserto Seat Range Instruction Manual.
Before use, it is essential for the professional operator to explain all procedures for a correct commissioning and
a proper maintenance.
1. Commissioning
The pelvis positioning system Inserto Seat Domino of Inserto seat Range comes in a form of a kit:
1) A structural kit composed by a at base of construction and 17 closed cells polyethylene inserts, modular
and congurable, useful to individually support or correct the posture of the pelvis during the life time use;
2) A kit of padding (Free Shapes) composed as follows:
- in the posterior part by two overlapped pads: one superior pad made of an open celled foam with low spring
back action to enhance the maximum comfort and the best adaptation as to the body shapes weather to the
structural kit and an inferior pad of anti-decubitus memory foam for the highest protection from decubitus sores.
- in the anterior part by two independent pads (RH side and LH side) made of an open celled foam with low
spring back action to allow a natural position of the thighs.
3) A cover, air-exchange and incontinent at the same time, made of three layers of different materials, latex
free, not ammable and at a low risk of skin irritation, commonly used in medical devices applications.
The pelvis positioning system Inserto Domino is recommended preferably, but not exhaustively, for users with
limited mobility, affected by severe deformities and having very high necessity of a postural containment, in
particular:
- Those who have leg length discrepancies, wind-swept, pelvic obliquity, pelvis rotation, anterior and posterior
pelvis tilt,adduction and abduction of the legs, of severe entities;
- Those who need to stabilise the ischium;
- Those who need trocantheric coccygeal-sacral suspension;
- Those having high risk to develop decubitus sores;
- Those who need to balance and contain legs/pelvis/rachis/ relationship system.
The pelvis positioning system Inserto Domino can be combined, by means of an adhesive gripping tape, to any
supporting base and/or wheelchair, provided that the structure will host the positioning system is solid enough
to safely support the user during the use.
Once the modications have been completed, such as removals, for the preparation and conguration
as per prescription of the seat individually customised to the perfect reconstruction of the anatomic
shape, the seat itself cannot be used by other users.
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The Positioning System Inserto Seat Domino, in its design integrit and numerical and dimensional completeness
of the supplied components (structural kit, padding kit, cover) can be easily adapted to sizes/morphology/
deformities of the user. This kind of operations make the commissioning referable to a serial manufacturing
device.
Alternatively
The commissioning of the Positioning System Inserto Seat Domino, deprived or modied, even partially, of
its design integrity of numerical and dimensional completeness of the supplied components, built as per written
prescription of a professional operator in function of the anatomy/morphology/deformities of the user, through
the measurement detection and direct trials, can be referable to a custom-made device.
Pic.3 Pre-assembled Kit
+ padding Kit
01) Anterior insert for thighs position
02) Medial anterior insert for thighs position
03) Trapezoidal posterior insert for thighs position
04) Adductor insert
L
05) Medial hip guide insert
06) Pelvis guide insert
07) Buttock guide insert
08) Flat base of construction
09) Abductor insert
10) Leveling insert
Pic. 2 kit of inserts
R
R
R
Pic.1 Pre-assembled
structural kit
R
R
R
R
L
Inserto Domino
17 MODULAR CONFIGURABLE INSERTS
R
L
L
L
L
L
L
The structural kit of Inserto Domino is composed by a at base of construction and numerous inserts that can be
customised, shaped, modied as needed (Pic.1) and (Pic.2). Each element of the structural kit is supplied with
male/female hooks and loops tape that strongly x the inserts to the at base of construction. The preparation of
the pelvis positioning system shape, based on the prescription and the user’s anatomy and morphology, is done
through the detection of measurement and direct trials, therefore it has to be carried out as follows in order to
ensure a proper commissioning.
SUGGESTIONS RELATED TO SOME OPERATIONS
Positioning the gripping Tape
If it is necessary to replace or add the gripping hook and loops tape on one or more inserts of the structural kit,
please use the extra tape supplied in the packaging.
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In order to do so: remove the adhesive lm and stick the tape rmly on the insert to attach. Therefore, check
for the correct placement. If it is correct remove the tape, taking care to heat the adhesive part for few seconds
by using an industrial hot hair dryer at temperature of around 100° (212°F), then reposition the tape denitely.
Be careful not to damage the materials during this operation
Modifying the Structural kit Inserts
The modications of reduction of the inserts by removal of material where necessary, will be implemented by
cutter. If it is necessary to reconstruct the modied component (where the removed material makes it possible)
use an industrial hot air dryer at a temperature of around 100 ° (212°F) to heat and weld together the two parts
to be recomposed.
