JAY J3 Fluid Cushion Wheelchair Instruction Manual
- June 12, 2024
- JaY
Table of Contents
J3 FLUID CUSHION
JAY® J3 Cushion
Owner’s Manual 255108
IMPORTANT CONSUMER INFORMATION
NOTICE: This manual contains important instructions that must be passed
on to the user of this product. Please do not remove this manual before
delivery to the end user.
SUPPLIER: This manual must be given to the user of this product.
USER: Before using this product, read this entire manual and save for
future reference.
NOTE: Check all parts are free from shipping damage. In case of damage DO
NOT use. Contact Sunrise Medical or your supplier for further instructions.
Sunrise Medical recommends that a clinician such as a doctor, therapist or
rehab engineer experienced in seating and positioning be consulted to
determine if a J3 Cushion is appropriate. Cushions should only be installed
by:
- an authorized Sunrise Medical supplier
- a qualified healthcare professional who has undergone appropriate training by either Sunrise Medical or their approved supplier.
**** GENERAL WARNING
- Do not install this equipment without first reading and understanding this manual. If you are unable to understand the Warnings, Cautions and Instructions, contact a qualified clinician or supplier – otherwise injury or damage may occur.
- Hook and loop Velcro should not come into prolonged contact with moisture as this may degrade the adhesive and lead to a failure of the Velcro.
Introduction
The JAY J3 Cushion is designed for clinicians to use with clients who are at
extremely high risk of skin breakdown. Designed for superior pressure
distribution and stability, the J3 Cushion offers a high end cushion to meet a
large rang of skin protection and positioning needs. The J3 Cushion has the
benefit of skin protection in a comfortable and lowmaintenance design. The J3
incorporates a JAY Flow Fluid Pad, optional Fluid Inserts, optional PLA
(pelvic loading area) reducer ring, foam base and one of two over materials.
The intended lifetime of this product is 5 years.
Maximum User Weight:
-
150 kg on Pelvic Loading Area ring sizes A and B 227 kg on Pelvic Loading Area size C
WARNING -
Installing a cushion on a wheelchair may affect the centre of gravity of the wheelchair and may cause the wheelchair to tip backwards, potentially resulting in injury. Always assess the potential need for anti-tippers or amputee axle adapter brackets to be added to the wheelchair to help increase stability.
-
Prior to prolonged sitting, any cushion should be tried for a few hours at a time while a clinician inspects your skin to ensure that red pressure spots are not developing. You should regularly check for skin redness. The clinical indicator for tissue breakdown is skin redness. If your skin develops redness, discontinue the use of the cushion immediately and see your doctor or therapist.
-
The J3 cushion is designed to help reduce the incidence of pressure ulcers. However, no cushion can completely eliminate sitting pressure or prevent pressure ulcers. The J3 cushion is not a substitute for good skin care including
proper diet, cleanliness and regular pressure relieving.
WARNING -
Do not leave the cushion outside overnight at temperatures below 40° F (5° C). Allow the cushion to warm to room temperature before using. Sitting on extremely cold or hot surfaces can cause skin damage.
-
Avoid sharp objects or exposure to excessive heat or open flame.
-
PROPER FLUID LEVEL: The amount of fluid contained in the insert is determined by the clinician during a seating evaluation. This should not be adjusted without a clinician directive as it can alter the pressure relieving properties and lead to injury or damage.
-
OBSTRUCTIONS: DO NOT place any obstructions between the user and the cushion because it will reduce product effectiveness.
-
CUSHION AND COVER ORIENTATION: Product must be used with the fluid insert facing up. If the cover is not used correctly or if the cover is the wrong size, it may reduce or eliminate the cushion’s benefits and could increase risk to the skin and soft tissue.
Cushion Adjustability
The size of the PLA (pelvic loading area) is adjustable.
Your clinician will determine if a PLA reducer is needed in your cushion at
the time of your evaluation.
Fluid Adjustability
The J3 Cushion offers fluid volume adjustability to accommodate user’s needs
through two models the “Factory Filled” or the “Field Variable Volume” model.
The determination of factory filled or field variable filled is made by your
clinician during evaluation. The insert should only be changed at the
direction of your clinician.
The field variable volume insert has the ability to adjust to the user’s need
over time. Your supplier will be involved in the adjustment once it is
determined to be needed for better clinical efficacy.
