ARJOHUNTLEIGH CONCERTO and BASIC Instructions for Use Oct 2017

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 ArjoHuntleigh group of companies. © ArjoHuntleigh 2013. 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 ArjoHuntleigh.

Contents Foreword ...4 Intended Use ...5 Safety Instructions ...6 Preparations ...7 Product Specifications ...8 Parts Designation ...10 Assembly ...12 Product Description / Functions ...14 Manual Raising and Lowering (Concerto Hydraulic and Basic Shower Trolley) ...14 Electric Raising and Lowering (Concerto Electric Shower Trolley)...14 Side Supports ...14 Attaching the Mattress ...15 Removing the Mattress ...15 Brakes ...16 Straight Steering (Concerto Shower Trolley Only) ...16 Length Adjustment of Stretcher ...16 Tilting the Stretcher (Concerto Shower Trolley Only) ...17 Emergency Stop (Concerto Electric Shower Trolley Only) ...17 Drainage/Drainage Hose ...18 Attaching the Drainage Hose (2 Steps) ...18 To Remove the Drainage Hose (2 Steps) ...18 Battery Low Charge Warning ...18 Horizontal Position ...19 Horizontal Lock (Concerto Shower Trolley Only) ...19 Adjustable Back Support (Accessory for Concerto Shower Trolley) ...19 Wedge Pillow (Accessory) ...19 Transfers with Concerto/Basic Shower Trolley ...20 From Bed ...20 To Bed ...22 From Bed with a Sliding Aid ...24 To Bed with a Sliding Aid ...26 From a Sling Lift ...28 To a Sling Lift ...29 Shower with Concerto/Basic Shower Trolley ...30 Home Care Use ...32 Cleaning and Disinfection Instructions ...34 Battery Instructions ...36 Care and Preventive Maintenance ...37 Troubleshooting ...42 Technical Specifications ...44 Dimensions ...46 Labels ...48 Approvals and List of Standards ...50 Electromagnetic Compatibility ...52 Parts and Accessories ...54 ArjoHuntleigh Addresses ... Last page 3

Foreword Complementary Information

Thank You for Purchasing ArjoHuntleigh Equipment. Your Concerto®/Basic™ shower trolley is a part of a series of quality products designed especially for hospitals, nursing homes and other health care use.

A DVD accompanies this IFU. Please note that the DVD does not replace the information in this IFU. The IFU contains additional important safety instructions.

Please contact us if you have any questions about the operation or maintenance of your ArjoHuntleigh equipment.

Definitions in this IFU:

Please Read this Instructions for Use Thoroughly! Please read this Instructions for Use (IFU) in its entirety before using your Concerto/Basic shower trolley. Information in this IFU is crucial to the proper operation and maintenance of the equipment, will help protect your product, and make sure that the equipment performs to your satisfaction. Some of the information in this IFU is important for your safety and must be read and understood to help prevent possible injury.

Means: Safety warning. Failure to understand and obey this warning may result in injury to you or to others.

WARNING

CAUTION Means: Failure to follow these instructions may cause damage to all or parts of the system. NOTE

Unauthorized modifications on any ArjoHuntleigh equipment may affect its safety. ArjoHuntleigh 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.

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

Report Unexpected Operations or Events Means: The name and address of the manufacturer.

Contact your local ArjoHuntleigh representative if any unexpected operations or events occur. The contact information appear on the last page of this IFU.

Service and Support A service routine must be performed on your Concerto/ Basic shower trolley every year by qualified personnel to make sure the safety and operating procedures of your product. See section Care and Preventive Maintenance on page 37. If you require further information, please contact ArjoHuntleigh for comprehensive support and service programs to maximize the long-term safety, reliability and value of the product. Contact your local ArjoHuntleigh representative for replacement parts. The contact information appears on the last page of this IFU.

