ARJO Huntleigh Healthcare
ARJO Patient Lifting and Transfer Devices
ARJO Maxi Move Instructions for Use Rev 19
Instructions for Use
52 Pages
Preview
Page 1
INSTRUCTIONS FOR USE
Maxi Move
001.25060.EN rev 19 • 09/2022
WARNING To avoid injury, always read this Instructions for Use and accompanied documents before using the product. Mandatory to read the Instructions for Use
Design Policy and Copyright ® and ™ are trademarks belonging to the Arjo group of companies. © Arjo 2022. As our policy is one of continuous improvement, we reserve the right to modify designs without prior notice.The content of this publication may not be copied either whole or in part without the consent of Arjo.
Contents General Information ... 5
Foreword ... 5 Definitions Used in this Manual ... 5 Manufacturer Information ... 5 Intended Use ... 5 Conditions... 6 Operational Life ... 6 Policy on Number of Staff Members Required for Patient Transfer... 6
Safety Instructions ... 7
Symbols Used ... 7 Homecare Environment Considerations ... 8
Product Description/Functions ... 9
Parts Referred to in this Manual ... 9 Spreader Bars ... 10 Slings... 11 Controls and Features ... 13 Control Handset ... 13 Control Panel... 13 Emergency Stop Button (red)... 13 Power Button (green) ... 13 System Failure Wind Down Facility... 14 Automatic Cut-Out... 14 Anti-Crush System ... 14 Battery Indicator ... 14 Sleep Mode ... 14 Usage Counter ... 15 Adjustable Width Chassis Legs... 15 Chassis Castor Brakes... 15 Jib and Spreader Bars/Stretcher Frame... 15
Using your MAXI MOVE ... 16
Before Approaching the Patient... 16 Powered Opening “V” Chassis ... 16 MAXI MOVE ‘Lock and Load’ System ... 16 Testing the Attachment... 17 Using the DPS Spreader Bar... 18 To Lift from a Chair ... 18 To Lift from the Bed ... 19 To Lift from the Floor ... 21 Powered DPS Spreader Bar... 22 Care of Your Powered DPS Spreader Bar ... 23 Using the Loop Spreader Bar ... 23 To Lift from a Chair ... 24 To Lift from the Bed ... 25 To lift from the Floor... 25 Using the Stretcher Frame ... 25 Using the Soft Stretcher ... 25 Using the Strap Stretcher ... 27
Scale ... 30
Patient Scale Information ... 30 Descriptive Marking/Seals C.E. Units only ... 30 Reinspection ... 30 Display Symbols/Functions ... 30 Overload Warning Symbol... 31 Method A - Weighing Before the Patient is Suspended in the Sling... 31 Method B - Weighing with the Patient Already Suspended in the Sling ... 32 Units of Measurement ... 33 3
Contents Scale - Handset Instructions Mini-Guide ... 34 Battery Charging... 36 Battery Pack... 36 Removing the Battery Pack ... 36 Charging the Battery ... 36 Battery and Battery Charger Safety Practices ... 37
Care of your MAXI MOVE ... 38 Sling Cleaning and Care ... 38 Lift Cleaning, Disinfection and Care... 38 Removing visible residues:... 38 Cleaning: ... 38 Disinfection: ... 39 Mandatory Daily Checks ... 40 Periodic Testing ... 40 Servicing Advice ... 40
Troubleshooting... 41 Labels 42 Technical Specifications ... 43 Lift Dimensions ... 44
Appendix - Scale Gravity Code Configurations ... 46 Electromagnetic Compatibility ... 47 Electromagnetic Compliance ... 47 Electromagnetic Emissions... 48 Electromagnetic Immunity... 48
UKCA Symbol... 50
4
General Information Foreword Thank you for buying an Arjo product.
NOTE:
We are dedicated to serving your needs and providing the best products available along with training that will bring your staff maximum benefit from every Arjo product.
Means: This is important information regarding the correct use of the equipment.
Manufacturer Information
Contact us if you need more information, want to report an unexpected event or need any help in setting up, using or maintaining Arjo product.
