etac 75401FCross 6 Right Wheelchair User Manual

June 9, 2024
Etac

75401FCross 6 Right Wheelchair

Etac Cross 6

Manual English

75401F 220420

Etac / Cross 6 / www.etac.com

Content

Thank you for choosing an Etac product. To avoid damage during assembly, handling and use, this manual should be read and saved. You can also find it at www.etac.com. There is also other documentation such as prescribing information, sales guide and reconditioning instructions. In this manual, the User is the person sitting in the chair. The attendant is the person who assists the user.
This symbol appears in the manual along with text. It recognizes the instances where the safety of the wheelchair, the user or the attendant could be compromised.
This symbol appears in the manual along with text. Here you will find advice and tips worth considering.
1. General Intended use ………………………………………………………………………………3 CE marking, tests ………………………………………………………………………..3 Service life ………………………………………………………………………………….3
2. Safety Symbols and warnings…………………………………………………………………3 Transport in vehicles……………………………………………………………………4
3. Service and maintenance Cleaning, disinfection and other maintenance ………………………………5 Troubleshooting guide………………………………………………………………….5
4. Technical data …………………………………………………………………………………………………..6
5. Description …………………………………………………………………………………………………..6
6. The chair’s possibilities ………………………………………………………………………………………………. 7-9
7. Accessories …………………………………………………………………………………………….. 9-10
8. Installation upon delivery ……………………………………………………………………………………………….. 11
9. Handling Folding/unfolding…………………………………………………………………….. 11 Rear wheels with quick-release axle………………………………………….. 11 Anti-tip guard …………………………………………………………………………… 11 Tilter ……………………………………………………………………………………….. 11 Leg supports……………………………………………………………………………. 12 Push handles/bow handle, height adjustable ……………………………. 12 Attendant brake (service brake/parking brake)………………………….. 12
10. Seating comfort settings …………………………………………………………………………………………… 13-14
11. Driving technique, use ……………………………………………………………………………………………15-18
12. Advanced settings, customization Settings…………………………………………………………………………………… 19 Front seat height (table) …………………………………………………………… 19 Rear seat height (table) ……………………………………………………………. 20 Height adjustment front fork attachment…………………………………….21 Angle adjustment front fork attachment ……………………………………..21 Remove/mount front fork…………………………………………………………. 22 Remove/mount the castor wheels…………………………………………….. 22 Change the rear wheel position …………………………………………….23-24 Change the rear wheel position, attendant brake ………………………. 25 Adjust back support angle, 3A ………………………………………………….. 26 Adjust back support height and lumbar angle, 3A ……………………… 26 Adjust seat depth using lumbar angle, 3A …………………………………..27 Mount seat extension, 3A…………………………………………………………..27

Adjust back support height, 2B…………………………………………………. 28 Adjust back support angle, 2B………………………………………………….. 28 Adjust back upholstery, 2B……………………………………………………….. 28
13. Settings, readjustments
Brake, adjustment……………………………………………………………………. 29 Rear wheels with quick-release axle………………………………………….. 30 Leg support, elevating ……………………………………………………………… 30 Amputee support …………………………………………………………………….. 30 Anti-tip guard …………………………………………………………………………….31 Handrims ………………………………………………………………………………….31 Camber angle ………………………………………………………………………….. 32 Centre of gravity/balance setting ……………………………………………… 32 Arm support…………………………………………………………………………….. 33 Mudguard ……………………………………………………………………………….. 33
14. Accessories settings
Seat cushion and comfort wedge ……………………………………………… 34 Positioning belt………………………………………………………………………… 34 Head support…………………………………………………………………………… 35 Head support mount………………………………………………………………… 35 Crossbar………………………………………………………………………………….. 35

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1. General

Etac / Cross 6 / www.etac.com

Product description:
Etac Cross 6 (hereafter also referred to as “the product”) is a manual, cross- folded allround wheelchair. Cross 6 offers excellent possibilities for customization through settings and configurable parts.
Intended use:
The product is intended to be used for mobility purposes by offering a cross- folded wheelchair. The product is intended to compensate for injuries and disabilities. The product is highly adaptable by their many adjustments and configurable parts.
Intended user:
The product is intended for users with impaired mobility and adult body size. It is intended for body heights from 140 cm and is suitable for amputees. The product can be used without assistance providing the user can understand its functions and can propel and brake independently. This product is intended for hand and/or foot propulsion. Maximal user weight is stated in the user manual below technical data and dimension and weight on Etac website. The product’s intended use is not limited to specific diagnosis.
Intended user environment:
This product is designed for indoor and outdoor use. It can be used as a seat in a motor vehicle using the fixation points provided and when the related instructions for use are followed. This product is intended for reuse.
Contraindications:
Users with dementia or other cognitive disabilities should not move in and out of the wheelchair without supervision/assistance.
CE marking, tests:
The product conforms to the requirements of the Medical Devices Regulation (EU) 2017/745.
The product has been tested and meets the

requirements of EN 12183, which includes fire testing in accordance with ISO 8191-2.
Combination agreement is available, see www.etac.com.
The product is crash tested at RISE, Research Institutes of Sweden, according to ISO 7176-19. The tests have been carried out with clamping device UNWIN_WWR/ATF/K/R according to ISO 10542, and with three point strap 907523, Klippan Safety AB. The tested product was equipped with: The parking brakes activated Anti-tip guards activated Head support mounted with head support bracket 3A
Handrims on the rear wheels
Service life:
The expected duration and life span of the main product is at least five years when used in accordance with its intended use, safety instructions, reconditioning manual and maintenance instructions in the manual. The main product is covered by seat and back chassis. Remaining parts/accessories are handled in accordance with the manual and reconditioning manual. The actual life span may vary depending on how much and intensively the product is used, but is a maximum of 10 years. If the product is intended to be used after the life span specified by Etac, it is incumbent on the product owner to ensure the product’s performance in accordance with the manual and reconditioning instructions. If this cannot be ensured, the product must be taken out of service.
The following surface treatment methods have been used:
Varnished surfaces = Powder-applied polyester or ED varnish Unvarnished aluminium parts = Anodizing Unvarnished steel surfaces = Galvanized

