Etac Cross Instruction Manual

6 4. The chairs possibilities ........................................................................................ 7-9 5. Accessories......................................................................................................... 10-12 6. Settings Seat..................................................................................... 13-16 7. Backrest mod. 2.................................................................. 17-18 8. Backrest 3A......................................................................... 19-23 9. Legrests............................................................................... 24-26 10. Driving technique/Manoeuvring.......................................................................... 27-32 11. Assembly instructions, Accessories...................................................................... 33-35 12. Care and Maintenance/Fault-finding chart.......................................................... 36-37 13. Tests and Guarantees.......................................................................................... 38 14. Alternative Seat heights/Angles.......................................................................... 39 15. Weights and Measurements/Standard models..................................................... 40 Contents

is a warning triangle to indicate that special care should be taken. (!) provides advice and tips worth considering Anti-tips available as an accessory. At the correct setting they will prevent the wheelchair from tipping backwards. We recommend all users to use the anti-tip devices, un- less you are an experienced user with absolute control over your wheelchair. The tool kit contains: 5 Allen keys: 6, 5, 5, 4 and 3 mm 3 Ring spanners: 13, 10 and 8 mm 1 Socket spanner: 24/19 mm 1 Phillips screwdriver Cross is a manual, cross-folded, allround wheelchair with multiple functions and is intended for use both outdoors and indoors. The seat is adjustable in height, angle and depth. The backrest is adjustable in height, angle and contour. The footrests are adjustable in height, angle and depth. Cross can be supplemented and adjusted if needs change. A large range of options and accessories are available: Various types of backrest and legrest, fixing points for transport in mobility service buses, anti- tips, various types of handrims and brakes etc. Cross has the best prerequisites to create comfort, functionality and good manoeuvrability. Crash test Etac’s wheelchairs are tested in accordance with ISO 7176-19 and ISO 10542. These ISO standards specify requirements for the design of the wheelchair’s restraint points, how the wheelchair and the user are secured in the vehicle, and also describe how tests should be carried out and how the test results should be interpreted. Etac’s wheelchairs are crash tested at the Technical Research Institute of Sweden. The tests were carried out with normal settings on the wheelchairs (see manual for the respective wheelchair) and with an UNWIN_WWR/ATF/K/R restraining device and an UNWIN_WWR/HD/ATF/K/R 3-point belt. The cross-folded wheelchairs Cross, Twin and Transit were supplemented with securing points. Seat widths: From 35 cm to 55 cm Max. user weight: 125 kg. Service life: The product is tested and fulfils the demands stated in EN 12183. The main product’s durabil- ity and lifetime is at least five years when used in accordance with intended use, the safety instructions, the reconditioning manual and instructions for use in the user manual. The main product consists of the chassis for seat and back support. Additional parts/accessories are handled in accordance with the manual and reconditioning manual. The actual lifetime can vary, depending on how much and how intensively the product is being used, but a maximum of 10 years. If the product is intended for use after the service life period specified by Etac, it is the responsibility of the product owner to ensure product functionality in accordance with the manual and reconditioning instructions. If this cannot be ensured then the product should be taken out of use. The following methods of surface treatment have been used: Lacquered surfaces=Polyester powder coating Non-lacquered aluminium parts=Anodized coating Non-lacquered steel surfaces=Galvanized

tube while unfolding as there is a risk of pinching your fin- gers. Before lifting, ensure that the height adjustable push handles are securely fastened. - Push down on one side of the seat frame, using the whole of the flat of the hand; see illustration. 2 Handling/Transport 2:1 Folding - If a bow handle and/or cross brace is mounted they should be removed. - Flip up the footrests. - Lift up the seat, see illustration. 2:2 Unfolding 2:3 Lifting the wheelchair Wheelchair without lockable legrests: - Flip up the footrests and swing the legrests in under the seat, or remove them completely. - Lift using the push handles and the front part of the frame by the legrest mounting point. Wheelchair with lockable legrests: - Lift using the push handles and legrests. 2:4 Transportation in vehicles Private car/taxi: The wheelchair should be placed in the car boot. If this is not possible, ensure that the wheelchair is placed safely in the back seat, so that it is not able to overturn or roll. If possible secure the wheelchair with the car’s safety belt.

as follows, the straps must not be put through the wheels or around the back tubes. 2:6 Seat belt If the wheelchair is used as a seat for travel, Etac recommends that the user wears the 3-point belt that is fitted in the vehicle. It is important that the 3-point belt is fitted correctly, as in the illustra- tions: 2:7 Recommendations 2:8 Warning -The wheelchair’s positioning belt is not sufficient to prevent the user from being thrown out of the wheelchair in the event of sudden braking. - The restraining device must not be put through the wheels or around the back tubes. - Options/accessories that can be removed without tools, such as trays, shall be removed and secured or placed where they do not fly around inside the vehicle in the event of a collision. Etac recommends in the following order: 1) The user transfers to a seat in the vehicle and uses the vehicle’s 3-point belt while travelling. The wheelchair is then placed in the boot or safely in the back seat so that it cannot overturn or roll. 2) The wheelchair is secured fac- ing forwards in the vehicle as per this manual, the user uses a sepa- rate 3-point belt that is secured in the vehicle. This is the way in which the wheelchair is tested and approved according to the ISO-standard for crash testing of wheelchairs in vehicles. 3) According to directive 2001/85/ EC, appendix VII, point 3.8.3. there are specially marked wheel- chair locations in vehicles that permit transport with a wheel- chair facing in the opposite direction of travel. If this means of travel is used, the user/carer must be aware while travelling, prepared for sudden movements and have the capacity to maintain a safe sitting position throughout the entire journey. The user’s dis- abilities must not be of such an extent that he/she is not able to hold onto the handles fitted in the vehicle when there are changes of speed or direction. In conjunction with points 2 and 3: - a positioning belt should be used - a correctly adjusted headrest should be used - the backrest should be level with or above the user’s shoulders - the parking brake should be used - the anti-tips should be lowered - If the wheelchair has been involved in a collision in a motor vehicle, it should be inspected at a Technical Aids Centre or by Etac be- fore being used again.

