Pacer Gait Trainer - Rifton

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K502, K503 & K504Pacer Gait TrainerK502, K503 & K504 Product Manual

ContentsImportant informationSafety messages34-5Recommended use6User and item dimensions6Check your order7Basic componentsFrame8Casters10AccessoriesClampsHand loops12-13Arm prompts14-16Chest prompt17Hip positioner18-19Hip positioner pad20Pelvic support21-22Thigh prompts23Ankle prompts24Tray25Attendant guide bar26Operation21127-29Maintenance, cleaning, and warranty30Materials and user modifications31 2016 Rifton Equipment

IMPORTANTPlease save this product manual for future reference. Additional copies areavailable at uals.Key for usersUse this key to determine which sections of this product manual apply to you.Technical Users For professionals who order and set up Rifton products.Home Users For care-givers who use Rifton products on a regular basis.Maintenance Personnel For anyone who is responsible for service orre-ordering of Rifton products and parts.3

WARNING Thoroughly read and understand the information in this product manual beforeattempting to use this product. If the procedures and instructions in this product manualare not followed, serious injury or death could occur. A qualified professional must assess the appropriateness and safety of all equipment foreach user. This product is intended for use by clients of unreliable judgment. Adult supervision isrequired at all times. To prevent falls and injuries: Do not use this product on rough and uneven terrain, around swimming pools, ornear stairways. Ensure the appropriate use of straps and supports at all times. Straps and supportsare provided for the safety of the user and must be carefully adjusted for comfort andsecurity. Tighten all adjustment knobs before use and immediately after making anyadjustments. Position accessories so that the client’s weight is centered between the casters. Do not use this product for clients outside the height and weight limits specified in thismanual. To prevent structural failure, which may result in serious injury or death: Inspect this product and accessories regularly for loose or missing screws, metalfatigue, cracks, broken welds, missing attachments, general instability or other signsof excessive wear. Immediately remove this product from use when any condition develops that mightmake operation unsafe. Do not use Rifton components or products for any purpose other than their intendeduse. Adequately supervise use of the Pacer to prevent: Excessive movement and speed Sudden stops from hitting a curb, cracks, or debris4

WARNING Use adequate accessories to ensure that user’s feet remain within boundaries of thePacer frame. Use special care and supervision when using the Pacer under conditions which mightaffect stability, including: Uneven ground Ramps, slopes, or hills Clients who experience strong involuntary movements or seizures5

Recommended useThe Pacer gait trainer is a Class 1 medical device. It is designed to help a user learn towalk. For a user lacking active use of his or her trunk and leg muscles, the Pacer providesthe necessary support during gait training and requires little or no weight-bearing.The medium Pacer is recommended for users with elbow height of 24"– 34" (61– 86 cm).The maximum working load for the medium Pacer is 150 lbs (68 kgs).The large Pacer is recommended for users with elbow height of 31"– 46" (79–117 cm).The maximum working load for the large Pacer is 200 lbs (91 kgs).The PacerXL is recommended for users with elbow height of 35"– 50" (89–127 cm).The maximum working load for the PacerXL is 275 lbs (125 kgs).User and item dimensionsUser dimensions - inches (cm)Elbow heightK502 mediumK503 largeK504 XL24-34 (61-86)31-46 (79-117)35-50 (89-127)Key user dimension: elbow heightMeasure the vertical distance from the bent elbow to the floor while theuser is standing upright. Choose the gait trainer that allows for growth.Important: Make sure that the chest prompt width is adequate, allowing for growth. User’sweight must not exceed the maximum working load.Small and medium prompts are recommended for most users of the medium Pacer.Item Dimensions - inches (cm)Arm prompt heightLargeXL35-50 (89-127)24-34 (61-86)31-46 (79-117)Overall width26 (66)27½ (70)32 (81)Overall length32 (81)38 (97)45 (114)Chest Prompt height (top edge)28-38 (71-97)35-50 (89-127)38½-53½ (98-136)Frame height21-26 (53-66)28-38 (71-97)31½-41½ (80-105)32 x 26 x 1738 x 27½ x 17½45 x 32 x 17½(81 x 66 x 43)(97 x 70 x 44)(114 x 81 x 44)15 (7)27½ (13)45 (20)Max. working load - lbs (kg)150 (68)200 (91)275 (125)Chest prompt circumference22-40 (56-102)28-50 (71-127)28-50 (71-127)FoldedFrame weight - lbs (kg)6Medium

