ARJO Maxi Twin Operating and Product Care Instructions May 2006

Introduction

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GETINGE GROUP is a leading global provider of equipment and systems that contribute to quality enhancement and cost efficiency within healthcare and life sciences, Equipment, services, and technologies are supplied under the brands ARJO for patient hygiene, patient handling and wound care, GETINGE for infection control and prevention within healthcare and life science and MAQUET for surgical workplaces, cardiopulmonary and critical care. ARJO strongly advise and warn that only ARJO designed parts, which are designed for the purpose, should be used on equipment and other appliances supplied by ARJO, to avoid injuries attributable to the use of inadequate parts. Unauthorized modifications on any ARJO equipment may effect its safety. ARJO will not be held responsible for any accidents, incidents or lack of performance that occur as a result of any unauthorized modification to its products.

© ARJO Hospital Equipment AB 2006 ARJO products are patented or patent pending. Patent information is available by contacting ARJO Hospital Equipment AB. Our policy is one of continous development, and we therefore reserve the right to make technical alterations without notice. The content of this publication may not be copied either whole or in part without the consent of ARJO Hospital Equipment AB

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Contents

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SECTION Foreword... Safety Instructions ... Product description/function... Parts referred to in this manual... Slings ... Control Handset... Emergency stop button (red) ... System failure emergency lowering ... Automatic cutout ... Adjustable width chassis legs... Chassis castor Brakes ... Jib and spreader bars ... Using your Maxi Twin... Before approaching the patient... Powered opening ‘V’ chassis... Maxi Twin ‘quick release’ system ... Using the DPS spreader bar... To lift from a chair... To lift from a bed... To raise from the floor ... Powered DPS spreader bar (if fitted)... Using the loop spreader bar... To lift from a chair... To lift from a bed... To raise from the floor ... Lift Battery charging... Care of your Maxi Twin ... Sling care and cleaning... Lift care and cleaning ... Periodic Testing ... Service Advice... Labels... Technical Specification... Component weights ... Electrical ... Maximum capacities ... Lift Dimensions...

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Page No. 4 5 6-10 6 7 9 9 9 9 10 10 10 11-20 11 11 11 12 12 14 15 17 18 18 19 20 21 22-24 22 22 23 23 24-25 26-27 26 26 27 28

Foreword

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General

Conditions

Your Maxi Twin is part of a series of quality products designed especially for hospitals, nursing homes and other health care uses. Please contact us if you have any questions about the operation or maintenance of your ARJO equipment. 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. 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 Twin. NOTE!: The need for a second attendant to support the patient must be assessed for each individual case. These instructions specifically show both the four-point clip attachment slings being used with the standard Dynamic Positioning System (DPS) and the loop attachment slings with the three point spreader bar. The same methods and techniques described for the standard DPS can also be applied to the optional “Open Style” DPS. NOTE! All versions of the Maxi Twin shown in this manual are not available on all markets.

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• • • • •

The unit is cared for and serviced in accordance with recommended, published “Operating and Product Care Instructions” 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. The actions (marked S) described in the “Preventive Maintenance Schedule” must be carried out by qualified personnel, using correct tools and knowledge of procedures. Failure to meet these requirements could result in personal injuries and/or unsafe product.

Operational Life The expected operational life of your ARJO lift is 10 (ten) years from the date of manufacture, providing the following conditions are adhered to:The operational life of the sling is dependent on the actual use conditions. Therefore, Before use, always make sure that the sling, loops, cords and straps do not show signs of fraying, tearing or other damage and that there is no damage, (i.e. cracking, bending, breaking) to the attachment clips. If any form of damage is found do not use the sling. The expected life for other consumable products, 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. Consumables must be maintained in accordance with published “Operating and Product Care Instructions” and the “Preventive Maintenance Schedule”.

