ARJO HUNTLEIGH Carino User manual

...with people in mind
Carino
04.BO.01_12US.CA September 2014
INSTRUCTIONS FOR USE

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.

3
Contents
Foreword ...................................................................................4
Intended Use .............................................................................5
Safety Instructions .....................................................................6
Preparations ..............................................................................7
Parts Designation ......................................................................8
Product Description / Functions ..............................................10
Lifting Function (High/Low) ..................................................10
Leg Rests ............................................................................10
Foot Supports ......................................................................10
Driving Handles ...................................................................10
Castors ................................................................................11
Safety Belt ...........................................................................11
Arm Rest ..............................................................................11
Hand Control .......................................................................11
Seat .....................................................................................11
Battery .................................................................................12
Battery Charger ...................................................................12
Emergency Stop ..................................................................12
Emergency Lowering ...........................................................13
Automatic Safety Stop .........................................................13
Neck Pillow ..........................................................................14
Back Pillow (Accessory) ......................................................14
Seat Cushion (Accessory) ...................................................14
Bedpan (Accessory) ...........................................................14
Toilet Adapter (Accessory) ..................................................14
Independent Resident .........................................................16
Dependent Residents ..........................................................18
Transfer ...................................................................................20
Transfer to the Shower ............................................................21
After the Shower .....................................................................22
Drying and Dressing ............................................................22
Transfer to the Toilet ...............................................................24
Home Care Use ......................................................................26
Battery Instructions .................................................................28
Cleaning and Disinfection Instructions ....................................29
Care and Preventive Maintenance ..........................................32
Troubleshooting ......................................................................36
Technical Specifications ..........................................................38
Labels on the Carino ...............................................................42
Approvals and List of Standards .............................................44
Electromagnetic Compatibility .................................................44
Parts and Accessories ............................................................46
ArjoHuntleigh Addresses .............................................Last page

4
Foreword
Thank You for Purchasing ArjoHuntleigh
Equipment.
YourCarinoheightadjustablehygienechairispartof
a series of quality products designed especially for
hospitals, nursing homes and other health care use.
Please contact us if you have any questions about the
operation or maintenance of your ArjoHuntleigh
equipment.
Please Read this Instructions for Use
Thoroughly!
Please read this Instructions for Use (IFU) in its
entirety before using your Carino height adjustable
hygiene chair. Information in the IFU is crucial to the
proper operation and maintenance of the equipment,
and will help protect your product and make sure that
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.
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.
Report Unexpected Operations or
Events
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
Service should be performed regularly on your
Carino every year by ArjoHuntleigh qualified
personnel to make sure the safety and daily operation
of your product.
Ifyourequirefurtherinformation, pleasecontactyour
local ArjoHuntleigh representative who can offer
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. Your service representative stocks
the parts you will need. The contact information
appears on the last page of this IFU.
Study Your Carino DVD
This IFU is accompanied by a DVD. Please note that
the DVD does not replace the information in the IFU
as it contains important information.
Definitions in this IFU:
Means:
Safety warning. Failure to understand and obey this
warning may result in injury to you or to others.
Means:
Failuretofollowthese instructionsmay causedamage
to all or parts of the system.
Means:
This is important information for the correct use of
this system or equipment.
Means:
The name and address of the manufacturer.
WARNING
CAUTION
NOTE

5
Intended Use
This equipment must be used in accordance
with these safety instructions. Anyone using
the 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,
showering and toileting of adult residents in care
environments similar to senior/assisted living, group
home, special care, nursing homes, hospitals and home
care. The equipment is intended for indoor use.
The Carino may only be used by appropriately trained
caregivers with adequate knowledge of the care
environment, its common practices and procedures and
in accordance with guidelines in the Instructions for
Use (IFU).
Resident Assessment
We recommend that facilities establish regular
assessment routines. Caregivers should assess each
resident according to the following criteria prior to use:
• The resident must not weigh more than 140 kg
(309 lbs.).
• The resident should understand and respond to
instructions.
• It is intended for residents how are active or semi-
active i.e. able to sit upright self-supported on the
side of bed or toilet.
If the resident does not meet these criteria an alternative
equipment/system shall be used.
Lifetime of the Equipment
The equipment must only be used for the purposes
stated above.
The lifetime of this equipment is ten (10) years and the
service life of the safety belt is two (2) years. 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 lifetime and service life are stated providing that the
preventive maintenance are being carried out in
accordance with the instructions for care and
maintenance in the Instructions for use (IFU).
Depending on level of wear some equipment parts such
as castors and hand control may need to be replaced
during the equipment lifetime according to information
in the Instruction for use (IFU).