Check your orderThe Pacer frame and accessories that you specified in your order are shipped together in asingle carton (except for the guide bar). Use the diagrams in this manual to make sure yourorder is complete.If your shipment is incomplete or in any way damaged on arrival,please call Customer Service, 800.571.8198.7

Basic componentsFrameInstallationWARNINGTo prevent unintendedcollapse, fully engageboth latches.LatchesLift top of frame into upright position.Both latches should automatically click intonotches in the bottom frame (see Figures8a, b and c).Figure 8aFigure 8bNotchLatchFigure 8c8

AdjustmentsMake sure both sidesof frame engage, arelevel, and are adjusted to equal height.CAUTIONTo adjust the height of the frame (seeFigure 9a).TTriggersi1. Pull triggers up while holding top bar.2. Raise or lower top bar to desiredposition.3. Release triggers.4. Push or pull on top bar until triggersclick securely and firmly into position.To collapse the Pacer for easy storage ortransport, (see Figure 9b).1. Set vertical adjustment of frame and allprompts to lowest position.2. Stand behind the Pacer and lift latchesall the way up while pulling the topframe down.Figure 9aNotches3. The top frame will pivot all the way tofloor level.LatchhFigure 9b9

CastersAdjustmentsA. Swivel lock (A) prevents the casterfrom swiveling. To engage theswivel lock:1. Line up lever (A) with one of the twonotches in the caster housing andpress lever into notch.BA2. Locking all four casters will keep theuser traveling in a straight line.3. Locking only the two rear casterswill prevent the user from veeringsideways while walking.B. Caster brake (B) stops wheel rotationscompletely. To engage caster brake:CFigure 10a4. Press bottom part of brake pedal allthe way down.5. Release brake by depressing upperpart of brake pedal.C. Caster drag (C) provides resistance forstrong users who may move too fast or toosuddenly. To engage caster drag:6. Rotate dial (C) from the rabbit(fast) to the turtle (slow) for desiredresistance.7. To disengage wheel drag, rotate dialback to the rabbit.D. Directional lock (D) allows the casterto turn in one direction only, helpfulfor users who may involuntarily rollbackward while trying to walk. Toengage the directional lock:8. Push lever down until it snaps intoplace.9. When the directional lock is engaged,the caster will make a clicking noisewhile moving forward and lock whenpushed backward.10DFigure 10b

AccessoriesClampsAttachingMost accessories are attached to the frameby means of clamps and posts. Figures 11aand 11b show how to attach a clamp to thetop bar of the Pacer.BandPost1. Loosen knob and swing it down.2. Swing band up.Clamp3. Place clamp around oval bar.4. Swing knob up.5. Tighten thoroughly.Placement of accessories on the framewill vary according to the position andabilities of the user and the number ofaccessories used.Figure 11aFor slimmer users, the clamps for anyaccessory can be attached on the inside ofthe top bar (see Figure 13b). This positionsaccessories closer to the user. To repositionclamps and posts (see Page 16).Figure 11b11

Hand loopsAttachingIt is recommended that hand loops areattached forward of the main frameuprights (see Figures 12a and 12b). Thiscreates stable positioning and leaves plentyof room for other accessories.Hand loop clamps can be attached on theoutside of the top bar (see Figure 12a). Forslimmer users, the clamps for any accessorycan be installed on the inside of the topbar (see Figure 12b). This way the promptswill be positioned closer to the user. Toreposition clamps and hand loop posts (seePage 16).Figure 12aFigure 12b12

AdjustmentsLoosen knob (A) to:C Completely remove the hand loop andclamp.A Or slide the hand loop toward or awayfrom the user along the top bar.To adjust height of hand loop: Press button (B) and slide post up ordown to desired position. Release button (B) and push hand loopto engage post.BFigure 13aTo tilt hand loop:Loosen knob (C) and tilt hand loop todesired position. Tighten knob tosecure. Adjust tilt angle.To reposition the entire hand loop: Completely remove the hand loop fromthe Pacer (see Figures 11a and 11b).Attach inside or outside the top bar(see Figures 13b and 13c). Press button (B) and completely removethe post, now rotate the post to thedesired position, insert it back intoclamp and slide to desired height.Figure 13b Attached inside top barAFigure 13c Attached outside top bar13

