CareFlex HydroCare Manuale utente

UI HydroCare. iss1 06/11

Class 1

Medical Device

Care

Flex

FLEXIBILITY IN A WORLD

OF MIXED ABILITY

HydroCare™ User Instructions

These are the user instructions for the

CareFlex HydroCare chair. Please read

them carefully before setting up and using

the chair and keep them in a safe place for

future reference.

These instructions include details of

the performance of the chair. If the

chair should start behaving outside of

its intended performance, show signs of

damage or excessive wear, or otherwise

feel unsuitable,please take it out of service

and contact CareFlex or your CareFlex

Distributor immediately.

The HydroCare chair is designed for use

in nursing home environments, speciﬁcally

for those clients who are still ambulant but

who require a high level of security and

comfort.The chair has a built-in pressure

management system based on CareFlex’s

patented WaterCell Technology® in the

seat.

WARNING

A level of supervision appropriate to

the client’s abilities must be applied at all

times.

UI HydroCare. iss1 06/11

The HydroCare Chair

Each HydroCare chair has a unique chair number which must be quoted during any correspondence with CareFlex

or your local CareFlex Distributor. This is on a silver foil label on the square tube of the back frame.

Identiﬁcation

Use a cloth tape measure to measure the client as you are setting up the chair. This will help limit the need for

any re-adjustment. Seat width, height and depth will have been factory set on the HydroCare according to dimensions

taken when the chair was assessed. Seat depth, which is critical for client comfort and safety, must be checked to

ensure it is correct and adjusted if necessary.

Regularly check the HydroForm set up to ensure it is working as intended and the client is beneﬁting from the

pressure management solutions which are built into the chair.

Set-up and Adjustment

Max user weight = 160kg

The seat width and seat to ﬂoor height will be factory set as per the dimensions taken at the time of assessment/

prescription. These dimensions cannot be adjusted.

The HydroCare has three seat angle settings, 10°, 15° and 20°. The seat angle will be selected at assessment to suit

the client but it can be adjusted at a later date. Please see the further instructions.

Seat depth can be adjusted to suit the client between the ranges illustrated on the diagrams below. Seat depth will

have been measured during assessment and the chair delivered with the seat depth set accordingly. However, seat depth

must be checked to ensure the client is getting full support to the back and is not sacral sitting.

There is a back angle recline facility to provide different sitting positions for different activities. This is controlled by

a release lever activating an adjustable gas spring.

There are three back options for the chair. The ﬂat and contoured backs are made from shaped foam. The contoured

back has additional pads on the sides to give moderate lateral control. The waterfall back consists of three overlapping

ﬁbre ﬁlled pillows which provide soft, conforming support.

seat height

40, 44, 48

seat width

38, 43, 48

max width

62, 67, 72

seat depth

37-51

back length -80

push bar height

88, 92, 96

range of BAR

100° to 130°

seat

angle

10°, 15°, 20°

base length -81 clearance

for recline

average arm height -21

footplate

length -28

UI HydroCare. iss1 06/11

If the client can raise to standing themselves or with

minimal assistance, the seat height should be set so that

the client’s feet rest ﬂat on the ﬂoor and the underside

of their thighs are in contact with the full length of the

seat cushion. If the seat height is too high, the client’s

heels will be lifted off the ﬂoor and pressure will build

up along the underside of their thighs. If the seat is

too low, their knees will be raised and there will be no

contact between the back of their thighs and the seat

cushion. This will increase the pressure on their bottom

and sacrum and could cause discomfort at the hips.

If the client is less ambulant and is being regularly

portered then seat height can be set relative to the

sliding footplate. Again, ensuring the foot is ﬂat and

fully supported is important.

Seat width affects side-to-side pelvic stability. This is

important as the spine should line up centrally with the

pelvis. If the pelvis is free to move to one side then the

client’s spine will usually lean in the opposite direction.

As gravity pulls the client over, the spine will begin to

curve to compensate as the client tries to keep their

head level. The client will take on a characteristic ‘S’

shaped spine or scoliosis. The more upright the user’s

trunk is, the more critical pelvic stability becomes. It is,

therefore, important to use a chair with the correct seat

width in order to position the pelvis properly.

Seat width should always allow for a little bit of

movement as the client’s body weight and posture

naturally shifts throughout the day. If the client is held

in a rigid position they will quickly tire and experience

discomfort.