Warranty:
5 year warranty against defects in material and manufacture. For conditions, see www.etac.com.
Customization:
is everything that goes beyond the manual’s instructions and settings. Wheelchair specially adapted by the customer must not retain Etac’s CE marking. Etac’s warranty expires. If there is any uncertainty regarding the execution of the customization, consult Etac. Wheelchairs coupled with another product may not retain either product’s CE mark unless combination agreements exist. Contact Etac for current information.
Reutilization:
Cross 6 can be reused. Follow the instructions in “Reconditioning instructions, Etac manual wheelchairs” at www.etac.com.
Etac is continuously improving its products. We therefore reserve the right to change the products without prior notice. The dimensions given in the drawings or other materials are only indicative. We will not be responsible for printing errors and incompleteness.
To be sorted according to national regulations
Tools

Allen key Box-end spanner 3, 4, 5, 6 mm 8, 10, 13, 24 mm

Spanner socket 19 mm

Symbols and warnings
These symbols appear on labels and in manuals.

2. Safety

Anchoring. Fixing points for the clamping system for transport in motor vehicles.

Tipping hazard: Always have the anti-tip guard lowered when driving.

Detachable part, do not lift!

General warnings The following must be taken into account when using the product.

Strong sunlight can heat parts of the chair and cause burns.

The seat can tip over if the backward tilt is greater than 6°. Use anti-tip guard!

When adjusting the seat height, balance position or back angle, the function of the anti-tip guard must be checked.
Warning: This product can be adjusted beyond safe use. The prescription of Cross 6 must be done by medical personnel and tested by a specialist.

In case of an adverse event occurred in relation to use of the device, it should be reported to your local dealer and the national competent authority in a timely manner. The local dealer will forward information to the manufacturer.
3

Etac / Cross 6 / www.etac.com

2. Safety

Transport in vehicles
The product is crash tested and approved according to ISO 7176-19 (see section “CE marking, tests” in the manual).
Etac recommends in the following order: 1) The user moves to a vehicle seat and uses the vehicle’s three-point
belt during transport. The wheelchair is then placed securely in the luggage compartment or in the back seat so that it can’t overturn or roll.

· The wheelchair should primarily be placed in the luggage compartment.
· If the wheelchair is placed in the back seat, make sure it can’t overturn or roll. If possible, secure it with the car’s seat belt.

  1. The wheelchair is anchored forward in the vehicle according to this manual, the user uses a separate three-point belt that is anchored in the vehicle. This is the way the wheelchair is tested and approved according to ISO 7176-19.
    Anchoring · Rear transport bracket must be used · The anchoring device must not be pulled through
    the wheels or around the back posts.

· See section “CE-marking, tests” · Accessories that can be detached without tools must
be removed and clamped · If head support is mounted other than with head
support bracket 3A, cross bar must be used

  1. Pursuant to Directive 2001/85/EC, Annex VII, point 3.8.3. in vehicles, there may be specially marked wheelchair spaces that allow transport with the wheelchair facing the direction of travel. If this mode of travel is used, the user/attendant must be active in the ride, be prepared for sudden movements and have the ability to maintain a safe sitting position throughout the transport. The user’s disability must not be to such an extent that he cannot hold on himself and the wheelchair to the handle mounted in the
    vehicle in the event of changes in speed or direction.

· The parking brake must be used · Anti-tip guard must be folded down · Add-on options/accessories that can be detached
without tools must be removed and clamped. · A properly set head support must be used · Positioning belt should be used

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3. Service and maintenance

Cleaning

Back upholstery, seat upholstery and arm support upholstery: Wash as per the washing instructions on
the product.

Chassis, handle and arm supports: Everyday maintenance: Clean the chassis with commonly used cleaning agents without abrasives that have a pH value between 5 – 9. Rinse and dry.

Etac / Cross 6 / www.etac.com

Disinfection

With 70% disinfectant. Allow to air dry. Cleaning in addition to everyday maintenance/ reconditioning: See reconditioning instructions at www.etac.com.

Observe the disinfectant manufacturer’s user and safety instructions.

Other maintenance

Rear wheels/castor wheels Tyre/tube: Check tyre pressure (see tyre
side) at least once a month, and also tyre tread. Spokes: Loose spokes can cause warped wheels. Contact a bicycle shop or technical aids centre if you need to adjust the spokes. Wheel axles: Clean rear wheel and castor wheel axles from hair and dirt if necessary. Bearings: Maintenance-free. Hand rim: If a hand rim is scratched that could damage your hand during propulsion, it must be replaced.

Front fork attachments: For best driving characteristics, the mounts must be set perpendicularly. Also check that the front forks are properly tightened. See section “Removing/ mounting front fork”.
Brakes The effect of the brakes depends on the tyre pressure. Heavy soiling can adversely affect the braking mechanism. If adjustment is required, see section “Brake, adjustment”.
Touch-up paint For minor scratches and lacquer damage, touch-up paint is available in all the frame colours of the product.

Other If something on your wheelchair does not work, contact your prescriber or technical aids centre. A defective wheelchair must not be used. When reconditioning and replacing parts, original Etac parts or components of similar quality should be used. When using other parts, Etac is not responsible for function and safety.
If necessary, lubricate moving parts/ joints with bicycle oil or similar.

The wheelchair is pulling sideways
The wheelchair is “hard” to drive
The wheelchair is “hard” to turn
The brakes are bad The rear wheels are “loose” The rear wheels are difficult to remove/put on The castor wheels are “wobbling” The wheelchair is difficult to fold/unfold The wheelchair feels “unsteady”

Troubleshooting guide
· Pump the tyres · Check and adjust the height and angle of the front fork attachments · Check that the rear wheel brackets are correctly mounted · The user load is uneven on the wheelchair · The propulsion is stronger on one side
· Pump the tyres · Check that the rear wheel brackets are correctly mounted · Clean hair and dirt from the castor wheel axles · Too much weight over the castor wheels, adjust the wheelchair’s balance position
· Pump the tyres · Make sure that the front forks are not too tight · Clean hair and dirt from the castor wheel axles · Too much weight over the castor wheels, adjust the wheelchair’s balance position
· Pump the tyres · Adjust the distance between the tyre and the brake
· Adjust the length of the hub shaft
· Lubricate and clean the quick-release coupling, with e.g. bicycle oil · Adjust the length of the hub shaft
· The front axles are not tightened hard enough · Check and adjust the height and angle of the front fork attachments · Too much weight over the castor wheels, adjust the wheelchair’s balance position
· The upholstery is too tight · Lubricate and clean the cross sections under the seat
· Pump the tyres · Make sure screws and controls are tightened properly