2 Backrest cover 12 Protective stopper 3 Backrest upholstery 13 Cross 4 Seat upholstery 14 Side frame 5 Brake 15 Armrest 6 Footrest 16 Quick release hub 7 Knob footrest lock 17 Handrim 8 Legrest 18 Rear wheel 9 Castor wheel 19 Back tube 10 Front fork 20 Locking knob, push handles 3 Product description Cross 3 6 7 14 17 15 19 18 20 10 11 13 4 5 16 8 9 12 1 2

Seat height Seat angle Castor wheel Front fork Rear wheel Handrims Seat Backrest Cross back 2 Seat depth (functional) Rear Front 38-50 cm 38-51 cm Max forward angle: 2 cm lower front than back. Max backward angle: 6 cm higher front than back. 5" massive/6,5" massive Short/medium, with 3 alternative height positions for the castor wheel 20", 22" or 24" High-pressure 1" Low-pressure 1 3/8" Solid Carbon Camber angle 2° or 0° Stainless, plastic coated, cellular rubber or titanium Black fabric/hard seat/ECS (ECS, a fixed seat/backrest system with anatomically shaped cushions, detachable) Type Height Backrest angle low 30-35 cm -5o - +15o standard 30-45 cm -5o - +15o high 38-55 cm -5o - +15o Short frame 36-42 cm. Long frame 42-48 cm. Short frame 42-48 cm. Long frame 48-54 cm. Seat height rear Seat height front 8: 6 Sittsdjup Seat depth Functional seat depth

-5o - +20o Biangular 32-45 cm -5o - +20o Triangular 32-45 cm -5o - +20o Lumbal angle Monoangular +10° (fixed) Biangular ±6o (at 10o back angle) Triangular ±12o (at 10o back angle) Short frame 36-42 cm. Long frame 42-48 cm. Short frame 36-48 cm. Long frame 42-54 cm. Triangular +0 to 6 cm. Adjustable plush upholstery/ECS Standard/Comfort/TIdy Push handles/alternative bow handle Both height adjustable at intervals of 2 cm. Detachable. Fits Crossback 3A right/left model Standard knee angle/narrow/narrow short Lockable, standard knee angle/narrow/narrow short Mod 1 with calf support adjustable in height, depth, angle and sideways (also available with flip-up calf support). Mod 2 with calf support adjustable in angle, height and sideways. Mod 3 with foldable calf support from 40 cm seat width. With attachment and calf support 4 The chairs possibilities Seat depth + 6 cm Functional seat depth 1 1 5 5

Armrest Footrest Front fork attachment Brakes Single hand drive Plaster legrest/amputee legrest/ amputee weight short 25 cm/long 35 cm Std Max length: 51 cm. Min length: 33 cm. Extended attachment tubes +10 cm Shorter attachment tubes -8 cm One-piece footrest One-piece footrest complete for 35-37,5 seat width, adjustable in angle, settable height and depth Standard/widened 6 cm Adjustable 4 cm in height Standard/Single hand brake, both alternatives with standard, angled or extended handle. For right or left side. Telescoping axle, easy to remove when folding + 6 cm

Armrest height-adjustable 38 cm long, solid top, black Armrest cover detachable, 25 or 38 cm long padded or gel, dark grey plush or black Dartex Armrest cushion wide and soft, 8x40 cm, fits onto armrest Armrest cushion Hemi swing-away for mounting on long armrests Armrest foldable height adjustable or fixed height Side guard black Mudguard right and left Thigh support Widening kit to extend handrims, brake and armrests 10 mm on each side Tray transparent, fits onto long armrest Hemi tray transparent, Width 35-50 cm. Can be fitted onto short or long armrests. Anti-slip device for the Hemi tray Tray Hemi/Communication right / left Bracket for seat extension Seat cushion dark grey plush and black velour, 56 cm, cut according to seat depth set, washable Seat cushion Tidy, water repellent, wipe clean 5 Accessories

Adjustable= Adjusted without tools. Comfort wedge for the cushion, evens out the front part of the seat Seat and backrest cushions ECS in PE or memory foam, cover in dark-grey plush or black Dartex Cover for calf support on angle adjustable legrest model 3, black Dartex Calf strap detachable, black nylon, adjustable in length Padding for calf strap Heel straps black nylon, adjustable length Extended footrest fits onto the existing footrest, from seat width 40-55 cm Positioning belt two pieces, with snap-lock, fixing points on the wheelchair frame Seat belt with snap lock Headrest mounts on bow handle, adjustable in height, depth and angle Available in several models Cross brace with snap lock Back wedge length 15 and 30 cm, attached with Velcro Trunk support settable in depth and angle, black Dartex, foldable, incl. attachment Trunk support Cross back 3A, PUR or Dartex Trunk support Cross back 3A, swing-aside, medium or large cushion

Anti-tips with tilter, foldable, height settable Anti-tips Aluminium, foldable, settable in height and adjustable in length, detachable Tilter (not for low seat heights 20” / 22” in position C) Anti-tips telescopic, foldable, settable height, adjustable length and angle 5 Accessories Adapter for combination of anti-tip/tilter Cane holder two parts, one of which is an elasticated section that is fastened around the cane Spoke guard with grey or yellow print Tetra quick release adapter for persons with reduced hand function Transport attachment when mounted in C4 position only with 00 camber + spacer 20232 Tool kit Bags Gloves Information is available at www.etac.com Bags Case Logic Information is available at www.etac.com A

