Stealth Products i-Fit IFHH Owner's manual

OWNERS MANUAL

i-Fit Positioning Products

Owner’s Manual for the i-Fit Line of Belts,

Thoracic Supports, and Foot Positioners

i-Fit Positioning Products

i

Customer Satisfaction 1.0

Stealth Products strives for 100% customer satisfaction. Your complete

satisfaction is important to us. Please contact us with feedback or to suggest

changes that will help improve the quality and usability of our positioning

products. You may reach us at:

General

Read and understand all instructions prior to the use of the product. Failure to

adhere to instructions and warnings in this document may result in property

damage, injury, or death. Product misuse due to failure of the following

instructions will void the warranty.

Immediately discontinue use if any function is compromised, if parts are missing

or loose, or if any component shows signs of excessive wear. Consult with your

supplier for repair, adjustment, or replacement.

If this document contains information you do not understand, or if there are

concerns about safety or operation, contact your supplier.

* i-Fit™ and Stealth Products™ are trademarks of Stealth Products, LLC.

Stealth Products, LLC

104 John Kelly Drive, Burnet, TX 78611

Phone: (512) 715-9995 Toll Free: (800) 965-9229

Fax: (512) 715-9954 Toll Free: (800) 806-1225

[email protected] www.stealthproducts.com

ii

Important Information 2.0

Important Information

All persons responsible for fitting, adjustment, and daily use of the devices

discussed in these instructions must be familiar with and understand all safety

aspects of the devices mentioned. In order for our products to be used

successfully, you must:

 read and understand all instrucons and warnings;

 maintain our products according to our instrucons on care and maintenance; and

 ensure devices are installed and adjusted by a trained technician.

Supplier Reference

Supplier:

Telephone:

Address:

Purchase Date:

Model:

iii

Introduction 3.0

Before you install or begin using Stealth Products’ i-Fit line, it is important

that you read and understand the content of these installation and operating

instructions. These installation instructions will guide you through the options

and possibilities for the product.

Instructions are written with the expressed intent of use with standard

configurations. They also contain important safety and maintenance

information. For further assistance, or more advanced options, please

contact your supplier or Stealth Products at (512) 715-9995 or toll free at

(800) 965-9229.

Always keep the operating instructions in a safe place so they may be

referenced as necessary.

All information, pictures, illustrations, and specifications are based on the

product information that was available at the time of printing. Pictures and

illustrations shown in these instructions are representative examples and

are not intended to be exact descriptions of the various parts of the product.

Ordering Documentation

You can download additional copies of this owner’s manual by accessing the

Stealth website (www.stealthproducts.com) and searching “i-Fit Owner’s

Manual” in the search bar at the top of the page.

iv

Warranty 4.0

Our products are designed, manufactured, and produced to the highest of

standards. If any defect in material or workmanship is found, Stealth Products

will repair or replace the product at our discretion. Any implied warranty,

including the implied warranties of merchantability and fitness for a particular

purpose, shall not extend beyond the duration of this warranty. Stealth

Products, LLC does not warrant damage due to, but not limited to:

 Misuse, abuse, or misapplicaon of products

 Modicaon of product without wrien approval from Stealth Products, LLC.

Any alteration or lack of serial number, where applicable, will automatically void

this warranty.

Stealth Products, LLC is liable for replacement parts only. Stealth Products, LLC is

not liable for any incurred labor costs.

No person is authorized to alter, extend, or waive the warranties of Stealth

Products, LLC.

Stealth Products warrants against failure due to defective materials

or workmanship:

Covers: 180 days

Hardware: 5 years

Electronics: 3 years

In Case of Product Failure

In the event of product failure covered by our warranty, please follow the

procedures outlined below:

1. Call Stealth at (512) 715-9995 or toll free (800) 965-9229.

2. Request a Return Authorizaon form (RA) from the Returns Department and

follow documentaon instrucons.

v

Table of Contents 5.0

1.0 Customer Satisfaction ............................................................................. i

2.0 Important Information .......................................................................... ii

3.0 Introduction ........................................................................................... iii

4.0 Warranty .................................................................................................. iv

5.0 Table of Contents ................................................................................... v

6.0 Warning Labels ...................................................................................... ix

6.1 Warning Labels ..................................................................................................... ix

6.2 Limited Liability ..................................................................................................... ix

6.3 Testing ...................................................................................................................... ix

7.0 Design & Function ................................................................................... 1

7.1 Intended Use ........................................................................................................... 1

7.2 Features ..................................................................................................................... 2

8.0 Important Reminders .............................................................................. 3

9.0 Pelvic Positioning .................................................................................... 5

9.1 Pelvic Positioning Belts................................................................................................ 6

Pads ............................................................................................................................. 7

2-Point Belts ............................................................................................................. 7