5

Etac / Cross 6 / www.etac.com

4. Technical data

Chair type

Art no

Total width

Seat depth from back post *

Weight

Max user weight

Seat height Seat height Back support Transport

back

front

height

width

35 cm short 35 cm long

13240101 13240102

55,5 cm 55,5 cm

36-49 cm 42-55 cm

14.6 kg 14.8 kg

135 kg

32-53 cm

32-56.5 cm

32-45 cm 38-51 cm

32 cm

37.5 cm short 37.5 cm long 40 cm short

13240103 13240104 13240105

58,0 cm 58,0 cm 60,5 cm

36-49 cm 42-55 cm 36-49 cm

14.7 kg 14.9 kg 14.8 kg

Total height

Total length

Leg support length

Length collapsed

Leg support angle

40 cm long 13240106 60,5 cm

42-55 cm

15.0 kg

42.5 cm short 13240107 63,0 cm

36-49 cm

14.9 kg

42.5 cm long 13240108 45 cm short 13240109

63,0 cm 65,5 cm

42-55 cm 36-49 cm

15.1 kg 15.1 kg

72-116 cm 80-122 cm 26-64 cm

62-86 cm 108°-114°

45 cm long 47.5 cm short 47.5 cm long

13240110 13240111 13240112

65,5 cm 68,0 cm 68,0 cm

42-55 cm 36-49 cm 42-55 cm

15.3 kg 15.2 kg 15.4 kg

Hand rim size

Maximum tilt sideways

Maximum tilt down

Maximum tilt brake

50 cm short 13240113 70,5 cm

36-49 cm

15.3 kg

50 cm long 13240114 70,5 cm

42-55 cm

15.5 kg

52.5 cm short 13240115 73,0 cm

36-49 cm

15.4 kg

52.5 cm long 13240116 73,0 cm

42-55 cm

15.6 kg

46.5-58 cm

20°

20°

Weights apply to a chair with 24″ rear wheels, high-pressure tyres, aluminium hand rims, handles, leg supports, foot plate, brake, arm support mount, 6 1/2″ castor wheels and medium fork. Dimensions stated can vary ± 2%. * With Cross brace 2 36-42/42-48 cm

Tyre

High pressure 22″ High pressure 24″

Solid 22″

Solid 24″

Solid (solid inner Solid (solid inner High pressure 24″

tube) 22″

tube) 24″

(Carbon)

PSI/Bar

110/7.5

110/7.5

110/7.6

550 mm

590 mm

550 mm

600 mm

550 mm

590 mm

592

25 mm

25 mm

32 mm

32 mm

25 mm

25 mm

23 mm

ALU

Fe

PES

Fe/CF/ALU

PP/TPR

ALU/PA/PE/PU

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5. Description/Standard version

Etac / Cross 6 / www.etac.com

1

Handles

Steering handle lock

11

Back rail

Hand rim

12

User brake

Quick release

20

Gable

2

Front fork attachment

13

Front fork

3

Castor wheel

14

Back cover

12. Upholstery back

15

Rear wheel

Cross

Upholstery seat

Leg support

4

Article and serial numbers

5

Steering wheel foot lock

Footplate

6

16

20. Arm support

17

7

18

8

9

19 10

6. The chair’s possibilities

In the section “The chair’s possibilities” you can see all the adjustments that can be made to the wheelchair. Additional “Odd combinations” exist, e.g. in terms of rear wheels, castor wheels and back model. Contact customer service.
For more information about the chair’s possibilities, see www.etac.com

Seat height

Front Back

32-56.5 cm 32-53 cm

Seat angle

Max forward angle: 2 cm lower than back (3°) Max backward angle: 6 cm higher than back (9°)

4″ solid (max user weight 100 kg)

5″ solid

6″ solid

Castor wheel

6.5″ solid 6″ solid soft

7″ solid soft

8″ solid soft 200×35 or 200×50

8″ air pumped

Extra short (two height positions for castor wheels)

Front fork

Short (three height positions for castor wheels). 3 or 4 mm thick Medium (three height positions for castor wheels). 3 or 4 mm thick

Long

20″

22″

Rear wheel

24″

24″ Carbon (not with attendant brake)

26″

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Etac / Cross 6 / www.etac.com

6. The chair’s possibilities

Handrims
Camber angle
Seat
Back support 3A/ Back support 3A high
Seat depth
Back support mod. 2 Seat depth back support mod. 2 Back support upholstery
Back support cover
Push handles/ Bow handle Fixed push handles Fixed back with fixed push handles, 2B Leg supports,
detachable swing-away
Leg supports lockable
Leg supports Elevating
Leg supports other
Arm support

Aluminium

Stainless steel

Plastic

Foam rubber (not with attendant brake)

Titanium (not with attendant brake)

Seat upholstery

Hard seat

Back 3A

Back 3A high

Height

32-45 cm

38-51 cm

Hip angle

-5° – +20° -5° – +20°

Lumbar angle

-16° – +16°

Short frame 36-49.5 cm

Long frame 41-55.5 cm

Height 30-45 cm, angle -5° – +15°. Standard

Height 30-45 cm, angle -5° – +15°. Widened

Short frame 36-42 cm. Long frame 42-48 cm. Func: Short frame 42-48 cm. Long frame 48-54 cm.

Adjustable upholstery

Standard Comfort Tidy, wipeable Height-adjustable push handles with 2 cm intervals. Detachable. Height-adjustable bow handle with 2 cm intervals. Detachable.
Ri/le fits Cross back support 3A
Height low back 35-40 Height high back 42.5-47.5 Angles -5 to +15 Normal knee angle Narrow angle (fits only with 5″ castor wheels) Narrow angle short Normal knee angle Narrow angle Narrow angle short Elevating with folding calf plate from 40 cm seat width Elevating with cushion console and padded folding calf plate. Elevating with folding cushion console and padded calf plate. Plaster cast leg supports Amputee leg support Amputee weight Height adjustable, 25 cm long, solid plate, black Height adjustable, 38 cm long, solid plate, black

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6. The chair’s possibilities

Etac / Cross 6 / www.etac.com

Foot supports Front fork attachment User brake Attendant brake

Std

Max length: 51 cm.

