rifton E930 Prone Stander User Manual

User Manual

Prone Stander
E930, E940 & E950 Product Manual

IMPORTANT

Please save this product manual for future reference. Additional copies are available at http://www.rifton.com/customer-service/product-manuals.

Key for users
Use this key to determine which sections of this product manual apply to you.
Technical Users For professionals who order and set up Rifton products.
Home Users For care-givers who use Rifton products on a regular basis.
Maintenance Personnel For anyone who is responsible for service or re- ordering of Rifton products and parts.

Check your order

This product is shipped in a single carton. The carton contains:

1. Prone Stander (includes: pair of lateral support blocks, hip strap, and footboard).
2. Tray (if ordered).
3.  Carton containing footboard (E950 only) and components of the Prone Stander.

You may not have ordered all of the available components, but use the following diagrams to make sure your order is complete.
If your shipment is incomplete or in any way damaged on arrival, please call Customer Service, 800.571.8198.

WARNING

• Thoroughly read and understand the information in this product manual before attempting to use this product. If the procedures and instructions in this product manual are not followed, serious injury or death could occur.

• A qualified professional must assess the appropriateness and safety of all equipment for each user.

• This product is intended for use by clients of unreliable judgment. Adult supervision is required at all times.

• To prevent falls and injuries: ○ Do not use this product on rough and uneven terrain, around swimming pools, or near stairways.
  ○ Ensure the appropriate use of straps and supports at all times. Straps and supports are provided for the safety of the user and must be carefully adjusted for comfort and security. ○ Tighten all adjustment knobs before use and immediately after making any adjustments.
  ○ Lock all four casters before placing a client into or removing a client from the product.
  ○ Have two adults assist with transfer into or out of the Prone Stander for added safety.

• Do not use this product for clients outside the height and weight limits specified in this manual.

• To prevent tipping and resulting injury, use the Rifton Prone Stander indoors only.

• To prevent structural failure, which may result in serious injury or death:
  ○ Inspect this product and components regularly for loose or missing screws, metal fatigue, cracks, broken welds, missing attachments, general instability or other signs of excessive wear.
  ○ Immediately remove this product from use when any condition develops that might make operation unsafe.
  ○ Do not use Rifton components or products for any purpose other than their intended use.

Recommended use

WARNING
To prevent falls, do not use the Prone Stander as a transportation device.
The Prone Stander is a Class 1 medical device. It provides the benefits of weight-bearing in an upright posture, abdomen toward the main board. Adjustable supports promote proper alignment of trunk and lower extremities. The board tilts from vertical to horizontal with a crank. The tray provides a convenient space for a communication device or other activity, and has a tool- free angle adjustment.

User and item dimensions

Key user dimension: height
Select the appropriate Prone Stander by the user’s overall height. Choose the model that allows for growth.| Important: User’s weight must not exceed the maximum working load.
Dimensions — inches (cm)| E930 small| E940 medium| E950 large
---|---|---|---
Board length| 231/2 — 16 without kneeboard
60 — 41 with bweboard| 30 (76)| 39 (99)
Board width (top/bottom)| 121/2/121/2(32/32)| 11/16(28/41)| 14/19 (36/ 48)
Top of board to footboard| 20-35 (51-89)| 133-43’1(84-110)| 44-57 (112/ 145)
Height when horizontal| 291/2 (75)| 29’1(75)| 311/2 (80)
Height when vertical| 381/2 (98)| 451/2 (116)| 61 (155)
Distance between laterals| 8-16 (20-41)| 8-16 (20-41)| 12-22 (30-56)
Base width| 23 (58)| 26 (66)| 30 (76)
Base length| 35 (89)| 391/2 (100)| 44 (112)
Tray inside width (widest point)| 221/2 (57)| 221/2 (57)| 291/2 (75)
Tray inside length| 171/2 (44)| 17% (44)| 171/2 (44)
Max. working load in lbs (kg)| 100 (45) 150 (68)| 200 (91)

Basic item (small: E930)

Main board
Trunk laterals
Figure 6a : Laterals (A) ship in reverse position.

• Loosen knobs (C) and slide blocks out from under the clamp.
• Rotate blocks into correct position and replace them under the clamp.
• Retighten knobs.