Be careful not to damage the materials during this operation
1) Accurately detect the measurements of the user and of his wheelchair/mobility device;
2) Remove the cover;
3) Remove the padding;
4) Dispose the position thighs inserts (3,2,1) on the at base of construction (8) in order to match the distance
ischium RH/LH – popliteal cave RH/LH (-2,5 cm. -0.98”) with the length of the seat obtained by the their
combination for both left and right hand sides.The combination of the distribution and direction of the thighs
inserts may be different for the right hand side and the left hand side.
It should be noted that the function of the at base of construction (8) is to provide a supporting base between
the wheelchair / mobility device, as well as the primary structure of the construction kit on which to build or adapt
the positioning system by using, removing or modifying, as necessary and as required by the prescription, all
other inserts supplied with the construction kit.
INDICATIONS FOR THE LENGTH OF THE SEAT
It is possible to reach the desired seat length by operating on the at base of construction only (8) (see point a),
or on the at base of construction and consequently on the set of inserts supplied in the structural kit (see point
b), or on the inserts of the structural kit only (see point c).
a) Flat Base of construction: The at base of construction (8) has its own sizes accordingly to the size of the
positioning system chosen and have posterior notches of 5 cm.(1.96”) wide by 6 cm. (2.36”) deep.
Therefore it is possible to make it slide between the back rest tubes of the wheelchair /mobility device, once it
has been positioned on the cloth of the seat, in order to reduce its depth up to 6 cm. (2.36”).
If the length achieved is not enough and it is preferable to maintain the entire length of the at base or the user
has an irregular morphology and anthropometric measurements (i.e. leg length discrepancy), it is possible to
reduce the effective length of the at base (8) as needed, by removing the portion of exceeding material with a
cutter horizontally along the entire front or a part of it so as to make it asymmetrical.
b) Flat base of construction and consequently the set of inserts supplied:
Having carried out the above operation as necessary, it may be advisable to make a dimensional adjustment
of the depth measurement of the individual inserts supplied with the structural kit by removing the necessary
material using a cutter.If it is necessary to reduce the depth of the buttock guide inserts (7) remove only a
small part of material, horizontally along the posterior surface, in order to avoid affecting the pelvic contour. It is
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suggested to keep the part of material removed, if not damaged, as occasionally, afterwards can be reused to
adapt the device to user’s changes.
Alternatively it can be suitable a placement of the inserts on the at base of construction (8) by removing the
exceeding inserts; alternatively both operations can be adopted.
If it is necessary to increase the useful length of the seat depth for one or both legs, one or both rows of thighs
position inserts (1,2,3) can be placed longitudinally along the at base of construction (8) and leave between
them the necessary distance in order to reach the desired total length. For this purpose, a measurement up to
2,5 cm. (0.98”) longer than the actual length measurement of the at base of construction can also be obtained.
This can be achieved by positioning longitudinally one or both the anterior thigh positioning inserts (1) on the
at base of construction, with their front portion out of it for a maximum of 2,5 cm. (0.98”) and the rear portion
connected to the surface of the at base by a hooked gripping tape.
c) Set of inserts supplied:
It may be appropriate to make a dimensional adjustment of the measurement of depth of the individual inserts
supplied with the structural kit by removing the necessary material using a cutter. If it is necessary to reduce
the depth of the buttock guide inserts (7) ) remove only a small part of material, horizontally along the posterior
surface, in order to avoid affecting the pelvic contour.It is suggested to keep the part of material removed if not
damaged by removal, occasionally, afterwards it may be reuse in order to adapt the device to the modications
made to the user.
Alternatively it can be suitable a placement of the inserts on the at base of construction (8) by removing the
exceeding inserts; alternatively both previous operation can be adopted. If it is necessary to increase the useful
length of the seat depth for one or both legs, one or both rows of thighs accommodation inserts (1,2,3) can be
placed longitudinally along the at base of construction (8) and leave between them the necessary distance in
order to reach the desired total length. For this purpose, a measurement up to 2.5 cm (0.98”) longer than the
actual length measurement of the at base of construction can also be obtained. What above can be achieved
by placing the anterior thighs positioning inserts (1) longitudinally along the at base with the anterior portion out
of it for a max. of 2,5 cm. (0.98”) and the posterior portion attached to the at base through a hooked gripping
tape.