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Intended Use Resident Assessment

This equipment must be used in line with its intended use and in accordance with these safety instructions. Anyone using this equipment must also have read and understood the instructions in this Instructions for Use (IFU). If there is anything you are not sure about, contact your ArjoHuntleigh representative. This equipment is intended for assisted hygiene care, especially showering and bathing of residents in care environments like senior/assisted living, group home, special care, nursing homes, hospitals and home care. The equipment is intended for indoor use.

We recommend that facilities establish regular assessment routines. Caregivers must assess each resident according to the following criteria prior to use:

•

This equipment is mainly to be used by a resident that is almost completely bedridden and totally dependent.

•

The resident’s weight must not exceed 150 kg (330 lbs).

•

The resident’s length must be in the range of 140 and 200 cm (55 1/8” - 78 3/4”).

If a resident does not meet these criteria an alternative equipment/system should be used.

The Concerto/Basic shower trolley must be used by appropriately trained caregivers with adequate knowledge of the care environment, its common practices and procedures, and in accordance with the guidelines in the Instructions for Use (IFU).

Lifetime of the Equipment The expected lifetime of this equipment is ten (10) years but depending on the storage of the battery, the use frequency and the charging intervals, the service life of the battery is 2-5 years.

The resident transfer to and from the Concerto/Basic shower trolley can be performed with a ceiling lift, mobile passive lift or by lateral transfer to and from a bed e.g. using an appropriate sliding aid.

Depending on level of wear some equipment parts such as castors, hand control and mattress may need to be replaced during the equipment lifetime according to information in the Instructions for use (IFU).

The Concerto/Basic shower trolley should only be used for the purpose specified in these Instructions for Use. Any other use is prohibited.

Assembly of parts must be mounted according to instructions in the Instructions for Use (IFU).

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Safety Instructions WARNING To avoid explosion or fire, never use the equipment in oxygen rich environment, in presence of heat source or flammable anaesthetic gases.

WARNING To avoid injury, make sure that the patient is not left unattended at any time.

WARNING To avoid the device from tipping and the patient from falling, do not use the equipment on floor with recessed drains, holes or slopes exceeding a ratio of 1:50 (1.15°).

WARNING To avoid electric shock, never use other electrical equipment near this device.

WARNING To avoid entrapment, make sure to keep the patient's hair, arms and feet close to the body and use designated grab supports during any movement.

WARNING To avoid falling during transfer, always make sure that the brakes are applied on all equipment being used.

WARNING To avoid the device in use from tipping, do not raise or lower other equipment close to it and be aware of stationary object when lowering.

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Preparations Actions Before the First Use

Action Before Every Use

(11 Steps) 1 Visually inspect Concerto/Basic shower trolley for transport damage.

(5 Steps) 1 Check that all parts are in place. Compare with section Parts Designation on page 10.

2

The package should be recycled according to local regulations.

2

Carry out a thorough inspection for damage.

3

3

Check that all parts of the product are supplied. Compare with section Parts Designation on page 10. If any part is missing or damaged - do NOT use the product!

If any part is missing or damaged - do NOT use the product!

4

WARNING To prevent cross-contamination, always follow the disinfection instructions in this IFU.

4 Read the IFU. 5

6

Disinfect the product according to section Cleaning and Disinfection Instructions on page 34.

5

Make sure that the battery is fully charged (Concerto electric shower trolley).

Unpack the battery charger (Concerto electric shower trolley). For installation see Battery charger IFU.

Concerto/Basic Shower Trolley Directions

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Charge the battery for 24 hours. See the Battery Charger IFU.

The driving direction during transport is illustrated below.

8

Perform a functionality test on the Concerto/ Basic shower trolley. See section Care and Preventive Maintenance on page 37.

9

Prepare an area that is dry, with good ventilation and out of direct sunlight for storage of the Concerto/Basic shower trolley.

10 Choose a designated area where the IFU should be kept, accessible at all times. 11 Make sure to have a rescue plan ready in case of a patient emergency.