Arm promptsAttachingTo prevent tipping andresulting injury, donot position arm prompts on the front ofor near the rear ends of the top bar (seeFigures 14a and 14b).WARNINGIt is recommended that arm promptsare attached forward of the main frameuprights (see Figures 14c and 14d).This creates stable positioning and leavesplenty of room for other accessories.The arm prompt clamps can be attachedon the outside of the top bar (see Figure14c). For slimmer users, the clamps for anyaccessory can be attached on the inside ofthe top bar (see Figure 14d). This positionsaccessories closer to the user. To repositionclamps and posts (see pages 11 and 16).Figure 14aFigure 14bClamps on outsideof top barFigure 14c Attached outside top barClamps on insideof top barFigure 14d Attached inside top bar14

AdjustmentsLoosen knob (A) to: Slide arm pad toward or away fromthe user. Rotate up or down. Rotate in or out. Move the arm pad backward or forward.ATo adjust the height of arm prompt:1. Press button (B) and slide post to desiredposition.2. Release button and push post toengage it.To adjust the handhold:BFigure 15a1. Loosen knob (C).D2. Slide handhold forward or back fordifferent forearm lengths.C3. Rotate the handhold from side to side.Arm strap (D) and wrist strap (E) securethe user’s arm in the arm prompt.EUsing the wrist strap prevents the user’sarm from inadvertently coming out of thearm prompt.To reposition the entire arm prompt:F1. Loosen knob (F).2. Slide arm prompt to desired position onthe frame.Figure 15bOr completely remove the arm prompt fromthe Pacer by pressing button (B) and pullingout the post.15

Arm prompt posts can be removed andrepositioned to adjust the width betweenarm prompts (see Figure 16a).Arm prompt clamps can be removed andArepositioned to further adjust the widthbetween arm prompts. Steps 1 and 2 show the clamp on theinside of the top bar.Step 1. Loosen knob (A) and removearm prompt pad. Step 3 shows the clamp on the outsideof the top bar, which increases the widthbetween prompts.(For instructions on how to remove andreattach the clamps, see page 11.)BStep 2. Press button (B), lift post out ofclamp, and turn to desired position.Step 3. Insert post back into clamp,slide arm prompt pad back onto post, anduse button (B) to adjust the height of thearm prompt.Take time to familiarize yourself with theadjustments on each arm prompt (seeFigure 16b).Arm prompts can (see Figure 16b):Figure 16a121. Rotate around horizontal section of post.2. 360 rotation around vertical post.3. Slide in and out on horizontal sectionof post.4. Clamp holding post can be moved alongtop bar.5. Post has four positions at 90 each.16534Figure 16b

Chest promptAttachingTo prevent tippingand resulting injury,position chest prompt so that the client’scenter of gravity is centered between thecasters.WARNINGTo prevent falls and injury, tighten alladjustment knobs on chest prompt priorto use.Attach chest prompt directly behindthe main frame uprights (see Figure17a). The front of the chest prompt hasa containment loop to keep the padstogether. Rear opens for easy access.CBDAAdjustmentsTo adjust width of chest prompt: Place clamps on the inside or the outsideof the top bar (see Figures 13b and 13c). Loosen knob (C) to slide sides of chestprompt in or out. Retighten knobs.To rotate chest prompt: Loosen knobs (C) completely.Figure 17aFour straps (D) can be adjustedindependently to tighten or loosen thechest prompt or to adjust the forwardleaning angle of the user. Chest promptopens front and back. This way the usercan be positioned into the Pacer in theanterior or posterior position (see pages 27,28 and 29). Rotate prompt to desired position. Retighten knobs.To adjust height of chest prompt: Press buttons (B) and slide posts todesired height. Release buttons (B) and push post toengage it.Repositioning entire chest prompton frame: Loosen knobs (A). Slide chest prompt backward or forwardand retighten knobs (A). Or completely remove the chest promptfrom the Pacer.17

