User Manual for all Spex Back Supports (product code begins with ‘125’)

Revision: BackSupport20210909_EN

Wheelchair Back Support

Installation & User Manual
®

IMPORTANT CONSUMER INFORMATION NOTICE:

This manual contains important instructions that must be passed on to
the user of this product. Please do not remove this user manual before
delivery to the end user.
SUPPLIER: This manual must be given to the user of this product.
USER/CAREGIVER: Before using this product, read entire manual and save
for future reference. Transit Safety section MUST be read before Back
Support is used in a vehicle.
MD: This product is a Medical Device.

User Name / Nom de l’utilisateur:

Serial Number / Numéro de série

SPEX BACK SUPPORT USER MANUAL 2 WWW.SPEXSEATING.COM

Contents
Introduction 2
Weight Capacity 3
Compatibility 3
Safety Instructions 3
Back Support Contents 5
Installing Quad Mount Hardware 6
Installing Single/Dual Mount Hardware 8
Maintenance & Cleaning 10
Disposal & Recycling 11
Environment 11
Removing, reconnecting the Back Support 11
Re-issuing the Back Support to Another User 12
Contouring the Back Support Surface 13
Spex Risk Assessment 14
6 Month Checklist 15
Product Log Form 16
Transit Safety – Assembly, Use, Maintenance & Limitations 17
Transit Safety – Correct Positioning of Belt Restraints 18
Warranty 22

Introduction
The Spex range of Back Supports are designed to accomplish comfort and function for the wheelchair user
who requires specific Back Support. The Back Support can be adjusted in many ways to meet positioning
and postural needs including the unique contouring system that enables the surface of the Back Support
to change to suit the anatomy of the user.

Spex recommends that a clinician such as an Occupational or Physiotherapist who is skilled in wheelchair
seating and positioning be consulted to determine if the Back Support is appropriate for the user.

All changes made to the Back Support should be noted in the Product Log Form on page 16 of this user
manual. The 6 Month Checklist, found in this user manual (page15), is required to be completed to ensure
the backrest is maintained in a safe and functional condition.

Intended Use
Spex Seating is intended for users (disabled and/or discomforted) that require specific postural and
positioning support to provide comfort for body function in a sitting posture on wheelchairs for daily
activities and for transportation in vehicles. It is designed with ergonomic adjustments to provide
improved personal body-posture conditions and/or to help prevent/reduce physical problems associated
with sedentary work or activities.
SPEX BACK SUPPORT USER MANUAL 3 WWW.SPEXSEATING.COM

Contraindications
1. Use of Spex Wheelchair seating products may affect the center of gravity causing the Wheelchair
to tip, potentially causing injury. Always judge the need for anti-tippers or amputee axle adapter
brackets to be added to the Wheelchair to increase stability.

2. Check regularly for for skin redness and that pressure spots are not developing. If your skin develops
redness, stop using the product and consult your doctor or therapist.

Weight Capacity
Back Support Size 10”-15” (25.4-38 cm) 16”-20” (41-51 cm) 21”+ (53 cm+)
Maximum Occupant Weight 200 lbs. (90 kg) 300 lbs. (136 kg) Must use Heavy-Duty
Maximum Occupant Weight 300 lbs. (136 kg) 400 lbs. (180 kg) brackets
with Heavy-Duty brackets 400 lbs. (180 kg)

Compatibility
• The Spex Back Supports have been designed to be compatible with most manual and powered
wheelchairs.
• Spex recommends that the Spex Back Supports can be used with most wheelchairs that have vertical
Back Support canes (handle bars) that have circular-shaped tubes between 0.75” (19 mm) and 1” (26
mm) in diameter.
• Wheelchairs that the Spex Back Supports can’t be installed on include chairs that do not have Back
Support canes, and some anti-shear/powered recline back designs.

Safety Instructions
To avoid injury, read, understand and follow all instructions and warnings in this manual before installing
and using the Spex Back Support. There are hazards associated with the use of wheelchairs and adaptive
equipment. If you misuse your wheelchair or your Back Support you can be seriously injured. If your Back
Support ceases to function as intended, please consult your authorized Spex Seating supplier immediately
before continuing to use. Any serious incident that has occurred in relation to this product should be reported
to Spex Ltd.

Spex Back Support meets the requirements of ISO 7176-16; wheelchairs - resistance to ignition of postural
support devices. The cover and foam meet the flammability requirements of California Technical Bulletin 117.
In rare cases the fabrics used in this product may cause a skin irritation for people with sensitive skin. If you
experience any reddening or itching of the skin consult with your health care professional.

