MODULAR WHEELCHAIR ACCESS 06 J/A ACCESS 06 H ACCENT 07 A ACCENT 07 H Junior/Adult Wheelchair Adult Heavy Duty Wheelchair Adult Wheelchair Adult Heavy Duty Wheelchair User Guide and Information R Healthcare Modular User Guide Page 1 www.rhealthcare.co.
THIS INFORMATION IS APPLICABLE TO R HEALTHCARE MODULAR WHEELCHAIRS. IT SHOULD BE READ BY BOTH OCCUPANTS AND CARERS WITH ALL OTHER INFORMATION SUPPLIED BEFORE ANYONE ATTEMPTS TO USE THE CHAIR THE PURPOSE OF A WHEELCHAIR IS TO PROVIDE FUNCTIONAL MOBILITY FOR PEOPLE WHO CANNOT, OR FIND IT DIFFICULT TO WALK. Thank you for choosing a R Healthcare Modular Wheelchair. We hope you will find it suitable for your needs. The R Healthcare Modular wheelchair is one of the many quality products produced by R Healthcare.
TABLE OF CONTENTS Part One – Modular Wheelchair Features 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 1.9.1 Introduction and Opening the Product Package Preparing the Wheelchair for use Footrests Brakes Wheels Balance control and Manoeuvrability Armrests Special Adaptations Warranty Information Anti Tipping Stabiliser post 01/01/13 fitting guide P4 P7 P8 P9 P10 P11 P13 P14 P14 P15 Part Two – General Guidance & Safety Information 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 2.9 2.10 2.11 2.12 2.13 2.14 2.
1.1 Introduction & Opening the Product Package The R Healthcare Modular range is available in different frame types as follows: a. Access Fully Modular Has three different frame designs. Junior, Adult, and Adult Heavy Duty b. Accent Fully Modular Has one frame type, covering adult and heavy duty, with build options to suit occupant and attendant operation.
1.1.1 Diagrammatic of Wheelchair types The following diagrams show the possible configurations of R Healthcare Modular wheelchairs. R HEALTHCARE ACCESS FULLY MODULAR WHEELCHAIR Diagrammatic representation of modularity with choice of wheel and castor type and position, backrest angle, seat to ground height and leg angle, in addition to seat width, which tailor final build specification to meet clinical assessment of user. R Healthcare Modular User Guide Page 5 www.rhealthcare.co.
R HEALTHCARE ACCESS FULLY MODULAR WHEELCHAIR The diagram shows how additional features may be added to the Access Fully Modular wheelchair to extend or enhance performance in line with the requirements of the wheelchair user.
1.2 Preparing the Wheelchair for use OPENING THE WHEELCHAIR Grip the armrests and push them apart as far as possible. This may be made easier by tilting the wheelchair sideways slightly, so that one rear wheel is clear of the ground. Put hands on the seat canvas with fingers pointing into the middle of seat. Push down and out, with the flat of the hand on the two sides of the seat, until the chair is completely open. Push footrests to swivel out and down to heel out.
1.3 Footrests The R Wheelchair footrests. Healthcare Modular has detachable These can also be pivoted round during side transfer, or close up manoeuvres. To detach the footrests, remove the retainer and release the footrest latch. The footrest can then be lifted off the pivot pins. If the footrests are to be left on when carrying the wheelchair in a car, the retainer should be replaced. Remember to fully engage the locking latch after replacing the footrest.
1.4 Brakes BRAKES should exert sufficient pressure on the tyres to hold the wheelchair on a 10 degree slope. Correct tyre pressure is important for correct brake operation Braking position is adjusted by sliding it the along the brake mounting tube, and clamping to the frame where required The brake may be mounted above or below the mounting tube, above on the Occupant Controlled versions to provide optimum handle position. Attendant Controlled versions will usually have them fitted below.
1.5 Wheels MAKE SURE TYRES ARE CORRECTLY INFLATED TO 45 psi BEFORE USING THE WHEELCHAIR. The R Healthcare Modular range is available with a wide choice of wheels and castors. All Attendant Controlled chairs, i.e. those with small wheels, and some Occupant Controlled chairs have wheels, which are permanently secured into the mounting block unit by a screwed spindle. Occupant Controlled chairs are available with QUICKLY DETACHABLE wheels.