4-Point Belts ............................................................................................................ 8

9.2 Common Presentations ....................................................................................... 9

Anterior Pelvic Tilt ................................................................................................. 9

Neutral Pelvic Alignment .................................................................................... 9

Posterior Pelvic Tilt ............................................................................................. 10

Pelvic Obliquity .................................................................................................... 10

Pelvic Rotation ..................................................................................................... 11

9.3 Belt Angle ............................................................................................................... 11

10.0 Thoracic Positioning ........................................................................... 13

10.1 Thoracic Positioning Items ........................................................................... 14

10.2 Posture Support ................................................................................................ 15

Classic ...................................................................................................................... 15

Contoured/Zipper .............................................................................................. 16

vi

Table of Contents 5.0

10.3 H-Harness ........................................................................................................... 16

10.4 Back Pack Straps .............................................................................................. 17

10.5 Y-Straps ............................................................................................................... 17

10.6 Chest Straps ....................................................................................................... 18

Belt Anchor ......................................................................................................... 18

Hook-and-Loop ................................................................................................ 18

10.7 Common Presentations................................................................................. 19

Trunk Kyphosis .................................................................................................. 19

Trunk Lordosis ................................................................................................... 19

Trunk Scoliosis ................................................................................................... 19

Trunk Rotation ................................................................................................... 19

11.0 Foot Positioning .................................................................................. 20

11.1 Foot Positioning Items .................................................................................. 21

Foot Positioners ............................................................................................... 21

Shoe Holders..................................................................................................... 21

11.2 Foot Positioner ................................................................................................. 22

Ankle Positioner Pad ...................................................................................... 22

Footplate ............................................................................................................ 23

Fixed Ankle Support ....................................................................................... 23

Toe Straps .......................................................................................................... 24

11.3 Shoe Holders ..................................................................................................... 24

Shoe Holder Pads ............................................................................................ 25

11.4 Common Presentations................................................................................. 26

Knee Extension ................................................................................................. 26

Unequal Lower Leg Length ......................................................................... 26

Ankle Contractures ......................................................................................... 26

Knee Flexion ...................................................................................................... 26

vii

Table of Contents 5.0

12.0 Installation Instructions .................................................................... 27

12.1 Pelvic Belt Installation ........................................................................................ 28

Fastened Tri-End .................................................................................................. 28

Tri-End and Around Seat Rail.......................................................................... 28

Sliding Double-D Clip ........................................................................................ 29

Sliding Double-D Clip with Tri-End .............................................................. 29

12.2 Posture Supports/H-Harness/Backpack Strap Installation .................. 30

Strap Risers ............................................................................................................. 30

Installing T-Nuts and Bolts ............................................................................... 31

12.3 Y-Strap ................................................................................................................... ...32

12.4 Foot Positioner Installation ............................................................................. 33

Toe Strap .................................................................................................................. 33

Ankle Strap .............................................................................................................. 34

12.5 Buckle Installation ................................................................................................ 36

Swivel Buckle .......................................................................................................... 36

Side-Release ............................................................................................................ 37

Push-Button ............................................................................................................ 38

12.6 Shoe Holder Strap Installation ........................................................................ 39

Female Buckle Installation ................................................................................. 39

Male Buckle Installation...................................................................................... 41

12.7 Retractable Seat Belt Installation ................................................................... 43

13.0 Before Each Use ..................................................................................... 45

13.1 Before Each Use ................................................................................................... 45

13.2 Safety Checklist .................................................................................................... 45

13.3 Simulation .............................................................................................................. 46

14.0 First-Time Use ........................................................................................ 47

14.1 First-Time Use .................................................................................................... 47

14.2 User Testing ........................................................................................................ 47

14.3 Conditions of Use ............................................................................................. 47

viii

Table of Contents 5.0

15.0 Maintenance........................................................................................... 48

15.1 Care and Maintenance ................................................................................... 48

15.2 Cleaning ............................................................................................................... 48

16.0 Notes ....................................................................................................... 49

ix

Warning Labels 6.0

DANGER Identifies an imminent situation which, if not avoided,

may result in severe injury, death, and/or property damage.

WAR NING Identifies a potential situation which, if not avoided, may

result in severe injury, death, and/or property damage.

CAUTION Identifies a potential situation which, if not avoided, may

result in minor to moderate injury and/or property damage.

NOTI CE

Identifies important information not related to injury, but

possible property damage.

SAFETY

Indicates steps or instructions for safe practices, reminders of

safe procedures, or important safety equipment that may

be necessary.

Warning Labels 6.1

Warnings are included for the safety of the user, client, operator and property. Please

read and understand what the signal words DANGER, WARNING, CAUTION, NOTICE and

SAFETY mean, and how they could affect the user, those around the user, and

property.