ArjoHuntleigh AB Hans Michelsensgatan 10 211 20 Malmö SWEDEN
If a serious incident occurs in relation to this medical device, affecting the user, or the patient then the user or patient should report the serious incident to the medical device manufacturer or the distributor. In the European Union, the user should also report the serious incident to the Competent Authority in the member state where they are located.
Intended Use
All references to the patient in these instructions refer to the person being lifted, and references to the attendant refer to the person who operates the MAXI MOVE. Techniques described in these instructions for fitting slings and lifting patients from a reclining position can be used for patients regardless of where they may be lying; on the bed or on the floor. Similarly, lifting a patient from a chair employs the same techniques as when lifting a patient from a wheelchair or from a sitting position on the edge of a bed. NOTE: The need for a second attendant to support the patient must be assessed in each individual case.
These instructions specifically show both the clip attachment slings being used with the standard Dynamic Positioning System (DPS) and the loop attachment slings for loop spreader bars. The same methods and techniques described for the standard DPS can also be applied to the optional, powered DPS.
Definitions Used in this Manual WARNING:
Means: Failure to understand and follow these instructions may result in injury to yourself and others.
WARNING: To avoid injuries that can be attributed to the use of inadequate parts, Arjo strongly advises and warns that only Arjo designated parts should be used on equipment and other appliances supplied by Arjo. Unauthorised modifications on any Arjo equipment may affect its safety. Arjo will not be held responsible for any accidents, incidents or lack of performance that occur as a result of any unauthorised modification to its products.
MAXI MOVE is a mobile, passive lift with removable spreader bar. Maxi Move is part of a series of quality products intended to assist caregivers in hospitals, longterm care, nursing homes and home care environments, including private homes where the patients/residents: • sits in a wheelchair • has no capacity to support himself/herself • cannot stand unsupported and is not able to bear weight; not even partially • is dependent on the caregiver in most situations. Or where the patient: • is passive • might be almost or completely bedridden • is often stiff or has contracted joints • is totally dependent on the caregiver. MAXI MOVE must always be handled by a trained caregiver and in accordance with the instructions outlined in this manual. MAXI MOVE is intended to be used with Arjo slings. Only use slings and stretchers supplied by Arjo that are designed to be used with your MAXI MOVE. MAXI MOVE equipped with optional extra low height caster is not intended to be used on carpet.
CAUTION:
Means: Failure to follow these instructions may cause damage to the product(s).
5
General Information Conditions •
• • •
The unit is cared for and serviced in accordance with recommended, published “Instruction for Use” and the “Preventive Maintenance Schedule”. The unit is maintained to the minimum requirements as published in the “Preventive Maintenance Schedule”. The servicing and product care, in accordance with Arjo requirements, must begin on first use of the unit by the customer. The equipment must be used for its intended purpose only and is operated within the published limitations. Only Arjo designated spare parts should be used.
Operational Life •
• •
•
The expected operational life of your Arjo lift and its accessories is ten years from the date of manufacture, providing the following conditions are adhered to: The expected operational life for fabric slings and fabric stretchers is approximately two years from the date of purchase. This life expectancy only applies if the slings and stretchers have been cleaned, maintained and inspected in accordance with the “Arjo Sling Information” documents, the “Instruction for Use” and the “Preventive Maintenance Schedule”. The expected life for other replaceable parts, such as batteries, fuses, lamps, gel cushions, filters, seal kits, seat inserts, mattresses, safety belts, padded covers, straps and cords is dependent upon the care and usage of the equipment concerned.
Replaceable parts must be maintained in accordance with published “Instruction for Use” and the “Preventive Maintenance Schedule”.
6
Policy on Number of Staff Members Required for Patient Transfer Arjo’s passive and active series of lifts are designed for safe usage with one caregiver. There are circumstances, such as combativeness, obesity, contracture etc. of the individual that may dictate the need for a twoperson transfer. It is the responsibility of each facility or medical professional to determine if a one or two-person transfer is more appropriate, based on the task, resident load, environment, capability, and skill level of the staff members.
