Hillrom Liko HygieneSling with SafetyBelt 45 User manual

Product Descripon
This instrucon for use is valid for Liko HygieneSling with
SafetyBelt but in the following text we will only use the name
Liko HygieneSling.
Liko HygieneSling has been designed to facilitate dressing and
undressing in connecon with lis to and from the lavatory.
Caregivers oen experience such liing operaons as heavy
and dicult. With HygieneSling, dressing and undressing can
be done during the actual liing operaon, thanks to the large
opening around the seat of the sling.
Experience has shown that HygieneSling also works for
paents wearing long trousers or skirts and ghts (pantyhose).
Liko HygieneSling is easy to apply, even if space around the
wheelchair is very limited.
Liko HygieneSling is oen the most appropriate alternave
for paents with a certain degree of sness.
HygieneSling is made of green polyester and the leg supports
are reinforced and padded with a curduroy fabric.
The paent should have relavely good torso and head
stability to be able to sit comfortably and securely in
HygieneSling. For patients with poor muscle tone, it is
recommended a smaller size of HygieneSling or HygieneVest,
Mod. 55.
For paents who tend to sink down in the sling, the safety belt
distributes pressure and provides extra support during the li.
The HygieneSling can be used along with all of Liko’s overhead
and mobile lis. You can choose between the overhead lis
LikoGuard™, Likorall™, and Mulrall™ or the mobile lis
Golvo™, Viking™, Uno™, and Liko™ M220/M230.
In this document, the person being lied is referred to as the paent and the person helping them is referred to as the
caregiver.
7EN160166 Rev. 11
ENGLISH 2020
Liko™ HygieneSling with SafetyBelt Mod. 45
Instrucons for Use
Mod. 45
IMPORTANT!
Liing and transferring a paent always involves a certain level of risk. Read the instrucons for use for both the paent
li and liing accessories before use. It is important to completely understand the contents of the instrucons for use.
The equipment should only be used by trained personnel. Ensure that the liing accessories are suitable for the li used.
Exercise care and cauon during use. As a caregiver, you are always responsible for the paent’s safety. You must be aware
of the paent’s ability to make it through the liing situaon. If something is unclear, contact the manufacturer or supplier.

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7EN160166 Rev. 11 • 2020
Table of Contents
Symbol Descripon .......................................................................................................................... 3
Safety Instrucons ........................................................................................................................... 4
Care and Maintenance ..................................................................................................................... 5
Denions ....................................................................................................................................... 5
How to Aach a Sling to Dierent Sling Bars ................................................................................... 6
How to Aach a HygieneSling to a Sling Bar with 4 Hooks (Twin Bars) ............................................ 7
Liing from Wheelchair to Toilet ...................................................................................................... 8
Return from Toilet to Wheelchair .................................................................................................... 9
Advice for Trial Fing ..................................................................................................................... 10
Dierent Ways of Connecng Leg Supports ................................................................................... 10
Shortening Posion ....................................................................................................................... 11
Descripon of SafetyBelt ............................................................................................................... 11
Adapt the Length of the Strap to the Paent’s Girth ...................................................................... 12
Alternave Slings for Liing to and from the Toilet ....................................................................... 12
Overview Liko™ HygieneSling Mod. 45 .......................................................................................... 13
Recommended combinaons ........................................................................................................ 13

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7EN160166 Rev. 11 • 2020
These symbols can be found in this document and/or on the product.
Symbol Descripon
Symbol Descripon
Warning; this situaon requires extra care and aenon.
Read instrucons for use before use
CE mark
Legal manufacturer
Date of manufacturing
Product Idener
Serial Number
Medical device
Do not dry clean
Do not iron
Tumble drying
Do not tumble dry
Washing
Symbol is always in combinaon with recommended temperature
in °C and °F.
Latex Free
Periodic inspecon
Do not bleach
Line drying in shade
Facing Out Direcon upwards and symbol on outside of equipment.
Facing Out Symbol on outside of equipment.
(01) 0100887761997127
(11) Y Y MM D D
(21) 012345678910
GS1 Data Matrix Barcode that may contain following informaon.
(01) Global Trade Item Number
(11) Producon Date
(21) Serial Number