Seat height and width will have been measured at

assessment and the chair set up for the client prior

to delivery.

1. Seat Height and Width

Correct seat width; client

sits ‘midline’.

Seat Too Wide; client tends

to lean to one side.

Seat Too Low;

Increase in pressure on the

buttocks and lower back.

Seat Too High;

Increase in pressure

beneath thighs.

UI HydroCare. iss1 06/11

2. Seat Depth

It is important to set seat depth correctly in order to

prevent ‘sacral sitting’ and to achieve the best distribution

of weight between the client and the chair. Sacral sitting

occurs when the pelvis tilts backwards so that the lower

back (sacrum), as well as the bottom, is resting on

the seat cushion. The sacral area can be susceptible to

pressure problems. Sacral sitting will occur if the seat

depth is too long. If the seat depth is too short then

the client’s body weight will be concentrated in too small

an area.

With the HydroCare seat depth also affects arm height.

The chair has been sized so that as the seat depth is

increased it is matched by a proportionately higher arm

height.

Seat depth should be set with the client’s bottom

positioned ﬁrmly at the back of the seat cushion so

that their lower back and lumbar is supported by the

back cushion. There needs to be a two or three ﬁnger

gap between the client’s calf and the front of the seat

cushion for comfort.

If the client already has a chair or wheelchair with the

correct seat depth, measure this size and use it to set

up the HydroCare

Seat depth is adjusted by moving the back of the chair

over the seat unit. The front edge of the seat will stay in

the same place. The seat depth mechanism is controlled

by two handwheels on the underside of the seat board,

one each side of the seat.

Before adjusting seat depth, apply the

brakes on all castors. Do not attempt to

adjust seat depth when someone is sitting

in the chair.

To adjust seat depth, loosen the

handwheels until they are felt to hang

freely from the underside of the seat.

They do not need to be removed.

Hold onto the square tube at the back of

the seat depth frame, each side of the gas

action and push/pull the seat back to the

desired position.

Once the back is in the correct position

ensure that it looks square and is not

twisted. Tighten the handwheels on the

underside of the seat board to lock the

back in place and therefore ﬁx the seat

depth.

Seat Too Short;

Increase in pressure

beneath the bottom.

Seat Too Long;

Increased pressure on bottom,

sacrum and shoulders.

Undo the handwheels on the underside, outer

edges of the seat board.

UI HydroCare. iss1 06/11

The HydroCare is ﬁtted with castors which make them

suitable for portering clients on smooth, level ground.

When portering a client in a CareFlex chair, a pelvic

strap must be fastened around the client and correctly

adjusted.

The chair should not be pushed over large steps or

thresholds, or over rough or uneven ground. Suitable

surfaces for portering clients in the chair are level indoor

surfaces and outdoor surfaces such as smooth, even

asphalt and large paving slabs.

Deep pile carpet will require additional effort to move

the chair and should be avoided.

The HydroCare should not be used outdoors in damp or

wet weather. The chairs should not be used to porter

clients on slopes or inclines.

Before transferring in and out of the chair the brakes

on the castors should be applied. Always ensure that at

least two of the castor brakes are applied before a client

transfers in or out of the chair.

To apply the brakes begin by generally positioning the

chair. Once the chair is in the desired position push it

forward slightly. This will swing the rear castors around

to reveal the brake levers. Press down the end of the

levers to lock the brakes.

To release the brakes, gently kick the top of the brake

lever so that it clicks ﬂat.

Each castor has a brake. Apply at least two before

transfer.

3. Day to Day Use

3a. Brakes & Castors

Do not attempt to push the chair

with the brakes applied as this can

damage the castors and stress the

frame of the chair.

When portering a client;

• Bring the back of the chair to an upright position.

This will put the handle in a more appropriate

position and make the chair easier to push.

• Ensure the client’s feet are off the ﬂoor by placing

them on the sliding footplate.

• Use a pelvic strap to keep the client safely

positioned in the chair, especially if they are likely

to become agitated as they are being portered.

The chair should not be pushed over large steps or

thresholds, or over rough or uneven ground. Suitable

surfaces for portering clients in the chair are level

indoor surfaces and outdoor surfaces such as asphalt and

large paving slabs. CareFlex chairs should not be used

outdoors in damp or wet weather.

