Atlas Tommy Bedienungsanleitung

Atlas Revalidatie Techniek BV

PO Box 106

5370 AC Ravenstein

The Netherlands

Visiting address

Korte Stukken 7

5371 MN Ravenstein

The Netherlands

Tel: +31 (0)486-45 33 44

Fax: +31 (0)486-45 35 15

www.atlas-rehab.nl

info@atlas-rehab.nl

Ventral standing frame

Tommy User Guide

Foreword

No part of this User Guide may be reproduced, stored in a retrieval system, or published, in any form or by any means, electronic,

mechanical, photocopying, recording or otherwise, without the prior written permission of Atlas Revalidatie Techniek BV.

This user guide is intended for parents and/or supervisors of children who use the Tommy ventral

standing frame.

The Tommy bears the CE marking, which indicates that it meets European safety requirements.

The settings of the Tommy are adjusted by the dealer prior to delivery. This user guide

subsequently helps you to make the most important daily adjustments to the Tommy, thus enabling

the child for whom it is intended to make optimal use of it.

The user guide contains a great many photographs that will facilitate finding the adjustment facilities

on the standing frame.

Your experiences with the Tommy are important for its continual improvement. If you have remarks

or suggestions for improvement of this product, please contact us via:

Postal address:

Atlas Revalidatie Techniek BV

Antwoordnummer 3509

5370 ZX Ravenstein

The Netherlands

Internet:

www.atlas-rehab.nl

[email protected]

Read this user guide carefully.

Tommy User Guide

Contents

No part of this User Guide may be reproduced, stored in a retrieval system, or published, in any form or by any means, electronic,

mechanical, photocopying, recording or otherwise, without the prior written permission of Atlas Revalidatie Techniek BV.

THE TOMMY............................................................................................................................................................ 4

SAFETY...................................................................................................................................................................... 5

2.1

AFETY INSTRUCTIONS

........................................................................................................................................ 5

2.2

MMEDIATE DANGER

............................................................................................................................................ 5

INITIAL USE ............................................................................................................................................................. 6

3.1

RANSFERRING THE CHILD TO THE STANDING FRAME

.......................................................................................... 6

3.2

RANSFERRING THE CHILD FROM THE STANDING FRAME

..................................................................................... 6

OPERATION ............................................................................................................................................................. 7

4.1

AILY ADJUSTMENTS

........................................................................................................................................... 7

4.1.1

The brakes...................................................................................................................................................... 7

4.1.2

The tilt angle .................................................................................................................................................. 8

4.1.3

The chest band ............................................................................................................................................... 8

4.1.4

The pelvic band.............................................................................................................................................. 8

4.1.5

Removing and adjusting the depth of the sacral support............................................................................... 8

4.1.6

Securing the child’s feet in the shoe holders and adjusting the angle of his or her feet ................................ 9

4.1.7

The angle of the tray table ............................................................................................................................. 9

4.2

TANDARD SETTINGS

(

IT IS ADVISABLE TO HAVE THESE SETTINGS FIXED BY A PARAMEDIC

) ............................. 10

4.2.1

The height of the chin support...................................................................................................................... 10

4.2.2

The height of the chest support .................................................................................................................... 10

4.2.3

The width of the chest side supports ............................................................................................................ 10

4.2.4

The height of the sacral support .................................................................................................................. 11

4.2.5

The height of the tray table .......................................................................................................................... 11

4.2.6

Height, width and depth of the leg supports ................................................................................................ 11

4.2.7

Height, width and depth of the shoe holders................................................................................................ 12

MAINTENANCE ..................................................................................................................................................... 14

REPAIRS .................................................................................................................................................................. 14

WARRANTY............................................................................................................................................................ 14

TECHNICAL DATA ............................................................................................................................................... 15

8.1

IMENSIONS OF THE

OMMY

............................................................................................................................. 15

8.2

PHOLSTERY

..................................................................................................................................................... 15

8.3

PTIONS

............................................................................................................................................................. 15

Tommy User Guide

1. The Tommy

No part of this User Guide may be reproduced, stored in a retrieval system, or published, in any form or by any means, electronic,

mechanical, photocopying, recording or otherwise, without the prior written permission of Atlas Revalidatie Techniek BV.

The ventral standing frame ‘Tommy’ was developed primarily for children who are difficult to

verticalise due to, for example, hip problems (luxations), flexion contractures in the lower extremities

and conjugate deviations of the feet.

It is suitable for children with a height of 80 cm to 140 cm.