6
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 falling, make sure that the resident
is positioned correctly and that the safety
belt is being used, properly fastened and
tightened.
WARNING
To avoid falling, make sure that the user
weight is lower than the safe working load
for all products or accessories being used.
WARNING
To avoid injury, make sure that the resident
is not left unattended at any time.
WARNING
To avoid entrapment of the residents or
caregivers legs or feet, make sure that they
are kept clear of all obstacles.
WARNING
To avoid entrapment, make sure to keep the
residents hair, arms and feet close to the
body and use designated grab supports
during any movement.
WARNING
To avoid the device from tipping and the
resident 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 resident falling out of the device,
make sure that the arm rest are folded
down during transfer.
WARNING
To avoid falling during transfer, always
make sure that the brakes are applies on all
equipment being used.
NOTE
All materials used in this product complies
with established biocompatibility
standards and have been tested
accordingly (ISO 10993).

7
Preparations
Actions Before the First Use
(10 Steps)
1 Visually check the package for damage. If the
product looks damaged make a complaint to the
transport agency.
2 The packaging should be recycled according to
local regulations.
3 Check that all parts of the product are supplied.
Comparewith the product description in thisIFU.
If any part is missing or damaged - do NOT use
the product.
4 Unpack the battery charger. Select and attach the
adapter correctly suited to your power outlet. See
Battery charger IFU.
5 Charge each battery for a minimum of 14 hours
(Japan 3.5 hours).
6 Perform a functionality test.
See section, Care and Preventive Maintenance.
7 Disinfect the product according to Disinfecting
Instructions in this IFU.
8 Prepare an area that is dry, with good ventilation
and out of direct sunlight for storage of the
Carino.
9 Choose a designated area, where the Instructions
for Use should be kept and is accessible at all
times for the users.
10 Makesuretohave a rescue plan in case of resident
emergency and if the Carino gets stuck in an
elevated position.
NOTE
If you have any questions, please contact your
local ArjoHuntleigh representative for support
and service. The contact information
(ArjoHuntleigh addresses) is listed on the last
page of this IFU.
Action Before Every Use (4 steps)
1 Check that all parts of the Carino are in place.
Compare to Part Designations page in this IFU.
2 Check accessories and parts for damage. If any
part is missing or damaged - do NOT use the
product
3 Assess the resident whether the safety belt is
needed.
Carino Directions
The directions right or left and intended driving
direction in this IFU are shown below.
4WARNING
To prevent cross-contamination always
follow the disinfection instructions in
this Instructions for Use.
Right
Left
Intended driving direction

8
1Chassis
2 Lockable castors
3 Back rest
4 Neck pillow
5 Transfer handle
6 Transfer handle
7 Leg rests
8 Foot supports
9 Safety belt
10 Seat
11 Arm rests
12 Hand control
13 Battery
14 Battery holder
15 Battery charger
16 Lifting unit
17 Cover left
18 Cover right
19 Emergency stop
20 Emergency lowering button
21 Lifting strap
22 Back pillow (accessory)
23 Seat cushion (accessory)
24 Bed pan with lid (accessory)
25 Toilet Adapter (accessory)
Applied part: Type B. (Entire product)
protection against electric shock in
accordance with EN 60601-1
Parts Designation