Limited Liability 6.2

Stealth Products, LLC accepts no liability for personal injury or damage to property that

may arise from the failure of the user or other persons to follow the recommendations,

warnings, and instructions in this manual.

Stealth Products does not hold responsibility for final integration of final assembled

product to end user. Stealth Products is not liable for user death or injury.

Testing 6.3

Initial setup and driving should be done in an open area free of obstacles until the user is

fully capable of driving safely.

The i-Fit positioning belts, thoracic supports, straps, and foot positioners should

always be tested to ensure the proper fit.. Make sure every physical alteration or

adjustment is complete.

1

Design and Function 7.0

Intended Use 7.1

Stealth’s i-Fit line of pelvic belts, vests, chest straps and foot positioners are

intended to be used as means to increase trunk stability, aid in proper pelvic

alignment, and improving the clinical posture of a user in-chair through the use

of breathable material and structured support.

Pelvic Positioning

IFPB (2-Point) - A pelvic positioning belt is required to maintain the pelvis in a

neutral alignment for optimal posture, stability, and pressure distribution.

(4-Point) - A pelvic positioning belt is required to maintain the pelvis in a

neutral alignment for optimal posture, stability, and pressure distribution.

Secondary attachment points will maintain the primary pelvic positioning belt

angle for optimal control of pelvic positioning and to prevent the pelvic

positioning belt from moving and abrading soft tissue, causing injury.

Thoracic Positioning

IFPS -Provides anterior thoracic support to maintain an upright, seated posture, as well

as to provide stability for function.

IFCS (Chest Strap) - Provides anterior thoracic support across the chest, prevents

forward movement, and extends functional reach.

IFYS (Y-Strap) - Provides anterior thoracic support, primarily designed to de-rotate the

trunk.

Foot Positioners

IFFP - Toe straps, ankle positioning systems, fixed ankle supports, and shoe holders with

straps are recommended to maintain the feet on the footplates for pressure

distribution, postural support, stability to prevent injury, and/or limit lower

extremity extension.

2

Design and Function 7.0

Features 7.2

Pelvic Posioning:

 2-Point and 4-Point styles

 Single- or dual-pull tension straps

 Padded and non-padded, push-buon and side-release opons

 Oset belt anchors for easy adjustment without loosening the anchor bolts

 Flat belt anchors increase surface contact and minimize twisng

Thoracic Posioning:

 Swivel buckles for self-adjustment (lower aachments only)

 Dynamic and structured opons

 Vinyl face opon (dynamic and structured)

 Classic and contoured styles (vinyl face)

 2- and 4-Point styles

 Oset belt anchors for easy adjustment without loosening the anchor bolts

Foot Posioning:

 Padded opon

 Easy aachment points

 Side release and curved buckles

 Structured and dynamic opons

Dynamic vs. Structured

 Structured i-Fit products do not have stretch in the material. It is best used for clients

with more aggressive tone, allowing for more eecve posioning.

 Dynamic i-Fit products allow for stretch. It is best used for clients with less tone because

of its ability to “give” with the client’s movements. The material has enough tension to sll

bring the client back to their original posion.

Contoured vs. Classic

 Classic style oers a large padded surface for the thoracic area.

 Contoured style has a narrowed secon over the sternum that allows a beer t for

females, G-tube users, or those requiring a smaller support surface.

NOTICE

Wash devices according to their labels before use.

3

Important Reminders 8.0

Before using the i-Fit products, please keep the following in mind:

NOTICE

A seat with angle or built-in contours may help keep the user from sliding in

the seat.

WAR NING

Use the positioning belts and supports only to help support the user’s posture.

WAR NING

Check that the user cannot slide down in the seating system. If this occurs, the

user may suffer chest compression or suffocate due to pressure from the belts

or harness.

WAR NING

The belts, posture support and straps must be snug, but must not interfere with

the client’s breathing.

NOTICE

When traveling in a motor vehicle, it is recommended that wheelchair users

transfer to a vehicle seat and use the vehicle seat belt system or a child safety

seat that complies with federal safety standards. The wheelchair should then be

stored and secured in the vehicle.

WAR NING

Never use a chest harness without a positioning belt.

DANGER

Due to possibility of a user sliding while in-chair, unmonitored use of anterior

thoracic support devices could pose a serious choking hazard. Continually ensure

that the user is sitting upright and that the thoracic support device does not

obstruct the user’s breathing in any way.

4

Important Reminders 8.0

NOTICE

Children weighing less than 48 lbs. must always transfer to an approved child

safety seat.

NOTICE

Pelvic positioning belts, thoracic supports, and shoulder straps may be used

while in transit, but are not designed or approved to provide restraint or

protection during a crash.

WAR NING

These devices do not conform to ANSI/RESNA WC20 or SAE J224. Do not

misuse belts or harnesses.