Min length: 33 cm.

Extended attachment tubes +10 cm

Shorter attachment tubes -8 cm One-piece foot support One-piece foot support compl for 35-37.5 seat width, angle adjustable, height and depth adjustable

Low, widened

Standard

Widened 6 cm

Angled handle red

Angled handle black

Extended handle

Single hand brake (standard or angled handle)

Brake handle 75 mm opening grip

Brake handle 100 mm opening grip

Single-hand drive

For the right or left side. Telescopic shaft, easy to detach when folded (not with attendant brake)

Colour frame

01 = Black

92 = White

78 = Grey

7. Accessories
Installation instructions are included with all accessories when delivered from Etac. You can find them and more info about the accessories on our website www.etac.com. Settable = Adjustable using tools. Adjustable = Adjustable without tools.

Arm support Arm support Cover arm support Arm support pad hemi

Short 26 cm
Long 36 cm Detachable, 25 alt 38 cm long padded alt gel, dark grey plush alt black Dartex. Fits arm support with solid plate.
Swivel for mounting on long arm support

Arm support locking kit Side protection Mudguard Thigh support Thigh support Distal thigh support AddOn Widening kit

Locked arm support is not detachable but free for height adjustment Black Right or left
With soft pad Padded. Helps to align the femur, position the knees in a more neutral position and to control abduction. To move the rear wheels, brake and arm support 5 mm per side

Tray Hemi tray

Transparent, mounted on long arm supports Transparent, Width 35-50 cm Can be mounted on short or long arm supports.

Anti-slip hemi tray
Hemi tray/Communication tray half
Seat extension

Right/left Mounted at the rear with a 3A back support

Seat cushion Seat cushion Tidy Comfort wedge Cover for calf plate

Dark grey plush and black velour, 56 cm long, cut to adjusted seat depth, washable
Water repellent, wipeable For the cushion, levels off the front of the seat On elevating leg support, black Hygiene
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Etac / Cross 6 / www.etac.com

7. Accessories

Calf strap Padding Calf pad Heel strap
Foot plate, padding
Extended foot plate Extended foot support Add-on Sideprotection foot plate Add-on Foot box Positioning belt Seat belt
Head support, traditional
Head support attachment 3A Head support attachment Cross-brace (for back support) Cross-brace (for back support)
Back wedge
Side cushion
Side stop
Lateral support Lateral support Lateral support Lateral support Anti-tip guard Cane holder Drip stand Spoke guards Tetra quick release adapter Tool kit

Detachable, black nylon, adjustable in length For calf strap Plush. Mounted/adjusted with Velcro Black nylon, adjustable in length For foot support depth 13 cm For one-piece, angle adjustable foot plate Mounted on existing foot plate, seat width 40-55 cm Fits onto the existing footplate, from seat width 35-52,5 cm. Extends the depth of the foot supports to 22.5 cm Mounted on extended foot plate

Padded. Securely contains the feet, while still allowing some movement. Medium or large Two-piece with snap-fit buckle, fixing points on the wheelchair frame With snap-fit buckle Adjustable in height, depth and angle. Available in several models With side support. Adjustable in height, depth and angle.
For Cross 3A back support, mod 4

For mounting on chassis

For Cross 3A back support. With snap-fit buckle

For Cross 2 back support. With snap-fit buckle

Three different sizes, attached with Velcro. Provides support and shape in back support. The wedges can also be combined with other accessories and adapted to the desired size, and several wedges can be built together.

13×9.5×2 cm 19x12x2 cm 20x17x2.5 cm

Dark grey plush

15 cm 30 cm

Provides light side support. Used in cases where trunk supports are too stabilizing. (Combined with arm supports and side stops if needed)

Combined with wedge or side support cushion. Creates a more distinct stop and holds wedge or side support cushion in place

Straight Angled, 3 cm

Adjustable in height, depth and width and detachable.

Swing-away and detachable. Adjustable in height, depth and width

Cross 3A back support, PUR or Dartex

Cross 3A back support, swing-away, medium or large cushion

Telescoping foldable, adjustable in height, adjustable in length and angle

Two piece of which the elastic part is attached around the cane post

Bracket and stand

With grey or yellow colour print

For users with reduced hand function

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8. Installation upon delivery
Leg supports with foot plates and arm supports/side covers are delivered unassembled and must be mounted upon delivery.
9. Handling
Unfolding
· Push one seat post down, with your whole hand on top of the seat.
· Do not hold the seat post when unfolding. · Fold down the foot plates.

Etac / Cross 6 / www.etac.com

Folding
· Any drive handle and/or crossbar are detached/unclipped.
· Fold up the foot plates. · Lift the seat up.
Rear wheels with quick-release axle
When assembling, always make sure that the quick-release button in the hub springs out properly. Test by pulling the wheel.
Anti-tip guard
· The anti-tip guards are foldable in two locking positions. The first locking position may be required if the anti-tip guard pushes against the back chassis.
· When unfolding the anti-tip guard, make sure that the locking pin snaps in properly.

3-7 cm

Click!
Click!
Click!
· After all adjustments to the chair, the function of the anti-tip guard must be checked. If the anti-tip guard needs to be adjusted, contact your technical aids centre.
Tilter is integrated in the frame

11

Etac / Cross 6 / www.etac.com

9. Handling

Leg supports
The leg supports can be lifted off/swung to the side if needed. Lockable leg supports by pressing the red button (A).
When installing lockable leg supports, press the red button (A), place the leg support in position and release the button. The leg support is now locked (B).

A

B

Check that the leg supports are locked before lifting.

Push handles/bow handle, height adjustable
Release the locking handle. Set the desired height position. Make sure the handles are in a “snap-in” position, lock the locking handle.
Make sure the locking handles are properly locked. This is especially important when lifting the wheelchair with the user in situ.
Make sure that the locking handle of the handle always snaps out under the handle bracket.
The bow handle must be removed before the chair can be collapsed.