Intended Use Maxi Twin is a mobile passive lift. Maxi Twin is intended to be used for lifting and transfer in hospitals, nursing homes or other health care facilities for the different categories of residents/patients. where the resident/patient; • sits in a wheelchair • has no capacity to support him/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 resident/patient; • is passive • might be almost and/or completely bedridden • is often stiff or has contracted joints • is totally dependent on the caregiver. Maxi Twin shall always be handled by a trained caregiver and in accordance with the instructions outlined in these Operating and Product Care Instructions. Maxi Twin is intended to be used with ARJO slings. Only use ARJO-supplied slings that are designed to be used with Maxi Twin. Battery charger This charger is intended for charging ARJO battery NEA 0100 only, outlined in these Operating and Product Care Instructions. All other use must be avoided.

Policy on number of staff members required for resident/ patient transfer ARJO’s passive and active series of lifts are designed for safe usage with one caregiver. There are circumstances, such as combativness, obesity, contractures etc. of the individual that may dictate the need for a two person transfer. It is the responsibility of each facility and a professional medical person to make a determination if a one or two person transfer is more appropriate, based on task, resident load, environment, capability, and skill level of the staff member.

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Safety Instructions

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Before using your Maxi Twin, familiarise yourself with the various parts and controls and please read this manual thoroughly in its entirety before using your Maxi Twin. 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 is confusing or difficult to understand, please call ARJO or their appointed distributor (the telephone number appears on the last page of this manual. Symbols used adjacent to the text in these instructions:-

Warning: Before lifting a patient, a clinical assessment of the patients’ condition and suitability to be lifted should be carried out by a qualified person. Warning: Patients with spasms can be lifted, but special attention should be paid to supporting the patient’s legs. Warning: Do not overload the Maxi Twin beyond the approved lifting capacity of the lowest rated attachment/accessory. The Maxi Twin may be used on gentle slopes with caution. Care should be taken when manually lifting alternative/optional components e.g. spreader bars, to avoid injury. Do not attempt to manually lift the complete lift.

Warning: Means:- failure to understand and obey this warning may result in injury to you or to others. Caution: Means:- failure to follow these instructions may cause damage to all or parts of the system or equipment. •

Caution: Although manufactured to a high standard the Maxi Twin and accessories should not be left for extended periods in humid or wet areas. Do not under any circumstances spray the Maxi Twin or accessories (excluding slings or ARJO approved wet environment equipment) with water e.g. under the shower.

Note: Means:- this is important information for the correct use of this system or equipment.

This product has been designed and manufactured to provide you with trouble free use, however, this product does contain components that with regular use are subject to wear.

Warning: It is advisable to familiarise yourself and understand the operation of the various controls and features of the Maxi Twin and ensure that any action or check specified is carried out before commencing to lift a patient.

The directions right or left on the Maxi Twin are given as shown in the illustration. Left

Right

Warning: The ARJO Maxi Twin has been designed as a mobile lift for raising and transporting patients in hospitals and care facility environments, and should only be used for this purpose. The ARJO Maxi Twin can be supplied with a variety of optional attachments, which may not be described in these instructions. If your Maxi Twin has been fitted with an alternative/ optional sub assembly then always refer to the separate relevant operating instructions supplement, as well as these instructions, before attempting to operate the lift.

Warning: SOME OF THESE PARTS ARE SAFETY CRITICAL TO THE OPERATION OF THE LIFT AND WILL NEED EXAMINING AND SERVICING ON A REGULAR BASIS AND MUST BE REPLACED WHEN NECESSARY. See also “Care of your Maxi Twin” section. Warning: Use only ARJO slings that have been specifically designed for the Maxi Twin.

This product is intended to be operated entirely by an attendant. No functions regarding the control of this product should be performed by the patient. A second attendant may be required with certain patients.

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Product Description/Function

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Parts referred to in this manual 8. 9. 10. 11. 12. 13.