Tilt adjustment

The Tommy can be tilted from a horizontal to a vertical position by means of a gas spring. This

means that a child lying on his or her tummy can be placed in the standing frame and gradually

verticalised. The tilt adjustment can also be used to promote the balance of the child’s head.

Settings

The shoe holders on the Tommy can be placed at any angle by means of a ball hinge. As a result,

conjugate deviations of the feet can be corrected. The height of the chest and chin supports can be

adjusted. The leg abduction can be adjusted simply, and separately, while the child is standing in

the standing frame, with a total abduction of up to 90°.

Tray table

The tray table encourages the child to be more active when he or she is in the standing frame.

The standard features of the Tommy are as follows:

(see illustration 1)

a) Chest support with side supports and band for securing the child in position

b) Chin support

c) Pelvic support with side supports and band for securing the child in position

d) Sacral support

e) Flexible leg supports

f) Shoe holders with safety straps

g) Tray table

Illustration 1:

The standard Tommy model.

Tommy User Guide

2. Safety

No part of this User Guide may be reproduced, stored in a retrieval system, or published, in any form or by any means, electronic,

mechanical, photocopying, recording or otherwise, without the prior written permission of Atlas Revalidatie Techniek BV.

Atlas has paid a great deal of attention to the design of this standing frame and the child’s safety;

the settings are adjusted professionally prior to the initial use of the frame. It is, however, imperative

that the following safety instructions be observed by the child’s parents and supervisors to

guarantee that it is used safely.

2.1 Safety instructions

a) First read this user guide and test the standing frame before it is used;

b) Never leave the child alone in the standing frame and always supervise its use;

c) Ensure that all fastenings and parts used to secure the child in position are properly tightened;

d) Tighten the adjusting screws and clamps firmly and check them after each adjustment;

e) Only use the standing frame on a flat surface and always put the brakes on at least two of the

four wheels;

f) The standing frame may only be used inside;

g) The standing frame may not be used for transport purposes;

h) Do not allow other children to play with the standing frame or ride on it;

i) Adjustments may only be made by the child’s parents or carers. Adjustments may not be made

with the child in the standing frame unless absolutely necessary;

j) The child may become dizzy, always bear this in mind;

k) Increase the period for which the child uses the standing frame slowly (in consultation with the

therapist);

l) If the child has developed and grown, check that the standing frame does not cause discomfort

by pinching or squeezing him or her;

m) If the child has grown, only change the settings in consultation with the therapist;

n) Ensure that you adopt a comfortable position when helping the child in the standing frame for

long periods of time;

o) Never use the maximum height, width or depth to ensure a sturdy connection;

p) Do not exceed the maximum load of 50 kg;

q) Any service carried out by a person who has not been authorised by Atlas Revalidatie Techniek

will invalidate the warranty and Atlas Revalidatie Techniek will no longer be liable for injuries

and/or damage.

Safety instructions “b” and “c” are repeated on the standing frame in the form of a warning sticker

(see figure below). Ensure that this text remains legible at all times. If necessary, request a new

copy of the sticker.

2.2 Immediate danger

Practice the following operations so that you can remove the child from the standing frame rapidly in

the event of fire or other immediate danger.

Act quickly in the event of fire or other immediate danger:

a) Loosen the shoe holder safety straps;

b) Loosen the sacral support holder;

c) Hold the child firmly and loosen the pelvic and chest bands;

d) Lift the child out of the standing frame.

Ensure that all fastenings and parts used to secure

the child in position are properly tightened.

Never leave the child alone in the standing frame.

Always supervise its use.

Tommy User Guide

3. Initial use

No part of this User Guide may be reproduced, stored in a retrieval system, or published, in any form or by any means, electronic,

mechanical, photocopying, recording or otherwise, without the prior written permission of Atlas Revalidatie Techniek BV.

Before using the standing frame, check it for visible defects. Contact your supplier if you have any

doubts about its safety. Ask your supplier to instruct you if you are not yet familiar with the use of the

standing frame.

Before using the standing frame, read this user guide carefully and ensure that you understand the

purpose of all the parts. (Test everything before allowing the child to use the standing frame.)

Familiarise yourself with the safety instructions in chapter 2.

Your supplier can instruct you personally. In the event of problems, contact the attending therapist

or the supplier of the standing frame.

3.1 Transferring the child to the standing frame

To transfer the child to the standing frame safely and responsibly, the following instructions must be

observed in the order indicated. See chapter 4 “Operation” for instructions on how to operate the

standing frame.

a) Put the brakes on at least two of the four wheels so that the standing frame cannot roll away

while you are transferring the child;

b) Ensure that all the adjustments are properly tightened;

c) Loosen the shoe holder safety straps, the pelvic and chest bands and the sacral support holder;

d) Transfer the child to the standing frame, securing him or her in position with the pelvic and chest

bands;

e) Fasten the sacral support holder;

f) Tighten the shoe holder safety straps;

g) If necessary, make any adjustments that might make the child more comfortable in his or her

standing position;

h) Never leave the child alone in the standing frame and always supervise its use.

