Arjo MAA2080M User manual

INSTRUCTIONS FOR USE
Amputee Slings
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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 2019.
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.
Foreword
Thank you for purchasing Arjo equipment. Please read this Instructions For Use (IFU)
thoroughly!
Arjo will not be held responsible for any accidents, incidents or lack of performance that occur as a result of any
unauthorized modifi cation to its products.
Customer Support
If you require further information, please contact your local Arjo representative. The contact information is
located at the end of this IFU.
Defi nitions in this IFU
WARNING Means: Safety warning. 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.
NOTE Means: This is important information for the correct use of this system or equipment.
Contents
Foreword .............................................................2
Customer Support...................................................2
De¿nitions in this IFU..............................................2
Intended Use.......................................................3
Patient/Resident Assessment .................................3
Expected Service Life .............................................3
Safety Instructions...............................................4
Safety Practises......................................................4
Parts Designation................................................5
Preparations........................................................5
Before First Use (6 steps).......................................5
Before Every Use (5 steps).....................................5
Select Sling Size..................................................6
Using the Arjo Measuring Tape (4 steps) (Accesso-
ry)............................................................................6
Sizing Without a Measuring Tape (2 steps).............6
Sling Selection.....................................................7
Sling Selection Based on Patient’sAmputee..........7
Transfer/Bathing......................................................7
Transfer/Transport...................................................7
Allowed Combinations.........................................7
Safe Working Load (SWL).......................................7
Clip Attachment & Detachment............................9
Attach the Clips (5 steps)........................................9
Detach the Clips (3 steps).......................................9
Loop Attachment & Detachment..........................9
Attach the Loops (5 Steps)......................................9
Detach the Loops (2 steps).....................................9
Applying the Sling..............................................10
In Bed (24 steps)...................................................10
In Chair/ Wheelchair (22 steps)............................. 11
On Floor (32 steps)...............................................12
Removing the Sling ...........................................13
In Bed (12 steps)...................................................13
In Chair/Wheelchair (13 steps)..............................14
Cleaning and Disinfection..................................15
Cleaning Instruction (7 steps) ...............................15
Cleaning Chemicals..............................................15
Disinfection............................................................15
Care and Preventive Maintenance....................16
Before and After Every Use...................................16
When Soiled or Stained and Between Patients ....16
Storage..................................................................16
Service and Maintenance......................................16
Technical Speci¿cations ....................................16
Troubleshooting.................................................17
Label on the Sling..............................................18
INSTRUCTIONS FOR USE
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Intended Use
The Amputee Sling is a product intended for assisted
transfer of single and double amputee patients/
residents with limited ability to move. The Amputee
Sling should be used together with Arjo lift devices in
accordance with the Allowed Combinations specifi ed
in the Instructions for Use (IFU).
Products made of Mesh material and the sling model
MAA2080M are intended to be used when bathing.
Sling models MAA2080M and MAA2050M are
suitable to be seated on for a period of time between
transfers.
Sling model MAA2091M enables toileting.
The Amputee Sling shall only be used by appropriately
trained caregivers with adequate knowledge of the care
environment, and in accordance with the instructions
outlined in the Instructions for Use.
The Amputee Sling is intended to be used in hospital
environments, nursing homes, other healthcare
facilities and home care.
The Amputee Sling should only be used for the
purpose specifi ed in this Instructions for Use. Any
other use is prohibited.
Patient/Resident Assessment
We recommend that facilities establish regular
assessment routines. Caregivers should assess each
patient/resident according to the following criteria
prior to use:
• Patient/resident sits in wheelchair
• Has no capacity to support herself/himself at all
• Cannot stand unsupported and is not able to bear
weight, not even partially
• Dependent on caregiver in most situations
• Physically demanding for caregiver
• Stimulation of remaining abilities is very important
Or, for a patient/resident who:
• Is passive
• Might be almost completely bed ridden
• Often stiff, contracted joints
• Totally dependent on the caregiver
• Physically demanding for caregiver
• Stimulation and activation is not a primary goal
Safe Working Load (SWL) for Amputee Sling:
• MAA2050M, MAA2080M: 190 kg (418 lbs);
• MAA2090M, MAA2091M, MAA4040M,
MAA4070M, MAA4080M, MLA7000,
MLA7000A, MAA7090M: 272 kg (600 lbs).