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7EN160166 Rev. 11 • 2020
Before liing, keep the following points in mind:
• A responsible person within your organizaon should decide on a case-by-case basis whether one or more caregivers are
needed.
• Ensure that the sling selected meets the paent’s needs with reference to model, size, fabric and design.
• The total maximum load for a li system is always determined by the product in the system with the lowest specied
maximum load.
• For safety and hygiene reasons, use individual slings.
• Plan the liing operaon so that it can be done as safely and smoothly as possible.
• Check that the liing accessory hangs vercally and can move freely.
• Although the Liko sling bars are equipped with latches, special cauon must be exercised. Before the paent is lied from
the underlying surface, but when the straps are fully extended, make sure the straps are correctly connected to the sling
bar hooks.
• Make sure the paent is sing securely in the sling before transferring to another locaon.
• Never li a paent higher o the underlying surface than is needed to complete the liing and transfer procedure.
• Do not use the handles to li! Excessive force on the handles can cause the sling to tear.
• Never leave a paent unaended during a liing situaon.
• Make sure that the wheels on the wheelchair, bed, gurney, etc., are locked during the liing/transfer operaon.
• Always work ergonomically. Use the paent’s ability to acvely parcipate in the operaons.
• When the sling is not being used, do not place in direct sun light.
• It is recommended to remove the sling aer the transfer.
Incorrect aachment of sling to sling bar may cause severe injury to the paent.
Manually turning the paent in bed may cause injuries to the caregiver.
PATENT www.hillrom.com/patents
May be covered by one or more patents. See above Internet address.
The Hill-Rom companies are the proprietors of European, US, and other patents and pending patent applicaons.
Product Changes
Liko’s products undergo connuous development, which is why we reserve the right to make product changes without prior
noce. Contact your Hill-Rom representave for advice and informaon about product upgrades.
Design and Quality by Liko in Sweden
Liko is quality cered according to ISO 9001 and its equivalent for the medical device industry ISO 13485.Liko is also cered
according to environmental standard ISO 14001.
Noce to Users and/or Paents in EU
Any serious incident that has occurred in relaon to the device, should be reported to the manufacturer and the competent
authority of the Member State in which the user and/or paent is established.
Safety Instrucons
Medical Device Class I Product

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7EN160166 Rev. 11 • 2020
Denions
1. Upper strap loop
2. Product label
3. Serial number
4. Label: Periodic Inspecon
5. Label: Individual marking (Belongs to)
6. Waist belt
7. Leg support
8. Shortening posion
9. Leg support loop
10. Size marking
11. Lower edge
12. Handle
13. D-ring
14. Inner belt loop
15. Outer belt loop
16. Loop strap
Check the sling before each use. Check the following points with regard to wear and damage:
• Fabric
• Straps
• Seams
• Loops
Do not use damaged liing accessories.
If anything is unclear, please contact the manufacturer or supplier.
Washing Instrucons: Please see the sling’s product label and the aached appendix ”Care and Maintenance of Liko Slings”.
Periodic Inspecon
The product must be inspected at least once every 6 months. More frequent inspecons might be required if the product is used
or washed more oen than normal. For protocols please contact your Hill-Rom representave.
Expected Life Time
The product has an expected life me of 1-5 years during normal use. Expected life me varies depending on the fabric, use
frequency, washing procedure, and weight carried.
Recycling Instrucons
The enre sling, including laths, padding material, etc. should be sorted as Combusble waste.
Hill-Rom evaluates and provides guidance to its users on the safe handling and disposal of its devices to aid in the prevenon
of injury, including, but not limited to: cuts, punctures of the skin, abrasions, and any required cleaning and disinfecon of the
medical device aer use and prior to its disposal. Customers should adhere to all federal, state, regional, and/or local laws and
regulaons as it pertains to the safe disposal of medical devices and accessories.
If in doubt, the user of the device shall rst contact Hill-Rom Technical Support for guidance on safe disposal protocols
1
7
6
6
45
23
14
15
16
8
13
Care and Maintenance
10
11
12
9

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7EN160166 Rev. 11 • 2020
Sling bar Sling loops to sling bar hooks Correct
SlingGuard™
Universal
SlingGuard™ Twin
Universal Twin
How to Aach a Sling to Dierent Sling Bars
Wrong!

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7EN160166 Rev. 11 • 2020
How to Aach a HygieneSling to a Sling Bar with 4 Hooks (Twin Bars)
Upper strap loops
Leg support loops
Loop strap
1.
2. 3.
CC
B
B
A
A
B
A
C
B
ABA
C
C

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7EN160166 Rev. 11 • 2020
Liing from Wheelchair to Toilet
Study the descripon and instrucons for safety belt and its adjustment rst. Prepare to undress the paent by rst undoing
buons and opening zippers.
Place the leg supports under the
paent’s thighs. Cross the leg supports
by drawing one leg support loop
through the other.
Move the sling bar forward and connect the loop
straps rst. Then connect the upper strap loops,
and nally, the leg support loops. See page 6-7 for
instrucons on how to aach the sling loops to
dierent sling bars.
Place HygieneSling behind the paent,
with the product label facing out about
halfway down the back. The so-padded
upper edge should be just under the
armpits.
Li the paent. Pull the paent’s
pants down as far as possible.
Lower to the toilet. Move the leg supports
aside and lower the paent’s pants even
further to enable beer access.
1. 2.
1. Draw right loop strap through le D-ring.
Draw le loop strap through right D-ring.
2. Test the appropriate loops by pulling
HygieneSling’s upper strap loop and one of the
loop strap’s loops at the same me, as in the
illustraon above.