3.2 Transferring the child from the standing frame

To transfer the child from the standing frame safely and responsibly, the following instructions must

be observed in the order indicated. See chapter 4 “Operation” for instructions on how to operate the

standing frame.

a) Put at least two of the standing frame’s brakes on;

b) Loosen the shoe holder safety straps;

c) Loosen the sacral support holder;

d) Hold the child firmly, loosen the chest band and, subsequently, the pelvic band;

e) Transfer the child from the standing frame.

Attention:

Read chapter 4 “Operation” before using the standing frame for

the first

time.

Tommy User Guide

4. Operation

No part of this User Guide may be reproduced, stored in a retrieval system, or published, in any form or by any means, electronic,

mechanical, photocopying, recording or otherwise, without the prior written permission of Atlas Revalidatie Techniek BV.

A distinction is made between the daily and the standard settings of the standing frame. Tools are

always required for the standard adjustments.

4.1 Daily adjustments

Several settings are adjusted continually during the daily use of the standing frame, when

transferring the child to and from the standing frame and when changing his or her standing position

slightly if this is required. No tools are required for the daily adjustments.

4.1.1 The brakes

•The brakes of the Tommy consist of projecting lips at the top of each wheel.

•Brake on:

Push the projecting lip downwards with the front of your shoe (see illustration 2A) until it remains

in a fixed position.

Brake off:

Push the smaller lip forwards with the front of your shoe (see illustration 2B) so that the larger lip

comes up again.

Attention:

Adopt a comfortable posture when tightening/loosening the adjusting screws and knob.

Ensure that

they are tightened properly again after making adjustments.

Attention:

The first adjustments or major alterations in the standing

posture may only be made by personnel

specially instructed to do so.

The standing frame may only be adjusted by parents or carers after

comprehensive instruction and careful studying of this user guide.

Attention:

Always use at least two of the four brake

minstens twee van de vier remmen.

Illustration 2A:

Brake on.

Illustration 2B:

Brake off.

Tommy User Guide

4. Operation

No part of this User Guide may be reproduced, stored in a retrieval system, or published, in any form or by any means, electronic,

mechanical, photocopying, recording or otherwise, without the prior written permission of Atlas Revalidatie Techniek BV.

4.1.2 The tilt angle

•The lever for adjusting the tilt angle is located just above the base

of the standing frame (see illustration 3).

•Hold the standing frame firmly in position with one hand and move

the lever up or down with the other. Adjust the standing frame to

the required angle and release the lever.

•The child can be placed in the standing frame while lying on his or

her tummy and gradually verticalised using the tilting facility. The

tilt adjustment can also be used to promote the balance of the

child’s head.

4.1.3 The chest band

•The chest band is located on both sides of the chest support

(see illustration 4).

•Place the band across the child’s back, feed it through the

slot and then pull it back across the child's back. The band is

fixed in place using Velcro.

•If necessary, the trunk can also be secured so that the

child’s upper body is held firmly in position.

4.1.4 The pelvic band

•The band for securing the pelvis is located on both sides of the pelvic support and works along

the same lines as the band used to secure the chest (see illustration 4).

•Place the band across the child’s pelvis, feed it through the slot and then pull it back across the

child's pelvis. The band is fixed in place using Velcro.

•The pelvic band ensures that the child can be secured in position when he or she is transferred

to the standing frame.

4.1.5 Removing and adjusting the depth of the sacral support

Removing the sacral support

•The fastening is located on the sacral support holder (see illustration 5).

•Hold the sacral support firmly in position with one hand and pull the

string down with the other. Lower the sacral support slowly. The lever

(to which the string is attached) must be returned to its original position

after the sacral support has been replaced. Check that the sacral

support is properly fixed.

•When transferring the child to and from the standing frame, remove the

sacral support; this is a simple operation that facilitates transfer.

Illustration 5:

Removing the sacral

support.

Illustration 4:

Adjusting the chest band.

Illustration 3:

Adjusting the tilt angle.

Tommy User Guide

4. Operation

No part of this User Guide may be reproduced, stored in a retrieval system, or published, in any form or by any means, electronic,

mechanical, photocopying, recording or otherwise, without the prior written permission of Atlas Revalidatie Techniek BV.