The chairs should not be used to porter clients on slopes

or inclines.

A risk assessment should be carried out for each client

and portering consideration, taking into account the

combined weight of the client and the chair and the

client’s condition, especially any agitated movement which

may de-stabilize the chair or lead to injury through

entrapment or impact with doorways, hand rails etc.

UI HydroCare. iss1 06/11 6

3c. Sliding Footplate

When pushing a client in the chair their feet must be

raised so that they do not drag on the ﬂoor. The sliding

footplate allows the feet to be raised off the ﬂoor for

portering. It can also be used to set seat height from if

the client has a very short lower leg length.

The sliding footplate is ﬁtted between the chair arms. It

can be pulled out for positioning the client’s feet when

the chair is being moved and pushed back under the

chair when the client wants to raise to standing.

The footplate has a padded top to provide a soft warm

surface if the client is not wearing shoes.

Pull the webbing loop on the front edge of the footplate

to bring it out for portering. Push the footplate back

under the chair before transfer.

Sliding Footplate.

SAFETY NOTE:

The footplate should not be stood

on during operation or transfer. Do

not leave a client unsupervised in

the chair with the footplate pulled

out if they are likely to try to stand

as they could slip off the board and

fall.

3b. Back Angle Recline

The HydroCare has an angle adjustable back. When the

back is fully upright, the angle at the client’s hips will be

approximately 100°. However, because of the contoured

proﬁle of the back, the client will ﬁnd this a comfortable

position for mealtimes, activities and for preparing to

raise to standing.

The back angle can be reclined to give a 130° angle

at the hips. This is a comfortable position for resting.

However, because of the ﬁxed seat angle the chair still

offers security for clients sitting for a long period of time.

To adjust the back angle recline, squeeze the lever on the

HydroCare push handle. This will unlock the gas action

and allow the back to be tilted to the required angle.

When the client is in a comfortable position, let go of the

lever and the back angle will lock in position.

Always warn the client before

adjusting the back angle recline

to ensure they do not become

distressed or agitated.

Back angle can be adjusted by squeezing the lever

on the push handle.

UI HydroCare. iss1 06/11 7

4.Accessories

4a. Headrests

The straps on the headrest pillow ﬁt over the chair

back and velcro in place.

The HydroCare can be ﬁtted with a range of soft

headrests. These are;

• Shallow headrest for basic head support.

• Deep headrest for more support for those with a

kyphotic proﬁle.

• Proﬁled Soft headrest with semi-circular cut-out to

give conforming support around the head and neck.

Each headrest pillow is a soft, ﬁbre ﬁlled cushion to

support the back of the client’s head. A single strap on

the top edge of the headrest wraps around the centre

of the push handle to control the height of the headrest

and hold it in position on the chair.

Two thicknesses of pillow are available. Headrest choice

will depend on the client’s posture and the gap between

the client’s head and the chair back. Aim to use a

headrest which ﬁlls this gap but which does not push

the client’s head and shoulders forward.

Once the client is sat in the chair, move the headrest

to where they ﬁnd it to be the most comfortable and

supportive. As the client holds their position, undo the

Velcro tabs on the end of the strap. Take the slack out

of the strap and re-attach it around the push bar with

the velcro holding the strap securely in place.

UI HydroCare. iss1 06/11

4b. Block Legrest

A block legrest accessory can be used witht he HydroCare

to elevate the client’s legs.

The block legrest incorporates Reﬂexions foam in the top

surface for pressure relief. The legrest consists of a solid

block which prevents the client trapping their legs under

the seat of the chair.

The block legrest comes in three heights to match seat

height.

The block legrest can be attached to the chair for

portering. Straps on the block legrest are ﬁtted through

the D rings attached to the sides of the front face panel

of the chair.

Open the velcro closure on the straps, ﬁt the straps

through the D rings and fold them back to join the

velcro closure.

Fit the velcro straps through the D rings and fold

them back on themself to hold the position.

NOTE:The block legrest must never

be positioned in front of the chair

to act as a restraint or to stop the

client getting out of the chair.

4c.Tray

Fit the front and rear straps through the D rings

and fold them over to secure. Adjust the tension

in the rear strap to move the tray forwards and

backwards.

The tray accessory is a laminated wooden activity surface

which rests across the arms of the chair.