Disclaimer: Spex takes no responsibility as to the therapeutic effectiveness of our products. Our claims
relate to the ability of the products to provide safe and reliable positioning and seating on the equipment
onto which they are installed.
SPEX BACK SUPPORT USER MANUAL 4 WWW.SPEXSEATING.COM

WARNING
RISK OF ACCIDENT, INJURY, PAIN OR DEATH IF WARNINGS ARE NOT HEEDED
Seek assistance if you are uncertain about any of the following points

1. When installing a Back Support on to a wheelchair this may affect the centre of gravity and may
cause the wheelchair to tip backwards potentially resulting in injury or death. Always assess
for the potential need for anti-tippers to be added to the wheelchair to help increase stability.
2. Installation and adjustment of your Spex Back Support should be performed only by an au-
thorized dealer, qualified therapist or seating technician.
3. Failure to use the appropriate equipment for restraint in a vehicle can result in serious injury or
death.
4. The Back Support is shipped out with the brackets attached loosely. It is the installer’s respon-
sibility to ensure all hardware is tightened and the Back Support is locked firmly in place and
the quick release latches engaged correctly before the wheelchair is used.
5. Always ensure that the quick release latches are engaged correctly at all times. If the quick
release latches are not engaged, the Back Support may detach and cause injury.
6. Only use genuine Spex installation mounting hardware (as supplied) when installing the Back
Support to the wheelchair. If the wheelchair design is such that the Back Support attachment
hardware cannot be fitted, phone your dealer for further installation options.
7. Do not use the Back Support to push or lift the wheelchair. Improper use may cause the back to
detach from the wheelchair resulting in damage.
8. Only use genuine Spex accessories, components and attachments to this Back Support.
9. Do not attach the Back Support to the wheelchair with the user still sitting in the wheelchair.
10. Never use your Back Support if any hardware is missing, malfunctioning, or broken. Seek quali-
fied assistance with any repairs, replacements or adjustments.
11. The Spex Back Support range has been specifically designed as a rigid Back Support for us-
ers in mobility wheelchairs. Do not use the Back Support in any way not described and never
modify the Back Support.
12. Never use the Back Support without its cover. Care should be exercised near open flame or
burning cigarettes. Using the Back Support without its cover increases the risk of flammability
and skin damage.
13. Never exceed the weight capacity of your Back Support or the wheelchair as specified by the
wheelchair manufacturer.
14. Never perform exercise weight training that causes the user to exceed the weight capacity of
the wheelchair.
15. Care must be taken when undertaking a user transfer from the seating system. The user may
fall from the wheelchair or injure themselves when supports are removed.
16. Be aware of the pinch points. Ensure all body parts are kept clear during these movements and
adjustments.
SPEX BACK SUPPORT USER MANUAL 5 WWW.SPEXSEATING.COM

Back Support Contents

Your Back Support contains the following, in addition to the Back Support
foam, inner cover, outer cover and foam positioning kit.

Single/Dual Mount Hardware Quad Mount Hardware

DESCRIPTION QUANTITY

A A Height adjust fastener sets 4

B

A B C D E
B Back support shell 1
C D
E

C 2 pt mounting bracket 2

D Dual point hardware 2

Description Quantity Description Quantity

A Height Adjust Fastener Sets 4 A Height Adjust Fastener Sets 4
B Back Support Shell 1
B Back Support Shell 1
C 4 pt Mounting Bracket 4
C 2 pt Mounting Bracket 2 D Quad Mount Lower 2
D Dual Point Hardware 2 E Quad Mount Upper 2
SPEX BACK SUPPORT USER MANUAL 6 WWW.SPEXSEATING.COM

Installing Quad Mount

Tools required: 4mm, 5mm Hex (Allen) Key

Note: The upper and lower pins that connect the Back B
Support to the wheelchair canes have distinct differ-
ences. These must always be set in the right method:

A. Lower pin (with flat edges on shank)

B. Upper pin (with round shank) A

If a custom sized Back Support has been ordered, it

may not have the slots present. If so, mount the hard-
ware in the second row of holes from the outer edge.

1. The Back Support shell should be able to freely move between

the wheelchair canes, with approximately 0.5” (12mm) of clear-
ance between the cane and pins on each side.
The final adjustments should be made later during the set-up.

2. Apply enough tension to the fasteners to prevent the brackets

from moving freely during the set-up, and use a coarse ad-
justment to achieve the intended desired height of the Back
Support.
ENSURE THERE IS APPROXIMATELY 12mm OF CLEARANCE
PER SIDE, BETWEEN THE LOCATING PIN AND THE CANE TO
ALLOW THE BACKREST SHELL TO MOVE FREELY BETWEEN
THE WHEELCHAIR CANES

3.
AJDUST BRACKETS TO ENSURE THERE IS CLEARANCE

To mount the hardware, partially insert one fastener,

BETWEEN THE PIN AND THE CANE. APPLY TENSION TO
THE FASTENER TO PREVENT BRACKET FROM MOVING
FREELY DURING THE SETUP

slide the clamping plate under the fastener head, and

then secure with the remaining fastener.