Hip positionerAttachingTo prevent tipping andresulting injury, do notposition prompts at the rear ends of thetop bar (see Figure 18a).WARNINGThe hip positioner is designed to encourageforward-leaning. Attach this accessorywith its two clamps and handholds nearthe back of the top bar, and straps withbuckles (A) in front of the frame uprights(see Figure 18b). Refer to the warningabove (see Figure 18a) for important safetyinformation.Figure 18aATo attach the front of the hip positioner: Use buckles (A), attaching them atdesired location in front of main uprights(see Figure 18b).To attach rear of hip positioner: Attach rings to handholds (see Figure18b).18Figure 18b

AdjustmentTo adjust position of handholds on frame:D Loosen knob (A). Slide handholds and clamps to desiredposition on frame.BTo adjust rear height of hip positioner: Press button (B) and raise handholds todesired height.A Release button (B) and push downhandholds to engage them.To raise and lower hip positioner useCFigure 19astrap adjusters (C) at back and (D) at front(see Figures 19a and 19b).Users are usually more comfortable withthe rear of the hip positioner substantiallylower than the front (see Figures 19a and19b). To achieve this, shorten front straps(D) and attach them as high as possible.DCFigure 19b19

Hip positioner padAssembly1. Push the rear straps of the hippositioner through the crossed overstraps and pull the pad into place (seeFigure 20c).2. Snap front and side flaps of pad togetheraround the hip positioner. Make sureboth snaps are securely fastened.3. Attach hip postitioner on Pacer. Front of hip positioner raised about4 " (10cm) higher than the back.FrontRearFigure 20a Top of hip pad Try to keep the hip positioner atthis angle when in use so the greyseat pad remains the main weightbearing portion.FrontRearFigure 20b Hip postionerFrontRearFigure 20c Underside of hip positioner with pad20

Pelvic supportAttachingTo prevent tipping andresulting injury, do notposition prompts at the rear ends of thetop bar (see Figure 21a).WARNINGThe pelvic support provides weight-bearingassist. It is an alternate option to the hippositioner. Attach this accessory with itstwo clamps and handholds near the backof the top bar, and straps with buckles(C) in front of the frame uprights (seeFigure 21b). Refer to the warning above forimportant safety information (see Figure21a).To attach front of pelvic supportFigure 21a Use buckles (C) to attach the pelvicsupport at the optimal location indicatedfor positioning. Locations for strapattachment may include any secureposition along the top bar of the framein front of main uprights, at the base ofthe clamps/accessories in use, or at thechest prompt cross bar.To attach rear of pelvic supportDCBAFigure 21b Attach rings to handholds (D)(see Figure 21b).21

AdjustmentTo adjust rear height of pelvic support: Press buttons (B) and slide handholds todesired height. Release buttons (B) and push down onhandholds to engage them.To adjust position of handholds on frame:BA Loosen knob (A). Slide handholds and clamps backward orforward on the frame.To raise and lower pelvic support:Figure 22a Use strap adjusters (C) and (D) at theback or front of pelvic support (seeFigure 22b).DCFigure 22b22

Thigh promptsAttachingThigh prompts work best if attachedbehind the chest prompt on top bar (seeFigure 23a). Thigh prompt clamps areslightly different from the clamps of otheraccessories, but attach to the top bar in thesame manner.Adjustment1. To swing the thigh pad toward or awayfrom the user: Loosen knob (D). Adjust thigh pads (B) and re-tighten.2. To move the thigh pads up or down,or to rotate the thigh pad to acomfortable position against theuser’s leg:ThighpromptclampThighpromptsFigure 23a Loosen knob (C). Adjust thigh pads (B) and re-tighten.3. To reposition thigh promptson frame:AB Loosen knob (A).D Slide clamp along the top bar of theframe. Or completely remove the thighprompts from the Pacer.CE4. To secure and adjust strap aroundthe thigh of the user, use buckleadjuster (E).Figure 23b23

Ankle promptsAttaching Insert end of rod opposite latch into rearcaster slot (see Figure 24b).Latch Pull back white latch, and release intofront caster slot (see Figure24c).Adjustments (see Figure24d)Figure 24a1. To secure, loosen or tighten straparound the ankle of the user, use buckleadjuster (B).2. Strap (A) can be adjusted to help guidethe stride of the user.3. To limit or increase the stride of the user,squeeze and slide spring adjusters (C)along rods.Rear caster slotFigure 24bLatchFigure 24c (latch inserted into front caster slot)CAFigure 24d24B