The right type and size of slings should be used after
proper assessment of each resident’s size, condition
and the type of lifting situation.
If the patient/resident does not meet these criteria an
alternative equipment/system shall be used.
Expected Service Life
The expected service life of Amputee Sling is the
maximum period of useful life. The expected life of
the sling is dependent on the actual use conditions.
Therefore, before use, always make sure that the
sling does not show signs of fraying, tearing or other
damage and that there is no damage (i.e. cracking,
bending, breaking). If any such damage is observed,
do not use the sling. If you have any doubts about sling
safety, as a precaution and to ensure safety, do not use
the sling.
The expected service life of the Amputee Slings:
• Service Time:
- 1.5 years for sling models MAA2080M and
MAA2050M;
- 2 years for slings made of all other materials;
• Shelf Time:
- 5 years.
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Safety Instructions
WARNING
To avoid injury, make sure that the patient is
not left unattended at any time.
WARNING
To avoid injury, always assess the patient
prior to use.
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, never let the patient smoke
when using the sling. The sling can catch
on fi re.
WARNING
To avoid injury, only store the equipment for
a short period of time. If stored longer than
stated in the IFU, it can cause weakness
and breakage in the material.
WARNING
To avoid injury, keep the equipment away
from sun/UV-light. Exposure to sun/UV-light
can weaken the material.
WARNING
These warnings are specifi c to the sling
models MAA2080M and MAA2050M:
Patients sat out in a chair are at an
increased risk of pressure injury
development, due to high interface
pressures concentrated over a small
surface area when compared to lying in
bed. An individualised skin and holistic
assessment of the patient should be
undertaken, before deciding on whether a
sling should be left under a patient for any
period of time.
If the decision is to have the patient sit
on the sling for any time period between
transfers then an appropriate care
plan must be established and should
include regular skin inspection, paying
particular attention to pressure points and
frequent repositioning intervals which
should be documented and based on the
individuals level of risk for pressure injury
development.
Consideration should also be given by
the clinician as to any specifi c pressure
relieving or redistribution surface that the
patient/resident is sitting on and make sure
that the sling is correctly positioned and
adjusted (removing loops and clips clear of
the seated patient) to make sure the sling
does not affect the effi cacy of the seat or
cushion.
Safety Practises
• At any time, if the patient becomes agitated, stop
transferring/transporting and safely lower the
patient.
• Patient with spasm can be lifted, but great care
should be taken to support the patient’s leg(s)/
limb(s).
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Parts Designation
Preparations
Before First Use (6 steps)
1. Check all parts of the sling, see section “Parts
Designation” on page 5. If any part is missing
or damaged - Do NOT use the sling.
2. Read this IFU thoroughly.
3. Check that the sling is clean.
4. Choose a designated area where the IFU should be
kept and easily accessible at all times.
5. Make sure to have a rescue plan ready in case of a
patient emergency.
6. For questions, contact your local Arjo
representative for support.
NOTE
Arjo recommends the name of the patient is
written on the sling care label to avoid cross
contamination between patients.
Before Every Use (5 steps)
1. Patient assessment must always determine the
methods used in everyday care, see “Intended
Use” on page 3.
WARNING
To avoid the patient from falling, make sure
to select the correct sling size according to
the IFU.
2. Check the allowed combinations against the sling,
spreader bar and lift, see “Allowed Combinations”
on page 7.
WARNING
To avoid injury, always make sure to inspect
the equipment prior to use.
3. Check all parts of the sling, see “Parts
Designation” on page 5. If any part is missing
or damaged - Do NOT use the sling. Check for:
• fraying
• loose stitching
• tears
• fabric holes
• soiled fabric
• damaged clips/loops
• unreadable or damaged label
WARNING
To prevent cross-contamination, always
follow the disinfection instructions in this
IFU.