Mast/Lift manoeuvring handle Jib Adjustable chassis legs Braked castors (rear) Non-braked castors (front) Powered DPS spreader bar Control handset

Handset hang point Lift battery pack Main lift actuator Emergency stop button/Reset button System failure -Emergency lowering Pivot bolt (for dedicated spreader bar) Quick release pin (for detachable spreader bars)

mt001

1. 2. 3. 4. 5. 6. 7.

2 8 13 7

1

6

10 12

11

9

5 3

4

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Product Description/Function

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Slings •

Note: All ARJO slings are coded for size by having different coloured edge binding as follows: Teal -Extra Extra Small - XXS Brown - Extra small - XS Red -Small - S Yellow - Medium - M Green -Large - L Purple - Large Large - LL Blue -Extra Large - XL Make sure never exceed the safe working load of the sling or the lift.

A label is fitted to the hanger frame for quick colour to size reference (see “Labels” section). A range of special purpose slings are available as accessories, for these or for special size slings, contact your ARJO representative. Warning: Only use ARJO supplied slings that are designed to be used with Maxi Twin. The sling profiles illustrated will help to identify the various ARJO slings available. If ARJO Flites (disposable slings) are to be used with the Maxi Twin, then always refer to the separate operating instructions for ARJO Flites, (literature reference part No. MAX01720), as well as these instructions before using.

Warning: ARJO slings with head support have two pockets at the head section which contain plastic reinforcement pieces during use. Always ensure these reinforcement pieces have been inserted into the sling pockets before using the sling.

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Product Description/Function

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ARJO standard sling profiles that can be used with the Maxi Twin

Soft stretcher Toilet sling with head support

General purpose sling with head support

Four point toiletting sling (With headrest)

Four point amputee sling

Four point Padded sling

Four point unpadded sling

Four point mesh sling

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mp1271max1e

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Product Description/Function

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Controls and features

“Lower” Button

“Raise” Button

P1396amaxB

Control Handset:- Raising and lowering the jib and opening and closing the chassis legs, is achieved by pressing the appropriate button on the control handset. Note: icons with direction arrows are printed on each button for quick reference.

mt002

Emergency Stop Button (Red):- (see below) If, in an emergency, you have to immediately stop any powered movement, (other than by releasing pressure on the control handset button), press the “emergency stop button”, situated on the side of the main lift actuator cover. Once the emergency stop button has been operated, it will have to be reset before any powered movement can be utilised. System Failure Emergency Lowering

Sit up Recline Chassis leg open Button

Chassis leg close button

Emergency Stop

System Failure Emergency Lowering:- (see above) This can be used in the event of main control failure. In the unlikely event that the control handset fails to operate the lift, with a patient still supported by the sling, provision for lowering has been made, using the “System Failure Emergency Lowering” control, situated on the top of the main lift actuator housing, a green and white identification label is positioned near the control for quick and easy recognition. Pull the control up to operate, release the control during use and lowering will stop. NOTE! Due to internal friction, the speed of lowering vary depending on the weight of the patient. You may have to assist the downwards movement by pulling down the jib. Automatic cut out:- (not an operator control but a function built into the lift electronics) If the lift is inadvertently overloaded (trying to lift a patient heavier than permitted), an automatic ‘cut out’ operates to prevent the lift lifting a load in excess of one and a half times the maximum rated load; this will stop the lift motion automatically. If this occurs, when pressure is released from the lift button on the handset, after a short delay the electronics will reset and enable the patient to be lowered only by pressing the lower button. Remove the patient from the lift.

If pressure is released during any function powered motion will cease immediately. Do not drop the handset into water, e.g.: bath etc., although if this does happen inadvertently no harm will come to patient or attendant. When not in use, the handset can be conveniently kept ready for use by hooking it over the handset hang point at the top of the mast.