The tray is held in position with straps which ﬁt through

D rings mounted on the sides of the chair.

The rear straps are length adjustable. Shortening the

straps will position the tray closer to the client whilst

lengthening them will allow the tray to be moved away.

When positioning the tray, ensure the client cannot get

their arms trapped under the tray.

NOTE: The tray must never be

positioned in front of the chair to act

as a restraint or to stop the client

getting out of the chair.

UI HydroCare. iss1 06/11

Feed the webbing strap back under the last bar of

the tri-glide to hold the strap in place.

Loop the strap around the square bar and back

through the tri-glide.

Pelvic strap with tri-glide on webbing strap.

4d. Pelvic Strap

Pelvic straps are intended to be used as positioning aids

to help keep the client stable in the chair with a vertical

pelvic posture, reducing the tendency to sacraly sit and

limiting soft tissue damage through the effect of shear.

The pelvic strap is attached to the square tube of the

seat depth adjustment frame. The mounting points for the

pelvic strap also control pelvic strap length adjustment.

Due to the nature of pelvic strap use, and in order to

prevent misuse, the length of the pelvic strap can be

adjusted and set by the healthcare professional to ensure

a regular and constant tension on the strap and prevent

it being adjusted to that it sits loose around the client,

which is potentially harmfull.

Adjust the pelvic strap so that there is 10 to 15cm of

loose webbing on each side of the buckle and join the

two halves of the side release buckle together.

Fit the straps between the chair back and arms and

position them close to the square bar running across the

back of the chair.

The tri-glide buckle needs to be slid along the webbing

so that it is behind the square bar. Loop the webbing

over the bar and feed it back through the buckle.

Adjust the tension on the strap to the desired length.

Once at the correct length, fold the loose end of the

webbing back over the majority of the buckle and feed it

under the last bar of the tri-glide. This will ensure that

the strap does not slowly loosen over time.

4e. Pelvic Strap Fitting

UI HydroCare. iss1 06/11 10

4f. Pelvic Strap

Day to Day Use

SAFETY NOTE

A pelvic strap must never be used as

a restraint. Full supervision must be

provided when a pelvic strap is being

used.

The pelvic strap must be regularly

checked to ensure it has not worked

loose.

The pelvic strap must be correctly

tensioned so that it supports the

user but does not restrict breathing,

cause discomfort or interfere with

any abdominal implants.

If the strap is too loose there will be

a danger of the client sliding under

the strap and becoming trapped.

Dual adjustable buckle with adjustment on both

sides to keep buckle centraly located.

The pelvic strap has a side release buckle. The buckle

comes in two parts which slot together. Tabs on the side

of the buckle lock the two halves together. To open the

buckle, press the tabs on the sides at the same time. The

buckle should pop appart easily.

Before transfer into the chair drape the ends of the

pelvic strap over the arms of the chair to make them

easy to reach once the client is in the chair.

Once the client is in the chair, ﬁt the two halves of the

buckle together and ensure they click positively together.

If additional tension is required, pull the loose ends of

webbing on each side of the central side release buckle.

Indice

Altri manuali CareFlex Massaggiatore

CareFlex

CareFlex HydroFlex Manuale utente

Manuali Massaggiatore popolari di altre marche

ELEEELS

ELEEELS P2 Manuale utente

Cenocco

Cenocco CC-9111 Manuale utente

Panasonic

Panasonic EP790-C1 Manuale utente

Human Touch

Human Touch NOVO Manuale utente

Adler

Adler AD 2167 Manuale utente

Taurus

Taurus Wellness TW-MC-M Manuale utente

Infinity

Infinity Syner-D Circadian Manuale utente

Hydas

Hydas LH-095 Manuale utente

AEG

AEG FM 5567 Manuale utente

OBH Nordica

OBH Nordica Shiatus Tunes Manuale utente

Hutech

Hutech Q9 Manuale utente

Medisana

Medisana MM 825 Manuale utente

SOLAC

SOLAC Therma Hydro Manuale utente

Invacare

Invacare Texas Manuale utente

Casada

Casada Bismarck II Manuale utente

Fujiiryoki

Fujiiryoki Cyber-Relax EC-1700 Manuale utente

Medisana

Medisana HM 886 Manuale utente

HoMedics

HoMedics BA-C200 Manuale utente