Safety Instructions Symbols Used
Symbols
Key to symbols This symbol is accompanied by a date (to indicate the date of manufacture) and by the address of the manufacturer. This symbol indicates that the products comply with the European Medical Device Regulation. CE marking indicating conformity with European Community harmonised legislation. Figures indicate Notified Body supervision.
Cat:
III Cat:
III
M yy XXXX
Metrology mark, indicating compliance with Directive 2014/31/EU (NAWI) - for scales manufactured after April 20th, 2016. (For Class III scales only) yy = year; XXXX = Notified Body number
M yy XXXX
Non-automatic weighing instrument label Class III; yy = year; XXXX= Approved Body Number. Indicates the product is a Medical Device according to EU Medical Device Regulation 2017/745. Unique Device Identifier This symbol indicates NRTL certification through TÜV SÜD. This symbol is accompanied by the manufacturer's catalogue number. This symbol is accompanied by the manufacturer's serial number. Waste Electrical and Electronic Equipment (WEEE) - do not dispose of this product in general household or commercial waste. These symbols refer to the Instructions for Use. This symbol indicates a type BF applied part. This symbol indicates a risk of pinching. This symbol represents a weight scale. This symbol indicates that the scale is a non-automatic instrument; accuracy class 3.
SWL +
SWL
= 299kg / 659lb
(72kg (227kg /159lb) /500lb)
Safe Working Load represents the maximum load for safe lifter operation. Maximum total mass of equipment including its safe working load.
Battery Charger Related Refer to the Wall Mounted Battery Charger - Instructions for Use 001-24257-**. 7
Safety Instructions Fig. 1
Before using your MAXI MOVE, familiarise yourself with the various parts and controls as shown in Fig. 3, and other illustrations. Then, read this manual thoroughly in its entirety before using your MAXI MOVE. Information in the manual is crucial to the proper operation and maintenance of the equipment, and will help protect your product and ensure that the equipment performs to your satisfaction. Some of the information in this booklet is important for your safety and must be read and understood to help prevent possible injury. If there is anything in the manual that you find is confusing or difficult to understand, please contact your local Arjo agent (the telephone number appears on the last page of this manual).
Left Right
References to “left” or “right” in these instructions are as viewed from the caregiver’s pushing position, standing at the rear of the MAXI MOVE and facing forward.
Fig. 2
This product has been designed and manufactured to provide you with trouble-free use. However, this product does contain components that are subject to wear with regular use. CAUTION: Some of these parts are critical to ensure the safe operation of the lift. They will need examining and servicing on a regular basis and must be replaced as needed.
See also “Care of your MAXI MOVE” section. CAUTION: Use only Arjo slings and stretchers that have been specifically designed for the MAXI MOVE. WARNING: Before using the MAXI MOVE, a clinical assessment of the patient’s suitability for transfer must be carried out by a qualified health professional considering that, among other things, the transfer may induce substantial pressure on the patient’s body. A transfer conducted when it should not degrade the patient’s health condition. WARNING: Patients with spasms can be lifted, but great care should be taken to support the patient’s legs to prevent fall risk and injuries.
8
WARNING: Do not overload the MAXI MOVE beyond the approved lifting capacity of the lowest rated attachment/accessory in order to avoid patient injury. If the maximum load differs between floor lift, spreader bar and body support unit (i.e. sling), then the lowest maximum load shall always be used. Take care when manually lifting alternative/ optional components such as stretcher frames, spreader bars etc., in order to avoid injury. Do not attempt to manually lift the complete lift. CAUTION: Although manufactured to a high standard, the MAXI MOVE and accessories should not be left in humid or wet areas. Do not, under any circumstances, spray the MAXI MOVE or accessories (excluding slings or Arjo approved wet environment equipment) with water such as under the shower. WARNING: Before lifting a patient it is advisable to familiarise yourself with and understand the operation of the various controls and features of the MAXI MOVE, and to carry out any action concerning inspection procedures.
The MAXI MOVE can be supplied with a variety of optional attachments, which are not all described in these instructions. If your MAXI MOVE has been equipped with an alternative/optional sub-assembly such as stretchers, etc., always refer to the separate, relevant operating instructions supplement, as well as these instructions, before you operate the lift. This product is intended to be operated entirely by an attendant. The patient should not perform any function relating to the control of this product. A second attendant may be required with certain patients.