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7EN160166 Rev. 11 • 2020
Pull the trousers up as far as possible
towards the crotch.
If an inconnence pad is to be used, t it
in place before the trousers are pulled all
the way up. Make the transfer and lower
to the chair.
Apply HygieneSling according to the instrucons
on page 8. Connect all of the loops. See page
6-7 for instrucons on how to aach the sling
loops to different sling bars. Lift the patient.
If an inconnence pad is to be used, t it in place
inside the crossed leg supports.
Pull the trousers right up over the seat
and sling while the paent is sll sing in
HygieneSling. Lower to the chair.
Disconnect the sling from the sling bar.
Carefully work the leg supports out of
the trousers and remove HygieneSling.
Return from Toilet to Wheelchair
Below, we describe two ways of dressing the paent aer the visit to the toilet is concluded.
The most appropriate alternave depends on the paent’s physical condion and clothing.
Alternave 1: Leg supports outside trousers. This is appropriate with non-stretch trousers.
Alternave 2: Leg supports rst – trousers outside. This method is suitable with stretch-fabric trousers.
Place the leg supports under the legs, but
outside the trousers. Connect all the loops.
See page 6-7 for instrucons on how to
aach the sling loops to dierent sling bars.
Li the paent.

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7EN160166 Rev. 11 • 2020
In most cases, and especially in the case
of patients with weak musculature, the
leg supports should be placed as close as
possible to the crotch.
On a paent with good muscle tone, the leg
supports can be placed closer to the knees. This
makes dressing and undressing easier and helps
to ease spascity.
A sunken and uncomfortable sitting
posture is either a result of the leg sup-
ports being placed too close to the knees
and/or the sling being too large. Try a
smaller size.
Advice for Trial Fing
The sing posion depends on where the leg supports are placed under the paent’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.
Paents with poor muscle tone usually sit beer in a smaller HygieneSling size. For users with high muscle tone, the opposite
applies. They sit beer in a larger HygieneSling, provided that the back support is placed high enough and the leg supports are
close enough to the bends in the knees.
Crossed-over leg supports.
The most common way of applying the sling. One leg support
loop is passed through the other before the loops are
connected to the sling bar.
Before a connecon alternave is chosen, an individual assessment should be performed to ancipate possible risks.
The following are general advice since the same principles are valid for several sling models.
Dierent Ways of Connecng Leg Supports
For some paents, e.g. amputees, it may be helpful to pull the
leg support loops through the metal D-rings, before aaching
them to the sling bar. This prevents the leg supports from
sliding forward on the legs.
Each leg support connected separately to the sling bar.
This can be appropriate when liing paents with parcularly sensive genitals.
Increased risk of sliding out.

This praccal accessory is used to mark the loops that have
been tried out for a certain person. It makes it easier for
the caregivers to choose the right loop to aach to the
sling bar.
Loop Clips
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7EN160166 Rev. 11 • 2020
Descripon of SafetyBelt
The loop straps must be crossed and pulled through the
D-rings before the selected strap loop is hung on the sling
bar.
The safety belt provides extra support for paents with poor muscle tone. The belt supports the upper body of the paent
who tends to sink down in the sling during liing.
However, the safety belt must not be so ghtly fastened that it lis the paent’s body inially; i.e., the safety belt must not li
before HygieneSling’s upper strap loops begin to li. If this occurs, it may cause the paent to lean back inappropriately.
The degree of tension applied by the loop straps around
the upper body depends on which of these loops is hooked
to the sling bar. By test liing with dierent loops at the
same me as HygieneSling’s upper strap loops are used,
you can determine which posion gives the right tension.
An inner loop gives more tension, while an outer loop
reduces the tension.
When correctly adjusted, the loop straps provide
somewhat less tension than the HygieneSling’s upper
strap loops.
Adjustment of Loop Straps
Shortening Posion
In certain cases, it can be advantageous to shorten the leg support loop in order for the paent to sit well in the sling. The
shortening posion can be used temporarily in order to test for the right length, but extended use may damage the bartacks.
If you want to shorten the leg support loop for long-term use, however, it is recommended that you e a knot in the loop to
shorten it about 10 cm (4 in). In this case, it is the outer leg support loop which should be connected to the sling bar.