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Product Description/Function

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Jib and spreader bars:- If your Maxi Twin has not been supplied with a ‘dedicated’ or permanently attached, spreader bar, then it will be supplied with the ‘quick release’ system jib. This jib is fitted with a carrier, able to accommodate any of the Maxi Twin Loop spreader bars (see “Using your Maxi Twin” section for full instructions on fitting or changing attachments). The illustration below shows the two systems available. Detachable spreader bar quick release

mt006d,mt006e

mt003

Adjustable width chassis legs:- By operating the appropriate button on the control handset the chassis legs can be opened to any variable width. When pressure is released from the button, movement will stop and the chassis legs will remain securely in position. Always transport with the chassis legs in the parallel (closed) position.

Dedicated spreader bar pivot bolt

mP1332e,f

Chassis castor Brakes:- The chassis rear castors have brakes which can be foot operated to keep the Maxi Twin in position.

Caution: The locking pin used with the ‘quick release’ system, must not be used with DPS spreader bars.

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Using your Maxi Twin

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Maxi Twin ‘quick release’ system

Ensure the battery pack supplied is fully charged before use (for charging, see instructions in “Lift Battery Charging” section). When the battery pack is fully charged remove it from the charger unit and insert it into the battery position of the Maxi Twin situated on the side of the main lift actuator housing.

If your Maxi Twin has not been supplied with a ‘dedicated’ or permanently attached, spreader bar, then it will be supplied with the ‘quick release’ system jib. If you need to fit or change the attachment, (i.e. spreader bar) proceed as follows. A

•

Note: The battery is shaped so that only correct fitment to the lift is possible with the raised edge of the battery upper most.

Jib ‘R’ clip

mt006a, mt006b, mt006c

Before approaching the patient

Loop spreader

Push the battery firmly into place. Electrical connection will be made automatically. Ensure a selection of sling types and sizes are easily available for all types of lift likely to be encountered when using the ARJO Maxi Twin. The attendant should always tell the patient what they are going to do, and have the correct size sling ready. Where possible, always approach the patient from the front.

B

Warning: To ensure maximum patient comfort, do not allow the patient to hold onto the spreader bar. C If required, the chassis legs may be opened to go around a chair or wheelchair.

Powered opening ‘V’ chassis Select the appropriate button on the control handset and keep it depressed until the required width is achieved. To close, press the appropriate button. Movement will stop if pressure is released, whether opening or closing. Warning: When opening or closing the legs on a powered chassis, care must be taken not to allow anyone to stand in the way of the moving chassis legs. Transport the Maxi Twin with the chassis legs in parallel (closed) position only.

To remove an existing attachment; first, remove the ‘R’ clip from the locking pin. Then support the attachment and depress the button on the end of the locking pin (shown in (A) above). Keeping the attachment supported and the button depressed, withdraw the locking pin (shown in (B) above), then lower the attachment down and away from the jib (shown in (C) above). Store the attachment carefully for future use. Fitting an attachment is the reverse of the above procedure, carefully lift the attachment up into position, depress the button on the end of the locking pin and push the locking pin into position. Finally, replace the ‘R’ clip through the end of the locking pin.

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Using your Maxi Twin

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mt006d

mt004a

Correctly installed, the two balls on the locking pin shaft should be clearly visible, and the ‘R’ clip fitted as illustrated below.

Warning: Before use always check that the locking pin is pushed fully into position and the ‘R’ clip is fitted.

Ensure that the Maxi Twin is close enough to be able to attach the shoulder clips of the sling to the spreader bar. To accomplish this you may have to put the patients feet on, or over the chassis.

Warning: Care must be taken when the weight of the attachment comes away from the jib. For larger attachments or if in any doubt about being able to lift and hold the attachment securely use more than one person for the operation, or support the attachment on a bed or chair.

Warning: When fitting and lifting using the sling with the DPS spreader bar, ensure the patients hands and arms are at all times kept inside the sling. Do not allow the patient to ‘hold on’ to the hanger frame.

Using the DPS spreader bar

Once the Maxi Twin is in position, attach the shoulder strap attachment clips to the pegs on the spreader bar.

Ensure the DPS spreader bar is securely connected to the jib before commencing with the lifting procedure.