Homecare Environment Considerations WARNING: The MAXI MOVE is not intended to be operated by children. Serious injuries could occur. NOTE: Rigorous cleaning action should be done when the MAXI MOVE is exposed to an animal. Pet hair trapped inside the device can reduce the product performance. WARNING: This product contains small parts that might present a severe danger to children if swallowed or inhaled.
Product Description/Functions Parts Referred to in this Manual 2 1 10
9 3 8 12 O
I
13 11
14
4 7
14 5
15
6
Fig. 3
1) Mast 2) Mast top cover 3) Maneuvering handle 4) Lift battery pack 5) Braked casters 6) Adjustable chassis legs 7) Medium DPS spreader bar (if included)* 8) “Lock and Load” spreader bar carrier system 9) Jib 10) Control panel 11) Control handset
12) Emergency Stop button 13) Power button 14) Battery release button 15) Battery charger 16) Two-point loop spreader bar (if included)* 17) Loop medium Combi (if included)* 18) Four-point loop spreader bar (if included)* 19) Small DPS spreader bar (if included)* 20) Medium powered DPS spreader bar (if included)* 21) Large powered DPS spreader bar (if included)* 22) Stretcher frame (if included)*
*Refer to pages 10 and 11 for details. 9
Product Description/Functions Spreader Bars
Fig. 4
10
Product Description/Functions Name 7
Medium DPS spreader bar
16
Two-point loop spreader bar Loop medium Combi
17
Four-point loop spreader bar (700-19331)
19
21
Four points carry bar used for lifting a patient with a sling from sitting position to laying position using Arjo clip sling. Intended to be used with Arjo T-Bar attachment system. Two points carry bar used to perform patient transfer from various position using Arjo loop sling. Intended to be installed on Arjo T-Bar attachement system
(700-19303)
18
20
Intended Use
Four points carry bar used to perform patient transfer from various position using Arjo loop sling. Intended to be installed on Arjo T-Bar attachement system.
Small DPS spreader bar Medium powered DPS spreader bar Four points carry bar used for lifting a patient with a sling from sitting position to laying position using Arjo clip sling. Intended to be used with (700.19311) Arjo T-Bar attachment system. Large powered DPS spreader bar
22
(700.19316) Stretcher frame
The foldable stretcher frame for Maxi Move is intended to be used for supine transfer in combination with a soft stretcher, a strap stretcher or a scoop stretcher Fig. 5
Slings The standard range of MAXI MOVE slings will support 227 kg (500 lb) with the standard jib and 130 kg (287 lb) with the extended jib. The paediatric spreader bar range will support 125 kg (275 lb). All slings are size-coded with different coloured edge binding or attachment strap colouring: Paediatric rated: • Grey - Extra Extra Small - XXS • Brown - Extra Small - XS • Red - Small - S Standard Range: • Yellow - Medium - M • Green -Large - L • Purple - Large Large - LL • Blue - Extra Large - XL • Terracotta - Extra Extra Large - XXL Always refer to the label on the sling being used to make sure of its actual safe working load (SWL). A label is placed on the spreader bar for a quick colour-to-size reference (see the section entitled “Labels”).
A range of special purpose slings is available as accessories. For these or for special size slings, contact your Arjo representative. For more information on sling compatibility, use and installation, refer to Slings operating and Product Care Instructions. WARNING: Only use Arjo supplied slings and stretchers that are designed to be used with MAXI MOVE to prevent fall risk and injuries. The sling profiles illustrated (see Fig. 6) will help to identify the various Arjo slings and fabric stretchers available. If Arjo Flites (disposable slings) are to be used with your MAXI MOVE, always refer to the separate operating instructions for Arjo Flites (see respective sling IFU), as well as these instructions, before using. WARNING: Arjo slings with head supports have two pockets located in the head section. These should contain plastic reinforcement inserts during use to avoid injuries. Always ensure that these reinforcement inserts have been placed inside the sling pockets before using the sling. WARNING: Arjo warns of possible strangulation risks related to the use of slings. Necessary precautions should be taken to prevent these.