TrayWARNINGTo prevent tipping andresulting injury: Do not use the tray as a restraintor body support. Directly supervise client’s use ofthe tray. Do not place more than 10 poundson tray.CAttaching1. For maximum stability attach the traycentered at the front of the top bar (seeFigure 25a).2. The maximum weight that can be placedon the tray is 10 lbs (4.5 kg).BAFigure 25aAdjustmentDTo adjust angle of tray: Loosen knob (C). Change the tilt angle of the tray.GE Rotate the tray from side to side.To adjust the height of the tray: Press button (B). Slide post to desired height.F Release button (B) and push trayup/down to engage post.To reposition entire tray on Pacer frame: Loosen knob (A). Slide the clamp with tray along thetop bar.Figure 25b Or completely remove the trayfrom the Pacer.To remove insert (D): Push fingers up through holes intray (G). Re-install insert (D) by placing tabs(E) in slots (F) and pressing downon front edge of insert until it snapsin place.25

Attendant guide barTo prevent injury,adult supervision isrequired at all times. Always removeguide bar when not in use.WARNINGAttaching1. For maximum stability attach the guidebar centered at the front of the top bar(see Figure 26a).A2. Guide bar is attached by tightening knob(A) to clamp it on.AdjustmentsFigure 26a1. Rotate guide bar until it is behindthe user for pushing or in front forpulling by caregiver.2. Tighten knob (A) to lock heightadjustment.Figure 26b26

OperationOnce the accessories are attached and adjusted approximately, the user can be placed inthe Pacer in either an anterior or posterior position.Anterior positioningWARNINGTo prevent tipping andresulting injury: Position prompts so that the user’scenter of gravity is centered betweenthe casters. Use adequate accessories to ensurethat user’s feet remain withinboundaries of the Pacer frame.Forward facing1. Apply the caster brakes to immobilizethe Pacer.2. Approximate the adjustments of: chest prompt arm prompts hip positioner or pelvic supportFigure 27a frame height (top bar of frame).3. Unfasten: Hip positioner or pelvic support ringsat rear of Pacer Buckles at the rear of the chestprompt Straps of arm prompts, thigh promptsand ankle prompts4. Place the user in the Pacer Fasten the rear buckles of thechest prompt.5. Pull the hip positioner or pelvic supportthrough the legs and: Connect the rings to the handholds. Or fasten buckles if preferred.Figure 27b shows normal positioning. Note thatthe chest prompt has no tilt and the slightlyforward-leaning angle of the user is achievedby locating the hip positioner / pelvic supportbehind the shoulders.continued on next page27

Continued from previous page.6. Secure the forearms with arm promptstraps.7. Fasten straps to: Secure the thigh prompt strapsaround the user’s legs. Secure the ankle prompt strapsaround the user’s ankle.8. Release the caster brakes.Forward-leaningFigure 28a shows how a more extremeforward-leaning angle is achieved. Notethe chest prompt tilt and the location of thehip positioner behind the shoulders. Thefront hip positioner straps are attached tothe chest prompt posts. (It is recommendedthat the front of the hip positioner isadjusted slightly higher than the backfor maximum comfort.) The arm promptclamps are attached to the front of thetop bar.1. To adjust the user's forward-leaningangle: Use the chest prompt tilt adjustment(see Figures 27a, 27b and 28a). Position the top of the chest promptaway from the armpits to avoidpressure and discomfort.2. Adjust hip positioner or pelvic support: Adjust height of handhold posts. Use straps to adjust hip positioner orpelvic support angle and to positionuser’s pelvis in the desired forwardleaning angle in relation to the chestprompt (see Figures 27a, 27b, 28a).28Figure 28a3. Adjust arm prompts or hand loops: Adjust the width, height and anglesof arm prompts (see pp 15–16) orhandloops (see p 13).4. Adjust thigh prompts: Adjust the height, angle, and straplength to guide the stride of the user(see Page 23). The thigh prompt is importantfor positioning the user’s thighscloser together or further apart. Italso prevents the user’s body fromtwisting in the Pacer.5. Adjust ankle prompts: Adjust straps and spring adjustersto guide the stride of the user (seeFigure 24d).6. Adjust the tray position and angle (seeFigure 25a).7. Release the caster brakes