Cross 2 back support Release the knob (A), push in the red wedge. Then as above.

Attendant brake (service brake)

Attendant brake (parking brake)

· Brake during travel by pulling the brake lever upwards.

A
· To activate the parking brake, pull the brake lever upwards and press the A button.
· Release by pulling the handle upwards.

12

10. Seating comfort settings

Etac / Cross 6 / www.etac.com

Seating comfort
What constitutes good seating comfort depends on the needs and condition of each individual. Here are some general guidelines to consider when making the settings. Choose a seat cushion with care. In addition to comfort, it affects stability and thereby freedom of movement. Seat cushions also have different degrees of pressure distribution.

The back support setting is a combination of angles, height and
shape. Therefore, the angular settings and height of the back support may also need to be fine-tuned when adjusting the back upholstery.

Back cover · Slacken all back straps, but make sure the Velcro straps still lock
against each other. · Position the back cover so that it covers the upper edge of the back
rails and forms a crease between the seat and back support so that the user can “sit” properly on the seat.

Seat cushion · Make sure the seat depth is set correctly. · Place the cushion so far back on the seat that the rounded corners
go in between the back support rails. · Measure the appropriate length for the seat cushion, and cut it
according to the instructions provided. · For a more contoured seat cushion, it can be supplemented with
a comfort wedge, which is placed in the pocket on the underside of the seat cushion.
Back upholstery Adjustment of the back upholstery is done with the user sitting in the wheelchair. · Make sure the user sits as far back as possible on the seat. · Support the pelvis by tightening the strap placed just below
the trunk. · Then adjust the upper strap so that the user gets support and
balance in the upper body. · The other straps are adjusted to leave space for the seat and follow
the natural rounding of the back.
Consider the risk of tipping. Always check the setting of the anti-tip guard.
Do not over-tighten the top straps as this affects the folding of the cross, i.e. the seat posts lock against the frame.
Back angle The back angle may need to be adjusted when setting the back upholstery shape. Contact your prescriber.
13

Etac / Cross 6 / www.etac.com

10. Seating comfort settings

Foot plates
Adjust the height so that your feet feel supported and your thighs rest against the cushion. For outdoor use, the foot plates should be 4 – 5 cm from the ground.

Tipping hazard! Never stand on the foot plates.

Angle adjustment

Height adjustment

Adjust the angle of the foot plates so that the ankles are at a 90° angle. Loosen the locking knob completely on the leg support. Undo the

screw. Adjust the height. Install screw and knob. Tighten properly.

5 mm

Changing the depth of the foot plates Adjust the depth of the foot plates by switching the left and right foot plates. Don’t forget to adjust the angle.
Calf/Heel strap
· Adjust the length so that the middle part of the feet are on the foot plates.

14

Parking
Turn the castor wheels forward, apply the brakes.

11. Driving technique use

Do not park on a hill with user in the wheelchair.

Etac / Cross 6 / www.etac.com

Transfer to/from a wheelchair
Turn the castor wheels forward, apply the brakes, fold up the foot plates and swing away the leg supports.

Never stand on the foot plates, risk of tipping!

Sideways
Remove arm support on the side where transfer is made.
Lift off wheelchair

From the front
· Make sure that adjustable push handles are properly tightened and that lockable leg supports are properly locked.
· Non-lockable leg supports are swung in under the seat and the wheelchair is lifted at the front upper part of the frame.
15

Etac / Cross 6 / www.etac.com
11. Driving technique use
The following sketches show principles for driving technique and dealing with obstacles.
User, up forwards
This technique is only recommended for experienced wheelchair users. – Make sure the anti-tip guards are inactive.
User, up backwards
This technique only works with a low edge/threshold, depending on the height adjustment of the foot plates. – Make sure the anti-tip guards are inactive.
User, down forwards
This technique is only recommended for experienced wheelchair users. – Make sure the anti-tip guards are inactive.
User, down backwards
This technique is only recommended for experienced wheelchair users. – Make sure the anti-tip guards are inactive.

Activate the anti-tip guards afterwards!
Activate the anti-tip guards afterwards!
Activate the anti-tip guards afterwards!
The risk of tipping is great in this maneuver! Activate the anti-tip guards afterwards!

16

11. Driving technique use
Attendant, up forwards
– Make sure the anti-tip guards are inactive.

Etac / Cross 6 / www.etac.com

Attendant, up backwards
– Make sure the anti-tip guards are inactive.

Activate the anti-tip guards afterwards!

Attendant, down forwards
– Make sure the anti-tip guards are inactive.

Activate the anti-tip guards afterwards!

Attendant, down backwards
– Make sure the anti-tip guards are inactive.
17

Activate the anti-tip guards afterwards!
Activate the anti-tip guards afterwards!

Etac / Cross 6 / www.etac.com

11. Driving technique use

Stairs, up
– Make sure the anti-tip guards are inactive. Never use escalators, even if there is an attendant. Make sure that height adjustable handles are tightened.

We recommend that there always be two attendants in this move. One who goes behind and holds the handles and one who goes in front and holds the frame (or the leg supports if
they are lockable).

Activate the anti-tip guards afterwards!

Stairs, down
– Make sure the anti-tip guards are inactive. Never use escalators, even if there is an attendant. Make sure that height adjustable handles are tightened.

We recommend that there always be two attendants in this move. One who goes behind and holds the handles and one who goes in front and holds the frame (or the leg supports if they are lockable).
Activate the anti-tip guards afterwards!

Driving uphill/downhill
Check your speed with the hand rims, not with the brakes! Avoid turning in the middle of a hill. Always drive as straight up/down as possible. If you are unsure, ask for help.

Uphill Tilt your body forwards to correct the centre of gravity.

Downhill Tilt your body backwards to correct the centre of gravity.

Foot propel
The user propels the wheelchair with one or two feet.

18

Etac / Cross 6 / www.etac.com
12. Advanced settings, customization
The seat angle is obtained by the difference between front and
rear seat height. At changed seat angle: – Adjust the angle of the front fork attachments. – Check the back support angle.
The seat depth can be adjusted by lifting the front seat upholstery
and moving it backwards/forwards. With Cross back support 3A, the seat depth can be extended by using the back support adjustment (see section “Adjusting the seat depth using the lumbar angle, 3A”).
Seating comfort
After adjusting the seat height, seat angle, seat depth and back angle, the back upholstery should be adjusted to provide support and comfort. See section “Seating comfort settings”.
Consider the risk of tipping. Always check the setting of the anti-tip guard.