1.6 Balance Control & Manoeuvrability The R Healthcare Modular range, allows rearward stability to be adjusted, making it easier to manoeuvre and tip the wheelchair backwards. This set up will be unstable for some users. Fitting stabilisers can be a safe alternative. THE MODULAR RANGE WHEELCHAIR CAN BE ADJUSTED BELOW 10 DEGREES REARWARD STABILITY - STABILISERS ARE AVAILABLE. DO NOT ADJUST STABILISERS PRIOR TO SPECIALIST ASSESSMENT.
Wheels can be moved to facilitate changes to meet user need. When setting wheel mounting positions always ensure that both wheels are positioned in corresponding holes on each side of the frame. Rear wheels can be set back to achieve greater stability, but require more effort to propel and manoeuvre the wheelchair. THE WHEELCHAIR IS SUPPLIED WITH WHEELS SET AS SPECIFIED DO NOT ADJUST PRIOR TO SPECIALIST ASSESSMENT.
1.7 Armrests The armrests are detachable for side transfer and storage or to reduce lifting weight. To detach, pull back the catch trigger on the underside at the front corner of the frame until it clicks into the release position and lift out. To replace, first make sure that the trigger is free to spring lock, and insert the armrest into the sockets at the front and back of the frame, then push down until the armrest clicks into position.
1.8 Special Adaptations Modular designs make adaptation simpler. There are many rehabilitation adaptations, and other complementary products available for use on the R Healthcare Modular Range of Wheelchairs. Our policy of continuous development is always adding to the list of items to improve the lifestyle and independence of our customers and users. For further information on these, contact the R Healthcare Customer Services Department at the address shown on the end of this User Information Guide.
Fitting Instruction – stabilisers – anti tip (Access / Accent 01/01/2013 onwards) Part number MSAWU1127 Where used Access & Accent Self Propelled, Attendant Propelled Curved stabiliser can be fitted with the wheel downwards and close to the floor, or upwards, method of fitting to be assessed dependent upon users and intended environment.
Stabiliser Configuration Table Wheel Type & Position Standard Curved Stabiliser Items 1-6 Extended Curved Stabiliser Items 1-9 Hole Position 20” Wheel Forward Mid Extended Centre 22” Wheel Forward Mid Centre Extended Centre 24” Wheel Forward Mid Centre Extended Centre 315mm Wheel Forward Mid Extended Centre R Healthcare Modular User Guide Page 16 www.rhealthcare.co.
MANUAL WHEELCHAIRS GENERAL GUIDE AND SAFETY INFORMATION Factors considered in selecting a wheelchair apply to both occupants and carers and include: • • • • • • • • • • method of propulsion seating position occupant size and weight physical ability of occupant and carer ( where applicable ) ease of use environment safety degree of independence transportation costs Clinical Assessment teams have a responsibility to provide the wheelchair occupant and carer, where applicable, with a means of achieving effe
2.1 INTRODUCTION The type of wheelchair, and attachment features, provided will be different according to individual user requirements, and clinical assessment of need. In many cases the result will be a compromise solution. Some modular wheelchairs can be set up or finely adjusted to suit user needs. Users should contact their approved distributor if they are having problem in using their wheelchair, a simple adjustment or alternative build configuration may help to resolve the problem.
2.2 GETTING IN AND OUT OF A WHEELCHAIR FACING FORWARDS For maximum safety, these operations should be carried out with the help of an attendant. The occupant should always try to assist the attendant wherever possible to share the total effort. Carers should not attempt to lift without help. If this is not possible a hoist may be required. Getting into the wheelchair.
Figure 1 - Getting in/out of the wheelchair Figure 2 - Side Transfer Figure 3 - Maintain a firm grip on the push handles F i g u r e 4 - Attendant Control R Healthcare Modular User Guide Page 20 www.rhealthcare.co.
2.4 BRAKES Hand brakes are provided for preventing wheel movement when parked, particularly on a slope, or during occupant transfer to and from the wheelchair. The action of a brake shoe pressing on the tyre makes correct inflation pressure important, see section 1.5. Cable operated hub brakes are an option available for mounting on the push handles to allow the attendant to control the chair without having to reach down for the hand brake handle.
