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Intended Use and Description
Z-Flo™ Cushion – English
The Cloud is to be used to improve the seated posture of the user as well as to provide pressure
relief, by properly distributing existing pressure over the largest possible area. The Cloud
wheelchair cushion combines superior pressure relief and maximum positioning capability to
offer increased clinical benefit and comfort to the involved wheelchair user.
Declaration of Conformity
Otto Bock as manufacturer with sole responsibility declares that the Cloud™ Cushion conforms
to the requirements of the 93/42 EEC Guidelines.
Safety Instructions
Installing a cushion on a wheelchair may affect the center of gravity of the wheelchair and may
cause the wheel-chair to tip backwards, potentially resulting in injury. Always assess for the
potential need for anti-tippers or amputee axle adapter brackets to be added to the wheelchair
to help increase stability. All Otto Bock cushions are designed to help reduce the incidence
of pressure sores. However, no cushion can completely eliminate sitting pressure or prevent
pressure sores. Otto Bock cushions are not a substitute for good skin care including, proper
diet, cleanliness, and regular pressure reliefs.
In addition, prior to prolonged sitting, any cushion should be tried for a few hours at a time while
a clinician inspects your skin to ensure that red pressure spots are not developing. You should
regularly check for skin redness. The clinical indicator for tissue break down is redness. If your
skin develops redness, discontinue the use of the cushion immediately and see your doctor or
therapist. [In order to achieve maximum pressure relief and positioning it may be necessary
to reconfigure the cells within your cushion. This should only be done after consulting with a
clinician.]
Avoid sharp objects or exposure to excessive heat or open flame.
Cloud™ Cushion Assembly Instructions (Fig. 1)
1. Fold
2. Side Rail Cell
3. Side Rail Cell (folded)
4. Front
5. Cover
6. Side Foam Support
7. Foam Base
8. Cel-Pak™
9. Back
10. Floam® Cell
Application
Avoid using the cushion on overly stretched seat upholstery. Stretched upholstery does not
provide adequate support for the cushion and improper positioning may result. Replace worn-
out padding or purchase the individual adaptable Adjustable Seat or insert a rigid plywood base
in the correct size for the cushion. Avoid using overly stretched backrest upholstery. Stretched
backrest upholstery does not provide adequate support for the body and improper positioning
may result. Replace stretched backrest upholstery or purchase one of Otto Bock HealthCare’s