Use knobs (C) to adjust the blocks laterally and vertically, and to pivot them approximately 30°.
Make sure laterals are clear of tray when adjusting board angle.
Support straps
Figures 6a and 6b: To reposition support straps (B):

• Loosen knobs (D).
• Slide straps up or down.
• Retighten knobs.

Board positioning
Figure 6b : The main board, kneeboard, and footboard slide independently on a tubular steel track, clamping with knob (E).
Board tilt
Figure 6c: The angle of the board is controlled by a handcrank (F). This sets the board at any angle from horizontal to vertical. Adjustments can take place at any time once the user is secure.
The board position indicator (G) is a direct angle indicator that is attached at the pivot point.

Footboard
The footboard is shipped in the reverse position on the tube.
Figure 7a: Reposition by removing knob (A) and clamp (B). Rotate footboard into correct position, replace clamp and knob and retighten.
Kneeboard
Figure 7b: To remove the kneeboard for small children, loosen knob (C) until the plated clamp can rotate 90°, freeing the kneeboard. If abductors were used on the kneeboard attach them to the main board. Lower the main board to its lowest position, and raise the footboard so that the top of the main board reaches the user’s chest.

** Tip: When replacing the kneeboard, the wooden clamp block goes down, and the slot for abductors up (see Figure 7b).
Knee laterals
Figure 7b: To attach the knee laterals, loosen knobs (D), slide laterals onto kneeboard and retighten knobs.
Knee laterals can also be adjusted vertically using knobs (D).
Figure 7c:** This image shows the kneeboard with knee laterals and round abductor. Abductors can be attached on the main board or on the kneeboard.

Basic item (medium: E940)

Main board
Trunk laterals
Figures 8a and 8b:
Laterals (A) ship in reverse position.

1.  To reposition laterals:
   • Loosen knobs (C) and slide blocks out from under the clamp.
   • Rotate blocks into correct position and replace them under the clamp.
   • Retighten knobs.

2. Extra set of laterals are installed in the same manner

Use knobs (C) to adjust laterals laterally and vertically, and to pivot blocks approximately 30°.
Make sure laterals are clear of tray when adjusting board angle.
Hip strap
Figure 8b : Hip strap (B) attaches with knobs (D). Slide up or down for best location. Strap can be positioned above or below laterals. ** Board position
Figure 8b: The main board slides independently on a tubular steel track, clamping with knob (E).
Board tilt
Figure 8c** : The angle of the board is controlled by a handcrank (F). This sets the board at any angle from horizontal to vertical. Adjustments can take place at any time once the user is secure.
The board position indicator (G) is a direct angle indicator that is attached at the pivot point.

Footboard
The footboard is shipped in the reverse position on the tube.
Figure 9a: Reposition by removing knob (A) and clamp (B). Rotate footboard into correct position, replace clamp and knob and retighten.

Basic item (large: E950)

Main board
Trunk laterals
Figures 10a and 10b:
Laterals (A) ship in reverse position.

1. To reposition laterals:
   • Loosen knobs (C) and slide blocks oufrom under the clamp.
   • Rotate blocks into correct position and replace them under the clamp.
   • Retighten knobs.

2. Extra set of laterals are attached in the same manner.
   Use knobs (C) to adjust laterals laterally and vertically, and to pivot blocks approximately 30°.
   Make sure laterals are clear of tray when adjusting board angle.

Hip strap
Figure 10b : Hip strap (B) attaches with knobs (D). Slide up or down for best location. Strap can be positioned above orbelow support blocks. Board tilt
Figure 10c : The angle of the board is controlled by a handcrank (F). This sets  the board at any angle from horizontal tovertical. Adjustments can take place at anytime once the user is secure.
The board position indicator (G) is a direct angle indicator that is attached at the pivot point. Foot board
Figure 11a: Unpack footboard and slide it up onto square tubing of frame. Push spring buttons (A) at ends of frame legs so that footboard tubes slide over them.
Tip: The single slot on the footboard should face out, away from the main board.
The footboard adjusts vertically, sliding on the square tubing of the frame.
Spring buttons (A) in the frame lock the footboard at different heights.