Adjusting the “Factory Filled” J3 Cushion
If at any time the volume needs to be modified, Sunrise Medical or its
approved supplier can at no additional product cost modify the volume to meet
current medical needs. This method of fluid adjustment prevents unqualified
fluid adjustments. This allows the appropriate fluid amount to be controlled
by the appropriate healthcare provider and prevents the fluid volume from
being manipulated by a patient or caregiver that might place the patient at a
higher risk for skin breakdown.
To modify the fluid volume of the Factory Filled Fluid Pad, simply contact
Customer Services of JAY supplier, or Sunrise Medical.
Adjusting the “Field Variable Volume” J3 Cushion
The Field Variable Volume version of the J3 Cushion allows the appropriate
healthcare provider to apply a specified amount of fluid at the time of
prescription and to modify the amount of fluid if needs change through the use
of discreet Fluid Supplement Pads. This method of adjustment is useful where
there is no concern of unqualified fluid adjustments occurring after
prescription.
WARNING
The Field Variable Volume Fluid Pad comes with two Fluid Supplement Pads as
standard and has a blue urethane cover to differentiate it versus the standard
grey urethane on the Factory Filled Fluid Pad. This colour difference
identifies that the blue fluid pad comes underfilled in comparison to the grey
Factory Filled pad, and has four Velcro attachment points to attach the
standard Fluid Supplement pads for obliquities, and overfills. To determine
how to use the Fluid Supplement pads, please reference the “Fitting a Pressure
Distributing Cushion” section.
Fitting A Pressure Distributing Cushion
Using Fluid Supplements Pads.
Fluid Supplement pads are to be only used with the Field Variable Fluid pad.
To determine if you have a Field Variable Fluid pad, unzip the cushion cover
and look at the pad in the pelvic loading area. If the pad has a blue outer
cover, it is a Field Variable Fluid pad and designed to work with Fluid
Supplement pads.
Clinicians or therapists should use Fluid Supplement pads by attaching or
removing to the Fluid pad Velcro attachment points located between the folds
on the upper Fluid Pad surface to increase or decrease the amount of fluid
needed.
Fitting The Cushion.
Select a cushion to match your hip width when in the seated position. The
cushion length should extend to within 1” – 2” (2.5cm – 5cm) from the back of
the knees.
Place the cushion to the back of the wheelchair with the material
identification tags and fluid pad toward the rear.
When fitted correctly, your hips should be to the back of the chair. Your
ischials (seat bones) should be centered on the JAY Fluid pad in the pelvic
loading area of the cushion.
Proper footrest adjustment may enhance sitting comfort and help lower peak
sitting pressures. Adjust the footrests so your legs rest firmly but
comfortably on the cushion.
Use the cushion indexing notches located in the rear of the foam base to
ensure proper alignment of the cushion to the backrest. This will ensure that
the pelvic loading area and fluid insert are in the right position for the
user.
Misalignment of the fluid insert and pelvic loading area could lead to injury
and skin breakdown.
Avoid using the cushion on overly stretched seat upholstery. Stretched
upholstery does not provide adequate support for the cushion and improper
positioning may result. Replace stretched upholstery or purchase the JAY
Adjustable Solid Seat.
Easy Maintenance & Cleaning
- Monthly cleaning and regular maintenance may help extend the life of your cushion. During cleaning, component inspection is recommended.
- Check the cover for tears and excessive wear and replace if ripped, torn or otherwise not fully functional. Inspect the fluid pad for punctures or any other abnormalities.
- Check the foam base to ensure foam consistency. While checking the fluid pad if you ever feel the fluid is firmer in one area, simply knead the fluid back to its original consistency and/or call your supplier.
To Clean Cover
- Remove the cover from the foam base and turn inside out.
- Machine wash in warm water and drip or tumble dry on low heat.
- No ironing required.
CAUTION
- Do not dry clean covers or use industrial washers and dryers to clean cover.
- Do not steam autoclave.
- Do not bleach.
- To refit cover after washing, reinstall the cover on the foam base. Ensure the back of the cover matches up to the back of the foam base.
- If used in an institutional setting, write the resident’s name with a permanent marker on the content label of the covers. This will help to ensure the return of the covers after washing.
- Use only JAY covers on JAY cushions. The cover is an important part of allowing the immersion into the fluid insert which redistributes the pressure. Changing the cover will alter this design and its efficacy.
To Clean Foam Base, Pla Reducer Ring And Positioning Components.