4. Tighten both fasteners until the hardware remains in

place.

5. Level both left and right lower hook hardware compo-

nents.

6. Lightly attach all clamps to the wheelchair frame so they

can be raised or lowered but not so loosely they fall to
the bottom of the wheelchair frame.
Quick-release lever must be pointing downwards.
SPEX BACK SUPPORT USER MANUAL 7 WWW.SPEXSEATING.COM

7. Place the lower locating pins in the bottom hooks, and position
the Back Support in the upright position.

Loosen the upper Back Support bracket enough to be able to

8. slide it up or down, to locate the locking pin inside the quick
release catch.

9. Ensure the catches have engaged on the top connection pins.

10. Ensure the Back Support is aligned squarely, with even space
either side of the Back Support and canes.

11. Tighten the cane mount fasteners. Spex recommends 5 Nm of

torque.

12. Adjust the location of the pins to adjust the angle and seat
depth of the Back Support, and tighten once in correct position.
Spex recommends 5 Nm of torque.

13. If further angle alignment is required, use the extension

bracket #1259-2450-100.

The quick release mechanism should be removed from

the clamping bracket, and reattached to the extension
bracket.
The bracket can then be reattached using the M6 x 12
fasteners and Slim T-Nuts included with the extension
bracket.

14. To release the Back Support, first hold the top of the
Back Support, then lift the locking levers to disengage
the latch mechanism.
Lift the Back Support away from the wheelchair.

WARNING

Before use, always check that the quick release latches are prop-
erly engaged.
SPEX BACK SUPPORT USER MANUAL 8 WWW.SPEXSEATING.COM

Installing Single/Dual Mount

Tools required: 4mm, 5mm Hex (Allen) Key, 13mm spanner/
wrench.
L
IA
NT
E
IS TH
IDE ND

1.
NF AL A .

Adjust the Back Support mounting brackets to allow the Back

ENTI
L CO NFID B LIMIT
ED

N TIA IS TH
E HLY
CO
EDIF
A
RPO
SE
IDE ND
AL A .
IS HIG O FM P U ERS
NF ENTI RMA
TION OPERTY RA
NY
EO
WN
CO NFID B LIMIT
ED
INFO LUSIVE
PR D FO BY TH ED.

Support to move freely between the wheelchair canes.

CO A USE D IT
HLY EDIF SE THIS EXC NO
T BE MITTE AB LIM
HIG FM U RPO UST Y PER MEDIF
IS O
NY
P ERS M SL
TION OPERTY RA EO
WN WIN
G PRES TO
RMA PR D FO BY TH ED. DRA AT EX URNED
INFO LUSIVE USE D IT THIS THAN TH BE RET
THIS T BE

Approximately 5/8” (16mm) of clearance between the cane and

EXC NO MITTE LIM ER UST
U ST Y PER EDIFAB OTH AND M
G M PRES SL
WIN TO M
DRA AT EX URNED
THIS THAN TH BE RET
ER UST

pin is required.
OTH AND M

1
1X

4
2X

3 2

2. Apply enough tension to the fasteners to prevent the brackets 2X 1X

5
6

from moving freely during the set-up. 2X

2X

3. Note the differences between the left and right hardware con-
figurations. Ensure the hardware is installed to the correct side.

LEFT RIGHT

4. Attach the brackets to the canes, using the clamps and

fasteners. NAME

FOR PROTOTYPE REVIEW

32 Detroit Drive
iZone Business Hub
Rolleston 7675 DRAWN Mike Kea
New Zealand
Phone +64 3 307 9790 CHK'D

APPV'D
UNLESS OTHERWISE SPECIFIED: DIMENSIONS ARE IN MILLIMETERS
LINEAR TOLERANCES: +0.2mm
SCALE:1:2 ECN

FOR INTERNAL REVIEW ONLY

ANGULAR: TOLERANCES: +0.5°

5.
DEBURR AND BREAK SHARP EDGES CHANGE

Partially insert the rear fastener, slide the clamp under-

neath fastener head, and insert and tighten both fasten-
ers to secure the bracket in place.

DUAL-
SINGLE- MOUNT
6. Ensure that both the left MOUNT
and right hardware compo-
nents are level.

7. Tighten both fasteners.

Spex recommends 5Nm (4
ft-lb) of torque.

SINGLE- DUAL-
MOUNT MOUNT
SPEX BACK SUPPORT USER MANUAL 9 WWW.SPEXSEATING.COM

8. Insert Back Support into the hooks. Level

the clamps so the Back Support sits
squarely between the canes.

9. Backrest should clip in securely into both

quick release catches.
DUAL-
MOUNT
SINGLE-
10. The angle of the Back Support can be MOUNT
adjusted by loosening the two Stainless M8
Dome Nuts on each mount.