Components

Abductors
Round abductor
Figure 12a: To attach the round abductor, remove the knob and place abductor where appropriate. Retighten knobs securely. Depending on the need of the user, the positioning of the abductor will vary. Check the range of adjustment before positioning the user.
Collar for round abductor
Figure 12b: To attach the collar to the round abductor, wrap around and fasten snaps. Knee laterals
Figure 12c: Attach the knee blocks by removing knobs (E) and tightening behind board, with washer between knob and board. Knee blocks can be repositioned using knobs (E).
Adjustable abduction wedge
(see page 13)
Figure 12d : To attach the adjustable abduction wedge to the Stander, remove the knob and one washer off each threaded stud. Place the abduction wedge in the appropriate slot with one washer on each threaded stud between the abduction wedge and the Prone Stander. Replace washers and knobs on the threaded studs underneath board and tighten securely. To adjust the width of abduction, raise one wing of the wedge to expose the adjustment screw (A). Turn screw out to increase abduction. Raise the second wing and adjust it in the same way.

Adjustable abduction wedge with hip stabilizer E940 & E950
Figure 13a: Remove knobs and washers (B) from threaded studs. With knob (D) pointing down, slide threaded studs through appropriate slot in board. Replace knobs and washers on threaded studs at the back of the board and tighten firmly.
Adjust vertically using knobs (B). Move hip stabilizer horizontally by loosening and securing knob (D). Vertical adjustments to the hip stabilizer only are controlled by knob (C).
Adjust the amount of abduction by shortening or lengthening the adjustment screws underneath the wings of the adjustment wedge (see Figure 12d). Round abductor with hip stabilizer E930 & E940
Figure 13b: Remove knobs and washers (A). Attach the two bolts (B) on the Prone  Stander where appropriate, with knob (C)pointing down. Replace washers and knobs behind the board and tighten.
Adjust vertically using knobs (A). Move hip stabilizer horizontally by loosening and securing knob (C). Vertical adjustments to the hip stabilizer only are controlled by knob (D).
The round abductor with hip stabilizer may be attached to the board before or after positioning the user. Once the round abductor is attached, the hip stabilizer can be removed for transfers by loosening knob (D).
Position the abductor between the thighs above the knees. The correct position for  the hip stabilizer is at the back of the hips (sacral area), snug enough to keep the hips against the board.

Tray

Attaching the tray:

1. Lock the casters.

2.  Turn the handcrank until the Prone
   Stander is nearly vertical.

3. Figure 14a : Hold the tray in front of with the adjustable brace (A) down.

4. Figure 14b: Place the hook (B) into thslot on the mast of the Stander.

5.   Figure 14c: Hold the tray by the latcheand pull latch handles out (C). Clip latches into ends of black tubular crospiece (D) at the top of main board.

6.  Make sure that tray is securely fasteneand latches are clipped in place.

Adjusting the tray:
Figure 14a: Use knob (A) to adjust the angle of the tray. Be sure to tighten knob securely after adjusting.

Hand Anchor

WARNING To prevent falls and resulting injury, do not use Rifton Anchors as a primary support or as a standing support. Suction cups may release.
To prevent falls and cuts, do not use Rifton Anchors on thin glass.
Recommended use
Figure 15a: Hand Anchors can be used on the Prone Stander tray. They give the client an anchor to control excessive movement of the arms and encourage stabilization of the shoulder girdle. The client may hold on with both hands for stabilization training or with one hand keeping the other hand free.
Operation
On a clean  smooth Rifton tray, press down on suction cup of hand Anchor and turn handhold clockwise until secure. To remove, turn handhold counterclockwise.
Tip: Surface must be very smooth and completely clean to get a strong seal.  If suction cup does not hold well, wipe with a damp cloth or apply a thin layer of petroleum jelly around the rim of the rubber pad to enhance the vacuum.

Sandals and wedges

Attaching sandals:
Figure 11a:

1. Remove washers and knobs (C) from  sandal. Insert bolts through slots in foot board.
2. Replace washers and knobs and tighten securely (C).

To adjust sandals:
Figure 11a:

1. Loosen the knobs (C).
2. Move the sandals to the desired position.
3. Retighten the knobs.
4. The sandal height can be built up, or a toe/heel angle achieved, by using one ormore wedges.

Adding sandal wedges:
Figure 11b:

1. Unlatch white the latch (D) and remove the sandal from the base.
2.  Place the wedge over the base and latchit into place. Any number of wedges canbe added.
3. Put the sandal on top, and latch it.