adjusted 4 cm up or down by loos- ening the two attachment screws (A and B) 1-2 turns. See position marking (C) to obtain equal height on both sides. Check and adjust the angle of the attachment and tighten the screws. Tools: 6 mm Allen key (a spirit level might be useful). Risk of tipping: Always check the setting of the anti-tips. (!) See also point 14: “Alternative seat heights/angles”. Tools: 5 mm Allen key and 10 mm U-spanner. (!) Also adjust the angle of the front fork attachments see point 6:5. nut until it cannot be turned any more. Loosen it 1/2-1 turn. The spring washer then has the cor- rect tension. It reduces the risk of the castor starting to “wobble”. Tools: 19 mm socket spanner. (!) Also adjust the angle of the front fork attachments, see point 6:5. Risk of tipping: Always check the setting of the the anti-tips. (!) Also adjust the angle of the front fork attach- ment, see point 6:5. 6 Settings seat A B C A B 6:1 Front seat height The front seat height (see Part “The chairs possibilities”) is dependent on: Castor wheel: 5", 6", 6.5". Front fork attachment: Settable in height and angle. Front fork: Short and medium length with three alternative height positions for the castor. 6:2 Castor wheel The height may be adjusted by changing the castor wheel itself or by changing its position in the fork. Unscrew the castor wheel and place it at the desired height in the front fork. 6:3 Adjusting the height of the front fork attachment 6:4 Changing front fork Pull out the plug attachment on the front fork attachment to reach the retaining nut. Unscrew the nut and pull out the front fork. Take the washer and ball bearings and put it on the new fork (the bevelled side (A) towards the fork). Insert the new fork into the attachment. It is also impor- tant to ensure that the washers in the attachment (under the retain- ing nut) are placed in the right order, with the spring washer (B) on top. Tighten the retaining 20Nm

wheels, always check that they are securely mounted. The button in the hub should pop out to the original position. Risk of tipping: Always check the positioning of the anti-tips. (!) See also point 14: Alternative seat heights/angles”. (!) Keep your eye on something vertical, e.g. a door frame or table leg, while setting the angle. Risk of tipping: Always check the positioning of the anti-tips. 6 Settings seat Seat height rear 6:5 Setting the angle of the front fork attachment The correct angle setting is impor- tant for the wheelchair’s manoeu- vrability. Unscrew the lower attachment screw (A) about 2 turns so that the shaft (C) moves freely inside the sleeve. Insert the Allen key in the hole (B) and turn until the attachment is 90° to the floor. Always start from a position that enables the wheel to move forward in the rotation (D). Hold the shaft in place while the lower attachment screw is tightened. Tools: 6 mm Allen key (a spirit level might be useful). 6:6 Rear seat height The rear seat height is dependent on: The size of the rear wheels 24", 22" or 20". The height setting of the rear wheel 3 alternative height positions: A-B-C. 6:7 Rear wheel with quick release hubs The shaft axle is movable and can also be adjusted in length. Turn the nut on the axle inwards/ outwards while at the same time holding the axle with an adjust- able spanner. A B C D 20Nm

and nuts and reassemble it at the desired height. At the same time you should also test for correct balance, see point 10:8. Tools: 24 mm socket spanner. - Check that the rear wheels are correctly mounted, see point 6:7. - Always check the posi- tion of the anti-tips. - The brakes must al- ways be adjusted if you change the position of the rear wheels. (!) Also adjust the angle of the front fork attachment. - Remove the oval plate, turn it 180° (the pin on the plate’s in- side must sit in the upper hole) and tighten it again. Tools: Phillips screwdriver. The braking effect is dependent on the air pressure in the tyres. The brakes are parking brakes and should not be applied during use. The brakes are infinitely settable. - Loosen the screw (A) a couple of turns and slide the brake until the brake block is about 15-20 mm from the tyre when the brake is not applied. - Ensure that the brake is straight in the groove and tighten the nut appr. 5 Nm. Test the brakes. Tools: 5 mm Allen key. If the rear wheel is positioned in one of the forward settings it is possible for a legrest, when swung to the side, to unlock an applied brake. To avoid this the brake handle should be adjusted so that you attain a “neutral” position. In this way the brake will unlock first when the handle is pushed close to the rear wheel. - Loosen the screw on the inside of the brake handle. 6 Settings seat Brake lever exten- sions and angled brake handles are available as accessories. 6:8 Height adjustment of the rear wheels 6:9 Adjusting the brakes A

tipping, always adjust the setting of the anti- tips. (!) If the seat angle is changed: - Adjust the angle of the front fork attachments. - Also check the angle of the backrest. 6 Settings seat Seat height rear Seat height front Seat depth Functional seat depth 6:10 Seat angle The seat angle is dependent on the difference between the front and the rear seat heights. Cross can also be set with a seat that is angled forwards. For max. angle of the chair, see “The chairs possibilities”. 6:11 Seat depth with adjustable seat upholstery The seat depth can be adjusted (Also see “The chairs possibili- ties”) by lifting the front seat up- holstery and sliding it backwards or forwards. With Cross backrest 3A triangular, the seat depth can be further adjusted by means of the lumbar angle (see the settings section for Cross backrest 3A). (!) The functional seat depth is dependent on the setting of the back upholstery. It can be upto 6 cm longer than stated seat depth measured from the seat tube.

check the position of the anti-tips after ad- justing the backrest. Tools: Allen key 5 mm. The backrest angle is infinitely variable (See “The chairs possibili- ties”). The angle is adjusted using the nut on the inside of the rear wheel attachments. - Loosen the nut on one of the back tubes, set the desired an- gle and tighten the nut firmly again. - Repeat the procedure on the other side. Tools: 13 mm ring spanner. (!) Check that the angle is the same on both sides by com- paring the distance between the back tube and the arm- rest plate. Risk of tipping: Always check the positioning of the anti-tips after adjust- ing the backrest angle. 7 Settings backrest mod. 2 7:1 Backrest The backrest is settable in height and angle and has adjustable upholstery. 7:2 Backrest height The backrest height is continuous- ly settable (See “The chairs pos- sibilities”). Loosen the screws (A) 2-3 turns to set the height of the backrest. Ensure that both sides are at the same height by check- ing against the ruler (B) on the back of the back tube. Tighten the screws securely. 7:3 Backrest angle