WAR NING

Never use positioning belts or postural supports as motor vehicle restraints,

unless they have been designed, tested, and labeled to do so.

WAR NING

When transporting in a motor vehicle, only use in conjunction with restraints

that have been designed for restraint in a motor vehicle and that have been

crash tested in accordance with SAE J2249 and/or ANSI/RESNA WC/20.

5

Pelvic Positioning

6

Pelvic Positioning 9.0

Pelvic positioning impacts all aspects of proper seating and safety. Pelvic posi-

tioning systems are placed anterior to the pelvis to maintain a neutral pelvic

position (to the degree possible for each client). A correctly positioned pelvic

support may:

 help stabilize the pelvis, which directly aects seated body alignment;

 aid in prevenng sacral sing, unsafe and non-funconal postures, skin breakdowns, and

increased pressure on bony prominences;

 increase postural stability, decreasing the eort needed to sit;

 facilitate posture, allowing an increase in upper extremity movement;

 contribute to proper head posioning and neck alignment; and

 reduce negave postural tendencies that can lead to orthopedic deformies and other

secondary medical complicaons.

Pelvic Positioning Belts 9.1

NOTICE

These solutions should be made by a clinician or wheelchair professional.

Part Number Key: Pelvic Belts

Prefix

1st Digit:

Buckle Type

2nd Digit:

Webbing Size

3rd Digit:

Pull Type

4th Digit:

Padding Size

IFPB

(i-Fit Pelvic Belt)

5: Push-Button

Buckle

6: Side-Release

Buckle

1: 1” Webbing

2: 1.5” Webbing

3: 2” Webbing

1: Single-Pull

2: Dual-Pull

4: 4-Point

0: Non-Padded

1: 4.5” Pads

2: 5.5” Pads

3: 7.5” Pads

4: 9.5” Pads

5: 11.5” Pads

6: 4.5” Linear Pads

7: 5.5” Linear Pads

8: 7.5” Linear Pads

7

Pelvic Positioning 9.0

Pads

When ordering pads for a) padded single-pull belts, b) padded dual-pull belts, or c) 4-

point linear-style belts, reference the chart below:

2-Point Belts

 2-Point belts are adequate for most clients.

 The features and angle of aachment must be determined before mounng.

 The padding opon for the belts helps increase pressure distribuon.

 Provides a more comfortable opon and helps prevent any ‘digging’ into the client.

2-Point Padded Single-Pull Belt

2-Point Padded Dual-Pull Belt

Pad Size Pad Dimension (A x B)

XS 13/4”x 41/4”

S 11/4” x 51/2”

M 21/2” x 71/2”

L 23/4” x 91/2”

XL 23/4” ” x 111/2 “

Pad Sizes & Dimensions

IFPB5110 IFPB5210 IFPB5310 IFPB6110 IFPB6210

Pads

IFPB101 X X

IFPB102 X X

IFPB103 X X

IFPB104 X X

IFPB105 X X

Belt Options

8

Pelvic Belts 9.0

4-Point Belts

 4-Point belts are generally used for more aggressive pelvic posioning needs.

 The primary belt is aached at the desired angle to maintain the pelvis posion.

 The secondary belt is designed to maintain the angle of the primary belt or to provide more

control in two dierent areas.

 4-Point belts cannot be ordered without a pad.

4-Point Linear-Style Buckle Release Belt

4-Point V-Style Buckle Release Belt

Size Webbing Pad Size

XS 1” 41/2”

S 1” 51/2”

M 11/2” 71/2”

L 11/2” 91/2”

L 2” 91/2

XL 2” 111/2

4-Point V-Style Belt

9

Pelvic Positioning 9.0

Common Presentations 9.2

The following sections detail common presentations of pelvic alignment and

suggested belt usage.

Anterior Pelvic Tilt

Suggeson: Depending on the clinical outcome desired, aach the front straps of a 4-

Point padded seat belt to the seat or frame at 60° or 90°. Aach the rear

straps to the seat or frame at 30° to 45°.

Neutral Pelvic Alignment

Suggeson: Depending on the clinical outcome desired, use either a 2-Point or 4-Point

pelvic belt for stability and safety and to support neutral pelvic alignment.

Aach the belt at 45° to 60°, pulling downward on the top of the thighs.

10

Positioning 9.0

Posterior Pelvic Tilt

Suggeson: Depending on the clinical outcome desired, aach the front straps of a 4-

Point posioning belt at 50° or more. This may help with sliding forward in

the seat. This is extremely important if used in conjuncon with an

anterior posioning vest.

Pelvic Obliquity

Suggeson: A 2-Point or 4-Point padded posioning belt may oer the asymmetrical

adjustment necessary to posion the pelvis and apply forces to bring it

back in contact with the seang system. Increased trunk support may be

needed to achieve full benet.

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