Please be aware that any depth customisation of the kit must be made by considering the harmony
of the support and the compatibility with the wheelchair/mobility device with particular reference to
the variables to the height and inclination of the footplates, depth of the seat cloth, inclination of the
seating plan
5) Dispose the pelvis guide inserts (6) so as to match the width of the pelvis with the width of the seat obtained
by their combination. It is suggested to accomplish this operation by preparing the inserts (6) directly with the
user seated on the structural kit in order to better align the above inserts. During this operation make sure that
the distance between the pelvis guide inserts (6) is increased of 1,5 cm (0,59”) per side with respect to the width
of the user’s pelvis, in order to allow the perfect t when the padding is applied.
It should be noted that the function of the at base of construction (8) is to provide a supporting base between
the wheelchair / mobility device, as well as the primary structure of the construction kit on which to build or adapt
the positioning system by using, removing or modifying, as necessary and as required by the prescription, all
other inserts supplied with the construction kit.
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INDICATIONS FOR THE WIDTH OF THE SEAT
It is possible to reach the desired seat width by operating only on the at base of construction (8) (see point a),
or on the at base of construction and consequently on the inserts of the structural kit (see point b), or on the
inserts of the structural kit only (see point c).
a) Flat base of construction: The at base of construction (8) has its own sizes accordingly to the size of the
positioning system chosen.
In order to insert the base on the cloth of the seat and reach the consequent compatibility with the width of the
wheelchair/mobility system, it is possible to remove a portion of material from the sides of the base up to total 2
cm. (0.78”) by using a cutter.
b) Flat base of construction and consequently the set of inserts supplied:
After having carried out the operation of point a) it may be necessary to make dimensional adjustment of the
width of the individual insert supplied with the structural kit, by removing the necessary material using a cutter.
It is suggested to remove a small portion of material from the outer edges (max. 1 cm. –0.39”) in order to avoid
affecting the concave design (4.5.6) and along the inner edges (9). Regarding the at inserts (1.2.3) perform
this operation along the longitudinal inner edges, for the buttock guide inserts (7) perform the operation along
the inner longitudinal edges.Alternatively it can be suitable the placement of the inserts on the at base of
construction (8) by removing the exceeding inserts; alternatively both previous operation can be adopted.It is
suggested to keep the part of material removed if not damaged by removal, occasionally, afterwards it may be
reused in order to adapt the device to the modications made to the user. If it is necessary to reduce the depth
of the buttock guide inserts (7), remove only a small portion of material in order to avoid affecting the concave
or convex curves. If it is necessary to increase the useful length with respect of all sizes dened for each model,
it is possible to protrude each insert of the structural kit up to 1 cm (0,39”) out of the at base of construction.
c) Set of inserts of the structural kit:
It also may be appropriate to operate a dimensional adjustment of the width of each insert of the structural kit
by removing the necessary material using a cutter. It is suggested to remove a small portion of material along
the outer edges (max. 1 cm. – 0.39”) in order to avoid affecting the concave or convex curves where present
(4.5.6) and along and along the inner edges (9).Regarding the at inserts (1.2.3) perform this operation along
the longitudinal inner edges, for the buttock guide inserts (7) perform the operation along the inner longitudinal
edges. If it is necessary to reduce the depth of the buttock guide inserts (7), remove only a small portion of
material horizontally, in order to avoid affecting the concave or convex curves. It is suggested to keep the part
of material removed if not damaged by removal, occasionally, afterwards it may be reused in order to adapt
the device to the modications made to the user. Alternatively it can be suitable the placement of the inserts on
the at base of construction (8) by removing the exceeding inserts; alternatively both previous operation can
be adopted. If it is necessary to increase the useful length with respect of all sizes dened for each model, it is
possible to protrude each insert of the structural kit up to 1 cm (0,39”) out of the at base of construction.
6) Place the other inserts as necessary
NOTE: The relation of the thrust, levelling and adhesion to the user’s morphology exerted by the
combined and harmonious use of each insert, enables the alignment and the postural compensation,
as well as the distribution of the body loads along all the sitting surface. Use any useful insert among
those supplied in order to achieve the compensation, support and posture correction and the
individual seat most suitable to match the anatomic shapes of the user.
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7) Cover the structural kit with the padding by adjusting it as shown in Pic. 3.
8) Place the cover back onto the structure. There are elastic sides that can be securely positioned by pulling
the drawstring provided.
9) Once the pelvis positioning system has been assembled, have the user to be seated at least for one hour
and verify if the new seat is causing pressure redness on the skin. If this happens it is recommended to adopt
the most suitable interventions in accordance to the specics dened for the user by the professional operator
under his sole responsibility. On a contrary case, instead, proceed with the delivery of the product to the user.