check the positioning of the anti-tips after adjust- ing the backrest uphol- stery. (!) Do not overtighten the upper straps as this can prevent the cross-brace from unfolding properly, i.e. the seat-frame tubes do not sit flush in the sideframes. Ensure that the knobs are properly tightened. This is especially impor- tant if you intend to lift the wheelchair whilst the user is sitting in it. -The bow handle must be removed before the chair can be folded. En- sure that the knobs are properly tightened. This is especially important if you intend to lift the wheelchair whilst the user is sitting in it. 7 Settings backrest mod. 2 7:4 Backrest upholstery The contour of the backrest up- holstery is individually adjustable by using the five Velcro straps and the backrest cover. - Allow the cover plenty of room between seat and backrest, so that it is possible to “sit in” against the backrest. - Loosen all the straps and ensure that the user is sitting as far back in the seat as pos- sible. - Tighten the straps in such a way that they follow the con- tours of the user’s back and give plenty of support to the lumbar region. 7:5 Height adjustable push handles The push handles can be set at intervals of 2 cm. - Loosen the knob (A) and press the plastic washer. Install de- sired height. - Ensure that the push handles are locked in the correct posi- tion. Tighten the knob again. 7:6 Bow handle (option) The bow handle is height adjusta- ble and detachable. It is mounted in the push handle attachment, and is adjusted in the same way, see above. A headrest may also be fitted to the bow handle, see part “The chairs possibilities”.

1 3 2 8:1 Adjusting back support angle, mono- bi- and triangular back 1. Loosen the nut. 2. Adjust the back support angle. Use the posi- tion markings to obtain the same back support angle on the right and left sides respectively. 3. Tighten the nut. Risk of tipping: Always check the positioning of the anti-tips after adjusting the backrest upholstery. Tools: Ring spanner 13 mm.

8:2 Adjusting back support height 1. Remove the protective cover. 2. Loosen the locking screws max. 1 turn. 3-4. Adjust the back support height using the graduation and marking on the lower back rod. 5. Tighten the locking screws. 6. Fit the protective cover. 1 Risk of tipping: Always check the positioning of the anti-tips after adjusting the backrest upholstery. Tools: Allen key 5 NV.

8:3 Adjusting back support height and lumbar angle 1-2. Remove the protective cover and loosen the locking screw (A) max. 1 turn (see also illustration 1 on page 20). 3. Adjust the back support height using the grad- uation and the marking on the lower back rod. 4. Move the Allen key to the eccentric shaft‘s key handle (B). 5-6. Install desired lumbar angle. 7. Tighten the locking screw and fit the protec- tive cover as in illustration 5-6 on page 20. 3 5 6 1 1 5 5 1 1 5 5 1 1 5 5 1 1 5 5 1 1 5 5 4 1 1 5 5 1 1 5 5 A 1-2 1 1 5 5 B Risk of tipping: Always check the positioning of the anti-tips after adjusting the backrest upholstery. Tools: Allen key 5 NV.

8:4 Adjusting back support height and lumbar angle ! We recommend that you start adjusting the lum- bar angle with the upper eccentric shaft. If a larger angle is required, adjust the lower eccentric shaft as well. 1-2. Remove the protective cover and loosen the locking screws (A) max. 1 turn (see also illustration 1-2 on page 20). 3. Adjust the back support height using the gradu- ation and the marking on the lower back rod. Tighten the locking screws max. 1/2 turn. 4. Place the Allen key in the selected (upper recom- mended) eccentric shaft’s locking screw and loosen it 1/2 turn. Move the Allen key to the eccentric shaft‘s key handle and set the required lumbar angle. 5. Tighten the locking screws and fit the protective cover as in illustration 5-6 on page 20. 1 1 5 5 1 1 5 5 1 1 5 5 3 1 1 5 5 1 1 5 5 A 1-2 4 Risk of tipping: Always check the positioning of the anti-tips after adjusting the backrest upholstery. Tools: Allen key 5 NV.

8:5 Adjusting seat depth by means of lumbar angle 8:6 Fitting seat extender 1. Adjust the back support angle (see also il- lustration 1-3 on page 20). 2. Adjust the lumbar angle to the required back support angle using the eccentric shafts as in point 4-5 on page 22. 3. If necessary fit seat extender (accessory). An extended seat depth is achieved by opening the back support angle (hip) and then the lumbar angle. 1 1 5 5 1 1 2 3 2 Risk of tipping: Always check the positioning of the anti-tips after adjusting the backrest upholstery. Tools: Ring spanner 13 mm and Allen key 5 NV.

footrests as you may tip the chair. Never carry a wheelchair by legrests other than lockable. For lifting a wheel- chair without lockable legrests: Swing in the legrests un- der the seat, or remove them, and lift using the frame (lower or upper part). The narrow legrest limits the choice of castors. Before lifting the wheel- chair check that the legrests are locked. 9 Settings legrests Standard (wide) Narrow Short (narrow) A B 9:1 Legrests with fixed or adjustable angle Fixed: The legrests are detach- able and can be swung to the side or under the seat. They are available in two different knee angles: standard and narrow. The narrow legrest is also available 8 cm shorter. All 3 variants can be obtained as lockable. Adjustable: In addition there are several types of variable, angle- adjusted legrests with calf sup- ports. Amputee legrests and amputee weight are also available as alter- natives to legrests. 9:2 Legrest with fixed knee angle (wide or narrow) With narrow knee angle the feet are 5 cm closer to the seat than with the standard angle. The narrow legrests are a good alternative when the seat depth is shortened, but they can only be used with 5" castors. For a raised footrest, the narrow legrest is also available in a shortened version, (combined with footrest with shortened attachment tubes). 9:3 Lockable legrests (option) Cross can be supplied with lock- able legrests. The legrests are detachable and can be swung to the side or under the seat. - To remove the legrests, press down on the red button (A) and lift. - To fasten the legrests press down on the red button (A), put the legrest into place and release the button. The legrest is now locked (B).