Fig. 5. going down a kerb start position make sure that the front end of the chair is lowered slowly to the floor, and that the castors are pointing to the rear. Fig. 6. going down a kerb finish position castors with small wheels, are more liable to dig in, than large wheels, and require extra care in use. R Healthcare Modular User Guide Page 22 www.rhealthcare.co.
2.6 KERBS Negotiating a kerb. The methods described here involve an attendant controlling the operation. Active users adopt balancing techniques carry out kerb manoeuvres independently, but methods will vary according to the setting of the chair, the physical strength of the user and skills acquired through training and practice with wheelchair experts. See section 1.6. Going down a kerb: The chair castors should be taken to the edge of the kerb.
Figure - 7 Ensure that push handle locks are fully engaged before using Figure - 8 Detachable push handles must be inserted correctly Figure - 9 Going down/up a flight of steps R Healthcare Modular User Guide Page 24 www.rhealthcare.co.
2.7 STEPS & SLOPES Where possible, the hazard of negotiating steps should be avoided. Modern public buildings should provide permanent wheelchair ramps, with a practical slope angle for safe access, loose ramps pushed against a kerb are not recommended. Learning the geography of an area is important. A little journey planning can eliminate difficult manoeuvres.
A basic security seat belt may become required after a period of use, if the environment or method of use changes, or where the occupant feels a need for greater security in the wheelchair. These can be fitted retrospectively by a fully trained and competent technician, but if unable to utilise any of these instructions, contact either your NHS rehabilitation engineer or the manufacturer of the wheelchair.
Fig 10 2 1 Remove thetherearmost Remove rearmost Seat Canvas andcanvas loosen off screwsscrew from the the remaining screws and loosen off theon both sidesremaining of the canvas screws. Take partlap of strap the Take oneone of the lapstrap belt and fixing loops and slide the choose hole end with the thecorrect fixing hole position to suitcanvas the underneath the andwidth line up with of the yourhole chair. the of canvas.
2.9 OCCUPANT CONTROLLED MOBILITY Handrims These are provided for the occupant to grip and push round to propel the wheels. Best results will be obtained by a long pushing stroke, which gives a continuous and smooth forward motion. Many users find that gripping across the tyre and handrim at the same time gives better control. We recommend that when operating in this way, wheelchair gloves are worn.
If stabilisers are removed for ascending or descending a flight of steps additional carers and handlers should be present, and they should be refitted when the manoeuvre has been completed. Outdoor Safety Hints Most pavements slope slightly towards the kerb and the wheelchair may have a tendency to pull towards the road. Occupant controlled Active User wheelchairs with cambered wheel setting reduce this tendency.
safe slope of 8 degrees is our recommendation for the R Healthcare range of manually propelled wheelchairs. However this recommendation may need to be changed if the wheelchair has attachments added to it, such as an elevating legrest or carry bag, which adversely affects stability. Such changes to the chair specification may have a critical effect, and they require re-assessment by a rehabilitation professional. SAFE SLOPE OF 8 DEGREES FOR MANUAL WHEELCHAIRS.
Car Driver Information Physically active wheelchair users can drive cars and store the wheelchair in the car independently, with a lot of practice. Training at specialist driving centres is recommended. Two door cars provide the greatest access space. Gaining entry to the car first involves side transfer as section 3. When carrying this manoeuvre a wheelchair users should chose a position where there is no risk of interference from other traffic.
Guidelines for Wheelchair & Occupant Transportation in Vehicles This information is given in order to reduce the risk of bad practice. It is based on current available knowledge. Wheelchair users and transport operators have a responsibility to ensure that safety measures take account the needs of wheelchair occupants and other passengers to minimise the risks involved for each individual situation.
Fig 15 Side view of R Healthcare Powerider tied down to floor of a vehicle using webbing restraints. Note that separate occupant crash tested restraint is not shown in this view. Wheelchair Seat Belts and Posture Belts are not crash tested restraints, although they help keep an occupant in a preferred position during normal vehicle motion. To meet crash safety standards, wheelchair and occupant must be secured to the vehicle independently.