11. To adjust the angle, use a 13 mm wrench to loosen

the M8 nuts enough until the bracket is free to move.
Retighten once the Back Support is at the correct
angle.

12. To increase the seat depth of the seating system the telephone
shaped bracket can be rotated about as shown.

13. The quick release mechanism and hook will be required to

swap positions on the bracket as shown.

RIGHT HAND ASSEMBLY SHOWN.

Telephone shaped handle bracket mounted in forward position

for less seat depth.

Telephone handle bracket mounted in rearward position for

increased seat depth.
SPEX BACK SUPPORT USER MANUAL 10 WWW.SPEXSEATING.COM

Maintenance & Cleaning

Spex recommends that all fasteners be checked for wear, such as loose bolts or broken components every
6 months. Loose fasteners should be retightened according to the installation instructions. Contact your
authorized Spex Seating supplier immediately to replace any broken components. Do not continue to use
the system after identifying loose or broken components. For any questions regarding cleaning procedures,
contact your authorized Spex Seating dealer. The expected lifetime of the Back Support is 5 years.

Spex recommends using AHP (Accelerated Hydrogen Peroxide) disinfectant wipes. The disinfection product
must be used as per the manufacturer instructions. Spex takes no responsibility for the effectiveness of the
disinfecting process.

Cleaning the Spex/Vigour Backrest upholstery cover

Remove cover by carefully pulling from the Velcro on the back shell. Locate zipper on the cover and unzip.
Remove the inner foam section and turn cover inside out. Zip cover closed to avoid snagging. Machine
wash in warm water 40° C / 104° F. Drip or tumble dry on low heat. Do not iron, bleach or dry clean. If
chemical cleaners are used, covers must be rinsed thoroughly with water to remove all chemical residue
and left to dry completely before reuse.
Reinsert foam section into the cover. Please note, for the Spex Backrest, the contouring inner foam section
has to go back in the correct way. Ensure the flat surface is facing towards the user, and the cube section is
facing the shell. Once the foam is secured inside the cover, zip cover closed.

Cleaning the rigid shell

Shell may be wiped clean with mild detergent and water. Rinse with clean
water. Dry thoroughly after rinsing.

Cleaning positioning components

Positioning components can be wiped clean with mild detergent and water. Spex recommends using AHP
(Accelerated Hydrogen Peroxide) disinfectant wipes. Wipe away any chemical residue with clean water and
dry thoroughly after wiping.
Do not immerse positioning components in water.

Inner foam
The Back Support inner foam is not designed to get wet in any way, as this will greatly reduce its life. If
soiled, Spex recommends replacing the inner foam. If foam accidentally becomes wet, dry thoroughly
before replacing inside the cover.
Spex recommends the purchase and use of an incontinence cover (which protects the inner foam and can
be washed and sanitized).
SPEX BACK SUPPORT USER MANUAL 11 WWW.SPEXSEATING.COM

Disposal & Recycling

Your Spex Seating System is manufactured using a variety of materials, most of which can be recycled.
Once it reaches the end of its life, if you are the legal owner, do not dispose of as ordinary household
waste but take your Spex System to an approved recycling or collection point, to dispose of according
to local laws and regulations.
Separate collection and recycling of the Spex System when disposing ensures protection of the environ-
ment and assists with natural resource conservation.

Environment
Moisture: Keep your Back Support dry at all times, as contact with water or excess moisture could cause
corrosion, degradation to the functionality of your Back Support, or potential failure. If your Back Support
becomes damp or wet, thoroughly wipe with a dry cloth as soon as possible. Do not use your Back Sup-
port in a showering or pool facility.

Temperature: Your Back Support may not function as intended when used at extreme temperatures.
Keep the Back Support away from sources of extreme heat or extreme cold to avoid burns from the metal
components.

Dirt: Small particles such as dust, dirt and sand may restrict optimum functionality. Regularly check your
Back Support to ensure no build-up occurs around openings and moving parts.

Removing the Back Support

Following installation and adjustment, the back can be easily removed from the wheelchair when
necessary. To remove, pull quick release latch upwards to unlock.
Once both latches are released, tilt forward and pull upwards.

Reconnecting the Back Support

Proper re-attachment after removal
To re-attach the Back Support to the hardware receivers, line up the lower pins into the hook mounts and
push down into place. Once properly inserted, lock the pins into place.

WARNING
Ensure that the quick release latches are securely locked into position. To double-check, try the
Back Support to ensure it is locked.
SPEX BACK SUPPORT USER MANUAL 12 WWW.SPEXSEATING.COM

Re-issuing to another user

The Spex Back Support has been designed to accommodate postural asymmetries and adapt to different
morphologies. Once the user has finished using the Spex Back Support, it must be refurbished and
thoroughly cleaned if it is issued to another user. Below are the strict guidelines for refurbishing the Spex
Back Support.
Spex recommends using AHP (Accelerated Hydrogen Peroxide) disinfectant wipes. The disinfection product
must be used as per the manufacturer instructions. Spex takes no responsibility for the effectiveness of the
disinfecting process.
Spex takes no responsibility for contamination, cross infection, or damage.