The directions right, left, foot end and head end are illustrated below.

NOTE If you have any questions, please contact your local ArjoHuntleigh representative for support and service. See contact information in section ArjoHuntleigh Addresses on page 55.

Foot end

Right

Left Head end

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Product Specifications The Concerto/Basic shower trolley system includes three versions with following characteristics: Fig. 1

Concerto Hydraulic Shower Trolley (See Fig. 1)

Fig. 2

•

1600, 1900 and 2250 mm (63”, 74 3/4” and 88 5/8”)

•

Manual raising and lowering

•

Straight steering

•

Tilt stretcher function

•

Horizontal lock

Concerto Electric Shower Trolley (See Fig. 2)

Fig. 3

•

1600, 1900 and 2250 mm (63”, 74 3/4” and 88 5/8”)

•

Electrical raising and lowering

•

Straight steering

•

Tilt stretcher function

•

Horizontal lock

Basic Shower Trolley (See Fig. 3) •

1900 mm (74 3/4”)

•

Manual raising and lowering

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Intentionally left blank

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Parts Designation 1

Shower mattress

2

Head cushion

3

Head support

4

Hand control (Concerto electric shower trolley)

5

Stretcher

6

Battery holder (Concerto electric shower trolley)

7

Straight steering (Concerto hydraulic and electric shower trolley)

8

Castor brake

9

Drainage hose

10 Catches for side support 11 Side support 12 Foot support 13 Emergency stop 14 Filling plug for hydraulic oil (Concerto electric shower trolley) 15 Drainage hole 16 Drainage outlet 17 Filling plug for hydraulic oil (Concerto hydraulic and Basic shower trolley) 18 Pedal for raising/lowering (Concerto hydraulic and Basic shower trolley) 19 Horizontal lock (Concerto hydraulic and electric shower trolley) Entire Product: Applied part: Type BF Protection against electric shock in accordance with IEC 60601-1.

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Assembly of Concerto/Basic Shower Trolley Follow these 15 Steps 1 Unpack the Concerto/Basic shower trolley.

Fig. 1

Fig. 2

2

Cut the straps that hold the side supports under the stretcher. (See Fig. 1)

3

Raise the side supports.

4

Check that the bag hanging on one of the straps contain the parts to mount the head/foot supports and the oil plug. (See Fig 2)

5

The head and foot supports at the short ends of the stretcher are mounted upside down when delivered. The head support is turned 180° sideways as well. (See Fig. 3) Continue with the steps on the next page.

5 mm

8 mm Concerto hydraulic/ Basic shower trolley

Concerto electric shower trolley

Fig. 3

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Fig. 4

6

Loosen the screws on the head and foot supports with the Allen key. Turn the supports 180° upwards on top of the stretcher and then turn the head support 180° sideways. (See Fig. 4)

7

Place the head support in one of the three positions and the foot support in its only position. (See Fig. 4)

8

Tighten the screws with the Allen key.

9

Assemble the oil plug for Concerto Hydraulic/Basic shower trolley according to item 10 to 12 (use the Allen key provided in the bag).

10 Assemble the oil plug from the bag.

Fig. 5 Concerto hydraulic/ Basic shower trolley

11 Remove the transport plug. 12 Replace with the assembled oil plug.(See Fig. 5) 13 Assemble the oil plug for Concerto Electric shower trolley according to item 14 to 15 (use the Allen key provided in the bag). 14 Remove the transport plug on the oil container. 15 Replace with the enclosed oil plug. (See Fig. 6)

Fig. 6 Concerto electric shower trolley

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Product Description / Functions Manual Raising and Lowering (Concerto Hydraulic and Basic Shower Trolley) Fig. 1

Fig. 2

The pedal can be used from both sides of the stretcher. Press it with your foot and slide it under the beam to the other side. (See Fig. 1) •

To raise the stretcher pump the pedal, using the full range of motion.

•

To lower the stretcher, keep the pedal pressed down as far as possible.