11
Product Description/Functions Arjo standard sling profiles that can be used with the MAXI MOVE
Four-point padded sling
Four-point toileting sling
Four-point amputee sling
Soft stretcher
Strap stretcher (Refer to Arjo Strap Stretcher IFU)
NOTE: Other sling models are available. Contact your Arjo agent for more information.
Scoop stretcher (Refer to Dual-Loop Attachment Straps and W-Style Straps IFUs) Fig. 6
12
Product Description/Functions Controls and Features Control Handset (See Fig. 7) To raise and lower the jib, open and close the chassis legs, or to operate a powered DPS spreader bar, press the appropriate button on the control handset. Icons with direction arrows are printed on each button for quick reference. Handset Display Jib “Up” button
DPS “Recline” button
Jib “Up” button DPS “Recline” button
DPS “Sit Up” button
Jib “Down” button
Chassis “Legs Open” button
Chassis “Legs Closed” button
DPS “Sit Up” button
Jib “Down” button
Fig. 8
Chassis “Legs Open” button
Chassis “Legs Closed” button
Fig. 7
If button is released during any function, powered motion will cease immediately. When not in use, the handset can be conveniently stored for later use by hooking it over the manoeuvring handle at the rear of the mast. Control Panel (See Fig. 8) An additional feature available on the MAXI MOVE, is a mast-mounted control panel, which operates in parallel with the control handset, enabling powered operations to be controlled from the lift mast as well as remotely by using the handset. As with the handset, icons with direction arrows are printed on each button for quick reference.
Emergency Stop Button (red) (See Fig. 9) In an emergency, if you have to immediately stop any powered movement (other than by releasing a control handset button or control panel button), press the emergency stop button located on the control panel. Once the emergency stop button has been used, the green power button will have to be pressed before the equipment can be operated again. To do this, simply push in the button.
Emergency Stop button O
Power button
I
Fig. 9
Power Button (green) (See Fig. 9) Located adjacent to the emergency stop button, this button is used to turn the unit on.
13
Product Description/Functions System Failure Wind Down Facility If electrical power fails completely due to battery power loss or other electrical malfunction, the jib can be lowered by first raising the red-coloured emergency lowering lever found on the rear section of the mast (See Fig. 10).
WARNING: In order to prevent a fall risk and injuries, if the mast is in a high position and the wind-down function is used, ensure that suitable and safe measures are taken to gain access to the top cover.
If the wind down function must be used, immediately remove the lift from use and contact the Arjo Service Department or its appointed distributor. Automatic Cut-Out This is not an operator control but a function built into the lift’s electronics. If the lift is inadvertently overloaded by trying to raise or lower a load heavier than permitted, an automatic “cut-out” function operates to prevent the lift from raising a weight in excess of the safe working load (SWL). This will stop the lift’s motion automatically. Fig. 10
Next, remove the exposed locking pin from its location beneath the red coloured emergency lowering lever (see Fig. 11).
If this occurs, release the jib “up” button on the handset or the control panel. Do not insist to raise the load. Make sure that the MAXI MOVE operates only within its safe working load. Anti-Crush System This is not an operator control but a function built into the lift’s electronics. Great care should be taken not to lower the spreader bar, or stretcher onto the patient or any other obstruction. If this should happen, the unit’s “anti-crush” system will engage, stop the motor and all downward movement will cease. If this occurs, release the jib “down” button immediately and press the jib “up” button to raise the jib until the lift is clear. Then remove the obstruction.
Fig. 11
Finally, using the lever as a crank, turn it in a clockwise rotation (see Fig. 12). One full clockwise rotation of the shaft lowers the mast jib by 10 mm (3/8 in).