Part Procedure

All components to be checked for signs of stress or

Safety check
cracking.
Upholstery outer covers must be replaced regardless of
Upholstery covers
condition.
Check for signs of stress or cracking. If any stress/cracks
are found the Back Support is to be retired from use and
must be disposed of.
Backrest shell Clean the shell with a mild detergent and quality
disinfectant such as the AHP (Accelerated Hydrogen
Peroxide) disinfectant wipes, ensuring all areas are free
from grime.
Ensure the quick release latches and L-bracket mounts are
in place and in safe working order. If any are missing, they
Hardware and
must be ordered. Check for signs of stress or cracking. If
components
any stress/cracks are found these parts must be retired
from use and replaced immediately.
Inner contouring Ensure each contouring pocket has the correct layers of
section foam pads.
Foam section Foam may need replacing.
SPEX BACK SUPPORT USER MANUAL 13 WWW.SPEXSEATING.COM

Contouring the Back Support Surface

(Spex and SuperShape Backs Only)
The Spex Back Support has been designed to accommodate postural asymmetries
and adapt to different morphologies. This guide shows how the inner section of
the Spex Back Support can be changed. Postural needs can change over time,
that’s why the Spex system can be changed on-the-spot. Once the user has finished
using the Spex Back Support, it can be refurbished and issued to another user. See
re-issuing to another User section in this user manual (page 12).
Each cube compartment contains 2 cubes. These may be removed or added to as
required. Each compartment can have up to 5 layers of cubes. Keep any unused
cubes as these can be used at a later date if the client’s needs change or if the
Back Support is re-issued for use with another client. The cubes must always face
the rear of the Back Support. This allows for the full molding & pressure-relieving
properties of the Back Support to be effective.
Back/spinal protrusions
Undo the zipper on the Back Support to release the inner contouring inner
section. Remove this from the cover. You can now remove layers of contouring
cubes from where back protrusions need to recess into the Back Support. There is
sufficient padding behind the user if all of the compartment’s cubes are removed
to accommodate a prominence.
Back/spinal indentations
Undo the zipper on the Back Support to release the inner contouring inner section.
Remove this from the cover. You can now add layers of contouring cubes where
back indentations need more contouring support.
How to make changes with the user sitting in the wheelchair
Two people are required for this adjustment. Before doing this adjustment, retrieve
a soft head pillow or similar padded objects.

WARNING
Ensure the user has the hip belt fastened.
Lean the user forward to remove the inner contouring section of the Back
Support (the cover will remain secured to the Back Support shell) and replace
with pillow.
Lean the user back.
WARNING
The second person must remain with the wheelchair user to
support them and keep them safe from falling.
Now the contouring section can be changed to suit the user’s posture. Once
finished, remove the pillow and re-insert the inner contouring section.
SPEX BACK SUPPORT USER MANUAL 14 WWW.SPEXSEATING.COM

Spex Risk Assessment

Spex is the manufacturer of Spex wheelchair seating which installs to most wheelchair
bases/chassis. Spex is not responsible in any way or form for the choice of wheelchair base
or chassis that is selected for the user and to which Spex Seating is installed.
Normal manufacturer’s guidelines must be followed and adhered to. Failure to follow these
measures can put the user or caregiver at risk of harm, injury or even death. Wheelchair
users who may be unaware of their body position, unable to maintain a safe body position
and/or who are non-verbal have the highest risk of injury and caregivers should be more
cautious with these users. A second caregiver should be responsible to ensure the safety
of these users.
Wheelchair users experience many situations that affect wheelchair stability, tipping and
associated performance. Examples of such situations include ramps, slopes, steps, curbs,
soft ground, accessories such as an oxygen cylinder, seating systems and wheelchair
modifications. Such situations, coupled with user characteristics (body shape and size)
and abilities can often lead to accidents and poor product performance. Spex is not
responsible for any operation of the wheelchair base/chassis whether through intended or
inappropriate use and/or any injury or harm caused to the user by the wheelchair.
The improper use of the wheelchair chassis and Spex Seating can be dangerous to the user
or caregiver through:
• Inappropriate operation of the wheelchair chassis and seating functions.
• Inappropriate movement of the wheelchair.
• Inappropriate use of the wheelchair by a patient who has not been assessed by a
certified therapist/clinician responsible for their seating.
• Leaving the user unattended in the wheelchair near other potentially unsafe objects
or in harm’s way.
• Leaving a potentially agitated user in an unsupervised area.
• Leaving a patient in a wheelchair on a sloping surface.
• Leaving a wheelchair unattended on a sloping surface.
• Transferring a patient in or out of the wheelchair without setting wheel locks.
• Using non-Spex accessories on the Spex wheelchair seating.
• Using the Spex Seating at temperatures below 0° Celsius (32° Fahrenheit)
 SPEX BACK SUPPORT USER MANUAL 15 WWW.SPEXSEATING.COM

6 Month Checklist
The 6 month checklist is a compulsory check to ensure that your Back Support is
maintained in a safe and functional condition. The examiner must check each item
on the checklist and place the date and their initials in the appropriate column for
that check. Failure to perform these checks may void warranty.