9
6
1
11
10
7
9
8
5
2
3
22
23
19
13
24
20
21
12
18
16
13
17
14
15
13
25
4

10
Product Description / Functions
The Carino has a total of 15 descriptions and functions.
Lifting Function (High/Low)
The chair can be adjusted to a suitable height over the toilet and
to a comfortable height during showering. The higher the
Carino chair is raised, the more reclined the resident’s position
will be.
Leg Rests
Supporting the resident’s legs gives the caregiver a correct
working posture for example during a pedicure. The leg rests
also give support to the resident’s legs during the transfer. Press
the leg rest connector (A) while folding out the leg rest.
(See Fig. 1)
The leg rests are adjustable in three different positions
depending on the length of the resident.
Adjust the position of the leg rest by removing the leg support
and snap it back in to one of the three preferable heights (B).
(See Fig. 1)
Foot Supports
Fold out the foot support to let the resident rest their feet during
the transfer in lower positions and during toileting. (See Fig. 2)
Driving Handles
The correct hand positioning for the caregiver during the
transfer or positioning is on the driving handles behind the back
rest (A) and integrated front arm rest (B).Do not grab the
chassis side bars (C).(See Fig. 3)
CAUTION
If the leg rest connector is not pressed in, the leg
rest may break during the folding process.
WARNING
To avoid falling, make sure the floor is free from
obstacles and that the foot rests are folded away
before getting in or out of the equipment.
Fig. 1
B
A
Fig. 2
Fig. 3
A
B
C

11
Castors
The Carino is equipped with four lockable castors. Press down
the brake pedal with your foot to brake (A) and press it forward
to release the brake (B). To get the full effect apply brakes on
all four castors. (See Fig. 1)
Safety Belt
Secure the resident with the safety belt if needed. The safety
belt will secure the resident in the chair. Fasten at the knobs on
either side of the back rest and adjust the length on the buckle.
Make sure the safety belt is attached at all times to avoid it from
laying on the floor causing someone to trip over it. Make sure
the safety belt is close to the residents body. (See Fig. 2)
Arm Rest
During the disinfection, the arm rest can be folded up and down
for easier disinfection underneath the arm rest.
Hand Control
The hand control has an integrated hook, making it easier to
attach it to various parts of the chair.
A set of buttons marked with arrows pointing upwards or
downwards controls the raising and lowering of the chair.
(See Fig. 3)
Seat
The seat has a comfortable design and can be folded up for
cleaning and disinfecting. The seat is fixed in its normal
position by a snap-in attachment on the front edge of the seat.
For optimal ergonomics during cleaning and disinfecting, fold
the seat up with the Carino in a comfortable height. (See Fig. 4)
WARNING
To avoid resident falling out of the device, make
sure that the arm rest are folded down during
transfer.
Fig. 1
B
A
Fig. 2
Fig. 3
Fig. 4

12
Battery
Thebattery(NEA0100)is placed at theleftsideof the chair.See
Battery charger IFU. (See Fig. 1)
Battery Charger
Thebatteryholdershould beattachedtoasuitable wallandcharger
connected to a properly grounded wall socket. See Battery
charger IFU. (See Fig. 2)
Emergency Stop
In case of an emergency, all functions can be stopped by
pushing the red button on the left side of the lifting unit. The
emergency stop will override important safety functions.
(See Fig. 3)
•
•
•
NOTE
Make sure that the rounded ridge of the battery is
turned upwards.
NOTE
Use the battery charger in a dry location. Do not install
in bathrooms or any other wet areas.
NOTE
To reset the emergency stop function, turn the red
button clockwise.
CAUTION
This emergency stop function should ONLY be
used in an emergency.
If the emergency stop has been used due to
malfunction, contact an ArjoHuntleigh Service
Technician for general inspection of the Carino.
Fig. 1
Fig. 2
Fig. 3 Emergency stop

13
Emergency Lowering
•
•
If an electrical failure occurs to the hand control, the chair can
be lowered with the press of a button. The emergency lowering
button is located under the lifting unit. (See Fig. 1)
1 Remove the orange plug.
2 Press the emergency lowering button with your finger.
Automatic Safety Stop
When a surrounding object stops the raising or lowering of the
Carino, the automatic safety stop function will activate and
stop the chair movement. Move the chair or the obstruction and
continue raising or lowering.
CAUTION
Stop pressing the emergency lowering button when
the hygiene chair stops. By continuing to press the
button it will feed the lifting strap backwards and
the button operation will become reversed.
Contact an ArjoHuntleigh service technician if this
occurs.
WARNING
To avoid injury, only use the emergency lowering
when normal lowering is impossible. Use extreme
care during lowering.
NOTE
The emergency lowering overrides important safety
functions and should only be used when the hand
control is not working.
Fig. 1 Emergency lowering

