Hillrom Liko Series Manual

Is a warning triangle used for situations that demand extra care and attention.
This instruction guide applies to Liko Hygiene Sling and Teddy Hygiene Sling, yet in this text we usually simply
refer to the product as Hygiene Sling. In this document, the person being lifted is referred to as the patient,
and the
Liko Hygiene Sling, Mod. 40, 41
Teddy Hygiene Sling, Mod. 41
Instruction Guide
English
7EN160186-02
Product Description
The Liko Hygiene Sling is designed in order to assist
with dressing and undressing when lifting to and from
the toilet, these are lifting situations that are often
difcult for caregivers. Thanks to the large opening
around the buttocks, dressing and undressing can
be performed during the lifting procedure itself.
The Hygiene Sling is easy to apply even if the patient
is placed tightly in the wheelchair. The patient’s arms
should always be on the outside of the Hygiene Sling
to ensure safety.
The Hygiene Sling usually works well for patients
with long trousers and for patients wearing skirts and
leggings.
It is necessary to have good body stability to sit well in
the Hygiene Sling. It is often quite suitable for patients
with a certain body stiffness. Mod. 41 differs from
Mod. 40 in that it is equipped with a belt. A correctly
applied belt and the arms placed outside the sling,
protects the patient from sliding out of the sling.
All sizes are manufactured in single-tone green polyester
with reinforced, corduroy-lined leg support. Size XS also
comes in a softly warp-knitted polyester fabric with a
teddy bear pattern, and is therefore called Teddy Hygiene
Sling, Mod. 41.
For people with compromised balance, or where the
user needs one arm placed on the inside of the sling,
we recommend Liko Hygiene Sling with Safety belt
Mod. 45 or 46. These models have a safety belt that
holds and lifts the patient by the upper body if he/she
sinks too low during the lifting procedure.
Alternative for patients with poor muscle tone
For lifts to/from the toilet for patients with poor muscle
tone (and need more upper body support), we
recommend the Liko HygieneVest Mod. 50 or 55.
Model 55 is equipped with built-in head support.
The patient’s arms must be kept outside Hygiene
Sling Mod. 40 and 41 during the lifting procedure in
order to avoid the risk of sliding out of the sling.
Mod. 40 Mod. 41

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Table of Contents
Safety Instructions ............................................................................................................. 3
Care and Maintenance .................................................................................................. 3
Denitions .......................................................................................................................... 4
Lifting from wheelchair to toilet........................................................................................... 5
Returning from toilet to wheelchair .................................................................................... 6
Advice for trial tting ........................................................................................................... 7
Alternative slings for lifting to and from the toilet ............................................................... 7
Overview Liko Hygiene Sling, Mod. 40, 41......................................................................... 8

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Before lifting, remember the following:
• Decide on a case by case basis whether you need one or more caregivers.
• Plan the lifting operation before the lift to make it as safe and convenient as possible.
• Although Liko’s slingbars are equipped with safety latches, special caution must be exercised: Before the
patient is lifted from the underlying surface, but after the straps have been fully extended, make sure the
straps are properly connected to the slingbar.
• Make sure the patient is sitting securely in the sling before transferring to another location.
• Never lift a patient higher off the underlying surface than is needed to complete the lifting and transfer
procedure.
• Never leave a patient unattended during a lifting situation.
• Make sure that the wheels on the wheelchair, bed, gurney, etc., are locked during the lifting/transfer
operation.
Safety Instructions
Liko’s products undergo continuous development, which is why we reserve the right to make product changes
without prior notice. Contact your Liko representative for advice and information about product upgrades.
Care and Maintenance
Inspect the sling regularly, especially after washing. Inspect the following points with regard to wear and damage:
• Fabric
• Straps
• Seams
• Suspension loops
• Buckle
Do not use damaged lifting accessories.
If anything is unclear, please contact the manufacturer or supplier.
Medical technical class I product
Liko Hygiene Sling has been tested by an accredited testing institute and complies with all requirements for MDD
Class I products and the harmonized EN ISO 10535 standard.
IMPORTANT!
Lifting and transferring a patient always involves a certain level of risk. Read the instruction guide for both
the patient lift and lifting accessories before use. It is important to completely understand the contents of the
instruction guide. The equipment should only be used by trained personnel. Ensure that the lifting accessories
are suitable for the lift used. Exercise care and caution during use. As a caregiver, you are always responsible
for the patient’s safety. You must be aware of the patient’s ability to make it through the lifting situation.
Washing instructions: See the sling’s product label.
Liko is quality certied according to ISO 9001 and its equivalence for the medical device industry, ISO 13485.
Liko is also certied according to environmental standard ISO 14001.
Expected Life Time
The product has an expected life time of 1-5 years or longer during normal use. Life time varies depending on, for
instance, fabric, use frequency, washing procedure, and weight carried.
Periodic Inspection
The product must be inspected at least once every 6 months. More frequent inspections might be required if the
products are used or washed more often than normal. See Liko’s protocol Periodic Inspection for the respective
product.