- Remove the cover, fluid pad and PLA reducer ring (if applicable) from the foam base. Wipe lightly with a damp cloth. Do not use soap. Do not submerge in water. Wipe off with a clean cloth. Let it completely air- dry before reassembly.
- Avoid submersion of the foam base in water.
- Re-install the cover over foam base. Ensure the back of the cover matches up to the back of the foam base.
To clean fluid pad and fluid inserts (if applicable)
Remove the cover from the foam base. Remove fluid pad from its foam base and
wipe with warm water and soap.
Rinse with a clean, damp cloth, then wipe dry with a clean cloth.
CAUTION
- Never submerge the fluid pad in any liquid.
- Avoid harsh cleaning or rough handling as this may lead to a degradation of the fluid insert and lead to a leakage.
- If at any time the cover, Pelvic Loading Ring, foam base, fluid insert or any other component appears to be wearing or you notice a degradation in the texture, contact your supplier/Sunrise Medical for evaluation and further instructions.
| Machine wash in warm water (60° C)
| Only non-chlorine bleach, when needed
| Drip dry
| Do not iron
| Do not dry clean
Re-Assembling The JAY J3 Cushion After Cleaning
Follow cleaning and maintenance instructions as described in “Easy maintenance and cleaning” then re-assemble as follows.
WARNING
- Insert the JAY Fluid pad on the foam base making sure that all Velcro® strip locations are aligned.
- A mis-alignment or creation of an edge could cause an unwanted pressure point which could lead to injury.
- Insert the foam base into the outer cover.
- Ensure that the zipper is at the rear of the foam base (the part number tag should be to the rear of the foam base) where the pelvic loading area is located.
What Is Bottoming-Out?
Bottoming-out may occur on a J3 Cushion if you displace the fluid underneath
your pelvic bones or buttocks, which would leave you sitting on the foam base.
It sometimes occurs on very thin individuals, people using recliner
wheelchairs, people who have lost weight or have other changes in body size or
shape, people who slouch when sitting or a person using a PLA (pelvic loading
area) inappropriately sized for their pelvis.
WARNING
When bottoming-out occurs, increased pressure is placed onto the ischial and
coccyx increasing the risk of skin breakdown. Immediately discontinue use of
the pad. See your health care professional.
How To Check For Bottoming-Out
To check for bottoming-out, sit on the cushion with the cover on and the
zipper opened for at least two minutes.
Transfer up and off the cushion (or have someone help you transfer), trying
not to disturb the fluid underneath you.
Fold the back portion of the cover forward over the front, exposing the fluid
pad. Push down in the depressions on the pad where your ischial (seat bones)
and coccyx (tailbone) were. You should have to push through at least 1/2” (1.3
cm) of fluid before you feel the firm cushion base below.
1/2” (1.3 cm) is approximately this deep.
WARNING
If the cushion is properly positioned, the footrests are properly adjusted and
there is not at least the minimum 1/2” (1.3 cm) of fluid, the cushion is
bottoming-out and should not be used.
If you are bottoming-out, discontinue use of the cushion and see your
clinician. Usually bottoming-out is easily solved by ordering additional fluid
in the form of an Overfill on the Factory Filled model. On the Field Variable
version, you can use the Fluid Supplement pads to add additional fluid. Call
your local supplier to see if this is appropriate for you.
When To Check
Check your cushion and fluid pad every month when you clean it.
Conditions for safe storage
-
Products should be stored in a dry place: at 20 – 75% Relative Humidity.
-
Protect from direct sunlight and dust for long periods.
-
Away from direct heat and at a temperature between 5°C (40°F) to 40°C (104°F)
-
Position and stack the packaged products according to the “this side up” arrows on the packaging.
-
If a package is high and narrow and therefore potentially unstable, ensure it is well secured on the pallet or in the racking, to prevent it from falling down.
-
Do not stack anything on top of the packaged products when the “do not stack” mark on the packaging is shown.
-
Product should never be stored outside and subject to the elements.
-
70°C is the maximum recommended temperature.
-
60°C is the maximum recommended temperature.
-
The Xtreme Active and Balance inner covers can be washed at 60°C as well as spray and wipe disinfected. Possible discoloration if washed at 60°C but the functional aspect of the covers is not diminished.
-
An autoclave is a self locking machine that sterilizes with steam under pressure.
-
At low temperature (< 30°C)
The product warranty shall not apply to products damaged due to the failure to
follow these cleaning instructions or the use of inappropriate cleaning
compounds.