Fig. 12
14
Battery Indicator The battery indicator for the MAXI MOVE is a feature found on the control handset. Please refer to the “Battery Charging” section for operating procedures. Sleep Mode The MAXI MOVE is equipped with a powersaving feature which places the machine in “sleep mode” when not used for a short time. The unit is put into sleep mode in two stages: 1) After two minutes of inactivity (where no buttons are pressed on either the control handset or control panel), the handset’s display will go into sleep mode. The display can be taken out of sleep mode by pressing any button on the handset or the control panel. There will be a three second delay after which the unit is fully ready for use. 2) After six minutes of inactivity, the entire unit will be placed into sleep mode and will restart only when a button is pressed either on the control handset or control panel. There will be a three second delay after which the unit is fully ready for use.
Product Description/Functions Usage Counter The usage counter is a feature found on the control handset which shows the accumulated amount of time (in hours) that the lift’s mast has been raised or lowered. Initially, the display will show “0.0” at the very top of the screen (right above the larger digits for the scale), indicating 0 hours of use. The measurement will increase in increments of 0.1 whenever an additional six minutes have been accumulated. Note that the counter is recording only during the movement of the mast. Keeping the unit turned on, using the powered DPS or adjusting the width of the legs will not affect the usage counter. The maintenance symbol serves as a reminder of the annual maintenance requirements for the product. It will appear on the handset display when the usage counter reaches 175 hours. This target represents the average time a lift will be used during one year. However, based on the use of the unit, the maintenance symbol can appear sooner or later than a year. When the maintenance symbol appears, the unit will still be safe to use, but the annual maintenance should be performed as soon as it is reasonably possible. The technician must reset the display to “0.0” when the annual inspection is performed to allow monitoring when the following inspection is due.
Chassis Castor Brakes (See Fig. 14) The chassis rear castors have brakes which can be foot operated to keep the MAXI MOVE in position.
Lock brake
Unlock brake Fig. 14
Jib and Spreader Bars/Stretcher Frame (See Fig. 3) Your MAXI MOVE is equipped with a quick connection device that allows you to use multiple attachments, such as loop/DPS spreader bars, stretcher frames, etc. See the section entitled “Using your MAXI MOVE” for full instructions on installing or changing attachments.
Adjustable Width Chassis Legs (See Fig. 13) To open the chassis legs, press the “legs open” button on either the control handset or control panel. When the button is released, movement will stop and the chassis legs will remain securely in position. Always transfer patients with the chassis legs in the closed position.
Fig. 13
15
Using your MAXI MOVE Before Approaching the Patient Ensure that the battery pack supplied is fully charged before use (for recharging batteries, see the instructions in the “Battery Charging” section). When the battery pack is fully charged, remove it from the charger unit and insert it back into the MAXI MOVE. First, match the recess across the bottom of the battery pack with the protrusion at the bottom of the battery slot, then pivot the battery into position until the retaining catch engages. An electrical connection will be made automatically. Ensure that the green power button (located below the control panel) is pushed in (see Fig. 9). Ensure that a selection of sling types and sizes is available for all transfers likely to be performed using the MAXI MOVE. The attendants should always tell the patient what they are going to do, and have the correct size sling ready. Whenever possible, always approach the patient from the front. NOTE: To ensure the patient’s maximum comfort, do not allow the patient to hold on to the spreader bar or the jib.
To remove the attachment: Hold it carefully and depress the locking clip thumb pads to release it from the T-bar (see Fig. 15A). Then, still pressing on the locking clip, lift the attachment up wards and away from the T-bar (see Fig. 15B and Fig. 15C), and store it carefully for future use. To install an attachment: Select the attachment required and-while carefully handling it, with the locking clip thumb pads facing you-allow the recess in the attachment to fit around the T-bar shaft (see Fig. 15D). Ensure the attachment drops down over the T-bar and that the locking clip engages fully. (see Fig. 16).
A
Locking clip
Attachment T-bar
B
WARNING: Before raising the mast make sure there is enough clearance above the MAXI MOVE to ensure the safety of the patient and the people around, and to avoid injuries. Be very careful when lifting next to a door frame. WARNING: During displacement, always make sure there is enough clearance above the MAXI MOVE to ensure the safety of the patient and the people around, and to avoid injuries. Be very careful when passing through door openings.
C
If required, the chassis legs may be opened to go around a chair or wheelchair.