4. Check that the sling is clean. If the sling is not
clean see”Cleaning and Disinfection” on page
15.
5. Before using the sling, read the lift IFU for transfer,
transport and bathing.
1. Sling label (located on the outside of the sling)
2. Stiffener pocket
3. Stiffener
4. Attachment clip (shoulder)
5. Leg strap
6. Attachment clip (leg)
7. Leg fl ap
8. Body section
9. Shoulder strap
10. Head section
11. Hook and loop fl ap
12. Attachment loop (shoulder)
13. Loop strap
14. Attachment loop (leg)
15. Pull handles
Example of slings. Not all models are represented.
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Fig. 1
Fig. 2
43 52 61 72.7 99.6 104.7 114.794.784.7
AB
COCCYX HEAD
cm
in
16,9 20.5 24 28.7 33.7 37.6 39.5 41.5 45.2
XXS XS S M L LL XL XXL
Select Sling Size
Using the Arjo Measuring Tape (4
steps) (Accessory)
The Arjo Measuring Tape is a sizing accessory only
intended as a guide and is an approximation. Patient
width and body proportions should also be considered
when selecting the correct size of Arjo sling.
1. If possible, the patient should be in a seated
position.
2. Place the point marked A on the measuring tape
over the patient’s coccyx/against seat (position A).
(See Fig. 1 ) and (See Fig. 2 )
3. Measure from coccyx/seat (position A) to the top
of the head (position B)(See Fig. 1 ).
4. The coloured area on the measuring tape that is
levelled with the top of the patient’s head indicates
the required sling size. If the sling size falls in
between two sizes, it is recommended to select the
smaller size. (See Fig. 2 )
Sizing Without a Measuring Tape
(2 steps)
1. Place the sling over the patient’s back.
2. Make sure the sling covers the patient from the top
of the head (position B) to the coccyx (position A).
(See Fig. 1 )
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Sling Selection
The patient’s physical disabilities, weight distribution and general physique needs to be taken into consideration
when selecting a sling.
Sling Selection Based on Patient’s Amputee
Double amputee over knee: Use a Double Amputee sling or Hammock Amputee.
One leg amputee: Use a Right/Left Amputee sling (depending on amputee) or Hammock Amputee.
Transfer/Bathing
Article number Safe Working
Load Product Description Size
MAA2080M 190 kg (418 lbs) Double Amputee Mesh (intended to
be seated on) S, M, L, LL
MAA7090M 272 kg (600 lbs) Double Amputee Mesh M, L, XL
Transfer/Transport
Article number Safe Working
Load Product Description Size
MAA2050M 190 kg (418 lbs) Double Amputee (intended to be
seated on) S, M, L, LL, XL
MAA2090M 272 kg (600 lbs) Double Amputee XS, S, M, L, LL, XL, XXL
MAA2091M 272 kg (600 lbs) Double Amputee Toilet with
Commode M, L, XL
MAA4040M 272 kg (600 lbs) Double Amputee with hook and loop
Àap M, L, XL
MAA4070M 272 kg (600 lbs) Right Amputee M, L, LL, XL
MAA4080M 272 kg (600 lbs) Left Amputee M, L, LL, XL
MLA7000 272 kg (600 lbs) Hammock Amputee S, M, L, XL
MLA7000A 272 kg (600 lbs) Hammock Amputee L
Article numbers with “A-suffix” (e.g. MLA7000A) has a BAA (Buy American Act) compliant country of origin.
Allowed Combinations
WARNING
To avoid injury, always follow the allowed combinations listed in this IFU. No other
combinations are allowed.
Safe Working Load (SWL)
Always follow the lowest SWL of the total system. E.g. the Maxi Twin Compact lift/spreader bar has a SWL of
160 kg (352 lbs) and the MAA2050M sling has a SWL of 190 kg (418 lbs). This means that the lift/spreader bar
has the lowest SWL. The patient is not allowed to weigh more than the lowest SWL.