Front seat height can be adjusted using:
– Front fork attachment, adjustable in height and angle. – Changing the position of the castor wheel in the front fork. – Change of front fork – Change of castor wheel – Change of front fork attachment

Consider the risk of tipping. Always check the setting of the anti-tip guard.
Installation instructions can be found in the sections “Height adjustment front fork attachment”, “Angle adjustment front fork attachment”, “Removing/mounting front fork” and “Removing/installing castor wheels”.
Front seat height table

H G F E D C B A
65 43 21

Front fork extra short

1 2 3
Castor wheel position (cm)

Front fork short

Front fork medium

Front fork long

Rear wheel position

Castor wheel

1

2

3

1

2

3

1

2

3

1

2

3

H

4″* 32-36 33.5-37.5 36-40

G 4″* – 34-38 35.5-39.5 –

Low front fork attachment

G

5″ –

36-40 37.5-41.5 –

5″ – –

36-40 37.5-41.5 39-43 –

A-F

6½” – –

41-45 –

5″ – –

– 37.5-41.5 39-43 40.5-44.543-46 45-48 46-49

A-F 6″ – –

40-44 41.5-45.5 45-47 46-49 47-50

Standard/Wid-

ened front fork

6½” – –

41-45 42.5-46.546-48 47-49 48-51 50.5-52.551.5-53.552.5-55.5

attachment

A-E 7″ – –

– 47.5-49.5 48.5-51.5 –

53-56

A-C 8″** –

– 48-51 49-52

– 52.5-54.553.5-56.5

  • Max user weight 100 kg. For correct adjustment of the front fork attachment: Max backwards angle 6 cm higher than rear (9°), max forward angle 2 cm lower than rear (3°). ** Works in balancing 4-6 with 3° backward angle and Std leg support. Make sure that the front fork/castor wheel can rotate freely without hitting the wheelchair or the user. For castor wheels 8×2″, use fork Transit (gives seat height 47-51 cm).

19

Etac / Cross 6 / www.etac.com
12. Advanced settings, customization

Rear seat height can be adjusted using:
– The position of the rear wheel (camber washer) in the gable. – Camber washer’s twist in the gable. – Change of rear wheels

Consider the risk of tipping. Always check the setting of the anti-tip guard.

Back seat height table

Rear wheel

20″

Position A

22″ 24″

26″

20″

Position B

22″ 24″

26″

20″

22″

Position C

24″

26″

20″

Position D

22″ 24″

26″

20″

Position E

22″ 24″

26″

20″

Position F

22″ 24″

26″

20″

Position G

22″ 24″

26″

20″

22″

Position H

24″

26″

Seat height cm
46 48.5 51 53.5 44 46.5 49 51.5 42 44.5 47 49.5 40 42.5 45 47.5 38 40.5 43 45.5 36 38.5 41 43.5 34 36.5 39 41.5 32 34.5 37 39.5

Distance cm seat-rear wheel
4.5 7.0 9.5 12 6.5 9.0 11.5 14 8.5 11.0 13.5 16 10.5 13 15.5 18 12.5 15 17.5 20 14.5 17 19.5 22 16.5 19 21.5 24 18.5 21 23.5 26

Seat height Distance seat-rear wheel

20

Etac / Cross 6 / www.etac.com
12. Advanced settings, customization

Height adjustment front fork attachment
Loosen the screws (A and B). Set the desired seat height by measuring from the floor to the top of the seat post (push down the post in the cup when measuring) and tighten the screws on one of the front fork attachments. Use the bar markings as a reference for height adjustment of the opposite side. Tighten the other attachment. Check and adjust so that the attachmnets are vertical (see section “Angle adjustment of front fork attachment”). Fine-tune the height of the front fork attachments so that both wheels are on the floor.

Consider the risk of tipping. Always check the setting of the anti-tip guard.

A

20Nm

B

6 mm

Angle setting front fork attachment
Correct angle setting is important for the wheelchair’s driving characteristics.
Loosen the retaining screw (A) about 2 turns so that the shaft (C) moves freely inside the sleeve.
Insert the Allen key into the hole (B) and turn until the attachment is vertical. Always start from a position so that the wheel moves forward in rotation (D). Push in the sleeve and hold in the correct position while tightening the retaining screw.
B 6 mm

Consider the risk of tipping. Always check the setting of the anti-tip guard.
Aim for something vertical, such as door post, table legs when setting.

C

D

A

20Nm

VIDEEOO

21

Etac / Cross 6 / www.etac.com
12. Advanced settings, customization

Removing/mounting front fork
– Remove cover (A) and loosen lock nut (B). Pull out the front axle and move the beveled washer (C) and the ball bearing to the new axle. – Mount the washers and ball bearings in the front fork attachment as illustrated. The washer (C) is placed with a beveled side against the axle. Spring washer (D) at the top under the lock nut. – Gently tighten the lock nut until the front axle spins with some inertia and then loosen about 1/2 turn. The spring washer then has the correct tension, which reduces the risk that the castor wheel starts to “wobble”. – Fit the cover.

A B D

C

19 mm

Removing/mounting castor wheels
Loosen screw, nut and spacer and mount the wheel in the appropriate position.
Consider the risk of tipping. Always check the setting of the anti-tip guard.

VIDEO

5 mm ± 1,5 cm

VIDEEOO

22

Etac / Cross 6 / www.etac.com
12. Advanced settings, customization

Change rear wheel position
1. Remove the rear wheel 2. Loosen the nut. 3. Take the assembly apart with the washers and mount in the
desired position (see table in section “Rear seat height table”).

Consider the risk of tipping. Always check the setting of the anti-tip guard.

3 1

2
24 mm

20 Nm 23

VIDEEOO

Etac / Cross 6 / www.etac.com
12. Advanced settings, customization

H G F E D C B A
65 43 21
Fitting 0° Camber

G E C A

5

3

1

When fitting, check that the rear wheel hub shaft is correctly set. The button in the hub should spring out to its original position.
Test by pulling the wheel.