Adjusting the depth of the sacral support

•The clamp for adjusting the depth of the sacral support is located on the

back of the sacral support (see illustration 6).

•Hold the sacral support firmly in position with one hand and loosen the

adjusting screw with the other. Adjust the sacral support to the required

depth. Tighten the clamp firmly again. Check that the sacral support is

properly fixed.

•The sacral support must be pushed up firmly against the child, so that

the pelvis is secured in position between the sacral and pelvic supports.

4.1.6 Securing the child’s feet in the shoe holders and adjusting

the angle of his or her feet

Securing the child’s feet in the shoe holders

•The shoe holder safety straps are located on the sides of the shoe

holders (see illustration 7). These straps are fastened when the child

is in the standing frame. Make sure that at least two of the standing

frame’s brakes are on.

•Hold the child’s foot firmly in the shoe holder with one hand. Place the

safety strap across the child’s instep in the quick fastener and click it

downwards. Check that the strap is properly fixed. Ensure that the

strap does not pinch.

•The shoe holders with safety straps ensure that the child’s feet

remain vertically under the trunk so that he or she can maintain his or

her standing position.

Adjusting the angle of the feet

•The 2 clamps for adjusting the angle of the shoe holders are located

underneath the shoe holders (see illustration 8).

•Hold the shoe holder firmly in position with one hand and loosen the

clamp with the other. Adjust the angle of the shoe holder as required

and tighten the clamp firmly again. Repeat this for the other shoe

holder. Check that the shoe holders are properly fixed.

•The shoe holders can be adjusted to any angle required using the ball

hinge so that the optimal angle for the ankle can be realised.

4.1.7 The angle of the tray table

•The clamp for adjusting the angle of the tray table is

located under the tray table in the middle (see illustration

9).

•Hold the tray table firmly in position with one hand and

loosen the clamp with the other. Adjust the tray table to

the required angle and tighten the clamp firmly again.

Check that the tray table is properly fixed.

•If the standing frame is tilted, the tray table can be placed

horizontally.

Illustration 8:

Adjusting the angle of the

shoe holders.

Illustration 7:

Adjusting the safety straps on

the shoe holders.

Illustration 9:

Adjusting the angle of the tray table.

Illustration 6:

Adjusting the

depth of the

sacral support.

Tommy User Guide

4. Operation

No part of this User Guide may be reproduced, stored in a retrieval system, or published, in any form or by any means, electronic,

mechanical, photocopying, recording or otherwise, without the prior written permission of Atlas Revalidatie Techniek BV.

4.2 Standard settings

(it is advisable to have these settings fixed by a paramedic)

A number of standard settings must be fixed in accordance with the child’s length, weight and

handicap; these will have to be altered after a while, if necessary in consultation with the attending

therapist.

4.2.1 The height of the chin support

•The screw for adjusting the height of the chin support is located

on the back of the chest support (see illustration 10). You will

need hexagonal key (Allen key) number 6 to make this

adjustment.

•Hold the chin support firmly with one hand and loosen the

adjusting screw with the other. Adjust the chin support to the

required height and tighten the screw firmly again. Check that

the chin support is properly fixed.

•The child must be able to support him or herself by leaning his

or her chin on this support, if necessary.

4.2.2 The height of the chest support

•The 2 screws for adjusting the height of the chest support are

located on the top back of the chest support (see illustration 11).

You will need hexagonal key (Allen key) number 6 to make this

adjustment.

•Hold the chest support firmly with one hand and loosen the

adjusting screws with the other. Adjust the chest support to the

required height and tighten the screws firmly again. Check that

the chest support is properly fixed.

•The chest support must be located level with the child’s chest.

4.2.3 The width of the chest side supports

•The 2 screws for adjusting the width of the chest side

supports are located on the back of the chest support (see

illustration 12). You will need hexagonal key (Allen key)

number 6 to make this adjustment.

•Hold the side support firmly with one hand and loosen the

adjusting screw with the other. Adjust the side support to the

required width and tighten the screw firmly again. Adjust the

other side support to the same position. Check that the side

supports are properly fixed.

•The width of the side supports must be adjusted such that

the child is supported on both sides. This setting will vary

according to the child. Ensure that the side supports do not pinch in the child’s armpits.

Attention:

Adopt a comfortable posture when tightening/loosening adjusting screws.

Never use the maximum height, width or depth to ensure a sturdy connection.

Illustration 10:

Adjusting the height of the chin

support.

Illustration 11:

Adjusting the height of the chest

support.

Illustration 12:

Adj

usting the width of the chest side

supports.

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