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Lift Maxi Twin
Compact Maxi 500 Maxi Twin
SWL 160 kg
(352 lbs) 227 kg (500 lbs) 182 kg (401 lbs)
Spreader Bar (DPS) Power Medium Manual Manual Medium Power
Sling SWL Size Size Size Size
MAA2050M 190 kg (418 lbs) S, M, L, LL, XL S, M, L, LL S, M, L, LL S, M, L, LL, XL
MAA2080M 190 kg (418 lbs) S, M, L, LL, XL S, M, L, LL S, M, L, LL S, M, L, LL
MAA2090M 272 kg (600 lbs) S, M, L, LL, XL S, M, L, LL S, M, L, LL S, M, L, LL, XL
MAA7090M 272 kg (600 lbs) M, L, XL M, L M, L M, L, XL
MAA2091M 272 kg (600 lbs) M, L, XL M, L M, L M, L, XL
MAA4040M 272 kg (600 lbs) M, L, XL M, L M, L M, L, XL
MAA4070M 272 kg (600 lbs) M, L, LL, XL M, L, LL M, L, LL M, L, LL, XL
MAA4080M 272 kg (600 lbs) M, L, LL, XL M, L, LL M, L, LL M, L, LL, XL
Lift Minstrel Maxi 500 Maxi Twin
SWL 190 kg
(418 lbs) 227 kg (500 lbs) 182 kg (401 lbs)
Spreader Bar 4 point 2 point Loop 2 point Small 2 point
Medium 4 point Large
Sling SWL Size Size Size Size Size
MLA7000 272 kg (600 lbs) M, L, XL S, M, L, XL S, M S, M,L, XL M, L, XL
MLA7000A 272 kg (600 lbs) L L - L L
Lift Maxi Move Maxi Sky 600
SWL 227 kg (500 lbs) 272 kg
(600 lbs)
Spreader Bar
(DPS)
Manual
Small Manual Medium Power Medium Power Large Power Medium
Sling SWL Size Size Size Size Size
MAA2050M 190 kg (418 lbs) S S, M, L, LL S, M, L, LL, XL L, LL, XL S, M, L, LL, XL
MAA2080M 190 kg (418 lbs) S S, M, L, LL S, M, L, LL L, LL S, M, L, LL
MAA2090M 272 kg (600 lbs) XS, S S, M, L, LL S, M, L, LL, XL L, LL, XL, XXL S, M, L, LL, XL
MAA7090M 272 kg (600 lbs) - M, L M, L, XL L, XL M, L, XL
MAA2091M 272 kg (600 lbs) - M, L M, L, XL L, XL M, L, XL
MAA4040M 272 kg (600 lbs) - M, L M, L, XL L, XL M, L, XL
MAA4070M 272 kg (600 lbs) - M, L, LL M, L, LL, XL L, LL, XL M, L, LL, XL
MAA4080M 272 kg (600 lbs) - M, L, LL M, L, LL, XL L, LL, XL M, L, LL, XL
Lift Maxi Move Maxi Sky
440 Maxi Sky 600
SWL 125 kg
(275 lbs) 227 kg (500 lbs) 200 kg (440 lbs) 272 kg (600 lbs)
Spreader Bar 2 point
Small 2 point Medium 2 point loop 4 point loop Fix 2 point Medium
Sling SWL Size Size Size Size Size Size
MLA7000 272 kg (600 lbs) S, M S, M, L, XL S, M, L, XL M, L, XL, S, M, L, XL S, M, L, XL
MLA7000A 272 kg (600 lbs) - L L L L L
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Clip Attachment & Detachment
NOTE
If available on your lift device, reposition the
spreader bar using the Dynamic Position
System (DPS) for easier clip attachment of the
sling. See lift IFU for instructions.
Attach the Clips (5 steps)
1. Place the clip on the spreader bar lug. (See Fig. 3 )
2. Pull the strap down.
3. Make sure the lug is locked at the top end of the
clip. (See Fig. 4 )
4. Make sure the strap is not squeezed in between the
clip and the spreader bar.
5. Make sure the straps are not twisted.
Detach the Clips (3 steps)
Make sure that the weight of the patient is taken up by
the receiving surface before removing the clip.