2.12 GENERAL PRECAUTIONS & INFORMATION Warranty R Healthcare guarantees the products supplied to be free from manufacturing defects, and will replace components where necessary free of charge, for a period of 24 months from the date of purchase. This guarantee is subject to the condition that the product has been used, adjusted and maintained in accordance with the user and maintenance instructions supplied by R Healthcare. UNAUTHORISED WHEELCHAIR MODIFICATIONS MAKE THIS WARRANTY VOID.
2.13 LOOKING AFTER YOUR WHEELCHAIR - GENERAL CARE AND MAINTENANCE READ ALL INFORMATION PROVIDED BEFORE ATTEMPTING TO USE Users should not attempt major repairs or modifications. Approved Distributors have full Service Information and are able to advise if the chair becomes damaged, requiring major part replacement, or refitting.
2.14 SERVICE CHECK LIST Brakes The brake should hold the chair on a ramp angle of approx. 10 degrees. Try the chair on a slope or ramp, which you may use. If necessary, have the brake is readjusted. Wheels Check general condition, free running and clearance in hubs, wheel wobble of 3mm measured at rim is acceptable, excessive movement is an indication of wear.
2.15 Technical Data Sheets Positive Momentum OVERALL DIMENSIONS ACCESS OCCUPANT WEIGHT RANGE 50Kg TO 127Kg KG SEATING AREA DIMENSIONS WHEEL BASE CASTORS TRAILING FOOTREST INFORMATION REAR WHEEL INFORMATION CASTOR INFORMATION ARMREST INFORMATION WEIGHT INFORMATION K FRAME / SEAT ANGLE INFORMATION KG OBSTACLES AND ENVRIONMENTS ISO 7176 IMPACT STRENGTH & DYNAMIC TESTS CORRIDOR WIDTH TURNING SPACE WITH ATTENDANT BEHIND R Healthcare Modular User Guide Page 37 www.rhealthcare.co.
Positive Momentum OVERALL DIMENSIONS ACCESS 160KG OCCUPANT WEIGHT RANGE 50Kg TO 146Kg* KG SEATING AREA DIMENSIONS WHEEL BASE CASTORS TRAILING FOOTREST INFORMATION REAR WHEEL INFORMATION CASTOR INFORMATION ARMREST INFORMATION WEIGHT INFORMATION K KG FRAME / SEAT ANGLE INFORMATION OBSTACLES AND ENVRIONMENTS ISO 7176 IMPACT STRENGTH & DYNAMIC TESTS CORRIDOR WIDTH TURNING SPACE WITH ATTENDANT BEHIND R Healthcare Modular User Guide Page 38 www.rhealthcare.co.
Positive Momentum OVERALL DIMENSIONS ACCENT OCCUPANT WEIGHT RANGE 50Kg TO 127Kg KG SEATING AREA DIMENSIONS WHEEL BASE CASTORS TRAILING FOOTREST INFORMATION REAR WHEEL INFORMATION CASTOR INFORMATION ARMREST INFORMATION WEIGHT INFORMATION K FRAME / SEAT ANGLE INFORMATION KG OBSTACLES AND ENVRIONMENTS ISO 7176 IMPACT STRENGTH & DYNAMIC TESTS CORRIDOR WIDTH TURNING SPACE WITH ATTENDANT BEHIND R Healthcare Modular User Guide Page 39 www.rhealthcare.co.
Positive Momentum OVERALL DIMENSIONS ACCENT OCCUPANT WEIGHT RANGE 50Kg TO 146Kg* 160KG KG SEATING AREA DIMENSIONS WHEEL BASE CASTORS TRAILING FOOTREST INFORMATION REAR WHEEL INFORMATION CASTOR INFORMATION ARMREST INFORMATION WEIGHT INFORMATION FRAME / SEAT ANGLE INFORMATION K KG OBSTACLES AND ENVRIONMENTS ISO 7176 IMPACT STRENGTH & DYNAMIC TESTS CORRIDOR WIDTH TURNING SPACE WITH ATTENDANT BEHIND R Healthcare Modular User Guide Page 40 www.rhealthcare.co.
R HEALTHCARE GROUP Distributed by : Other Approved Distributors : Part Number MSPML500 R Healthcare Modular User Guide Page 41 www.rhealthcare.co.