Date: Date: Date: Date: Date: Date:

Checklist  or   or   or   or   or   or 
No concerns with the overall safety of the
Health & Safety

user? If , contact your therapist or Spex

distributor immediately.
No accidents occurred or harm caused?

No abnormal stress caused to the seating?

User is wearing an appropriate lap belt and
harness?
No bags or appendages present on the
seating which may cause stability issues?
User is under the maximum weight capacity?
Are the mounting clamps secured properly
Hardware

to the wheelchair canes?

Are the quick release latches properly
engaging?
Are the nuts on the L-brackets and pins
secured?
Can the Back Support be removed &
installed properly?
Are all hardware and fasteners tight?
User Posture Hygiene

Are all components clean?

Are the covers clean and washed?

Is the cushion maintaining correct support
and control for the user’s pelvis?
Is the cushion adjusted correctly and not
modified adversely?
Is the cushion installed the right way on the
wheelchair?
Does the Back Support maintain correct
support and control?
Is the Back Support adjusted correctly and
not modified adversely?
Are the laterals adjusted correctly?

Is the headrest adjusted correctly?

(if applicable)

Is a certified Wheelchair Tie-down & Occu-

pant Restraint System being correctly used?
Transit

Is set-up as per the Transit Safety section and

Warnings in this user manual?
Is the primary caregiver knowledgeable
about the above points?
SPEX BACK SUPPORT USER MANUAL 16 WWW.SPEXSEATING.COM

Product Log Form

Spex recommends that you note any changes made to set-up of your
Spex Seating System.

Date Set-Up/Checks/Amendments Signature Print Name

SPEX BACK SUPPORT USER MANUAL 17 WWW.SPEXSEATING.COM

Transit Safety
The Spex Seating System has been successfully crash tested and complies with RESNA WC-4:2012, Section
20 (WC20). The Spex Seating System meets the requirements of ISO 16840-4:2009 and is suitable for use
as a motor vehicle seat when used with an appropriate wheelchair base. Please follow all installation, use
and maintenance instructions within this manual as well as the following transit instructions. If feasible,
the wheelchair user should transfer to the vehicle seat and use the vehicle-installed occupant restraint
systems.

Spex Seating System has been designed to accommodate the proper use of vehicle-anchored belt restraints.
Spex achieved a rating of Excellent (16 out of 16), for ease of properly positioning a belt restraint, and the
degree to which proper belt restraint can be achieved, based on the methods of Annex D. The following
items of the Spex Seating System have been tested and are suitable for use in a motor vehicle:
• Full Height Back Support Models
• Seat Base
• Cushion Models
• Arm and Thigh Supports
• Trunk Lateral Supports
• Head Supports
Note: Back supports that are lower than the user’s shoulder height are not certified and not recommended
for transport in a vehicle. Eg. Vigour Lo and Vigour Mid back supports.

Assembly, Use, Maintenance & Limitations

• Adjustments to the set-up of the wheelchair must only be carried out by a qualified therapist,
professional, or seating technician. Custom contoured/bespoke systems may require a qualified
professional to configure and install the seating system.
• After carrying out any adjustments ensure all bolts, screws and nuts are securely fastened again to
ensure safety when travelling in a vehicle.
• Ensure the top and bottom mounts of the backrest and the front and rear mounts of the seat pan
are installed as far apart from each other as possible to give a stronger 4-point attachment to the
wheelchair frame. Ensure the quick release latches are engaged.
• Do not use the Spex Seating System as a vehicle seat if seating components which have not been
successfully crash tested are used anywhere on the seating system. Spex Seating is designed and
certified using only Spex components. Spex is not liable in the event where other manufactured
seating systems are used in conjunction with Spex Seating.
• At regular intervals check that all the fastenings on the Spex Seating System have not become loose
during day to day use and re-tighten if necessary.
• Ensure the swing-away laterals are in their locked position before using the seat as a vehicle seat in a
motor vehicle.
SPEX BACK SUPPORT USER MANUAL 18 WWW.SPEXSEATING.COM