24

Etac / Cross 6 / www.etac.com
12. Advanced settings, customization
Change rear wheel position, attendant brake

H1 H2 H3 H4

H

G1 G2 G3 G4

G

F1 F2 F3 F4 F5 F6

F

E1 E2 E3 E4 E5 E6

E

D1 D2 D3 D4 D5 D6

D

C1 C2 C3 C4 C5 C6

C

B1 B2 B3 B4 B5 B6

B

A1 A2 A3 A4 A5 A6

A

12 34 56

Pos A1-5, B-E, F1-F2

Pos A6

Pos F3-F6, G3-G4, H3-H4

Pos G1-G2

H

H4 H3 H2 H1

G

G4 G3 G2 G1

F

F6 F5 F4 F3 F2 F1

E

E6 E5 E4 E3 E2 E1

D

D6 D5 D4 D3 D2 D1

C

C6 C5 C4 C3 C2 C1

B

B6 B5 B4 B3 B2 B1

A

A6 A5 A4 A3 A2 A1

65 43 21

Pos A1-5, B-E, F1-F2

Pos A6

Pos F3-F6, G3-G4, H3-H4

Pos G1-G2

The brake arm is reversible.

When adjusting the brake, loosen the nut (A) and adjust the brake by

screwing (B) up/down.

B

When the brake is tight enough tighten the nut (A). This adjustment

should be made when the brake does not work satisfactorily.

A

25

8 mm

Etac / Cross 6 / www.etac.com
12. Advanced settings, customization

Adjust the back support angle, 3A
The angle of the back support is continuously adjustable (see “The chair’s possibilities”).
1. Loosen the nut. 2. Adjust the back angle. Use the bar markings or count the number
of “clicks” to get the same back angle on the right and left sides respectively. The click positions have 3° intervals and are only

for simplifying the setting, the back angle can therefore also be adjusted between the click positions. 3. Tighten the nut.
Consider the risk of tipping. Always check the setting of the anti-tip guard.

1

2

3

13 mm

20 Nm

“Click”
Adjust the back support height and lumbar angle, 3A
The back height is adjustable (see “The chair’s possibilities”). 1. Loosen the locking screws (A) max 1 turn. 2. Adjust the back height using the scale and mark on the lower back
rail. Tighten the locking screws max 1/2 turn. 3. Insert the Allen key into the eccentric sleeve locking screw and
loosen this 1/2 turn. Move the Allen key to the eccentric sleeve’s key grip and set the desired lumbar angle. 4. Tighten the locking screws.

Consider the risk of tipping. Always check the setting of the anti-tip guard.

1

2

3

5 mm

6 Nm

A 26

Etac / Cross 6 / www.etac.com
12. Advanced settings, customization

Adjust seat depth using lumbar angle, 3A
An extended seat depth is obtained by opening the back support angle (hip) and following with the lumbar angle. 1. Adjust the back angle (see section “Adjusting the back support
angle 3A”). 2. Adjust the lumbar angle using the eccentric sleeve to the desired
back angle (see “Adjusting the back support height and lumbar angle, 3A”). 3. If necessary, mount the seat extender (accessory).

Consider the risk of tipping. Always check the setting of the anti-tip guard.

1

2

5 mm

Mount the seat extender

Consider the risk of tipping. Always check the setting of the anti-tip guard.
27

Etac / Cross 6 / www.etac.com
12. Advanced settings, customization
Adjust the back support height, 2B
The back height is adjustable (see “The chair’s possibilities”). Loosen the screws to adjust the back height. Tighten the screws.
Consider the risk of tipping. Always check the setting of the anti-tip guard.
Adjust the back angle, 2B
The angle of the back support is continuously adjustable (see “The chair’s possibilities”). The angle is adjusted by means of the nut on the inside of the rear wheel mounts. – Loosen the nut for one of the back posts, set the desired angle and tighten. – Adjust the other back post equally.
Check that the angle is the same on both sides by comparing the distance between the back post and the arm support plate.
Consider the risk of tipping. Always check the setting of the anti-tip guard.

4 mm 8 mm
13 mm

28

13. Settings, readjustments

Etac / Cross 6 / www.etac.com

Brake, adjustment
The brake is continuously adjustable. 1. Loosen the screw a few turns. 2. Adjust the brake position 3. The brake pin must be approximately 15-20 mm from the tyre
in the unbraked position.

4. Make sure the brake is straight in the groove. Tighten the screw by about 5 Nm. Test the brakes!
5. Make sure the nut locks on the inside.
The braking effect depends on the tyre pressure. The brake is a parking brake and should not be used as a driving brake.

1

2

3

5 mm

4

5

5 Nm

15-20 mm

If the rear wheels are mounted in one of the front positions, leg supports that are folded aside can release locked brake. To avoid this, the brake lever should be adjusted so that it gets a “free position”. Then the brake is released only when the brake lever is moved near the rear wheel.

1. Loosen the screw on the inside of the brake lever. 2. Remove the oval plate, turn it 180° (the spike on the
inside of the plate should come in the upper hole). 3. Screw it in again.

1

2

3

Ph 1

Adjusting the brake pin at certain rear wheel positions:

1

2

3

5 mm

29

Etac / Cross 6 / www.etac.com

13. Settings, readjustments

Rear wheels with quick-release axle
The distance between the hub sleeve and the locking balls can be adjusted by adjusting the nut on the outside of the hub. The distance between the hub sleeve and the locking balls should be 0.2 to 1.2 mm.

When assembling, always make sure that the quick-release button in the hub springs out properly. Test by pulling the wheel.

Min 0.2 Max 1.2

Leg supports, continuously elevating

can be adjusted.

1

Never stand on the foot plates, risk of tipping! When lifting a wheelchair, remove the leg supports and lift the frame (lower or upper frame post).

Always have screws and knobs for foot plate mounted even if foot plate is not used.

1

2

3

2

3

5 mm

Amputee leg support can be adjusted.

Never sit on the amputee support. When lifting a wheelchair,

remove the amputee support, fold the other leg support under

the seat (or remove it) and lift the frame (lower or upper

± 6 cm

frame post).