Powered Opening “V” Chassis Push the “legs open” button on the control handset or control panel until the required width for the chassis legs is reached. To close, press the “legs closed” button. Movement will stop if the button is released, whether opening or closing. When opening or closing the legs on a powered chassis, care must be taken not to allow anything to stand in the way of the chassis’ moving legs. For example, pay special attention when the legs are operated around chairs or in doorways. The lift must be moved only when the chassis legs are in the closed position.
MAXI MOVE ‘Lock and Load’ System If you need to install or change the attachment, such as the spreader bar or stretcher frame, proceed as follows: 16
D
Fig. 15
WARNING: Be prepared to take the full weight of the attachment when removing it from the jib to prevent a back injury. For larger attachments, or if there is any doubt about being able to lift and hold the attachment securely, use more than one person for the procedure, or support the attachment on a bed or chair.
Using your MAXI MOVE CORRECT
CORRECT
Markings on the attachment are aligned.
Locking clip is fully engaged; the attachment is fastened securely.
WARNING: Always check that the attachment is locked in place by: 1) verifying the markings on the attachment that show that there is a proper alignment, and 2) verifying that the locking clip is fully engaged, thus ensuring that the attachment is securely fastened. An unsecured spreader bar may lead to a patient fall.
INCORRECT
INCORRECT Locking clip is NOT engaged; the attachment is not fastened securely.
Markings on the attachment are misaligned. Fig. 16
WARNING: DO NOT lower the attachment onto rigid surfaces (e.g. bed, floor, wheelchair armrests, etc.), to avoid the possibility of the attachment becoming dislodged from the T-bar. A dislodged attachment may later detach completely from the unit, causing the patient to fall.
Testing the Attachment To ensure that the attachment is safely connected and secured to the T-bar, hold the attachment firmly with both hands, without pushing on the locking clip thumb pads, and lift the attachment upwards firmly (see Fig. 17). If the attachment becomes dislodged from the T-bar, DO NOT use the MAXI MOVE. Contact your local Arjo agent.
Fig. 17
WARNING: Always check that the attachment is locked in place by: 1) verifying the markings on the attachment that show that there is a proper alignment, and 2) verifying that the locking clip is fully engaged, thus ensuring that the attachment is securely fastened.
17
Using your MAXI MOVE Using the DPS Spreader Bar To Lift from a Chair Place the sling around the patient so that the base of his/her spine is covered and the head support portion of the sling is behind the head. Pull each leg strap from under the thigh so that it emerges on the inside of the thigh (see Fig. 18).
Fig. 20
Fig. 18
CAUTION: The chassis rear castors have brakes which can be foot-operated when required (see Fig. 13). Do not apply the chassis brakes at this stage, as the position of the patient will adjust to the centre of gravity of the lift while the patient is being raised.
Ensure the positioning handle on the spreader bar is facing away from the patient, and that the open part of the spreader bar is at or just below shoulder level (see Fig. 19).
Press down on the positioning handle on the spreader bar and attach the leg strap attachment clips (see Fig. 21).
Fig. 19
Fig. 21
Ensure that the MAXI MOVE is close enough to be able to attach the sling’s shoulder clips to the spreader bar. To accomplish this you may have to put the patient’s feet on, or over, the chassis. WARNING: When installing and lifting using the sling with the DPS spreader bar, ensure that the patient’s hands and arms are kept inside the sling at all times to prevent injuries. Do not allow the patient to hold on to the spreader bar.
Once the MAXI MOVE is in position, attach the shoulder strap attachment clips to the sling attachment lugs on the spreader bar (see Fig. 20).
18
For most residents, the straight attachment of the leg clips is recommended use (see Fig. 22). Apply the leg clips of the sling onto the lugs so that they become positioned vertically.
Fig. 22
Using your MAXI MOVE If the resident is prone to kicking off the leg clip, the crossed attachment of the leg clips shall be applied, which will prohibit the clip from being kicked off (see Fig. 23). Cross the leg pieces of the sling when attaching them to the lugs.