Transit Safety
Correct Positioning of Belt Restraints
When using the Spex Seating System as a vehicle seat, both a pelvic-
belt restraint and shoulder-belt restraint must always be used. To
correctly position the belt restraints on the wheelchair occupant, the
following must be ensured:
• The pelvic-belt restraint should be worn low across the front of
the pelvis near the junctions of the pelvis and thighs.
• The angle of the pelvic-belt restraint should be between 30° to
75° relative to the horizontal and, ideally, between 45° to 75° to
the horizontal (as shown in Figure 2).
• The belt-restraint buckle of three-point belt restraints should
be placed in contact with the occupant’s body and away from Figure 1
wheelchair components.
• The junction of the shoulder-belt and pelvic-belt of three-point-
belt restraints should be located near the hip opposite the
shoulder over which the diagonal belt crosses and not near the
midline of the occupant.
• Belt restraints should not be routed outside of the wheelchair
wheels or over the wheelchair armrests, and should not be held
away from the body by wheelchair components or parts.
• Upper torso belt restraints should fit directly over, and in contact
with, the middle of the shoulder.
• Belt restraints should be adjusted to fit as snugly as possible,
consistent with user comfort.
• Belt restraints should not be worn twisted in a manner that reduces
the area of contact of the belt webbing with the occupant.
Figure 2

Figure 3a - Improper positioning of pel- Figure 3b - Proper routing and positioning of

vic-belt restraints over wheelchair supports. belt restraints on the wheelchair occupant.
SPEX BACK SUPPORT USER MANUAL 19 WWW.SPEXSEATING.COM

WARNING

1. The distance between the top of the user’s shoulder and the top
of the back should not exceed 6.5” (16.5 cm).
2. The Spex Seating System must only be used with wheelchair bases
that are tested as part of a wheelchair system that conforms to
performance requirements of ISO 7176-19 and RESNA WC-4:2012,
Section 19.
3. The Spex Seating System should only be used on wheelchair frames
that provide four securement points and pelvic-belt anchor points
that conform to the requirements of RESNA WC-4: 2012, Section
19.
4. The wheelchair must be labelled as appropriate for use as a
seat in a motor vehicle, dynamically tested to the performance
requirements of ISO 7176-19 and installed, used and maintained
according to the manufacturer’s instructions.
5. The Spex Seating System must only be used as indicated in this
user manual.
6. Both pelvic and shoulder-belt restraints as a part of a complete
Wheelchair Tie down and Occupant Restraint System (WTORS)
which meets ISO 10542-1 shall be used to achieve effective
occupant restraint and optimum protection in a vehicle impact; the
belt restraints should be compatible with the specific wheelchair,
and fitted to the user in accordance with WTORS manufacturer’s
instructions.
7. Back supports with adjustable recline angles should not be tilted
back more than 30° beyond the vertical during travel in vehicles
unless necessary for the medical and postural needs of the
occupant.
8. If the back support must be adjusted to an angle that is greater
than 30° beyond the vertical during travel, the upper shoulder-
belt anchor point should be adjusted rearward to maintain belt
 SPEX BACK SUPPORT USER MANUAL 20 WWW.SPEXSEATING.COM

WARNING

8. cont... contact with the wheelchair occupant’s shoulder and chest.
9. The Spex Seating System must only be used for forward-facing
seating in motor vehicles.
10. In order to reduce the potential of injury to vehicle occupants,
wheelchair-mounted rigid trays not specifically intended for use
during travel in motor vehicles must be:
a. Removed and secured separately in the vehicle or
b. Secured to the wheelchair so they will not break free in a crash
and
• Be positioned with a gap of at least 3” (75 mm) between
the back edge of the tray and the wheelchair occupant’s
abdomen and/or chest so as not to interfere with the proper
belt-restraint use, and
• Have energy absorbing padding placed between the back
edge of the tray and the wheelchair occupant.
11. Alterations or substitutions must not be made to the seating
system structure, parts or components, without first consulting
Spex.
12. The use of a postural pelvic belt attached to the wheelchair
base or seat frame is encouraged during travel, but these belts
should be positioned so that they don’t interfere with the proper
positioning of crashworthy belt restraints, and they should not be
relied on for occupant protection in crash situations unless the
postural belt has been designed to comply with, and perform to
the requirements of WC19.
13. Postural support devices that are not labelled as conforming to
ISO 16840-4 may be used when in a vehicle, but should not be
relied on for occupant restraint.
 SPEX BACK SUPPORT USER MANUAL 21 WWW.SPEXSEATING.COM

WARNING

14. Both pelvic-belt and shoulder-belt restraints that comply with

WC18 and/or WC19 should be used to limit occupant movement
in a crash and reduce the likelihood of occupant ejection from the
vehicle and/or injurious contact of the occupant with the vehicle
interior.
15. Belt restraints should be positioned on the wheelchair occupant
in accordance with WTORS manufacturer’s instructions.
16. Backrest mounting hardware must be installed correctly. Refer to
the appropriate section for correct backrest hardware mounting
instructions.
17. If the wheelchair is being transported while occupied, the
wheelchair must still be secured to the WTORS.
18. Children whose mass is less than 48.5 lbs. (22 kg) should be
transferred from their seating system into appropriate child
restraint systems intended for use in motor vehicles.
19. Sufficient forward and rearward clear space should be provided
around the wheelchair occupant. Forward clear-space zone (FCZ)
needs to be larger when a shoulder-belt restraint is not used.
FAILURE TO HEED THESE WARNINGS COULD CAUSE SEVERE INJURY
TO THE WHEELCHAIR USER OR OTHERS.