4 mm

6 mm 30

VIDEO

13. Settings, readjustments

The anti-tip guards are adjustable in height and angle and
adjustable in length.
When adjusting the seat height, balance position or back angle, the function of the anti-tip guard must always be checked.

3-7 cm

Etac / Cross 6 / www.etac.com 5 mm

5 Nm

5 Nm

The material of the handrims and the distance between the
rear wheels – the handrim affects the user’s grip possibilities. Foam rubber and plastic are available as an option.
Foam rubber/plastic handrims give higher friction. In the event of heavy braking, slight burns (e.g. blisters) may occur.
Hand rim spacing on rear wheels 24″, 22″ and 20″ with
aluminium, stainless steel, plastic and foam rubber handrim can be adjusted by moving/changing the space between the two distances.

Risk of crushing your fingers may occur when passing through narrow passages, and if your fingers enter the spokes. If there is a risk that the user can get his fingers in the spokes, we recommend spoke guards.
4 mm

31

Etac / Cross 6 / www.etac.com

13. Settings, readjustments

The camber angle can be changed by replacing the washers
between the hub sleeve and the nut (see also section “Changing the rear wheel position”).

Check that the rear wheel hub shaft is set correctly. The button in the hub should spring out to its original position. Test by pulling the wheel.

1

2

24 mm

3

0° camber 2° camber

4
20 Nm

The centre of gravity/balance setting is adjusted by
changing the position of the rear wheels. – Move hubs/rear wheels forwards or backwards.
Also check the brakes, see section “Brake, adjustment”.
24 mm When the rear wheel position is moved forwards, the wheelchair becomes easier to drive and swivel, but the tendency to tilt

backwards increases. See section “Changing the rear wheel position”.
The centre of gravity also changes when changing seat angle and/or back angle.
Use of anti-tip guards is recommended.
When assembling rear wheels, always make sure that the quick-release button in the hub springs out properly. Test by pulling the wheel.

Toe-in, toe-out
Due to the design there is no need for a toe-in correction. Even when the rear wheel position is adjusted in height or centre of balance the rear wheel attachment makes sure that the adjustment of the toe-in is always correct.
32

13. Settings, readjustments
The arm support attachment can be mounted in two different
positions in height, and two different positions in depth. In height position 1 the arm support height is adjustable from 18 to 26 cm and in position 2 (standard) from 24 to 31 cm. In depth the arm support is adjustable 14 mm. The square nut determines both the height of the arm support and attaches the side plate: – Loosen the screw holding the square nut. – Slide the side plate up or down to the desired height. – Tighten the nut again on the side plate. If necessary, the right arm support can be mounted on the left side and vice versa.
Do not lift the wheelchair using the arm supports.
With 24″ low pressure or solid tyres in pos. F1 & E1, the arm support side cover does not cover the front of the rear wheel.
With 24″ rear wheels, the arm support attachment cannot be mounted in the rear position.

Etac / Cross 6 / www.etac.com
5 mm 3 mm
1 2

Mudguard can be adjusted in height and depth.

33

Etac / Cross 6 / www.etac.com

14. Settings, accessories

Installation instructions are always included with the accessories when delivered from Etac. Instructions are also available on our website www.etac.com

The seat cushion is cut to the set seat depth at the front or rear
edge. Make sure that the cushion fits properly between the back posts with the rounded corners backwards when measuring the length.
The cushion is a standard type and not intended for users with bed sores.
The cushion can be supplemented with a comfort wedge.
It flattens out the front seat, which significantly improves seating comfort. Place the comfort wedge in the inner pocket of the pillow case on the underside of the cushion. The arrow on the comfort wedge should be facing up and pointing forwards.
The positioning belt is two-piece, adjustable in length and has
a snap-fit buckle. It is mounted in the groove just in front of the back support, above the rear wheel mount.
The positioning belt is only for positioning in the wheelchair. It must not replace a seat belt in a car.

Ensure that the user does not slide forwards on the seat as the belt tightens the blood supply in the hip/waist region.

5 mm

34

14. Settings, accessories
Head support is mounted on a separate head support mount or
on a bow handle (optional). The head support is adjustable in height, depth, angle and sideways and detachable.
Before adjusting the head support, make sure that the user has a good sitting position and is seated firmly.
Check the wheelchair balance when the user leans his head against the head support. Use of anti-tip guards is recommended.

Etac / Cross 6 / www.etac.com

Head support mount is used for mounting head supports.
Do not lift the wheelchair by the head support mount.

“Click”

Crossbar is used when the back chassis needs to be reinforced.
Do not lift the wheelchair by the crossbar.
35

“Click”

“Click”

Etac / Cross 6 / www.etac.com

Etac Sverige AB Box 203 334 24 Anderstorp Sweden
Etac AB (export) Box 203 334 24 Anderstorp Sweden
Etac AS Pb 249, 1501 Moss, Norway
Etac A/S Parallelvej 3 DK-8751 Gedved
R82, Inc. 12801 E. Independence Boulevard P.O. Box 1739 Matthews, NC 28106, USA

Tel 0371-58 73 00 Fax 0371-58 73 90 info@etac.se www.etac.se
Tel 46 371-58 73 30 Fax 46 371-58 73 90 info@etac.se www.etac.com
Tel 815 69 469 Fax 69 27 09 11 hovedkontor.norge@etac.com www.etac.no
Tel 79 68 58 33 Fax 75 68 58 40 info@etac.dk www.etac.dk
Tel 800 336 7684 Fax 704 882 0751 Information@snugseat.com www.etac.com

Etac GmbH Industriestraße 13 45699 Herten Germany

Tel 02366-5006-0 Fax 02366-5006-200 info@etac.de www.etac.de

Etac B.V. Tinweg 8 8445 PD Heerenveen, Nederland

Tel +31 513 68 16 86 info.holland@etac.com www.etac.com

Etac Ltd. Unit D4A, Coombswood Business Park East Coombswood Way, Halesowen West Midlands B62 8BH United Kingdom

Tel 0121 561 2222 Fax 0121 559 5437 enquiries@etac.uk.r82.com www.etac.com

75401

Etac Supply Center AB Långgatan 12 SE-334 33 Anderstorp

7 320451 442031
36

References

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