on the amputee leg support. When lift- ing the wheelchair, remove the amputee leg support, swing the other legrest in under the seat (or remove it) and lift us- ing the frame (lower or upper part). The amputee legrest is settable in height, It can also be adjusted forwards, sideways and in angle. It can be used both on the left and right side of the chair. - Angle and sideways: loosen the lever under the plate. - Forwards/backwards: loosen the knobs under the plate. - Height: use the Allen key provided. Tools: 4 mm Allen key (provided). 9 Settings legrests 9:4 Continuously angle-adjustable legrest (option) There are three types of angle adjustable legrests. Mod. 1: With or without plush covered calf support which is adjustable in height, depth and angle. The calf support can also be mounted as a knee stop. (!) See assembly instructions supplied for mounting the calf support. Mod. 2: With foldable calf support which is adjustable in angle, height and sideways Calf support in polyurethane. Mod. 3: With polyamide or plush calf support that is hinged and angle-adjustable. The calf support can be fitted at 2 different heights on the legrest tube. With seat width 35 and 37,5 calf support of polyamide can only be used on one side. 9:5 Amputee legrest (option) Never stand on the footrests as you may tip the chair. When lifting a wheelchair, remove the legrests and lift using the frame (lower or upper part).

For outdoor use the footrests should be raised 4-5 cm above the ground. Never stand on the footrests as there is a risk of tipping! Make sure the screw- head locks in the hexagon hole. Right Left A B 9:6 Height of the footrests Cross is supplied with flip-up foot- rests, adjustable in height, setta- ble in angle and depth. Height Loosen the locking handle (A) on the legrest fully. Remove the screw (B). Set the height. Replace the screw and handle. Tighten securely. (!) - To make the footrests higher than standard there are also short/narrow legrests with footrests with 8 cm shorter attachment tubes. - To make the footrests lower than standard there are foot- rests with 10 cm longer attachment tubes. The footrests can also be adjusted in angle and depth. Angle: Loosen the screws (C) slightly. Adjust to the required position and tighten again. Tools: 5 mm Allen key. Depth: The sides of the footrests have different lengths. By changing the left side for the right they will extend further forwards. C 9:7 Angle and depth of the footrests (!) If the depth is altered, the angle must be adjusted.

This technique only works if there is a low kerb/threshold, relative to the installed height of the foot- rests. - Ensure that the anti-tips are turned upwards. - Reverse to the edge of the kerb/threshold. - Take a firm hold of the handrims while at the same time leaning forwards.  Be sure to turn the anti- tips back to the down position. User, driving up forwards: This method is recommended only for experienced wheelchair users. - Ensure that the anti-tips are turned upwards. - Drive forward to the edge of the kerb/threshold. - Balance the wheelchair on its rear wheels so that the cas- tors wheels lift high enough to come up on the pave- ment. Take a firm hold of the handrims while at the same time leaning forwards with your upper body. Be sure to turn the anti- tips back to the down position. Care giver, driving up forwards: - Ensure that the anti-tips are turned upwards. - Tilt the wheelchair, if necessary with help from the tilter, so that the castor wheels come up on the pavement. - Lift by the push handles to help the rear wheels up.  Be sure to turn the anti- tips back to the down position. 10 Driving technique, maneuvering 10:1 General Parking: Increase the overall sup- port base of the wheelchair by re- versing for about 10 cm, thereby ensuring the castor wheels swing forwards. If the user is left alone in the wheelchair, ensure that the brakes are applied and that the anti-tip is swung down. 10:2 Driving technique, kerbs and raised thresholds: up

and backwards, ensuring that the castor wheels have cleared the edge before setting down the wheel chair onto all four wheels. Be sure to turn the anti- tips back to the down position. User, driving down backwards: This technique is not recom- mended for differences in level of over 10 cm. - Ensure that the anti-tips are turned upwards. - Reverse to the edge of the kerb. - Reverse carefully down while at the same time leaning for- wards. There is a greater risk of tipping during this manoeuvre. Be sure to turn the anti- tips back to the down position. Care giver, driving down back- wards: - Ensure that the anti-tips are turned upwards. - Reverse the wheelchair to the edge of the kerb. - Drive carefully down the kerb and reverse the wheelchair on the rear wheels until the cas- tors have cleared the obstacle. - Set down the wheelchair once again on all four wheels. Be sure to turn the anti- tips back to the down position. User, driving down forwards: This method is recommended only for experienced wheelchair users. - Ensure that the anti-tips are turned upwards. - Drive forward to the edge of the kerb. - Take a firm hold on the handrims and drive “straight out” so that the wheelchair lands below the kerb on all 4 wheels simultaneously. Be sure to turn the anti- tips back to the down position. Care giver, driving down for- wards: - Ensure that the anti-tips are turned upwards. - Tilt the wheelchair, if necessary with the help of the tipper bar, so that the castor wheels are in the air. - Drive carefully down the kerb, and set down the castors on the ground. Be sure to turn the anti- tips back to the down position. 10 Driving technique, maneuvering Care giver, driving up backwards: - Reverse the chair to the edge of the kerb/threshold. - Tilt the wheelchair up, if neces- sary with help from the tilter, so that the castor wheels are in the air. 10:3 Driving technique, kerb: down

Never use an escalator, even if a care giver is available. We always recommend using two carers for this transfer. One who walks behind and holds on to the push handle and one who walks in front and holds on to the frame (or in the legrests if these are lockable). With care giver, backwards: - Turn the anti-tips upwards and ensure that height adjust- able push handles are securely tightened. - Reverse the wheelchair to the first step. - Tilt the chair onto its rear wheels, if necessary using the tipper bar to help. - Pull the wheelchair slowly upwards, one step at a time, keeping it balanced on the rear wheels at all times. - When the last step has been cleared, continue backwards so that the castor wheels are over the ground before setting down the wheelchair onto all four wheels. Be sure to turn the anti-tips back to the down position after completed transfer. (!) The care givers should remem- ber to use the strength in their legs and to keep their backs as straight as possible while lift- ing. 10 Driving technique, maneuvering 10:4 Driving technique inclined surface Please read this important advice for driving up or downhill careful- ly to minimise the risk of tipping. (!) Avoid turning round in the middle of a hill. Always drive as straight up/down as possi- ble. It is better to ask for help than to take a risk on your own. Uphill driving: Lean forwards to correct your centre of balance. 10:5 Driving technique, stairs: up Downhill driving: Lean against the backrest to correct your centre of balance. Control your speed using the handrims, not by means of the brakes!