Operation

WARNING To prevent falls or injury:

• Keep all four casters locked at all times except when moving the Prone Stander, whether or not the Stander is occupied.
• Ensure that all four casters are locked when transfering a client.
• For heavy or larger clients, two caregivers may be needed to safely transfer the client in or out of the Stander.
• Ensure that all straps are securely fastened.
• Never leave client unattended.

1. Lock all casters and set the footboard height to an approximate position, as low as possible for the user’s sense of security. The top of the main board should reach the user’s chest.
2. Crank main board to appropriate angle. This depends on whether the user is transfering from a bed, wheelchair, or other position.
3. Open straps on main board and move laterals out as far as possible.
4. Set sandals to approximate positions and open the straps.
5.  Assist the user to standing position with the help of a second person if appropriate. Maintain complete support as you fasten the hook-and-loop straps.
6. Position laterals as required.
7. Fine-tune all adjustments, starting with the sandals. Tighten all knobs.
8. Adjustment of the tilt angle with the handcrank can take place at any time once the user is securely in the Stander.
9. Support blocks can be attached at the same vertical position as the straps. Move the support blocks from under their original clamp to the clamp for the straps by sliding the bracket under the strap clamp and tightening the knobs.

Maintenance

This product is designed and tested for an expected life of 5 years when used and maintained in accordance with this manual. At all times, users must ensure that the product remains in a safe and useable condition, including regular maintenance and inspections as specified in this manual.
To prevent structural failure, which may result in serious injury or death:

• Inspect this product and components regularly for loose or missing screws, metal fatigue, cracks, broken welds, missing attachments, general instability or other signs of excessive wear.
• Immediately remove this product from use when any condition develops that might make operation unsafe.
• Do not use Rifton components or products for any purpose other than their intended use.
• Replace or repair components or products that are damaged or appear to be unstable.
• Use only Rifton authorized replacement parts. Order information for replacement parts is provided on the back of this product manual.

Every month, check lubrication of the threaded rod which drives tilting mechanism. If it seems dry, apply general purpose grease with a brush to the length of the rod.
Twice a year check bolts securing crosspieces of frame and tighten if necessary.

Cleaning

Clean with disinfectant wipes or a solution of up to 10% bleach. The straps, sandals and
pads are removable for cleaning.

Warranty Statement

If a Rifton product breaks or fails in service during the first year, we will replace it free of charge.

Materials

•  Steel hardware items (nuts, bolts, screws, etc) are typically zinc or nickel plated, or stainless steel.
• Upholstery items (pads, support blocks, padded prompts, etc) are typically polyurethane foam with a fire-retardant cover made from expanded vinyl.
• Frames are typically steel or aluminum tubing, welded together, and coated with a baked-on paint finish. Some frame components may also be stainless steel.
• Straps are typically made of polypropylene or nylon webbing.
• Wooden components are typically birch plywood, solid maple, or laminated hardwood veneers, finished with a clear polyurethane lacquer.
• Plastic components are typically injection molded from a variety of industrial resins.

All materials are latex, lead and phthalates free.

User modifications

WARNING
To prevent serious injury or death, do not modify or alter Rifton products or components, or use Rifton products or components in conjunction with products from other manufacturers. Rifton does not accept responsibility for any modifications or alterations made to our components or products after they leave our premises. Customers modifying or altering our components or products, or using them in conjunction with products from other manufacturers, do so at their own risk.

Rifton Contact Information

Email sales@rifton.com
Mail Rifton Equipment PO Box 260 Rifton NY 12471– 0260
 Online www.rifton.com
Phone  800.571.8198 9–5 EST
Fax 800.865.4674

To order replacement parts

1. Locate the ID number of the product on the small white label.
2. Have this number available when you call 800.571.8198 for your customer service representative.

Use only replacement parts supplied by Rifton Equipment.
We are glad to supply replacement parts. Although Rifton makes every effort to supply correct parts and instructions for repairing or refurbishing your equipment, you are responsible to make sure that the repairs or modifications are correctly and safely completed.

**** Find important details and studies on the therapeutic benefits of standing at:
www.rifton.com/pronestander

References

• Rifton | Adaptive Equipment
• Rifton | Product manual listing
• Rifton | Prone Stander, supported weight-bearing in an upright prone standing position

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