14
Neck Pillow
The neck pillow (A) gives comfort and support during the
transfer and showering. (See Fig. 1)
Back Pillow (Accessory)
The back pillow (B) supports the back and it’s easy to adjust
based on the resident’s height. (See Fig. 1)
Seat Cushion (Accessory)
The seat cushion can be used for pressure sensitive residents.
(See Fig. 2)
Bedpan (Accessory)
The bed pan can be fitted from the back under the seat.
(See Fig. 3)
Toilet Adapter (Accessory)
The toilet adapter is used as a protection between the toilet chair
and Carino to prevent splashing during toilet visits. It can be
fitted from the back under the seat just like the bedpan.
(See Fig. 4)
WARNING
To avoid entrapment or pinching of genitals, make
sure there is enough clearance during movement
over the tub edge, toilet, bedpan or other furniture.
A
B
Fig. 1
Fig. 2
Fig. 3
Fig. 4

15
Intentionally left blank

16
Getting the Resident Seated
Independent Resident
Follow these 10 steps from a standing position or
using a walker to Carino.
1 Fold away the leg rests and push aside the foot supports.
(See Fig. 1)
2 Apply the brakes. (See Fig. 2)
3 Adjust the height of the Carino so that the edge of the seat
touches the back of the resident's knees. (See Fig. 3)
4 Let the resident hold on to the arm rest so that he or she can
lean on it. (See Fig. 4)
5 Undress the lower part of the resident. (See Fig. 4)
continue with the steps on the next page
WARNING
To avoid falling, make sure the floor is free from
obstacles and that the foot rests are folded away
before getting in or out of the equipment.
Fig. 1
Fig. 2
Fig. 3
Fig. 4

17
6 Help the resident to sit down. (See Fig. 5)
7 Use the safety belt if needed.
8 Raise the Carino to a height which is convenient for
transfer and the resident’s feet just above the foot supports.
(See Fig. 6)
9 Apply the foot supports on Carino.(See Fig. 7)
10 Transfer the resident to the shower or the toilet.
Fig. 5
Fig. 6
Fig. 7

18
Dependent Residents
Follow these 13 steps from an active lift (standing
and raising aid) to Carino.
Follow the separate operating instructions regarding the actual
lift.
1 Fold away the leg rests and push aside the foot supports.
(See Fig. 1)
2 Apply the brakes on the Carino. (See Fig. 2)
3 Place the lift with the resident as close as possible to the
Carino.(See Fig. 3)
4 Undress the lower part of the resident. (See Fig. 3)
5 Position the resident straight over the seat of Carino using
the active lift. (See Fig. 4)
continue with the steps on the next page
Fig. 1
Fig. 2
Fig. 3
Fig. 4

19
6 Lower the lift until the resident reaches the seat. (See Fig. 5)
7 Remove the sling. (See Fig. 5)
8 If needed, secure the resident in the Carino with the safety
belt. (See Fig. 5)
9 Raise the chair so the resident’s feet are free from the foot
plate of the active lift.
10 Remove the active lift.
11 Apply the foot supports on Carino.(See Fig. 6)
12 Lower the Carino so the resident’s feet rest on the foot
supports.
13 Transfer the resident to the shower or the toilet.
Fig. 5
Fig. 6

20
Transfer
There are two different ways to take the Carino hygiene chair
with a resident to the shower room or toilet.
Method 1
The Carino is pushed from the back and the resident’s feet are
placed on the foot supports. (See Fig. 1)
Method 2
TheCarino is pushed at a comfortable height from the front and
the resident does not use foot supports or leg rests. (See Fig. 2)
WARNING
To avoid entrapment, make sure to keep the
residents hair, arms and feet close to the body and
use designated grab supports during any
movement.
Fig. 1
Fig. 2