Recommended Disinfectants
All disinfectants which are listed and recommended by the Robert Koch
Institute:
http://www.rki.de/EN/Home/homepage_node.html
JAY J3 Cushion Warranty
Each JAY fluid cushion is carefully inspected and tested to provide peak
performance. Every JAY fluid cushion is guaranteed to be free from defects in
materials and workmanship for a period of 24 months from the date of purchase,
provided normal use.
Should a defect in materials or workmanship occur within 24 months from
the original date of purchase, Sunrise Medical will, at its option, repair or
replace it without charge. This warranty does not apply to punctures, tears or
burns, nor to the cushion’s removable cover. The removable cover is
guaranteed to be free from defects in materials and workmanship for a period
of six (6) months from the date of purchase, provided normal use. Should a
defect in materials or workmanship occur within six (6) months from the
original date of purchase, Sunrise Medical will, at its option, repair or
replace it without charge. Claims and repairs should be processed through the
nearest authorized supplier. Except for express warranties made herein, all
other warranties, including implied warranties of merchantability and
warranties of fitness for a particular purpose are excluded. There are no
warranties which extend beyond the description on the face hereof. Remedies
for breach of express warranties herein are limited to repair or replacement
of the goods.
In no event shall damages for breach of any warranty include any consequential
damages or exceed the cost of non-conforming goods sold. This does not affect
your statutory rights.
Addendum To Warranty Use And Care Guide
Consult your health care professional for proper fitting and use, and read the
following statements carefully:
- The fluid in this cushion may lose volume over time.
- Volume loss in this cushion may result in bottoming-out of the cushion.
- Monthly, during routine cleaning and inspection, check the cushion for bottoming-out (see instructions under “checking for bottoming-out” in the warranty use and care guide) and any fluid inconsistencies. If the fluid is firmer in one area simply knead it back to its original consistency.
- If bottoming-out occurs discontinue use of this cushion and contact your health care professional. If further assistance is necessary, contact Sunrise Medical Customer Services.
The management system of SUNRISE MEDICAL is certified to EN ISO 13485 and ISO
14001.
We at SUNRISE MEDICAL have been awarded the ISO-13485 certificate, which affirms
the quality of our products at every stage, from R & D to production. This
product meets the requirements in accordance with EU and UK regulations.
Options or accessories shown are available at extra cost.
The varieties of cushions fitting variants, as well as the different positioning
components to deliver higher positioning and skin protection benefits according
to each user requirement and indication, mean that it can be used by a range
of users with different positioning and skin protection needs and indications
as follows[R7-R14] :
- Spinal Cord Injury
- MS
- Neurological disease pattern (hemiplegia, M. Parkinson)
- Extremity defect deformity
- Amputation
- Joint contracture
- Tetraplegia
The cushion for a wheelchair shall not be used in case of [R3, R4]:
- Redness developed in the skin contact area
- Bottoming out present in the JAY Fluid Insert
- Decubitus
NOTE: General user advice. Not following these instructions may result in
physical injury, damage to the product or damage to the environment!
Notice to the user and/or patient: any serious incident that has occurred in
relation to the device should be reported to the manufacturer and the
competent authority of the Member State in which the user and/or patient is
established.
** As the manufacturer, SUNRISE MEDICAL, declares that this product
conforms to the Medical Device Regulation (2017/745).
As the manufacturer, SUNRISE MEDICAL, declares that the product conforms to
the UK Medical Devices Regulation 2002 No. 618.
B4Me special adaptations
Sunrise Medical strongly recommends that in order to ensure that your B4Me
product operates, and performs as intended by the manufacturer; all the user
information supplied with your B4Me product is read and understood, before the
product is first used. Sunrise Medical also recommends that the user
information is not discarded after reading it, but it is kept safely stored
for future reference.
Medical Device Combinations**
It may be possible to combine this Medical device with one or more other
Medical Device or other product. Information on which combinations are
possible can be found at
www.Sunrisemedical.co.uk. All combinations
listed have been validated to meet the General Safety and Performance
Requirements, section 14.1 of the Medical Device Regulation 2017/745.
Guidance on the combination, such as mounting, can be found at
www.SunriseMedical.co.uk.
Sunrise Medical S.r.l.