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Denitions
1. Product label
2. Serial number
3. Handle
4. Upper strap loop
5. Leg support
6. Abbreviated position
7. Outer leg support loop
8. Lower edge
9. Size marking
10.Belt
11. Buckle (Tested of strength up to 200 kg
(440 lbs.) by the supplier of the buckle)
5
4
2
1
6
9
11
5
4
2
1
6
7
8
Mod. 40
Mod. 41
3
8
3
7
10
9

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Lifting from wheelchair to toilet
The description that follows applies to both models (40 and 41). Prepare for the undressing sequence e.g.
by unbuttoning buttons and loosening drawstrings.
Place the leg supports under the patient’s legs.
Cross the leg supports by feeding one leg support
loop through the other.
First connect the upper strap loops, then the leg
support loops on the slingbar.
Place the Hygiene Sling with its
product label at the center of the
patient’s back. The padded upper
edge should be just under the
armpits.
Arms on the outside!
Lift. Pull down the pants as far as possible. Lower the patient onto the toilet. Fold away the leg
supports and pull down the pants further for better
accessibility.
Mod. 41: Buckle the belt. Mod. 41: Adjust the belt so that it ts
around the patient’s upper body.
Do not further tighten the belt
once the patient has been lifted,
since this can cause the patient to be
strapped in too tightly once lowered.

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Pull up the pants as far as
possible.
If needed, place an incontinence
pad inside the pants before they are
pulled into place over the buttocks.
Perform the transfer and lower the
patient into the wheelchair.
Place the Hygiene Sling on the
patient according to the instructions
on page 5. First connect the upper
strap loops to the slingbar, then the
leg support loops.
Lift the patient.
If needed, place an incontinence
pad inside the crossed leg
supports.
Pull the pants up around the
buttocks and sling when the patient
has been raised and is still sitting
in the Hygiene Sling.
Lower the patient into the wheel-
chair.
Carefully work the leg supports
out of the pants and remove the
Hygiene Sling.
Returning from toilet to wheelchair
Following are two descriptions of how to put the clothes back on after a concluded toilet visit.
The option you choose depends on the clothing and the physical state of the patient.
Alternative 1: Leg supports outside the pants. This is suitable for inelastic pants.
Alternativ 2: Leg supports rst – pants outside. This method is suitable for elastic pants.
Place the leg supports under the
legs but outside the pants.
Arms on the outside!
First connect the upper strap loops
to the slingbar, then the leg support
loops. Lift the patient.