Electric Raising and Lowering (Concerto Electric Shower Trolley) Unhook the hand control from its holder. (See Fig. 2)

Fig. 3

•

To raise the Concerto electric shower trolley, press the “up” arrow button on the hand control.

•

To lower the Concerto electric shower trolley press the “down” arrow button on the hand control.

Side Supports Fold down the side support by pressing the two catches at the same time. (See Fig. 3) When raising the side support, make sure the two catches snap into place. (See Fig. 4)

Fig. 4

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Fig. 1

Fig. 2

Attaching the Mattress (4 Steps) 1 Fold down the side supports. 2

Press the part of the mattress with the drainage into the stretcher in order to get the right position. (See Fig. 1)

3

Place one side of the mattress side strip around the edge of the stretcher.

4

Snap the other mattress side strip around the stretcher. Press with some force and drag one hand along the side strip for it to fasten. (See Fig. 2)

NOTE Do NOT wear jewellery or rings as it can potentially cause tears and holes in the mattress.

Removing the Mattress (5 Steps) 1 Unscrew the flange nut from the drainage hole and pull the drainage hose out upwards. Lift up the end part of the mattress from the drainage outlet. (See Fig. 1)

Fig. 3

2

Fold down the side supports. (See Fig. 3)

3

Undo one edge of the mattress side strip.

4

Pull and lift along the side strip to detach the mattress from the stretcher. (See Fig. 2)

5

Push the mattress towards the other side of the stretcher so the other side strip loosens.

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Brakes

Fig. 1

Apply the brakes by pressing down the castor lock tab (A) with your foot. (See Fig. 1) Release the brakes by pressing forward and down on the castor centre tab (B) with your foot. (See Fig. 1)

A B

Fig. 2

A

B

Straight Steering (Concerto Shower Trolley Only) To facilitate transportation in corridors etc., the Concerto shower trolley is equipped with a straight steering device. The straight steering tabs are located on the castors diagonally from each other. The straight steering device is activated by pressing down the tab (A) with your foot. (See Fig. 2) Release it by lifting the tab (B) with your foot. (see Fig. 2)

Fig. 3

Length Adjustment of Stretcher The head support can be adjusted to alter the length of the stretcher. Unscrew the two screws with an Allen key and move the support to the desired position. Then tighten the screws securely. (See Fig. 3)

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Fig. 1

Tilting the Stretcher (Concerto Shower Trolley Only) (2 Steps) The stretcher can be tilted to help with cleaning and disinfection. This operation is easier done with brakes applied. The tilting mechanism is located under the stretcher.

Fig. 2

1

Press the button, then move the catch to one side. (See Fig. 1)

2

WARNING To avoid the patient from falling out of the device, make sure that all catches are in a locked position. Tilt the stretcher. (See Fig. 2)

Fig. 3

Emergency Stop (Concerto Electric Shower Trolley Only) If, for any reason, the Concerto electric shower trolley does not respond to the hand control buttons, stop the raising and lowering movement of the stretcher by pressing the emergency stop button. (See Fig. 3) Contact qualified personnel if that happens. If the emergency button is pressed by accident, it can be reset by turning the button clockwise until it pops back out.

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Fig. 1

Drainage/Drainage Hose The Concerto/Basic shower trolley comes with a drainage hose. (See Fig. 1) The mattress design combined with the slope of the stretcher make sure there is proper drainage. The flexible drainage hose can be connected to a floor drain to reduce splashing.

Attaching the Drainage Hose (3 Steps) 1

Insert the drainage hose through the drainage hole. (See Fig. 2)

2

Under the stretcher, screw the flange nut to the end of the hose. (See Fig. 2)

3

Before transportation, put the drainage hose nozzle in its holder. (See Fig. 3)

Fig. 2

To Remove the Drainage Hose (2 Steps) 1

Under the stretcher, unscrew the flange nut from the drainage hole.