Via Riva, 20 – Montale
29122 Piacenza
Italia
Tel.: +39 0523 573111
Fax: +39 0523 570060
www.SunriseMedical.it| Sunrise Medical GmbH
Kahlbachring 2-4
69254 Malesich/Heidelberg
Deutschland
Tel.: +49 (0) 7253/980-0
Fax: +49 (0) 7253/980-222
www.SunriseMedical.de
---|---
Sunrise Medical AG
Erlenauweg 17
CH-3110 Meiningen
Schweiz/Suisse/Svitzer
Fon +41 (0)31 958 3838
Fax +41 (0)31 958 3848
www.SunriseMedical.ch| Sunrise Medical Ltd.
Thorns Road
Brierley Hill
West Midlands
DY5 2LD
England
Phone: 0845 605 66 88
Fax: 0845 605 66 89
www.SunriseMedical.co.uk
Sunrise Medical AS
Delitoppen 3
1540 Vestry
Norge
Telefon: +47 66 96 38 00
post@sunrisemedical.no
www.SunriseMedical.no| Sunrise Medical S.L.
Poligono Braciola, 41
48498 Arrankudiaga – Vizcaya
España
Tel.: +34 (0) 902142434
Fax: +34 (0) 946481575
www.SunriseMedical.es
Sunrise Medical AB
Neonatal 5
431 53 Mandal
Sweden
Tel.: +46 (0)31 748 37 00
post@sunrisemedical.se
www.SunriseMedical.se| Sunrise Medical Poland
Sp. z oxo.
ul. Electronica 6,
94-103 Lodz
Polska
Telefon: + 48 42 275 83 38
Fax: + 48 42 209 35 23
E-mail: pl@sunrisemedical.de
www.Sunrise-Medical.pl
Sunrise Medical (US) LLC
North American Headquarters
2842 N. Business Park Avenue
Fresno, CA, 93727, USA
800-333-4000
800-300-7502
www.SunriseMedical.com| Sunrise Medical B.V.
Groningen haven 18-20
3433 PE NIEUWEGEIN
The Netherlands
T: +31 (0)30 – 60 82 100
F: +31 (0)30 – 60 55 880
E: info@sunrisemedical.nl
www.SunriseMedical.nl
Sunrise Medical Aps
Mårkærvej 5-9
2630 Kastrup
Denmark
+45 70 22 43 49
info@sunrisemedical.dk
www.Sunrisemedical.dk| Sunrise Medical HCM
B.V.
Vossenbeemd 104
5705 CL Helmond
The Netherlands
T: +31 (0)492 593 888
E:
customerservice@sunrisemedical.nl
www.SunriseMedical.nl
www.SunriseMedical.eu
(International)
Sunrise Medical Australia
11 Daniel Street
Wetherill Park NSW 2164
Australia
Ph: +61 2 9678 6600
Email:
enquiries@sunrisemedical.com.au
www.SunriseMedical.com.au| Sunrise Medical
S.A.S
ZAC de la Vrillonnerie
17 Rue Mickaël Faraday
37170 Chambray-Lès-Tours
Tel : + 33 (0) 2 47 55 44 00
Email: info@sunrisemedical.fr
www.sunrisemedical.fr
255108_OMJAY3 Cushion Fluid EU ML Rev D
255108 Rev. D
References
- Price request of this domain - Domeinenbank
- Wózki manualne, elektryczne i dzieciÄ™ce. | Sunrise Medical
- Wheelchairs, Seating & Mobility Scooters | Sunrise Medical
- Wheelchairs, Mobility Scooters, Rollators | Sunrise Medical
- Hjem | Sunrise Medical
- Oficiální stránky spoleÄnosti Medicco s.r.o. | Sunrise Medical
- Wózki manualne, elektryczne i dzieciÄ™ce. | Sunrise Medical
- Rollstühle, Elektromobile und Sitzsysteme | Sunrise Medical
- Wheelchairs, Seating & Mobility Scooters | Sunrise Medical
- Wheelchairs, Mobility Scooters & Custom Seating | Sunrise Medical
- Rollstühle, Rollstuhlzubehör & Elektromobile | Sunrise Medical
- Kørestole, rollatorer, siddesystemer | Sunrise Medical
- Wheelchairs, Mobility Scooters, Rollators | Sunrise Medical
- Carrozzine, postura e ausili per la mobilità | Sunrise Medical
- Rolstoelen | Zitkussens | Scootmobielen | Sunrise Medical
- Hjem | Sunrise Medical
- Rullstolar, sittande & scooter | Sunrise Medical