NOTES: The rear clear zone is measured

from the rearmost point on an occupant’s
head. The front clear zone is measured
from the frontmost point on an occupant’s
head.

Seated head height (HHT) ranges from

about 47” (1200 mm) for a small adult
female to about 61” (1550 mm) for a tall
adult male.
SPEX BACK SUPPORT USER MANUAL 22 WWW.SPEXSEATING.COM

WARNING

FCZ = 25.5” (650 mm) with upper torso

restraint
= 37” (950 mm) with only pelvic
restraint

NOTE: It is strongly recommended that both

pelvic and upper torso belts be used.

Recommended forward and rear-

ward clear zones for wheelchair
seated occupants. (Note: the FCZ
may not be achievable for wheel-
chair seated drivers).

Warranty
Each Spex Back Support is carefully inspected to provide peak performance and is guaranteed to be free
from defects in materials and workmanship for a period of 24 months from the date of purchase, provided
normal use. Should a defect in materials or workmanship occur within 24 months from the original date
of purchase, Spex will, at its option, repair or replace it without charge. This warranty applies to the Back
Support components including the Back Support foam, inner cover, outer cover, foam positioning unit
and hardware. This warranty does not apply to general wear and use, including punctures, tears or burns
or customer abuse of any of the Back Support components.
Claims and repairs should be processed through the nearest authorized Spex supplier. Except for express
warranties made herein, all other warranties, including implied warranties of merchantability and
warranties of fitness for a particular purpose are excluded. There are no warranties which extend beyond
the description on the face hereof. Remedies for breach of express warranties herein are limited to repair or
replacement of the goods. In no event shall damages for breach of any warranty include any consequential
damages or exceed the cost of non-conforming goods sold.

The serial number of your Back Support can be located at the base of the Back Support cover.
 positioning chart
Record the amount of contouring cubes used. Fill out this form and enter
SPEX BACK SUPPORT USER MANUAL 23 WWW.SPEXSEATING.COM
the number of cubes used in each

Clinician name User name Back support size Date

Back Support Contouring Charts

Record
Notes:the amount of contouring cubes used. Fill out this form and enter the number of cubes used
in each pocket and save for future reference.
Use all charts below if recording contouring cubes used for the Spex SuperShape Back Support.
Use only the left hand chart if recording contouring cubes used for the Spex Back Support.
Top of back Top of back Top of back

SuperShape® back
support contouring
Right side of user

Left side of user

PRIMARY LAYER REAR LAYER
Left side of user

MIDDLE LAYER

positioning chart
Example of how to use the SuperShape® back
support contouring positioning chart:

EXAMPLE
Example of how to use the back support contouring positioning chart:
Write the number
Write the number of
of PINK (P) foam
GREY (G) foam pads
pads

2P 1P 1P/2G 3G 2P If there’s a mix of pads

with difference density,
write like this
2P 0 2P 3P 2P/2G
If no pads are inserted

If a positioning wedge is
0 1P 2P 2P 2P
used, mark the area.
spexseating.com 

1P
All Rights Reserved © Medifab® Ltd SPEX® Seating strategic contouring 1Pchart. The2P
base Medifab SPEX®2P range is the
2Psubject of design rights and copyright.
Medifab® places great value in these intellectual property rights and reserves it’s rights to protect them if and where necessary.

If it’s a shorter back

height with lessChart
pockets, 1P 1P 2P 2P 2P
MFB0088 Supershape Backrest Positioning FA.indd 1 15/11/17 11:17 A
cross the bottom
ones out.
X X X X X If it's a Pediatric back
with less pockets, cross
the outer ones out.
X X X X X
SPEX BACK SUPPORT USER MANUAL 24 WWW.SPEXSEATING.COM

US REP
Medicept
200 Homer Ave, Ashland, MA 01721
United States
32 Detroit Drive Tel: +1-508-231-8842
Rolleston 7675 Spex Ltd
Phone +64 3 307 9790
New Zealand
Fax +64 3 307 2820 EC REP
BEO MedConsulting Berlin GmbH
fasterresults@spexseating.com Helmholtzstr. 2
www.spexseating.com D-10587 Berlin, Germany
Tel: +49-30-318045-30