the front. Before transferring: - Increase the overall support base of the wheelchair by reversing for about 10 cm, thereby ensur- ing the castor wheels swing forwards. The wheelchair should be placed close to where the transfer is going to take place. - Apply the brakes, remove the armrest/side guard and swing the legrest in under the seat one the side you intend to move across. Never stand on the foot rests as you may tip the chair! (!) The care givers should remember to use the strength in their legs and to keep their backs as straight as possible while lifting. - Drive carefully down, one step at a time, keeping the chair balanced on its rear wheels at all times. - After clearing the last step, “set down” the wheelchair once again on all four wheels. Be sure to turn the anti- tips back to the down position after completed transfer. (!) The care givers should remember to use the strength in their legs and to keep their backs as straight as possible while lifting. Always ask for help. Never use an escalator, even if a care giver is available. We always recommend using two carers for this transfer. One who walks behind and holds on to the push handle and one who walks in front and holds on to the frame (or in the legrests if these are lockable). With care giver, forwards: - Be sure to turn the anti-tips back to the up position and ensure that height adjustable push handles are securely tightened. - Drive forward to the first step and tilt the wheelchair onto its rear wheels if necessary with help from the tilter. 10 Driving technique, maneuvering 10:6 Driving technique, stairs: down 10:7 Driving technique, transferring into/out of the wheelchair The technique for transferring a user should be practised with trained personnel. All that is provided here is some important advice to consider in conjunction with transferring a user into or out of the wheelchair. With or without a care giver, sideways. Before transferring: - Increase the overall support base of the wheelchair by reversing for about 10 cm, thereby ensuring the castor wheels swing forwards. The wheelchair should be placed as close to where the transfer is going to take place as possible. - Apply the brakes, remove or swing up armrest/side guard and legrest on the side you intend to move across

spanner and adjustable spanner. The centre of balance can be adjusted by changing the position of the rear wheels. - Move the axle shaft/rear wheels forwards/backwards as shown in point 6:8. The brakes must also be adjusted, see point 6:9. Tools: 24 mm socket spanner (10 mm spanner). When the position of the rear wheels is moved forwards the wheelchair becomes much more manoeuvrable, but the tendency to tip backwards increases. (!) The centre of balance is also altered when the seat and/or backrest angle is adjusted. We recommend the use of anti-tips. Ensure that rear wheels with quick release hubs are mounted securely. 10 Driving technique, maneuvering Cross 10:8 Adjusting the centre of balance 10:9 Changing the camber angle, Cross The rear wheels are mounted with a standard 2° camber angle. You can change the camber angle by changing the washers between the axle shaft and the nut.

The way in which the user is able to grip the handrims is influenced by the handrim’s material and its distance from the wheel. Cel- lular rubber and plastic coated handrims are available as options. Cellular rubber/ plastic coated handrims increases the friction. Violent braking can cause mild friction burns (e.g. blisters). Be aware that when passing through narrow spaces there is a risk of getting your fingers caught. There is also a risk of fingers getting caught in the spokes. If there is a risk of the user’s fingers getting caught in the spokes we recommend spoke guards. 10 Driving technique, maneuvering Spacers 10:10 Handrims 10:11 Adjusting the distance of the handrim Aluminium, stainless, plastic-coat- ed and cellular rubber handrims for 24", 22" and 20" rear wheel: The distance between the wheel and the handrim can be adjusted by adding or removing spacers.

in two versions, with short or long armrest guard. The armrest attachment can be fitted in 2 dif- ferent heights. In position 1 the height of the armrest is settable between 19 and 26 cm, and in position 2 (standard) between 24 and 31 cm, with 1 cm intervals. Tools: 10 mm spanner, 5 mm Allen key. The lock lug is used both to set the height of the armrest and secure the side guard: - Loosen the screw that fastens the lock lug. - Slide the guard up or down to the desired height. - Refasten the lug on the side guard. If necessary the right armrest can be fitted on the left side and vice- versa. Tools: 3 mm Allen key. Never use the armrests to lift the wheelchair. 11 Assembly instructions accessories 1 2 Assembly instructions are always provided with accessories when they are delivered from Etac. 11:1 Seat cushion and comfort wedge The cushion is cut to the required depth at the front or back edge. When measuring the length, ensure that the cushion is prop- erly positioned between the back tubes with the rounded corners to the rear. The cushion is a stand- ard model and is not suitable for users with sitting sores. 11:2 Armrest, detachable, height adjustment 11:3 Padded cover, armrest The detachable armrests can be supplemented with a padded or gel cover. The covers are manu- factured in dark grey plush, or alternatively black Dartex, and they are washable. A comfort wedge is a useful ac- cessory for the seat cushion. It evens out the front edge of the seat, giving even greater seat comfort. Place the comfort wedge in the cushion-cover’s inside pock- et, under the cushion. The arrow on the comfort wedge should be on the top-side pointing forwards. (!) The padded cover makes the armrest 1,5-2 cm higher. (!) With 24" low pressure or solid tyres in pos. C1, the armrest’s sideguard does not cover the front edge of the rear wheel. Instructions are also available on our website. www.etac.com

only for positioning in the wheelchair. It must not be used as a substitute for a car safety belt. We recommend the front position. (B) It counteracts sliding forward more effectively. 11 Assembly instructions accessories A 11:4 Armrest, flip-up, height adjustment The flip-up armrest comes in two varieties, height adjustable and fixed. It is mounted onto the wheelchair’s frame and can be flipped upwards/backwards by pressing the red lever (A) inwards. Mount the armrest according to the assembly instructions sup- plied. The armrest height is settable between 22 and 30 cm with 1 cm intervals. - Push the red lever to one side and loosen the screws that fix the armrest bracket to the frame. - Slide the armrest up or down to the desired height. - Tighten the screws again. 11:5 Positioning belt The positioning belt is in two parts, is adjustable in length and has a snap-lock. It can be mounted either in the backrest joint (A) or in the holes just in front of the backrest joint (B), above the wheel mounts. Assembly instructions are supplied with the belt. (!) Ensure that the user does not slide forwards in the seat as this can lead to the belt impairing the supply of blood to the hip/waist area. Tools: 3 mm Allen key. Never use the armrests to lift the wheelchair. (!) These armrests cannot be combined with cane holder or with 24" 22" or 20" rear wheels in position C. A B