10) It is advisable to keep documentary records of each operation carried out, as well as to provide the user with
any deprived/removed parts which can be useful for after delivery interventions and/or adjustments.
Before to use the product have the professional user to show the procedures for a correct commissioning and
maintenance.
It is strongly recommended to periodically check the skin of the user in order to verify any risk of
redness appearance.
11) When all operations of preparation of the kit to the shape and measures of the user have been accomplished
and the positioning system is ready to be delivered, it is possible to remove the excess of padding from the
edges by using a cutter. Take care to follow the direction of the cut as in the original design.
In relation to the modication, processing and / or adaptation operations carried out on the structural
kit and padding, the upper surface of the cover could result larger compared to the dimensions of the
seating conguration obtained. Take care to spread the surface well when the user is sitting, in order
to avoid wrinkles
2. Maintenance and cleaning
In order to avoid the development of infections, it is recommended to perform a careful cleaning every 2 weeks
and/or, if needed, check the pelvis positioning system in all its parts by avoiding malfunctions. Regarding the
cleaning of the padding, even if there is no direct contact with the skin, it is suggested to use a dump cloth or a
brush with natural bristles and warm water (max 60°C – 140°F), with the addition of a light gentle detergent, by
rubbing in a circular motion. Then rinse with water. Wipe out the excess of water from the padding by using a
dry cloth and dry away from heat sources. Do not expose the padding to the sun rays. Occasionally it can be
also wash in the washing machine, at max 30°C (86°F), by using a light detergent and centrifuge at a low spin.
The drying time is quite long; it is suggested to be equipped of an additional kit of padding.
The removable cover can be washed as it follows:
- Hand wash and then air dry;
- Washing machine (max temperature 60°C – 140°F) with the addition of a gentle detergent, bleach free, then
centrifuge at a low spin.
It is advisable to use a protective wrapping before inserting in the washing machine in order to avoid
any tearing of the lm provided in the cover. It is suggested to be equipped of an additional cover.
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For additional information, please contact our technical-Sales Department at the following number:
+39 0831 777840
INSERTO DOMINO
SIZES TABLE
MODEL UUS USS US XXS XS XS1S XS1 S M M1S M1 L XL
Effective width (cm) 25 30 30 36 36 40 40 42 42 45 45 48 48
Max width achieved with
adaptation (cm)
Min. width achieved with
removal of material (cm)
Effective length (cm) 30 30 38 38 42 40 45 45 50 45 50 45 50
Max. length achieved
with adaptation (cm)
Min. length achieved with
adjustment through
seat notches and
removal inserts (cm)*
Min. and max. range of
anterior height of
at base of construction+
insert 1/2/3 (cm)**
Min. and max. range of
posterior height of at
base of construction +
insert 7 (cm)**
Weight of positioning system (min/max): 0,7 kg/2,8 kg
PAEDIATRIC ADULT
27 32 32 38 38 42 42 44 44 47 47 50 50
23 28 28 34 34 38 38 40 40 43 43 46 46
32,5 32,5 40,5 40,5 44,5 42,5 47,5 47,5 52,5 47,5 52,5 47,5 52,5
24 24 32 32 36 34 39 39 44 39 44 39 44
4/5,5 ** height referred to models UUS and XL
8,5/11,5 ** height referred to models UUS and XL
SIZES (cm.)
Max load (referred to model XL 48cm x 50cm): 135 kg
* possible and further reductions due to removal of material
Any operation of removal, preparation or adjustment for the specic user, on the basis of a prescription, have to
be performed by a professional operator and those interventions get the device customised. The professional
user has the charge and the responsibility to guarantee the efcacy and the performances of the device
Labeling
Below it is reported the description of the product as it is shown on the CE Label:
- The complete name of the device is: Seat VERSA INSERTO DOMINO size Xx
- The name of the product shown on the label is: VERSA INSERTO D. size Xx where D stays for Domino
MANUFACTURED BY:
COMPANY CERTIFIED WITH QUALITY MANAGEMENT SYSTEM ISO 9001 / EN ISO 13485 BY BUREAU VERITAS S.P.A.
Via Montagna Z.I. - Lotto 41 72023 Mesagne (BR) - ITALY
Tel. +(39) 0831 777840 - Fax. +(39) 0831 730739 - Email: sales@promedicare.it
www.versainserto.com - www.promedicare.eu
PRODUCT TECHNICAL SHEET
SCH.TEC.PRO.INS.SEA.DOM. EN Rev.5 - 04/2018
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