2

Pull the drainage hose out upwards.

Battery Low Charge Warning Fig. 3

The low charge battery warning LED lamp is located on the cover of the hydraulic unit on the chassis. If the battery is running low, the warning LED will turn yellow when the buttons on the hand control are pushed. The battery should then be recharged as soon as possible. NOTE To avoid loss of operation, charge the battery when the warning LED lamp is lit. NOTE It is recommended to use two batteries, one in the charger and one in the Concerto/Basic shower trolley.

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Horizontal Position

Fig. 1

The Concerto hydraulic and electric shower trolley always adjusts it selves automatically to a horizontal position when lowered onto a bed. (See Fig. 1)

Horizontal Lock (Concerto Shower Trolley Only)

Fig. 2

The Concerto shower trolley is equipped with a special fitting which locks the stretcher in a horizontal position for transport or when the mattress is going to be filled with water. Move the lever (A) to the right to lock the stretcher in a horizontal position. (See Fig. 2)

A

Adjustable Back Support (Accessory for Concerto Shower Trolley)

Fig. 3

Pull the head support up to raise it. Make sure that the catches are in a locked position. To lower it, press the catches (B) while gently lowering the head support. (See Fig. 3) B

Fig. 4

Wedge Pillow (Accessory) Place wedge pillow at the head end of the mattress. (See Fig. 4)

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Transfers with Concerto/Basic Shower Trolley From Bed Fig. 1

(22 Steps)

WARNING To avoid patient falling out of the device, make sure that all side supports are in a locked position.

WARNING To avoid entrapment, make sure to keep the patient’s hair, arms and feet close to the body and use designated grab supports during any movement.

WARNING

Fig. 2

To avoid the patient from falling or caregiver from being injured, make sure that there are two or more caregivers present during the patient transfer process. 1

Apply the wheel brakes on the bed.

2

Raise the bed to an ergonomic height, if possible.

3

Fold down the Concerto/Basic shower trolley side support on the transfer side.

4

If using a manual hydraulic Concerto/Basic shower trolley, make sure the foot pump is turned away from the transfer side.

5

Lower the bed rail on the transfer side, if any.

6

Place one caregiver on each side of the bed.

7

Position the patient close to the transfer side.

8

Turn the patient to his or her side, away from the transfer side.

9

The caregiver, whom the patient is turned towards, holds the patient. (See Fig. 1)

10 Fold down the other Concerto/Basic shower trolley side support, opposite to the transfer side and bed. 11 The second caregiver positions Concerto/Basic shower trolley over the bed as close as possible to the patient. (See Fig. 2) Continue with the steps on the next page.

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Fig. 3

12

WARNING To avoid falling during transfer, always make sure that the brakes are applied on all equipment being used. Apply the brakes on Concerto/Basic shower trolley. (See Fig. 3)

Fig. 4

13 Lower Concerto/Basic shower trolley until it compresses the mattress on the bed. 14 Turn the patient onto his or her back and onto the Concerto/ Basic shower trolley. NOTE To ease the transfer process, use a sliding aid, according to section From Bed with a Sliding Aid on page 24 15

WARNING To avoid falling, make sure that the patient is positioned in accordance with this IFU.

Fig. 5

Both caregivers need to help the patient towards the middle of the Concerto/Basic shower trolley. (See Fig. 4) 16 Fold up the Concerto/Basic shower trolley side support, opposite from the transfer side and bed. (See Fig. 5) 17 Place the head cushion under the patient’s head for comfort. 18 Raise the Concerto/Basic shower trolley enough to clear the bed. 19 Release the brakes on Concerto/Basic shower trolley. 20 Move Concerto/Basic shower trolley away from the bed and fold up the Concerto/Basic shower trolley side support on the transfer side. (See Fig. 6) 21 Cover the patient if undressed.

Fig. 6

22 Adjust the Concerto/Basic shower trolley to an ergonomic height for the caregivers.

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