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7EN160166 Rev. 11 • 2020
Alt. A: For very thin paents
Pull the loop straps out of the inner belt loops before
drawing them through the metal rings.
This enables maximum tension.
Alt. B: Intermediate size
Pull only one loop strap out of the inner belt loop.
Cross the loop straps and draw them through the metal
rings.
Alt. C: For larger paents
Pass the loop straps through both the inner and outer belt
loops before drawing them through the metal rings.
If necessary, for opmal funcon, the length of the waist belt can be adapted to the girth of the paent.
Adapt the Length of the Strap to the Paent’s Girth
Helpful hint: To accommodate an even wider girth, the
loop straps can be lengthened with Liko Extension Loops.
In our wide selecon of slings, there are many models that can be used for toilet-related liing situaons. Please visit www.
hillrom.com for more informaon. Following is a sampling of possible alternave slings:
Liko HygieneSling with Belt, Mod. 41
Liko HygieneVest™ High Back, Mod. 55
Liko MasterVest™, Mod. 60
Liko MasterVest™ front closure, Mod. 64
Alternave Slings for Liing to and from the Toilet
Loop Clips
Loop Clips, red, 4 pcs Prod. No. 3666033
Loop Clips, orange, 4 pcs Prod. No. 3666034
Loop Clips, yellow, 4 pcs Prod. No. 3666035
Loop Clips, blue, 4 pcs Prod. No. 3666036
Loop Clips, black, 4 pcs Prod. No. 3666037
Extension Loop
Extension Loop, green, 12 cm (5 in) Prod. No. 3691102
Extension Loop, green 22 cm (9 in) Prod. No. 3691103
Extension Loop, grey, 12 cm (5 in) Prod. No. 3691302
Extension Loop, grey, 22 cm (9 in) Prod. No. 3691303
- 2 = 12 cm (5 in)
- 3 = 22 cm (9 in)
Accessories

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¹ The indicated paent weight is a guideline only – there may be deviaons.
² To maintain maximum load, li/accessories intended for the same load or more are required.
Overview Liko™ HygieneSling Mod. 45
¹Sling bars 450 relates to Universal SlingBar 450 Prod. No. 3156075, 3156085, and 3156095, and also SlingGuard 450 Prod. No. 3308020
and 3308520.
² Twin bars 670 relates to Universal TwinBar 670 Prod. No 3156077, and 3156087, and also SlingGuard 670 Twin Prod. No. 3308040 and
3308540.
³ Sling bars 350 relates to Universal SlingBar 350 Prod. No. 3156074, 3156084, and 3156094.
⁴ Sling bars 600 relates to Universal SlingBar 600 Prod. No. 3156076 and 3156086.
Combinaons with Liko Hygiene Sling and Cross-bar, Cross-bar 450/670 or SideBars is not appropriate.
Explanaon: 1 = Recommended, 2 = May work, 3 = Not advised, 4 = Inappropriate
Recommended Combinaons
Combinaons of accessories/products other than those recommended by Liko can result in risks for the safety of the paent.
Other Combinaons
Recommended combinaons with Liko
HygieneSling and Liko’s sling bars: Mini 220 Sling bars 350³ Standard 450 Sling bars 450¹ Sling bars 600 ⁴ Twin bars 670²
Liko HygieneSling, Mod. 45, S 1 1 213 4
Liko HygieneSling, Mod. 45, M 11113 3
Liko HygieneSling, Mod. 45, L 11112 2
Liko HygieneSling, Mod. 45, XL 2 1112 2
Material: HygieneSling is available in Polyester.
Product Prod. No. Size Paent weight¹ Max. Load²
Liko HygieneSling 3545134 S25-50 kg (55-110 lbs.) 200 kg (440 lbs)
Liko HygieneSling 3545135 M40-90 kg (88-198 lbs.) 200 kg (440 lbs)
Liko HygieneSling 3545136 L80-120 kg (176-264 lbs.) 200 kg (440 lbs)
Liko HygieneSling 3545137 XL >100kg (>220lbs.) 300 kg (660 lbs)

© Copyright Liko R&D AB 2020. ALL RIGHTS RESERVED.
Liko AB
Nedre vägen 100
975 92 Luleå, Sweden
[phone]
www.hillrom.com
Liko AB is a subsidiary of Hill-Rom Holdings Inc.