Fig. 23
If necessary, lower the spreader bar using the handset control, being careful not to lower it onto the patient. If this should happen inadvertently, there is a built-in cut-out device which will prevent any further downward movement. Do not continue to push the handset “jib down” button. If the handset button is released during the lifting or lowering procedure, powered motion will stop immediately.
Move the lift away from the chair. The angle of recline can be adjusted to increase comfort for restless patients. The lift can now be directed towards the next transfer point (see Fig. 25). WARNING: Do not attempt to move the lift by pulling or pushing on the mast, the jib, the spreader bar or the patient as this can cause the lift to topple over, and cause injuries. Always use the manoeuvring handle when displacing the lift. WARNING: When lowering the spreader bar, ensure that the patient’s and attendant’s legs and feet are well clear of any parts of the lift in order to avoid patient injuries and/or damage to the Maxi Move. Only detach the sling leg connection clips followed by the shoulder connection clips when the patient’s body weight is fully supported by the bed. WARNING: Always make sure that there is enough clearance around the patient and the device during the transfer to prevent any impact.
When lifting from a chair, some attendants prefer to connect the leg straps first. This applies in particular to patients with large thighs. In that case, press down on the position handle on the spreader bar and attach leg strap attachment clips. Then tilt the spreader bar towards the shoulders to connect the shoulder attachment clips. CAUTION: Always check that all the sling attachment clips are fully in position before and during the lifting cycle, and in tension as the patient’s weight is gradually taken up.
Before transferring, position the patient to face the attendant at approximately the height of a normal chair. This provides a measure of confidence and dignity to the patient. Remember to release the brakes if they have been applied, before transferring the patient. Lift the patient using the handset control, and adjust to a comfortable position for transfer (see Fig. 24). The specially designed sling, together with its integral head support, enables one person to carry out the complete lifting function without additional help.
Fig. 24
Fig. 25
When lowering the patient back down, lower the positioning handle to put the patient into a sitting position. This avoids further lifting strain. Take care not to push down too quickly, as this may jerk the patient’s head forward.
To Lift from the Bed Before lifting a person from a bed, ensure there is sufficient clearance underneath the bed to accommodate the MAXI MOVE chassis legs. Position the patient onto the sling by rolling the patient towards you, then folding the sling in half and placing it behind the patient’s back (see Fig. 26).
Fig. 26
19
Using your MAXI MOVE Position the sling carefully so that, when rolled back, the patient will lie on the centre of the sling (see Fig. 27). Check that the head support area of the sling covers the patient’s neck.
.
Fig. 27
Fig. 29
When rolling the patient back onto the sling, roll the patient slightly in the opposite direction so that the folded part of the sling can be pulled forward.
Press down on the positioning handle until the sling leg sections can be connected (see Fig. 30). Connect the leg sections under the thighs by lifting one leg at a time. You may need to lower the spreader bar a little, using the handset control.
Alternatively, the patient can be brought into a sitting posture. Then position the sling as detailed in the section entitled “To Lift From A Chair”. Approach the bed with the open side of the spreader bar towards the patient’s head (see Fig. 28).
Fig. 30
Fig. 28
Using the adjustable width chassis, it is possible to make adjustments to the chassis leg width to assist with manoeuvrability around obstructions, such as bed legs or castors.
When lifting from the bed, some attendants prefer to connect the leg straps first. This applies in particular to patients with large thighs. In that case, raise the hip and knee into maximum flexion, and attach the leg strap attachment clips. Then tilt the spreader bar towards the shoulders to connect the shoulder attachment clips.
Now position the MAXI MOVE so that the spreader bar is just above and centred over the patient.
CAUTION: Always check that all the sling attachment clips are fully in position before and during the lifting cycle, and in tension as the patient’s weight is gradually taken up.
WARNING: Take care not to lower the spreader bar onto the patient to avoid injuries.
Lift the patient using the handset control, and with the positioning handle, bring the patient into a comfortable position for transfer (see Fig. 31). The specially designed sling, together with its integral head support, enables one person to carry out the complete lifting function without additional help.
Using the positioning handle, tilt the spreader bar until the shoulder attachment points can be connected to the sling shoulder strap attachment clips (see Fig. 29)
20