To Lift from a Chair

•

mt004b, p1002

P1146a,b

Place the sling around the patient so that the base of his/ her spine is covered, and the head support area is behind the head. Pull each leg piece under the thigh so that it emerges on the inside of the thigh.

Note: The chassis rear castors have brakes which can be foot operated when required. Do not apply the castor brakes at this stage, as the position of the patient will adjust to his/her own centre of gravity when lifted.

Ensure the positioning handle on the spreader bar is facing away from the patient, and that the wide part of the spreader bar is at, or just below shoulder level.

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Using your Maxi Twin

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mt004d

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Warning: Apply the castor brakes to keep the Maxi Twin in position on a sloping surface.

mt004c

Press down on the positioning handle of the spreader bar and attach the leg strap attachment clips.

mt004e

Before transportation, turn the patient to face the attendant at approximately normal chair height. This gives confidence and dignity and also improves the Maxi Twin’s stability. If necessary, lower the spreader bar using the handset control, being careful not to lower it onto the patient. Although if this should happen do not continue to press the handset lowering button. •

Note: If the handset button is released during lifting or lowering, powered motion will stop immediately. Warning: IMPORTANT: Always check that the sling attachment clips are fully in position before and during the commencement of the lifting cycle, and in tension as the patient’s weight is gradually taken up. Remember to release the brakes, if they have been applied, before attempting to transport the patient. When lowering the patient back into a chair - or when transferring from bed to chair - push down on the positioning handle to put the patient into a good sitting position. This avoids further lifting effort. Take care not to push down too quickly, as this may jerk the patient’s head forward.

Raise the patient by operating the handset control, move the lift away from the chair then carefully lift the positioning handle until the patient is reclined in the sling - the head support will now come into use. This is the most comfortable position for transportation, as it reduces pressure on the thighs. The angle of recline can be adjusted for increased comfort if the patient is restless.

Warning: When lowering the lift ensure that the patient’s or attendant’s legs and feet are well clear of the moving mast.

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Using your Maxi Twin

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mt005a

To Lift from a Bed

P1133maxb

Before lifting a person from a bed, ensure there is sufficient clearance underneath to accommodate the Maxi Twin 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. Position the sling carefully so that when rolled back the patient will lie centrally on the sling and check that the head support area of the sling covers the patient’s neck.

Using the adjustable width chassis, it is possible to make adjustments to chassis leg widths to assist manoeuvrability around obstructions, for example, bed legs. Position the Maxi Twin so that the spreader bar is just above, and centrally situated over the patient.

•

mt005b, P1002

P1022a

Warning: Care must be taken not to lower the spreader bar onto the patient.

Note: 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 brought out.

Using the positioning handle, tilt the spreader bar until the shoulder attachment points can be connected to the sling shoulder strap attachment clips. Press down on the positioning handle until connection of the sling leg pieces is possible. The leg pieces must be brought under the thighs to connect up, this may involve lifting one leg at a time to connect up. You may need to lower the spreader bar a little more, using the handset control.

Alternatively, the patient can be brought into a sitting posture then position the sling as detailed in the section “To Lift From A Chair”. Approach the bed with the open side of the spreader bar towards the patient’s head.

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Using your Maxi Twin

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mt005c

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Warning: When lowering the lift ensure that the patient’s or attendant’s legs and feet are well clear of the moving parts. Only when the patient’s body weight is fully supported by the bed may the sling leg connection clips be detached, followed by the shoulder connections.

Move the Maxi Twin away before removing the sling from under the patient. If transferring the patient to a chair refer to the section “To Lift from a Chair”. When lifting from the bed, some attendants prefer to connect the leg pieces first. This particularly applies to patients with large thighs. In this case, raise the hip and knee into maximum flexion, and attach the leg strap attachment clips, then tilt the spreader bar towards the shoulders for connection.