Posterior positioningRear facingUsers can be positioned in the Pacerfacing the rear (open end) of the frame.This is called posterior positioning. It allowsadvanced users to move freely withoutobstructions below or in front of them.Users positioned posteriorly generallyrequire less support and fewer accessories(see Figure 29a). Arm prompts or handloops should beattached as close to main frame uprightsas possible (see Figure 29a). Refer to thewarnings on page 4 and 5 for importantsafety information. Chest prompt (if used) opens frontand back for easy transfers duringposterior positioning.Figure 29a1. Apply the caster brakes to immobilizethe Pacer.2. Remove accessories. Unfasten theclamps around the top bar (see Figures11a and 11b).3. Turn accessories to face open end ofPacer frame and reattach to the top bar(see Figure 29a).4. Reset swivel locks in opposite directionif needed (see Figure 10a).5. If any other prompts are requiredfollow anterior positioning instructionsin reverse (see Pages 27 and 28).6. Release caster brakes.For more details on accessories, functionand recommended uses, go to:www.rifton.com/pacer29

MaintenanceThis product is designed and tested for an expected life of 5 years when used andmaintained in accordance with this manual. At all times, users must ensure that theproduct remains in a safe and useable condition, including regular maintenance andinspections as specified in this product manual.To prevent structural failure, which may result in serious injury or death: Inspect this product and accessories regularly for loose or missing screws, metalfatigue, cracks, broken welds, missing attachments, general instability or other signs ofexcessive wear. Immediately remove this product from use when any condition develops that mightmake operation unsafe. Do not use Rifton components or products for any purpose other than their intendeduse. Replace or repair components or products that are damaged or appear to be unstable. Use only Rifton authorized replacement parts. Order information for replacement partsis provided on the back of this product manual.Do not use petroleum-based or solvent-based lubricants on casters, but lubricate whennecessary with silicone spray or graphite.CleaningAs needed, clean with disinfectant wipes or a solution of up to 10% bleach. Do not useexcessive amounts of water.The straps with hook and loop closures may be laundered. Engage the closures beforewashing. Do not iron.Wash casters with water after outdoor use. Avoid mud and sand.Warranty StatementIf a Rifton product breaks or fails in service during the first year, we will replace itfree of charge.30

Materials Steel hardware items (nuts, bolts, screws, etc) are typically zinc or nickel plated, orstainless steel. Upholstery items (pads, support blocks, padded prompts, etc) are typicallypolyurethane foam with a fire-retardant cover made from expanded vinyl. Frames are typically steel or aluminum tubing, welded together, and coated with abaked-on paint finish. Some frame components may also be stainless steel. Straps are typically made of polypropylene or nylon webbing. Plastic components are typically injection molded from a variety ofindustrial resins.All materials are latex, lead and phthalates free.User modificationsTo prevent serious injury or death, do not modify or alter Riftonproducts or components, or use Rifton products or componentsin conjunction with products from other manufacturers. Rifton does not acceptresponsibility for any modifications or alterations made to our components or productsafter they leave our premises. Customers modifying or altering our components orproducts, or using them in conjunction with products from other manufacturers, do soat their own risk.WARNING31

Rifton Contact 9–5 ESTMailFaxRifton EquipmentPO Box 260Rifton NY 12471– 0260800.865.4674Onlinewww.Rifton.comTo order replacement parts1. Locate the ID number of the product on the small white label.Use only replacement parts supplied by Rifton Equipment.We are glad to supply replacement parts. Although Rifton makes every effort tosupply correct parts and instructions for repairing or refurbishing your equipment,you are responsible to make sure that the repairs or modifications are correctly andsafely completed.Find letters of medical necessityand informative articles at:www.rifton.com/pacer32ML34 ECO N/A Revision 002. Have this number available when you call 800.571.8198 for yourcustomer service representative.

walk. For a user lacking active use of his or her trunk and leg muscles, the Pacer provides the necessary support during gait training and requires little or no weight-bearing. The medium Pacer is recommended for users with elbow height of 24"- 34" (61- 86 cm). The maximum working load for the medium Pacer is 150 lbs (68 kgs).

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