- The attachment bar is mounted under the wheel mount (see illus). - The anti-tip bar is mounted a the desired height (see illus). 11 Assembly instructions accessories A 3-7 cm To allow you to negotiate thres- holds and the edges of thick carpets, a distance of 3-7 cm from floor level is recommended. Tools: 5 mm Allen key After adjusting the seat height, centre of bal- ance or backrest angle, always ensure that you check the function of the anti-tip. A 3-7 cm Telescopic anti-tips can be adjust- ed in length and angle by pressing in the snap-lock pin. 11:6 Anti-tip, mounting Check the balance of the wheelchair when the user leans against the headrest. We recommend the use of anti-tips. 11:7 Headrest The headrest is mounted onto the bow handle (accessory, see point 8:6). The headrest is adjustable in height, depth and angle, and is detachable. Assembly instructions are supplied with the headrest. (!) Before the headrest is adjust- ed, ensure that the user has a good, secure sitting posture.

and can easily be removed from the frame by unscrewing the end caps. The backrest upholstery is removed by loosening the screws of the push handle attachments and then pulling the upholstery upwards. Wash seat and backrest upholstery according to the washing instructions on the product. Rear wheel/castor, front fork attachment Tyre/inner tube: Check the tyre pressure (see side of tyre) at least once a month, also check the tread. Spokes: Loose spokes can lead to wheel wobble. Consult a cycle dealer or your Technical Aids Centre if it is necessary to adjust the spokes. Wheel axles: Clean the wheel axles from hair and dirt as necessary. Ball bearings: Require no maintenance. Handrims: If a handrim should be damaged in such a way that it could lead to injury, it should be replaced. Front fork attachment: To achieve the best operating conditions, the attachments should be installed at 90°. Check also that the front forks are tightened according to instructions, see point 6:4. Brakes The braking effect is dependent on the air pressure in the tyres. Encrusted dirt can have a negative effect on the brake mechanism. Check the functioning of the brakes once a month. In the event of adjustments, see point 6:9. Washing the frame It is important to keep the wheelchair clean, both for your own comfort and the longevity of the chair. It is equipped with a drainage hole which ensures that it is easy to wash and dry. Clean the frame with a non- abrasive cleaning agent with a pH level between 5 and 9, or with a 70% disinfectant solution. Rinse and dry. Touch-up paint Touch-up paint is available for minor scratches and chips in all the frame colours available for Cross wheel- chairs. Miscellaneous If there is a fault in your wheelchair you should contact your dealer or Technical Aids Centre. Defective wheelchairs should not be used. If your chair needs reconditioning or repair, only original parts from Etac or components with equal quality, as specified in Cross diagrams, should be used. Etac will not be held responsible for damage or injury caused by use of non-original parts. (!) When necessary lubricate moving parts/joints with bicycle oil or similar. 12 Care and maintenance

(!) When necessary, lubricate moving parts/joints with bicycle oil or similar. * The user may experience several of these problems if the wheelchair is incorrectly adjusted or is being incorrectly used. Fault-finding chart Problem* Solution The wheelchair pulls to the side The wheelchair feels “heavy” to propel The wheelchair feels “heavy” to turn Brakes not effective Rear wheels “loose” Rear wheels hard to remove/replace The castors “wobble” The wheelchair is hard to fold/unfold The wheelchair feels “awkward” - Inflate the tyres - Adjust the angle of the front fork attachment. - Check that the front fork attachments are mounted at the same height. - Rear wheel mountings are incorrectly fitted - The user is distributing weight unevenly - Inflate the tyres - Rear wheel mountings are incorrectly fitted - Clean the castor axles from hair and dirt - Too much weight over the castors. Adjust the centre of balance. - Inflate the tyres - Check that the front fork attachments are not too tight. - Adjust the front fork attachment’s angular setting - Clean the castor axles from dirt - Too much weight over the castors. Adjust the centre of balance - Inflate the tyres - Adjust the distance between brake and tyre - Adjust the length of the axle shaft - Clean and lubricate quick release with cycle oil or similar - Adjust the length of the axle shaft - The front forks are not tight enough - Check that the front fork attachments are mounted at the same height - Adjust the front fork attachment’s angular setting - Too much weight over the castors. Adjust the centre of balance - The upholstery is too tight - Clean and lubricate the cross-brace under the seat - Inflate the tyres - Check that screws, nuts and bolts are properly tightened

Cross is tested and approved for use indoors and outside and is CE marked. Max. user weight is 125 kg. The Swedish Institute of Assistive Technology carries out both functional and technical tests. Testing methods conform to ISO standard 7176. CE marking: The product has passed all tests and met all criteria set by European standards for specific product groups. A proof that the product meets national and EU MDD (Medical Device Directive) requirements. Gives customers the chance to choose the right product by comparing test data. Guarantee: 5 year guarantee against material and manufacturing defects. For terms and conditions, see www.etac.com Special adaptations comprise everything that falls outside the instructions and settings in this Manual. Wheelchairs specially adapted by customers are not eligible for Etac’s CE marking. Etac’s guarantee no longer applies. If in doubt about adaptations, consult Etac. Combining Cross with another product, not manufactured by Etac: In general neither of the products will retain their CE marking. Etac has contracts with certain companies whose products are approved in combination with Cross, including seat systems and motors. These can be combined and still retain their CE certificates from the manufacturer. Please contact Etac for up-to-date information.