To raise from the floor Put the sling around the patient as before, by using the rolling or sitting up method. Depending on circumstances, space and/or position of patient etc. approach the patient with the open part of the chassis. Open the chassis legs if necessary. mt007a

Warning: IMPORTANT: Always check that the sling attachment clips are fully in position before and during the commencement of the lifting cycle, and in tension as the patient’s weight is gradually taken up.

mt005d

Lift the patient using the handset control, and adjust to a comfortable position for transfer. The specially designed sling together with its’ integral head support, enables one person to carry out the complete lifting function without additional help.

The patient’s head and shoulders could be raised on pillows for comfort, if required, but this is not essential when connecting up the sling to the spreader bar.

If returning the patient to a bed, move into the desired position above the bed adjusting the sling position as necessary, and then lower using the handset control.

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Using your Maxi Twin

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With the open part of the spreader bar pointing down towards the shoulders, attach the shoulder strap attachment clips. mt007b, P1002

When all the straps have been properly connected, raise the patient from the floor in a semi-recumbent position. Supporting the head can be comfortable and reassuring for the patient. The leg sections of the sling will tend to be fairly high in the crotch, so straighten them out for added comfort. The patient may be positioned in a chair, or placed onto a bed. If the patient is prone to extensor spasm, he/she may be lifted by the Maxi Twin, but special attention should be paid to supporting the head during the early part of the lift. When lifting patient’s with leg amputations, use an amputee sling (available as an accessory from ARJO). This sling is specially designed to accommodate the differing patient centre of gravity. Warning: When lowering the lift ensure that the patient’s or attendant’s legs and feet are well clear of the moving parts. Transportation of a patient should always be done with the chassis legs parallel (closed) manoeuvrability will be easier, especially through doorways, with the chassis legs closed. The patient should be positioned facing the attendant.

mt007c

Once connected, raise the hip and knee into maximum flexion, and push down on the positioning handle in order to connect the leg strap attachment clips. This will have the effect of raising the patient’s head and shoulders slightly.

Warning: IMPORTANT: Always check that the sling attachment clips are fully in position before and during the commencement of the lifting cycle, and in tension as the patient’s weight is gradually taken up. When lifting from the floor, some attendants prefer to connect the leg pieces first. This in particular applies to the very large patient with large thighs. In this case, raise the hip and knee into maximum flexion, and attach the leg straps first, then tilt the spreader bar towards the shoulders to enable the shoulder straps to be connected.

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Using your Maxi Twin

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Powered DPS spreader bar (if fitted)

mt001

If your lift has been supplied fitted with a powered DPS spreader bar, the use of this type of spreader bar including sling positioning with patient, sling connection to the spreader bar, and patient handling, is the same as the non-powered DPS spreader bar described previously in these instructions.

Powered DPS actuator.

“Lower” Button Sling attachment lugs

“Raise” Button

P1396amaxB

To operate the powered patient positioning function, ensure the isolator/cut off switch is in the on position When ready to perform the patient positioning function (as described previously) operate the powered DPS control button to achieve spreader bar movement in the required direction. Powered movement will continue until pressure is released from the control switch.

Sit up Recline Chassis leg open Button

Rotational positioning handle

Chassis leg close button

Warning: To stop any powered movement, release pressure from the control switch or press the emergency stop button.

The fundamental difference being, the powered DPS spreader bar has the added advantage of enabling the patient positioning manoeuvre to be performed with minimal physical effort by the attendant. Rotation of the powered spreader bar is manual and is the same as the manual patient positioning spreader bar.

The spreader bar will remain firmly in position, once powered movement has ceased. Warning: Before and during operating the powered DPS spreader bar, ensure all obstructions are well clear of the spreader bar, support frame and jib.

Warning: Before using your lift when fitted with the powered DPS spreader bar, familiarise yourself with the various parts. then read and thoroughly understand the following operating instructions. The powered DPS spreader bar must be used in accordance with the following instructions and in conjunction with the operating instructions previously described for the manually operated (non-powered) four point spreader bar. The lifting capacity of the lift when fitted with the powered DPS spreader bar remains the same as the non-powered patient positioning spreader bar version.