1. Pull the strap up. (See Fig. 5 )
2. Make sure the lug is unlocked at the bottom of the
clip.
3. Remove the clip.
Loop Attachment & Detachment
2 point spreader bar: First attach the shoulder
loops, then attach the leg loops.
4 point spreader bar: First attach the shoulder
loops in the front hooks. Then attach the leg loops in
the back hooks
WARNING
Do not cross the shoulder straps.
Attach the Loops (5 Steps)
WARNING
Use the same loop length (loop colour) for
the shoulder straps and the same length
(loop colour) for the leg straps.
1. Place the loop over the spring loaded latch (A).
(See Fig. 6 )
2. Pull the loop down to force the latch to open.
3. Make sure that the spring loaded latch closes
completely with the loop inside. (See Fig. 6 )
4. Make sure that the latch is moving freely.
5. Make sure loops and straps are not twisted.
NOTE
The loops lengths on the straps are used to
adjust the resident’s position and comfort.
• Loops closer to the shoulders;
More forward position
• Loops further away from the shoulders;
More reclined position
• Loops closer to the legs;
Raised leg(s)/limb(s)/bottom
• Loops further away from legs;
Lowered leg(s)/limb(s)/bottom
Detach the Loops (2 steps)
Make sure that the weight of the resident is taken up
by the receiving surface before removing the loop.
Method 1
1. Press the spring loaded latch open.
2. Remove the loop.
Method 2
1. Pull one side of the loop over the hook and spring
loaded latch.(See Fig. 7 )
2. Pull down the loop. (See Fig. 8)
Fig. 3 Fig. 4 Fig. 5 Fig. 6
A
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Applying the Sling
In Bed (24 steps)
It is recommended that all patients with double
amputees are transferred from a fl at surface.
For transfer/transport/bathing see respective lift IFU.
1. Place the lift nearby.
2. Apply bed brakes and adjust the height of the bed
to an ergonomic position, if possible.
3. The patient needs to lay down fl at on his/her back.
4. Check that the stiffeners are completely inside the
stiffener pockets, if any.
5. Fold the sling lengthwise along the centre line,
outside facing outside. The sling label is located on
the outside.
WARNING
To avoid injury during log roll, make sure
there is another caregiver present and/or
use the side rails on the opposite side of
the bed.
6. Log roll the patient. (Use local technique.) If log
roll is not possible, use an Arjo sliding sheet/tube
for placing the sling. See respective Sliding sheet/
tube IFU
7. Place the folded sling over the patient’s side. Make
sure that the centre line is aligned with the patient’s
spine, starting at the coccyx. Place the leg fl aps
towards the leg(s)/limb(s). (See Fig. 9 )
8. Fold down the top of the sling and tuck it under the
patient’s body.
9. Log roll the patient to the other side.
10. Pull out the remaining part of the sling from under
the patients body.
11. Return the patient to his/her back.
12. Place the leg fl aps underneath the patient’s leg(s)/
limb(s). If using a Hammock sling, there are no leg
straps just general straps.
13. If using a loop sling, cross the leg straps. Pull one
strap through the other. (See Fig. 10 )
14. Make sure that the: (See Fig. 11 )
• sling is centred and fl at without creases,
• sling’s head support covers the neck/head area,
• sling pieces are not twisted underneath the
patient and
• if a sling with commode is being used, make
sure the hole is positioned correctly.
WARNING
To avoid injury, make sure the patient’s
arms are placed inside of the sling.
15. Make sure the patient’s arms are inside the sling.
16. Place the lift next to the patient and apply the
brakes.
WARNING
To avoid injury to the patient, pay close
attention when lowering or adjusting the
spreader bar.
17. Attach the clips/loops.
18. Slightly lift the patient to create tension in the
sling. (See Fig. 12 )
WARNING
To avoid the patient from falling, make sure
that the sling attachments are attached
securely before and during the lifting
process.
Continue with the steps on the next page.
Fig. 7 Fig. 8 Fig. 9 Fig. 10 Fig. 11
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