Rear seat height table (measurements given can vary +/- 2 % depending on tyre type and seat angle). Front fork attachment is infi- nitely settable 4 cm in height. Seat height front Seat height rear 4321 C B A 4 cm Front seat height table Cross Cross Cross Distance rear wheel/seat 14 Alternative seat heights/angles 24" 22" 20" A 1-3 B 1-4 C 1-4 50 cm 45 cm 41 cm Rear wheel in pos. Distance rear wheel-seat Seat height rear Seat angle 3° 10 cm 14.5 cm 19 cm Rear wheel in pos. Distance rear wheel-seat Seat height rear Seat angle 3° Rear wheel in pos. Distance rear wheel-seat Seat height rear Seat angle 3° A 1-3 B 1-4 C 1-4 A 1-3 B 1-4 C 1-4 49 cm 44 cm 40 cm 47 cm 42 cm 38 cm 7.5 cm 12 cm 16.5 cm 5 cm 9.5 cm 14 cm Castor Fork Position S1 S2 S3 M1 M2 M3 5" 38-42 cm 40-44 cm 41-45 cm 43-47 cm 44-48 cm 46-50 cm 6½" - 41-45 cm 42-46 cm 44-48 cm 45-49 cm 47-51 cm Short Medium 2 3 1 2 3 1

Type of chair Art. no. Cross Seat depth from back tube** Seat height front Seat height rear Backrest height*** Total width Transport width Weight with rear wheels 35 cm short 35 cm long 37.5 cm short 37.5 cm long 40 cm short 40 cm long 42.5 cm short 42.5 cm long 45 cm short 45 cm long 47.5 cm short 47.5 cm long 50 cm short 50 cm long 52.5 cm short 52.5 cm long 55 cm short 55 cm long 13120101 13120102 13120103 13120104 13120105 13120106 13120107 13120108 13120109 13120110 13120113 13120114 13120111 13120112 13120115 13120116 13120117 13120118 32-45 cm 32-45 32-45 32-45 32-45 32-45 32-45 32-45 32-45 32-45 32-45 32-45 32-45 32-45 32-45 32-45 32-45 32-45 36-42 cm 42-48 36-42 42-48 36-42 42-48 36-42 42-48 36-42 42-48 36-42 42-48 36-42 42-48 36-42 42-48 36-42 42-48 38-51 cm 38-51 38-51 38-51 38-51 38-51 38-51 38-51 38-51 38-51 38-51 38-51 38-51 38-51 38-51 38-51 38-51 38-51 38-50 cm 38-50 38-50 38-50 38-50 38-50 38-50 38-50 38-50 38-50 38-50 38-50 38-50 38-50 38-50 38-50 38-50 38-50 56.0 cm 56.0 58.5 58.5 61.0 61.0 63.5 63.5 66.0 66.0 68.5 68.5 71.0 71.0 73.5 73.5 76.0 76.0 *22/32 cm *22/32 *22/32 *22/32 *22/32 *22/32 *22/32 *22/32 *22/32 *22/32 *22/32 *22/32 *22/32 *22/32 *22/32 *22/32 *22/32 *22/32 15.2 kg 15.4 15.3 15.5 15.4 15.6 15.5 15.7 15.6 15.8 15.7 15.9 15.8 16.0 15.9 16.1 16.0 16.2 Choice of frame colours: 01 = black, 02 = red, 22 = grey texture, 30 = blue texture, 33 = sea green texture, 34 = plum texture, 53 = grey blaster. Cross: Weights and dimensions given are for a chair with 24" rear wheels with quick-release hubs, aluminium handrims, legrests, footrests, brakes, armrests, 6 1/2" castors with medium forks. The measurements given can vary ± 2 %. Cross Active: Transport weight 9 490 gr. (wheelchair 40 cm short with brakes, armrest attachment, 5” castor, short front fork with aluminium axle, backrest Cross mod 2 low , transport attachment, anti-tip aluminium.) Total weight with 24” carbon rear wheels, titanium handrims, legrests, footrests and carbon side guards is 14 500 gr. *Without rear wheels ** Cross backrest 3A Triangular 36-48 (short frame) and 42-56 cm (long frame) *** Applies to Cross backrest 3A (For Cross backrest mod. 2 applies 30-45 cm) Cross

Box 203 334 24 Anderstorp Sweden Tel 0371-58 73 00 Fax 0371-58 73 90 [email protected] www.etac.se Etac AB (export) Box 203 334 24 Anderstorp Sweden Tel 46 371-58 73 30 Fax 46 371-58 73 90 [email protected] www.etac.com Etac AS Pb 249, 1501 Moss, Norway Tel 815 69 469 Fax 69 27 09 11 [email protected] www.etac.no Etac GmbH Bahnhofstraße 131, 45770 Marl, Germany Tel 02365-98710 Fax 02365-986115 [email protected] www.etac.de Etac Holland BV Fluorietweg 16a, 1812RR Alkmaar, Nederland Tel +31 72 547 04 39 Fax +31 72 547 13 05 [email protected] www.etac.com Etac UK Limited 29 Murrell Green Business Park London Road, Hook, Hampshire RG27 9GR, United Kingdom Tel 01256 767 181 Fax 01256 768 887 [email protected] www.etac.com R82 UK Limited. Unit D4A, Coombswood Business Park East Coombswood Way, Halesowen West Midlands B62 8BH United Kingdom Tel 0121 561 2222 Fax 0121 559 5437 [email protected] www.etac.com Etac A/S Egeskovvej 12 8700 Horsens Denmark Tel 79 68 58 33 Fax 75 68 58 40 [email protected] www.etac.dk Snug Seat, Inc. 12801 E. Independence Boulevard P.O. Box 1739 Matthews, NC 28106, USA Tel 800 336 7684 Fax 704 882 0751 [email protected] www.etac.com Etac Supply Center AB Långgatan 12 SE-334 24 Anderstorp 7 320450 079924 74137