Warning: The actuator covers contain moving parts, care must be taken not to damage these covers. Should the covers become damaged, withdraw the lift from use and arrange replacement of the actuator before re-using the lift.

The powered DPS is waterproof and is classified by ARJO as a wet environment unit and has a blue and white circular label to qualify this, attached. (See “Labels” Section). This label signifies that the lower end of the unit may be immersed in bath water, or used for showering.

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Using your Maxi Twin

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Using the loop spreader bar

To Lift from a Chair

mt008a

mt008e

Method 1 - Easing the patient forward, if necessary, slide the sling down the patient’s back until seam “C” reaches the base of the spine. Take attachment points “B” and loop the tails of the sling underneath the patient’s thighs, ensuring the sling pieces are not twisted underneath the patient. Hook the loops onto the “opposite side” outer hooks on the spreader bar.

A A

Warning: Before attaching the sling ensure the spreader bar is rotated into position so the eventual lift will resemble the above figure. When attaching a loop sling to the loop spreader bar always ensure the sling attachment loops are positioned correctly into the retaining hooks and that the retaining hooks gates move freely as shown below.

C

B

METHOD 1

mt009

retaining hook gate

mt008b

B

loop sling attachment hook

The slings to be used with the loop spreader bar are the ARJO loop slings. They are available in different sizes, (small, medium, large and extra large etc.) all colour coded. A range of more specialised slings are available please contact ARJO or their authorised distributors for details. The loop sling is available with or without head support. A mesh sling is also available in all sizes with or without head support.

Method 2 - As method 1 above, but pass each tail portion of the sling under both thighs, and then out the other side before attaching points “B” to the outer hooks on the spreader bar.

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Using your Maxi Twin

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METHOD 2

mt008c

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Warning: Always check that all the sling attachment loops are fully in position before and during the commencement of the lifting cycle, and in tension as the patient’s weight is gradually taken up. When lowering the lift ensure that the patient’s or attendant’s legs and feet are well clear of the moving parts. Apart from the methods listed above, the loop spreader bar with loop slings is also extremely useful for lifting patients who have contracted legs, where the patient leg position prohibits the use of the DPS spreader bar. Attach the sling in the normal manner as described in “lifting from the bed”.

To lift from a bed Place the sling under the patient as if it were a drawsheet. Flex the patient’s legs, and bring the sling leg pieces under the thighs, attach the sling to the spreader bar using any of the methods 1-3 above.

Method 3 - As method 1 above, but loop a tail portion of the sling under each thigh and attach to the same side hook as the shoulder attachment (left straps to left hook and right straps to right hook). This method holds the legs in abduction, and is useful for toiletting. mt008d

METHOD 3

Warning: IMPORTANT: Check that all four points of the sling are securely connected before lifting.

Once the sling has been positioned and attached securely to the spreader bar then lifting can be carried out using the control handset. For general patient manoeuvring and transportation see also section “Using the DPS spreader bar”.

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Using your Maxi Twin

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To raise from the floor (Some attendants prefer to use a larger sling for this operation.) Raise and support the patient into a sitting, or half sitting position. Feed the sling down the patient’s back, bring the leg pieces of the sling into position. Raise the patient’s legs over the chassis, and bring the lift into position. With the jib as low as possible, attach the shoulder loops. Bend up the patient’s knees to connect up the leg pieces.

mt010a

Warning: Make sure not to get fingers trapped between chassis and moving legs of the lift.

Warning: Check all the loops are securely attached before lifting. When lifting or lowering a patient who is supported by a sling it is not necessary to use the brakes, this allows the lift to move to the correct position relative to the centre of gravity of the patient. Warning: Apply the castor brakes to keep the Maxi Twin in position on a sloping surface. When the patient has been returned to the bed he/she may be reclined before the sling is detached. Warning: When lowering the jib ensure that the patient’s or attendant’s legs and feet are well clear of the moving parts.

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