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The leg supports should be placed
as close to the groin as possible
in most cases, especially on
patients with very poor muscle
tone. A smaller size can be
advantageous in this case.
The leg supports can be placed
closer to the bend in the knees
for those with high muscle tone.
This makes dressing and undressing
easier and helps reduce spasticity.
A larger size can be advantageous
in this case.
A too low and uncomfortable seating
position is due either to the leg
supports being too close to the
bend in the knees, or to the sling
being too large. Try a smaller size.
The sitting position depends on where the leg supports are placed under the patient’s legs. For someone with
poor muscle tone, they should be placed high up toward the groin so that he/she does not sit too low in the sling.
Patients with poor muscle tone usually sit better in a smaller Hygiene Sling size. For users with high muscle tone,
the opposite applies. They sit better in a larger Hygiene Sling, provided that the back support is placed high enough
and the leg supports are close enough to the bends in the knees.
Advice for trial tting
In our wide selection of slings, there are many models that can be used for toilet-related lifting situations.
Please visit www.liko.com for more information. Following is a sampling of possible alternative slings:
Liko Hygiene Sling with Safety Belt, Mod. 45
Liko Hygiene Safety Sling, Mod. 46
Liko HygieneVest, Mod. 50
Liko HygieneVest High Back, Mod. 55
Liko Original Sling, Mod. 10/11
Liko Comfort Sling Plus with Hygiene Opening, Mod. 310
Liko Comfort Sling Plus High with Hygiene Opening, Mod. 360
Liko MasterVest, Mod. 60
Liko MasterVest with front closure, Mod. 64
Alternative slings for lifting to and from the toilet
Abbreviated position
In certain cases, it is advantageous to shorten the leg supports for the patient to sit well in the Hygiene Sling.
The abbreviated position can be used temporarily in order to test for the right length, yet extended use may
damage seams. If you want to shorten the leg supports for long term use, we recommend that you tie a knot
into the leg support loop to shorten it about 10 cm (3.9 inch.). Then it is the outer leg support loop that should be
connected to the slingbar.

Name Prod. No. Prod. No. Size Patient’s weight* Maximum load
Teddy Hygiene Sling 3541813 XS Extra small < 30 kg (< 66 lbs.) 200 kg (440 lbs.)
Liko Hygiene Sling 3541133 XS Extra small < 30 kg (< 66 lbs.) 200 kg (440 lbs.)
Liko Hygiene Sling 3540134 3541134 S Small 25-50 kg (55-110 lbs.) 200 kg (440 lbs.)
Liko Hygiene Sling 3540135 3541135 M Medium 40-90 kg (88-198 lbs.) 200 kg (440 lbs.)
Liko Hygiene Sling 3540136 3541136 L Large 80-120 kg (176-265 lbs.) 200 kg (440 lbs.)
Liko Hygiene Sling 3540137 3541137 XL Extra large 100- kg (220- lbs.) 300 kg (660 lbs.)
Overview, Liko Hygiene Sling, Mod. 40, 41
* NOTE! The indicated patient weight and height are only guidelines – there may be deviations.
A size that is too large leads to risk of slippage; a size that is too small can cut into the groin and cause discomfort.
See additional information under Advice for trial tting, page 7.
Recommended combinations of Liko
Hygiene Sling and Liko slingbars:
Hygiene Sling Mod. 41, XS 1 1 1 2 2 4 4
Hygiene Sling Mod. 40, 41, S 1 1 1 2 1 4 4
Hygiene Sling Mod. 40, 41, M 1 1 1 1 1 4 4
Hygiene Sling Mod. 40, 41, L 1 1 1 1 1 2 2
Hygiene Sling Mod. 40, 41, XL 2 1 1 1 1 2 2
© Copyright Liko AB 2009-05
Mini 220 Slim 350
Universal 350
Standard 450 Universal 450 Wide 670
Univ. Twinbar 670
Recommended combinations
Explanation:
1 = Recommended
2 = May work
3 = Not advised
4 = Inappropriate
Indicates sling model
1 Reinforced leg supports
3 Reinforced corduroy-lined leg supports
1 Polyester 8 Teddy bear patterned warp-knitted polyester
354- - - 5 Indicates size
Description of product number
Combinations of Liko Hygiene Sling and Cross-bar, Cross-bar 450/670 or Side bars
are inappropriate.